“Hello, Doctor, I really want to lose weight, but nothing helps. I had no problem losing extra kilos before. And now, for some reason, the weight loss process stands at one and the same place, even though I don’t eat much. I went through tests and my thyroid hormones and sugar level are normal. What’s the problem?”
I often hear such words during consultations. And I do believe such people. What my patients talk about is called “Secondary hormonal imbalance, associated with obesity”. In such cases, blood sugar level and thyroid hormones really lie within the normal values, because it is insulin that calls all the shots.
To avoid boring physiological details, I will cut it short: insulin is a hormone, secreted by the pancreas and released into the blood as needed. Its function is to “grab” blood sugar and “drag” it to the end user, which is every working cell of the body (nervous, muscular, etc.).
Insulin is released into the blood only at higher sugar levels (thank simple and complex carbs). If you do not overeat, this system works like a clock. But this a notion of perfection. In reality, you relax and allow yourself to all sorts of regular high-carbs and high-caloric indulgences, and your levels of insulin increase chronically, because it must constantly “push” the sugar into the cells.
As the time of such eating behavior goes by:
- insulin receptors become less sensitive
- sugar is poorly supplied into cells,
- blood sugar level rises,
- insulin is increased in a reactive way,
- the hormone transfers all “extra” sugar into fat,
This is how the “vicious circle” forms: overeating – chronic increase in insulin blood level – enhanced appetite – increased fat deposition – overeating.
I always give such an example: here are two identical persons with equal anthropometric parameters, who consume the same amount of calories daily. One of them has a normal insulin level, and the other – high. So, the former will maintain his shape, while as the latter will have extra weight.
All attempts to lose weight on your own are unproductive in increased insulin level, without an intervention of a competent nutritionist and endocrinologist. The solution lies in:
- low-calorie diet with limitation of simple carbohydrates,
- medicines that reduce blood level of this hormone.
This weight loss therapy will result in:
- reduced appetite,
- reduced fat deposits,
- reduced extra weight.
Yet, it is possible only in a comprehensive approach.
Moral of the story is: – if you are overweight for a long time, and your excess fat is distributed mainly in the abdomen area, and your attempts to lose weight often fail, avoid self-treatment. Get help from professionals and go to your goal step by step!