DoctorTro Profile picture
Aug 19 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

Aug 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
Aug 12
1/
🧵 Can you reverse heart plaque?
Yes—and not just with meds.
Let’s walk through the top human trials showing how exercise, nutrition, and smart supplements can slow or even reverse plaque buildup.

A thread for your arteries… 🫀
2/
🏃‍♂️ CENIT Trial (2022)
Supervised HIIT (High-Intensity Interval Training)
📉 PAV shrank −1.2% per year
This isn’t casual walking—this is structured, high-effort cardio.
Result? Plaque regression.
Control group? No change.
3/
💪 Cardiac Rehab Studies
Regular exercise improves artery function and slows plaque growth.
When combined with other therapies, it can lead to actual regression.
Movement is medicine
Read 16 tweets
Jul 24
💡NEW PAPER💡

Food addiction and binge eating symptoms can be improved without drugs or surgery using real food, real support, and virtual care.

Our new peer-reviewed study was just published:
🔗frontiersin.org/journals/psych…
💙 Like, repost, bookmark, or share this link to help spread awareness about the power of metabolic health and lifestyle changes.

🧵/ Here is what we found and why it matters. 👇Image
The intervention is called TOWARD:
📱 Text-based support
🌐 Online virtual care
🧠 Wellness coaching
📚 Asynchronous education
📊 Real-time biofeedback
🍳 Dietary change via TCR (Therapeutic Carbohydrate Reduction)

A real-world, fully-remote model. Image
Who participated?
👥 44 adults
💼 All enrolled in an employee wellness program
🩺 100% had a metabolic condition
🧠 22.7% had a mental health condition (at baseline)

Just coaching, community, and fewer than 30g of carbs per day using our TOWARD approach.
Read 11 tweets
Jul 15
Thread 🧵

...get started with low carb with these 5 simple steps
Step One
Transform Breakfast...

Getting a breakfast filled with protein & healthy fats is imperative for lasting satiety & decreased appetite throughout the day.
For breakfast, avoid these foods:
❌•Oatmeal, Cereal, Bagels
❌•Granola, Breakfast Bars
☠️•Fruit Juice, Fruit Smoothies
❌•Waffles, Pancakes, Muffins Image
Read 15 tweets
Jul 8
How to INCREASE your low testosterone?

Thread 🧵
Testosterone is a steroid, anabolic hormone made in the testes and ovaries Image
Leydig cells which sit in the testes are the predominant manufacturing cell of testosterone in males Image
Read 21 tweets
May 13
1/
🧵 Can you reverse heart plaque?
Yes—and not just with meds.
Let’s walk through the top human trials showing how exercise, nutrition, and smart supplements can slow or even reverse plaque buildup.

A thread for your arteries… 🫀
2/
🏃‍♂️ CENIT Trial (2022)
Supervised HIIT (High-Intensity Interval Training)
📉 PAV shrank −1.2% per year
This isn’t casual walking—this is structured, high-effort cardio.
Result? Plaque regression.
Control group? No change.
3/
💪 Cardiac Rehab Studies
Regular exercise improves artery function and slows plaque growth.
When combined with other therapies, it can lead to actual regression.
Movement is medicine
Read 16 tweets

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