Any Advice For How To Handle A Bad Weigh In?

Anyone who has tried to lose weight has been there. You had a great week of eating and exercise and are excited for your weekly weigh in. To your shock, you did not lose anything. Or maybe even you gained!

Here are some tips to handle this surprisingly common occurrence.

1) Don't freak out. Keep the right attitude. View your weekly weigh in as a data point to help you attain your goals, nothing more.

2) You can retain 2 or 3 pounds of water after a meal that has a lot of salt or refined carbs. The same is true if you drank alcohol. Look at the last few days to see if this is the case. Only weigh yourself after two days of clean eating.

3) If you are lifting weights, as you should be, you are adding muscle weight. This is good but will show up on the scale. If your clothes are fitting you better, you are still losing body fat. I once had a client who did not lose a pound but dropped a dress size. She was losing fat and gaining muscle at the same rate, so the scale did not move. You can have your body fat measured if you suspect this is happening.

4) Keep going another week. Your body may need a little time to adjust to your recent weight loss. If after 2 weeks, you still have not lost, then I would look at your diet, exercise and lifestyle a little more closely and see if you need to make some changes. 

Exercise In Colon Cancer Patients

The Study

In this interesting study, researchers wanted to see if exercise influenced survival among subjects diagnosed with stage 3 colon cancer. After treatment, subjects had their exercise monitored for 3 years. Survival was compared to people of the same age that did not have colon cancer. The results were impressive:

-Subjects that completed 18 or more METS per week (equivalent to walking briskly for about 5 hours per week) had a survival rate that was only 3.5% lower than the general, healthy population.

-Subjects that completed less than 3 METS per week (equivalent to walking briskly for less than 1 hour per week) had a survival rate that was 17.1% lower than the general population. 

Cancer 2025:E35727

Take Home Message

It is amazing to me that moderate exercise can increase survival so dramatically after a stage 3 colon cancer diagnosis. It just goes to show you how powerful the influence of physical activity is on our health.  

The researchers were not sure of the mechanisms. One possibility is that exercise decreases inflammation. Another is that the exercise improves insulin function. Both of these may act to reduce cancer recurrence.

Whatever the reason, physical activity should be a big part of any colon cancer treatment plan.

Lifestyle And Stroke, Dementia And Depression Prevention

The Study

Previous research has shown that a significant percentage of stroke, dementia and depression diagnoses are due to lifestyle choices. In this study, a systematic review was conducted to identify all of the modifiable risk factors to keep your brain healthy as you get older. Fifty-nine meta-analyses were included.

Here are the 17 factors that were identified in this investigation:

Alcohol

Blood Pressure

Body Mass Index

Fasting Glucose

Total Cholesterol

Leisure Time Cognitive Activity

Depression

Healthy Diet

Hearing Loss

Kidney Function

Pain

Physical Activity

Purpose In Life

Sleep 

Smoking

Social Engagement

Stress Levels

https://doi.org/10.1136/jnnp-2024-334925

Take Home Message

Work with your doctor to make sure you are taking care of all of these risk factors. This will greatly improve your odds of keeping your brain healthy as you get older.

Butter, Plant Based Oils And Risk Of Mortality

A number of popular fad diets consider butter a healthy source of fat and place no limitations on its consumption. Followers of these diets are even known to put butter in their coffee instead of milk. As a nutrition researcher, seeing this is both fascinating and sad. It is fascinating for me to see how far these fad diets deviate from what the research literature has taught us in the last several decades. It is sad because I know these people are hurting their health.  

Decades of convincing research has shown that butter and other saturated fats have a negative impact on LDL cholesterol and inflammation. This can increase risk of cardiovascular disease and even cancer. A recent study was published in JAMA Internal Medicine that looked at the long-term risk of death for those that consume a lot of butter compared to those that choose plant-based oils more frequently.

The Study 

Harvard University conducted this study with a combined cohort including The Nurses’ Health Study, The Nurses’ Health Study II and The Health Professional Follow-up Study (Reference 1). The Study included over 221,000 subjects who were followed for up to 33 years. The results were compelling:

-Subjects consuming the most butter had a 15% higher risk of dying from any cause when compared to subjects who consumed the least.

-Subjects consuming the most plant-based oils had a 16% lower risk of dying from any cause when compared to subjects who consumed the least. 

-Substituting 10 grams of butter each day with plant oils reduced mortality by 17%. 

Conclusions And Recommendations

So, why is butter harmful? It is high in saturated fat. This has a negative impact on LDL cholesterol and can increase risk of heart disease and stroke. Saturated fat also increases inflammation, which is an important pathway to cancer. There is also evidence that saturated fat increases hormonal activity, which can have a negative influence on hormone sensitive cancers like breast and prostate cancer.

Why are plant oils beneficial? For the opposite reasons. They decrease LDL cholesterol and inflammation.

The take home message is pretty simple: Strictly limit butter.  Use plant oils such as olive oil and canola oil instead. If a meal or food calls for butter, you can instead use a plant based oil spread like Olivio or Smart Balance. These taste a lot like butter and are way healthier for you.

References

1) Zhang Y, et al. Butter and plant based oils intake and mortality. JAMA Intern Medicine doi:10.1001/jamainternmed.2025.0205