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Personal experience.
I was 280 pounds. I had exercised daily for two years and continued to gain weight as I started taking insulin.
I lost 80 pounds with the 3 hour diet by Jorge Cruise.
I have since gained back 50 pounds despite increasing my exercise to more than 2 hours a day.
I have faithfully continued to eat every three hours and feel I have much more control over my eating than i ever did.
Why did I gain weight. At 200 pounds I was cold all the time. I am 5 feet 11 inches. I am supposed to be 170 pounds. My waist was 40 inches.
I could not lose more weight despite exercise and continued diet.
I was in a semi-starvation state.
I am still off insulin and I documented the details of this history in my book, The Tubby Theory from Topeka.
Despite gaining back weight i continue to have a Hgb a1c 50% risk; you can tell him something new and something he has heard of before.
That subclinical plaque can have inflammation and rupture it's membrane to cause sudden death. This is important news to the patient.
Now you have his attention. Just as all our patients know of a woman who discovered breast cancer before 50 years of age with mammography, the patient also knows of people who had Sudden Death before age 50. The incidence of both are very similar.
Nobody knows anyone who has had permanent weight loss.