Peter Attia· MD
the only way I've been able to move the needle for that type of patient is the following you still have to do all the blocking and tackling on all the nutritional stuff you can't back off that so you're still doing some amount of time restricted feeding some periodic fasting carbohydrate restriction you're doing all of the right nutritional things oh we're also sort of loading them up with monounsaturated fats reducing saturated fats but they have to sleep eight hours a night they have to exercise every single day and you have to figure out what it is that is driving their stress and sometimes it doesn't even manifest overtype record icily Mia and on top of that it takes a long time so then you have to get them to buy into that strategy because if they don't get results in a month the tendency is to give up but if you look closely they've lost four pounds in a month and they might on the surface think well it's only four pounds but you realize no no no you don't understand you're gonna potentially lose 25 pounds in a year if you keep this up but you have to stay the course it's a very stubborn