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248 pages, Paperback
First published December 27, 2016
Not a diet book! Hallelujah! The author has a PhD in biochemistry and a strong personal interest in the subject and so has devoted years of her life researching the topic. The first few chapters cover exactly what fat is and its complex role in the body. More than simply an inert means of energy storage, fat is presented as an organ that is deeply intertwined with the endocrine system with roles in hormone regulation, reproduction, the immune system and more. The first half of the book expounds upon the virtues of fat.
Of course, that's when it's functioning properly, located in the "right" places (subcutaneous, as opposed to visceral or circulating in the blood stream gunking up the liver and pancreas), and within a manageable range of body mass. The second part of the book discusses the downside of fat. This includes its role in insulin resistance, diabetes, and heart disease. It also covers the most frustrating data of all, why fat is so very difficult to lose and its persistence in returning once it is lost. Deeply depressing stuff. Factors discussed include genetics, gender, age, hormones, individual microbiomes, viruses, sleep, and others.
The most interesting aspect to me was the hormonal changes that occur after an obese person manages to lose the weight. Basically, unless you're prepared for this to be a possibly life-long battle, ya **cked. The body kicks out hormones that increase appetite, decreases hormones that signal fullness, eagerly shunts calories to fat, and basically pulls out every dirty trick to get back to that higher fat place. And studies show this may be permanent. Of course, it is possible to lose the fat and keep it off. It's just unfairly difficult
The final part of the book discusses tactics for losing fat. Liposuction is NOT great because when fat returns, it has a tendency to settle in less healthy areas, i.e. as visceral fat, which has more of an impact on the function of your internal organs. Exercise, of course, is strongly encouraged. Women tend to burn more fat during intense exercise - yay! But they also secrete more ghrelin, a hormone that makes you feel hungry, afterward - boo! Diet is discussed - yawn - and the importance of tracking calories and some kind accountability and reward system. This was the least interesting part of the book, and I especially disliked the author's discussion of her own fat loss tactics. The whole book advocates educating people in order to know what they're up against, and maybe that will help inform the reader of their own personal tactics to try. However, the author's account of her own diet, exercise, and fasting sounds horrible, and her means of justifying it consist of comparisons to the tactics of movie stars and super models. That earns a major side-eye from me.
So I loved it, except for chapter 12. It's refreshing to read books about this subject that aren't fixated on only a few aspects of the problem and/or trying to sell me anything. I learned some stuff. Now I'm interested in learning more, and luckily for the nerd that I am, the reference section is extensive.