I have finally kicked the habit and am now smoke free. The only problem is that I have a 10-lb. weight gain, even though I am at the gym 4-5 times a week. I am doing the same workout as i did before quitting smoking. I don’t know what’s going on or how to fix this.

Posted April 1, 2010 by Dr. Chris Lydon
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Smoking impairs your sense of taste and smell while encouraging an oral fixation.  Once you quit, your oral focus shifts to food, which is suddenly tasting a whole lot better!  Moreover, tobacco contains nicotine, a thermogenic appetite suppressant.  Between decreases in metabolism and increases in appetite, a 10-pound weight gain is about average with smoking cessation.  Although pharmaceutical interventions may diminish or delay the weight gain, prescription medication is not a route I would embrace as a healthy, long-term solution.

In my opinion, you are simply at the body composition that your current nicotine-free lifestyle supports, and if you want to lose weight safely and permanently, some aspects of that lifestyle need to change.  Regardless of your smoking history, for optimal body composition, I recommend an exercise program that includes both resistance training and activities that spike your heart rate at regular intervals, and a diet that limits high glycemic index and grain-based carbs in favor of fruits, vegetables, nuts, and lean protein.  Fish oil supplementation may also help to quell the generalized inflammation (to which smoking certainly contributes) that can lead to insulin resistance and weight gain,  hypertension, and heart disease.

I’ve been eating a very low fat diet for about three months in order to lose weight, but I haven’t lost a pound. What am I doing wrong?

Posted March 27, 2010 by Dr. Chris Lydon
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Contrary to popular belief, it is not the high fat content of a high fat diet that makes us fat and unhealthy.  It is the high BAD fat content of a high fat diet that makes us fat and gives us heart disease.  Whereas too little fat in the diet makes it practically impossible to mobilize your fat stores for energy, including enough of the right kinds of fats actually increase fat burning.  Moreover, the fat content of a meal not only signals our brain that we are full, it also slows gastric emptying and functionally decreases the glycemic index of carbohydrates.  In essence, the fat content of a meal both prevents overeating and decreases the probability that ingested carbohydrates will wind up stored as fat.

It’s best to limit your intake of saturated fat from fatty cuts of domestic red meat, poultry skin, and full-fat dairy, and avoid deadly trans fats (hydrogenated vegetable oil) that are commonly found in processed snacks, desserts, and margarine.  Likewise, the essential fatty acid content of many polyunsaturated vegetable oils (like corn and canola) contributes to systemic inflammation and, in my opinion, their consumption should be severely limited or, better yet, eliminated.

On the other hand, the monounsaturated fats found in nuts, seeds, avocado, and olive oil, plus the omega-3 essential fatty acids found in cold water fish, fish oil supplements, and wild game, have all been shown to increase muscle retention and fat burning.  I strongly advise you take a close look at your eating habits.  If less than 30% of your total caloric intake derives from fat sources, I suggest adding more of these healthy fats to your diet.

I’ve heard it’s bad to eat right before bed, but I always seem to get really hungry about three hours after I finish dinner, which is only about half an hour before my bedtime. Is it ever OK to have a late night snack?

Posted March 18, 2010 by Dr. Chris Lydon
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Eating protein before bed might actually help you to lose fat by stimulating growth hormone secretion.  Growth hormone, which is produced mostly at night while you sleep, is known to speed fat loss, block fat gain, and enhance muscle toning.  Protein ingestion raises serum amino acid levels which, in turn, stimulate additional growth hormone release.  By consuming protein foods no more than two hours before bedtime, you will maximize growth hormone secretion while you sleep.