DoctorTro Profile picture
May 9 10 tweets 2 min read Read on X
After helping thousands of patients lose weight, here’s my advice for those looking for lifelong, sustainable life changes. These are the “5 MUSTS” anyone trying to lose weight lifelong NEEDS to do.

🧵/Thread
Before you understand my “5 musts”, simply ask yourself -what are the side effects of your prior weight loss attempts- NOT your reasons, NOT what you want to happen, what went wrong, what made you stop?
The 5 Musts: #1 HUNGER
Most people quit diets because they feel low energy, tired & hungry. Your weight loss attempt will need to manage HUNGER. Are food choices making you full, or are they leaving you craving more a couple of hours later? Stick to:: 🐠🥩🍳🍗🍖🍤🫑🥑🥬🥦
The 5 Musts: #2 CRAVINGS

Many people fall off track because they crave certain foods & their desired diet doesn’t include those

If you are habituated to: 🍕🍟🍔🍩🍪🍿🍦 How do you plan on managing those CRAVINGS?
In our app, we outline a plan to manage these cravings for those interested in the low-carb lifestyle

doctortro.com/community/
The 5 Musts: #3 FEELINGS OF DEPRIVATION

The minute you start to eat less "unhealthy food" you will notice that the world around you will continue to eat the same foods are you trying to limit.
Inevitably, you are going to ask yourself “why can't I eat that.” You’re going to have FEELINGS OF DEPRIVATION. Are you prepared to handle that? you will need to plan ahead on how you will manage.
The 5 Musts: #4 SOCIAL SITUATIONS

Many people fall off track because of SOCIAL SITUATIONS. Business meetings, going out to eat with friends, vacations, holidays, & social events ALL of these have consistently sent people’s lifestyles to an early grave🪦. How will you manage it?
The 5 Musts: #5 EMOTIONS

Human eating behavior is more than just hunger. People eat, even to the point of self-harm, out of habit, due to depression, anxiety, boredom, happiness, etc. Do you understand your EMOTIONS, and how they will derail you in this process?
If you don't understand how your emotions are related to your eating, how will you change your eating habits?

So these are the “5 MUSTS” for anyone who wants a sustainable path.

Manage:
•Hunger
•Cravings
•Feelings of Deprivation
•Social Situations
•Emotions

• • •

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More from @DoctorTro

May 2
🚨 THREAD 🚨

GALLSTONES & GALLBLADDER DISEASE

Everything you need to know about gallstones as it relates to diet and dietary composition.

👇🏻👇🏻👇🏻👇🏻👇🏻
In the obese during rapid weight loss from a very low-calorie diet, a relatively high fat intake could prevent gallstone formation, probably by maintaining an adequate gallbladder emptying, which could counterbalance lithogenic mechanisms

nature.com/articles/08006…
On the basis of a meta-analysis of randomized controlled trials, during weight loss, UDCA and/or higher dietary fat content appear to prevent the formation of gallstones.

sciencedirect.com/science/articl…
Read 5 tweets
Mar 16
🔔 10 woke takes from the world of Modern Medicine in 2024 🔔

1) climate change is more important than human nutrition
2) obesity is genetic disease that requires drugs
3) obesity is healthy & should be embraced
4) diets don’t work, carbs are good, meat is bad
5) masking kids prevents death & causes no harm
6) any living thing needs 9-10 COVID shots, especially pregnant women & young children
7) COVID shots prevent long COVID & myocarditis
8) DNA & chromosomes don’t mean much, they are fluid, so is biology
9) the AMA covering the ethics of banning meat & NEJM covering climate change is more important than the diabesity epidemic
9) take drugs for every chronic disease
10) luck charms is healthier than eggs
People wanted context - lie 1

1) “Meat is unhealthy”

Meanwhile it’s associated with improved mental health, improved bone and muscle health and newer studies like that from PURE show that excluding it is bad for mortality Image
Lie 2

“Obesity is racist and it’s actually healthy”

Doctors, in an effort to be “inclusive” are ignoring the health impacts of excess adiposity
Image
Image
Read 6 tweets
Mar 14
There are 5 types of hunger that ideally should be taught to all patients with obesity

Without cultivating an awareness of appetite, hunger and cravings, a patient with obesity will not know what they are fighting against

So Let’s start!
We are going to start with some easy ones…

The Cephalic phase response aka food cues - this is hunger stimulated when in presence of food.

These signals are deeply ingrained and can be conditioned

Think of Pavlov & commercials - these aren’t going away quickly or ever
Second up is appetite triggered by Social cues to eat

our social lives, whether they are business meetings, family dinners or birthdays

Unless you are going monk mode - this cue to eat is also not going away & requires attention to manage
Read 21 tweets
Mar 7
How statisticians and researchers arrived at the conclusion that the BlueZones are a FRAUD. 🤔

🔑 Thread with key excerpts

1/n
“When these states transition to state-wide birth registration, the number of supercentenarians falls by 80% per year“

2/n
“The US data support the hypothesis that improved vital registration should reduce the number of supercentenarians, and be associated with changing patterns of old-age survival, by reducing age-coding error rates.”

3/n
Read 13 tweets
Feb 29
THREAD: 🧵

CGMs - continuous glucose monitors

Having looked at 10,000+ CGMs let me tell you what you will learn...

1/9
Lesson 1: Hidden carbs are everywhere
- you will find hidden sugar & carbs everywhere.

You didnt know you could find carbs/sugar but you will:
hotdogs, sausage, beef jerky, spices, condiments, sauces, soups, broths, basically everywhere you didnt look.

2/9
Lesson 2: consider avoiding seed oils, vegetables oils, especially from restaurants.

Patients who switch to olive oil and avocado oil & hoke cooking seem to have improvement not otherwise explainable on CGMs

3/9
Read 9 tweets
Feb 15
THREAD ALERT 🚨

I love the curious & creative thinkers, the patients who question everything, b/c answering these questions makes me a better educator & confirms my commitment to lifelong learning & shared decision-making

1/10
I don't “kick patients out” for presenting difficult questions… a cruel, yet common, practice among paternalistic/authoritarian doctors... I instead embrace the questions

I use them as an opportunity to dig deeper, understand more and understand better.

2/10
I’ve had many of the same questions that my patients have had, why should I or why would I patronize a patient for thinking logically and asking questions?

In any case, these question have led me to the primary literature...

3/10
Read 11 tweets

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