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I have been Paleo for over a year now. When I started, I was relatively lean with a very flat stomach, despite eating gluten and sugar and relatively low fat.

I am a 37 year old female who is 5' 6" and weighed 115lbs a year ago.

Ever since eating Paleo, I have gained 15 lbs, gone up 2 dress sizes and added an inch to my waist.

I'm not that bothered about the weight gain as I was a little on the thin side when I started my Paleo journey, but the worrying issue is that I seem to have accumulated A LOT of abdominal fat. At first I thought it was bloating, but it's actual fat. I literally have a gut now, which I have NEVER had in my life. It hangs over my trousers and is really getting me down.

Is that a sign that something is not right? How can I have more fat on me now than when I ate grains and sugar?

I eat eggs daily, meat, vegetables, sweet potatoes, healthy fats in the form of butter, olive and coconut oil, a little cream in my coffee, limited fruit and sugar. I also drink wine a few times a week - but I did that before starting Paleo as well.

I rarely eat gluten although if I'm on holiday I will have a piece of baguette or a pizza in Italy. And my treats include chocolate and ice cream on occasion.

Edit: I started eating Paleo to improve fertility after 2 miscarriages in the past 5 years). The 15lbs weight gain does not bother me so much as I'm trying to conceive and carry out a healthy pregnancy but I am upset about having an actual bulging belly.

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A quick summary for those of you missing a lot of the points of this post. OP started at 5'6" (BMI 18.6) She is now at 130 lbs (BMI 21) She is went paleo to improve fertility (in a comment below). She is only eating 1400 calories per day (in a comment below). She does NOT need to lose weight or cut calories further! – Karen Jul 23 at 12:57
IMO lilliputty, the person you should talk to here is Dragonfly if you are interested in working towards better fertility. She's the expert. – Karen Jul 23 at 12:58
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She pops in just about daily, so may spot this thread and answer. Her website is sondrarose.com – Karen Jul 23 at 13:30
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Thanks for the props, Karen! – Dragonfly Jul 23 at 14:06
Best wishes for success lilliputty. @Dragonfly, you've earned the props. – Karen Jul 23 at 15:22
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8 Answers

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At 5'6" and 115 lbs you would have been at 18.5 BMI*. That's the very low edge of normal. Normal weight = 18.5–24.9 At 130 lbs, you're still at 21 BMI. You could be gaining into a healthier weight range.

Doing weights would shift any fat gain to muscle gain. It's possible you were and still are "skinny fat."

*BMI is not the best indication for several reason, including the skinny fat issue, but it is indicative, especially since you aren't real active. There are more accurate ways to measure body fat % which is a better indication than BMI. The scales that are supposed to do this are not very accurate. http://en.wikipedia.org/wiki/Body_fat_percentage#Measurement_techniques

ADDED: If you're doing paleo to be able to become pregnant, you WANT your BMI to be higher. IIRC, 22 BMI is about right. Dragonfly is the best source of info around here for those kinds of issues.

ADDED: It's damn hard to get adequate nutrients, especially if you want to get pregnant at only 1400 calories/day. Get more active and eat more.

ADDED: It's really hard to track calories accurately from memory. Try tracking daily for a week or so if you did it from memory.

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BMI is a poor indicator, even when it shows good thing – peter Jul 23 at 12:33
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It is an indication though in this particular case. See paragraph 3. – Karen Jul 23 at 12:41
Thank you Karen! – lilliputty Jul 23 at 13:28
Second Peter. BMI is useless for many people, myself included. – animaleater Jul 24 at 22:05
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lilliputty~

My condolences on your miscarriages.

(Just so you know, I wrote this without reading the other answers/comments!)

Excessive abdominal fat in otherwise normal weight women is usually a sign of hormonal imbalance. Sometimes excess cortisol, sometimes estrogen dominance. Sorting this out will help you release the belly fat as well as helping your fertility.

If it's cortisol-related, a Paleo diet will help to a certain extent, but a few other things need to be dialed in:

Sleep. So essential. Read this: http://drgominak.com/vitamin-d

Stress reduction. Excessive life stresses, including excessive exercise, can ramp up cortisol in women too much & contribute to fat gain. Meditation may be helpful, if this is the case. Gentle daily walking/movement (1+ hour) & some resistance training twice a week is usually enough to maintain a balanced metabolism at a normal weight.

Vitamin D level. Ideally in the 60-80 ng/ml range for hormonal balance.

Magnesium. Many folks cannot get enough through diet. 200-600 mg Magnesium Glycinate before bed may be helpful. Mag is also a necessary co-factor for D.

More details here:http://www.sondrarose.com/optimum-fertility-nutrition

Also, Estrogen dominance may be a reason for your increased belly fat at age 37.

