Can’t Lose Weight No Matter What?
- February 1, 2015
- By Martin Rutherford, D.C., C.C.S.T., C.F.M.P. and Randall Gates, D.C., D.A.C.N.B. |
- Categories: Fitness, Healthy Body
Years ago, Dr. Randall Gates, Board Certified Chiropractic Neurologist, and myself, a practicing certified functional medicine practitioner, combined our disciplines to create a discipline capable of evaluating and successfully treating the complex of multiple systems breakdowns that create chronic diseases and chronic pain (I.e. as peripheral neuropathy, fibromyalgia, auto immune diseases, dizziness, vertigo, balance problems etc). To accomplish this task, it was necessary to understand brain, thyroid, bowel, immune and hormonal dysfunction. At no time during our research did we ever delve into weight loss. But a few years ago, while developing our protocols, it dawned on us that virtually everyone who had (and was going through) our neuro-metabolic chronic pain program had lost weight. We interviewed several of our patients and each person indicated they had previously lost the ability to lose weight–no matter what they did. They were surprised they had lost the weight even more so because that’s not what they came in for, and it’s not what we were treating them for. We did, and still, put people on our baseline diet, which is not calorie restrictive nor meant to help patients to lose weight. Nor did we have them exercise, use daily weight scales, tape measures, etc.
We came to the conclusion that many, if not most, of the people in our community unable to lose weight were probably suffering from the same chronic conditions as our chronic disease and pain patients, or were at least experiencing dysfunction in the same organs causing our patients pain but manifesting in them instead as chronic obesity and the inability to lose weight. To test this hypothesis, we made efforts to attract about 25 patients to the office who were from 25 to 150 pounds overweight and couldn’t lose it.
Here’s what we found:
Thyroid: Many had undiagnosed, misdiagnosed or poorly managed thyroid conditions. Eighty percent of them had Hoshimoto’s. These patients could not lose weight until this was handled.
Blood Sugar: Many had diabetes type II or were heading that direction and their medications weren’t working. Many were even eating good diets. These patients also frequently had the above mentioned thyroid conditions as well as various intestinal bacteria and/or endotoxemia (gut toxins), which were altering hormone function and the ability of their insulin to function properly. As a result, men were converting testosterone to estrogen and woman were converting estrogen to testosterone. These folks had zero chance at weight loss.
Adrenals: Or, in this case, “stress.” All of them had 24/7 mini or full blown PTSD going on due to work or home. PTSD from verbal, physical or sexual abuse, or any “long term stress” that causes the adrenal glands to put out too many stress hormones (particularly cortisol) is a problem. Cortisol stimulates fat and blood sugar (carbohydrates) metabolism. This increases blood sugar, which further increases appetite to replace carbs and fats used for the fight/flight response (PTSD) problem. In today’s society, stress-causing situations are not equivalent to the primitive 20 minute fighting or fleeing the tiger response, which doesn’t require the body to use up a lot of energy. With today’s long term stress responses, or PTSD, cortisol ends up causing the body to refuel after stress even when it doesn’t need to. This causes excess fat fuel (glucose), which turns to fat-causing excess fat storage. All the above referenced patients were suffering from chronic stress.
Gut: Just know if you have leaky gut, food allergies (gut related), small intestinal bacteria overgrowth (SIBO), endotoxemia, dysbiosis, or lipopolysacharides in your blood stream they will combine to cause multiple systems such as your thyroid, blood sugar, adrenals, and immune system to dysfunction killing any chance of weight loss.
All of the 25 patients who were evaluated suffered from various combinations of the above noted dysfunctions. They all lost all, or close to, the amount of weight they desired to lose. And most of you who can’t lose weight probably also have a combination of two or more of the above metabolic abnormalities.
The Solution: Find out which of the above categories you fit into. Fix them. And you will lose weight.
- Ferolla SM, Armiliato GN, Couto CA, Ferrari TC. The Role of Intestinal Bacteria Overgrowth in Obesity-Related Nonalcoholic Fatty Liver Disease. Nutrients. 2014 Dec 3;6(12):5583-5599. Review. PubMed PMID: 25479248.
- Festi D, Schiumerini R, Eusebi LH, Marasco G, Taddia M, Colecchia A. Gut microbiota and metabolic syndrome. World J Gastroenterol. 2014 Nov 21;20(43):16079-16094. Review. PubMed PMID: 25473159; PubMed Central PMCID: PMC4239493.