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Losing weight can be extremely hard. Keeping it off can be even harder. In the show The Big Fat Truth, which premiered this past Sunday, former The Biggest Loser contestants who regained weight are on a mission to lose it again. Is the contestants’ weight gain due to metabolic changes? Or does it come down to what Roth blithely describes as decision-making patterns that aren’t conducive to maintaining weight loss? The truth probably lies somewhere in between. Though the Biggest Loser study, which was published in May in the journal Obesity, looked at only 14 former contestants, it still offers an intriguing glimpse into what’s going on here.
For people who are extremely overweight, a program of diet and exercise may seem like the healthy way to effect drastic weight loss. But a study of contestants on the popular reality TV show “The Biggest Loser” suggests that’s not true. It turns out, drastic weight loss is associated with a slow metabolism and with low levels of hormones that affect hunger. People who struggled with extreme obesity a BMI of 40 or greater competed to lose weight in a short amount of time. They worked with teams of doctors, nutritionists, and personal trainers. The contestant who experienced the most drastic weight loss by the end of the TV season just 30 weeks won the competition.