Reducing environmental xenoestrogens is key: http://www.sondrarose.com/optimum-fertility-environment

You may want to research topical bioidentical Progesterone cream (lots of info on Dr. Lee's site.)

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Thank you SO much Dragonfly! I will definitely check all those links out. Chris Kresser mentioned that supplementing with Progesterone cream could lead to even more progesterone deficiency as when there’s that much extra progesterone in the system the receptors shut down. Have you encountered this? – lilliputty Jul 23 at 15:09
As I understand it, initially supplemental Progesterone will "wake up" shut-down estrogen receptors (due to estrogen dominance) and temporarily cause more estrogen dominance symptoms for a few weeks. This was true in my n=1 experience. If you are supplementing with a physiological dose of progesterone (~20 mg/day, I expect that you would not have a problem with shutting down Progesterone receptors. – Dragonfly Jul 23 at 17:18
I suspect that Chris Kresser was talking about excessive doses of Progesterone. Given that a pregnant mama's placenta makes 300 mg/day in pregnancy, I think you are safe with the doses that Dr. Lee recommends. Best to get saliva tests for all the sex hormone & see where you are, before supplementing. Read Dr. Lee's articles for more info. His book "Hormone Balance made Simple" may be helpful, too. – Dragonfly Jul 23 at 17:22
Those saliva tests you can buy on Dr Lee's site, do they send results to the UK as well or is it US only. I'll definitely check out his book, thank you so much! – lilliputty Jul 23 at 21:14
I don't know about the tests, but I'm sure you can email them & ask. – Dragonfly Jul 23 at 22:11
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If nothing else has changed, you are eating more calories than before, and more than you burn, plain and simple. There is magic in Paleo, in my experience, with mental things and hormonal stuff like hunger and sleep, but it doesn't over-ride the above statement.

Are you more or less hungry on Paleo? Do you eat bigger or smaller meals? Do you eat more or less often? Have you tried Intermittent Fasting?

Eat less food every day, period. Rather than count calories, get a little gram scale and consistently eat the same amount of a particular food when you eat it. Keep a journal. Once a week, cut that amount down by a little and you'll find the point where you start losing fat. Keep cutting amounts every week until you get low enough to keep fat loss going but don't feel starved. Going slowly keeps your mind and body from freaking out and hitting the cupboard.

Eat fatty meat or eggs with non-starchy veggies regularly. If you are getting fatty cuts, you don't need any added oil or cream. In my opinion folks go over board with that.

Eat carbs ONLY after some exercise, preferably that which elevates your heart rate a bit. You said you only eat carbs once a week. Try having a good bike ride, hike, or good brisk and long walk on the weekend and have your carbs right after. In my experience, eat fat and carbs away from each other; taken near each other is asking to gain fat.

Make sure you are hungry (dietary fat burned out of your system by that point), when you eat carbs, and eat them with very lean protein like top round steak, lean pork, or fish. You could eat another meal after that, depending on the timing, but it should again be carbs and lean meat, not another fatty meal that day after you've eaten carbs. The carbs raise your insulin for hours, and shut off lipolysis to an extent, so dietary fat you eat after that will be more likely to be stored than burned. The next day, go back to fatty meat and veggies and no carbs.

My .02

And I agree with the above advice, you cannot expect good body composition without hitting some hard exercise. Inactive is not paleo; our ancestors did a lot of exercise, and we are made for it.

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Thank you, that was very helpful! I normally eat sweet potatoes on a Sunday with a roast, and I cook them in goose fat or coconut oil. Maybe I'm overdoing it with the fat & carbs combo. – lilliputty Jul 23 at 12:48
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She does NOT need to lose weight. She started at a BMI of 18.6 and is now up to 21. Yes, I know the limitations of BMI. She is trying to improve fertility (mentioned in a comment). That requires a higher BMI. She only eats 1400 calories per day. It's really NOT that simple when you look at the whole picture. Not everyone who posts here is overweight. You HAVE to read the whole post and comments by a poster, not just what they think is the problem, and not just your quickie reaction. – Karen Jul 23 at 12:48
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She does probably need to gain muscle. That is entirely different, and cutting calories even further won't fix that. I can't believe people are advising a 5' 6" 130 lb woman who want's to improve fertility to CUT calories below her already low 1400 calories/day. ARRRGHHHHH!!! – Karen Jul 23 at 12:50
+1 for the mental/hormonal changes. yes this. not a magical weightloss diet, but definitely great for a mental makeover. – mzrdnan Jul 23 at 14:17
I DId read all the posts and comments prior to my post. She asked a specific question, about the nature of her gained belly fat to her dismay, and that's exactly what I answered. It IS hsr simple from my experience; gaining fat equals too many calories too little exercise, full stop. BMI and most online calculators are utterly useless at best, moreover, misleading. She doesn't like her new pooch. Eat less and workout more/harder. – animaleater Jul 24 at 0:21
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OMG, what horrible answers. IF your gaining abdominal fat, the reason for this is simple. You are consuming more calories (think fats) than you are burning. 15lbs and 2 dress sizes says you are gaining weight not only on your stomach but you hips, butt, and legs as well. Increase your activity and decrease your calorie consumption and watch the scale go back down. It really is THAT simple.

