Stan Efferding

Most people go on a diet, lose weight initially, but gaining it back is the problem. The vast majority gain back. As much, if not more, over 50% for the first year and somewhere north of 80, as much as 95% within two to three years of the weight is gained back. Long-term dietary adherence, about a 2% weight loss on average over two years.

With Wegovia and Ozempic, the semaglutide suppressing hunger signaling, the average sustainable weight loss was 17%. Terzepatide was 23%. So you can see how significant the difference is, and the major signal there is suppression of hunger. And I can give you some tools that we use to help manage hunger based on our experience with randomized controlled trials.

With Wegovia and Ozempic, the semaglutide suppressing hunger signaling, the average sustainable weight loss was 17%. Terzepatide was 23%. So you can see how significant the difference is, and the major signal there is suppression of hunger. And I can give you some tools that we use to help manage hunger based on our experience with randomized controlled trials.

With Wegovia and Ozempic, the semaglutide suppressing hunger signaling, the average sustainable weight loss was 17%. Terzepatide was 23%. So you can see how significant the difference is, and the major signal there is suppression of hunger. And I can give you some tools that we use to help manage hunger based on our experience with randomized controlled trials.

Number one for managing hunger is probably going to be eating more whole foods and less ultra-processed foods. That's become quite obvious. We have studies now showing that people tend to eat as many as 500 extra calories a day when they're eating ultra-processed, hyper-palatable, calorie-dense foods. It's important that I make the distinction that it's all three of those things.

Number one for managing hunger is probably going to be eating more whole foods and less ultra-processed foods. That's become quite obvious. We have studies now showing that people tend to eat as many as 500 extra calories a day when they're eating ultra-processed, hyper-palatable, calorie-dense foods. It's important that I make the distinction that it's all three of those things.

Number one for managing hunger is probably going to be eating more whole foods and less ultra-processed foods. That's become quite obvious. We have studies now showing that people tend to eat as many as 500 extra calories a day when they're eating ultra-processed, hyper-palatable, calorie-dense foods. It's important that I make the distinction that it's all three of those things.

Whey protein isolate is ultra-processed, but it's not hyper-palatable or calorie-dense. And so the processing itself isn't really what drives weight. uh, those foods to be over consumed. It's the kind of the combination of sugars, fats, and salt calorie density, um, and hyper palatability. And those are, you know, it's not like we don't know what those are.

Whey protein isolate is ultra-processed, but it's not hyper-palatable or calorie-dense. And so the processing itself isn't really what drives weight. uh, those foods to be over consumed. It's the kind of the combination of sugars, fats, and salt calorie density, um, and hyper palatability. And those are, you know, it's not like we don't know what those are.

Whey protein isolate is ultra-processed, but it's not hyper-palatable or calorie-dense. And so the processing itself isn't really what drives weight. uh, those foods to be over consumed. It's the kind of the combination of sugars, fats, and salt calorie density, um, and hyper palatability. And those are, you know, it's not like we don't know what those are.

That's your drinking, your sugar laden sodas and your fast foods and your pastries and those kinds of things, the cakes, cookies, candies, and those kinds of things. And we're simply over consuming those foods because they don't satisfy us. They don't satisfy our hunger signaling. And so we eat more of them at one sitting and we're hungry again sooner and eat again as a result.

That's your drinking, your sugar laden sodas and your fast foods and your pastries and those kinds of things, the cakes, cookies, candies, and those kinds of things. And we're simply over consuming those foods because they don't satisfy us. They don't satisfy our hunger signaling. And so we eat more of them at one sitting and we're hungry again sooner and eat again as a result.

That's your drinking, your sugar laden sodas and your fast foods and your pastries and those kinds of things, the cakes, cookies, candies, and those kinds of things. And we're simply over consuming those foods because they don't satisfy us. They don't satisfy our hunger signaling. And so we eat more of them at one sitting and we're hungry again sooner and eat again as a result.

So the first thing is we try and get our clients to move away or to eat the majority of their foods as whole foods. That's your lean proteins, your fruits and vegetables, your nuts and seeds and those kinds of things. are a lot harder to overconsume and they satisfy you longer. Higher protein diets, higher fiber diets are important.

So the first thing is we try and get our clients to move away or to eat the majority of their foods as whole foods. That's your lean proteins, your fruits and vegetables, your nuts and seeds and those kinds of things. are a lot harder to overconsume and they satisfy you longer. Higher protein diets, higher fiber diets are important.

So the first thing is we try and get our clients to move away or to eat the majority of their foods as whole foods. That's your lean proteins, your fruits and vegetables, your nuts and seeds and those kinds of things. are a lot harder to overconsume and they satisfy you longer. Higher protein diets, higher fiber diets are important.

And there's other smaller things that you can do, being mindful about your eating, taking longer to eat because there seems to be a time delay between when you start eating and when your body responds to the fullness, the rugae expansion of the stomach sending the signal for satiety. And then also one of the methods we use to kind of

And there's other smaller things that you can do, being mindful about your eating, taking longer to eat because there seems to be a time delay between when you start eating and when your body responds to the fullness, the rugae expansion of the stomach sending the signal for satiety. And then also one of the methods we use to kind of

And there's other smaller things that you can do, being mindful about your eating, taking longer to eat because there seems to be a time delay between when you start eating and when your body responds to the fullness, the rugae expansion of the stomach sending the signal for satiety. And then also one of the methods we use to kind of

help with that fullness, expanding the stomach and taking more time is we ask that they drink fluids before and during, lots of fluids before and during their meals to help with filling the stomach up. And then obviously the fibers, the salads, they're just not very calorie dense, but you can eat a lot of them and they'll fill you up and keep you full for a longer period of time. And so