YES! The crybaby (fat) down voters are out in force on this one!!

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Great answer!... – peter Jul 23 at 12:31
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I wonder if you've read the whole post. She has gone from a calculated BMI of 18.6 to 21. I'm aware of the limitations of BMI, but it's certainly an indication. She is trying to improve fertility (mentioned in a comment). That requires a higher BMI. She only eats 1400 calories per day. It's really NOT that simple when you look at the whole picture. – Karen Jul 23 at 12:45
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Horrible answer because it doesn't take into account all the factors the OP mentions in her post and comments. – Karen Jul 23 at 13:11
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100 percent agree with Bill. Why the down vote people? The OP's question was "Increased Abdominal Fat Since Going Paleo - What Am I Doing Wrong". Karen, the question was NOT "how can I make my BMI best for pregancy or increase fertility". I think you are way off the mark here. Bill answered the question. 15lbs and 2 dress sizes means too many calories and too little exercise, it IS that simple. OP admitted she is using goose fat with a roast and sweet potatoes. – animaleater Jul 24 at 3:57
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And if she is gaining belly fat, I'd bet the farm she's getting more than the stated 1400 calories on average every day. – animaleater Jul 24 at 4:00
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What's your activity level like? Are you sedentary or quite active? Is your day job desk-based? Have there been any other factors that could be attributing to the weight gain? Any stressful situations, disrupted sleep pattern, change in contraception etc.?

You mentioned sweet potatoes - how often are you consuming starchy carbs, and at what sort of time (post workout, at night, mornings?)

Are you consuming leaner cuts or fattier cuts of meat? How do you feel on the diet in general, are you happier since having gone on the diet or has it been uncomfortable to give up your old food choices? How often a week (on average) do you fore go the regime? Are you finding you're having to consume more, calorie-wise, to remain satiated? Have you done any calorie/macro tracking? What's your average uptake in calories been?

Sorry to answer your question with questions - wouldn't want to answer your question without a healthy understanding firstly.

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I have a desk job and don't really work out. But I have been like this for years, yet when eating grains and low fat every day I didnt put on any weight. I normally eat sweet potatoes once a week for dinner, it's certainly not a daily occurrence. I dont miss grains at all, even though as I said if I'm on holiday abroad I will have some. I normally have ice cream twice a week, and I will also drink red wine a couple of times a week. To be honest I haven't felt the magical transformation most people seem to experience with Paleo - I'm doing it to increase fertility but HATE the gut :( – lilliputty Jul 23 at 10:55
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Do you have increased stress since you switched to paleo? Do you have any sleep problems? Have you tracked your calorie intake? That's a really good list Kyle gave you - it would be helpful to look at all facets of it. – Karen Jul 23 at 11:14
My stress has actually DECREASED in the past year, and I sleep very well (early to bed etc). My exercise consists of walking my dog regularly and playing squash or badminton once a week. I tracked my calorie intake on MyFitnessPal for a while and typically eat about 1400 calories, 50-100g carbs, 90g fat and 100-120g protein a day. I'm baffled! – lilliputty Jul 23 at 11:22
Wow. That really sounds quite solid. Maybe try cutting out the dairy completely. I know it seems harsh, but this really decreased my bloating a ton. Substitute with coconut milk and cream to keep fat levels higher. – YoungPaleoLover Jul 23 at 12:17
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I can't wait to have a pregnancy gut! At least there will be a reason for it :) – lilliputty Jul 23 at 13:30
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I agree with Karen. One misconception (and one I still struggle with getting right) is that Paleo/ Primal style of eating is NOT about weight loss. Many of us started heavy, and so weight loss is our motivator, but you actually started under-weight.

Paleo/ Primal style of eating is about allowing our genes to naturally find our healthy set point. For you, going from 115 to 130 could be very healthy.

Now, for the stomach, try throwing in some simple exercises. What this will do is help your body maintain it's level of health. However, where we hold our fat is very personal, and there's nothing you can do about that. It seems like, for you, your fat stores are around the belly. Some women it's distributed throughout their body, other's it goes "straight to the hips", etc. There's nothing you can do about your body's composition other than eat right, exercise a bit, and be proud of who you are.

Here's a quick, easy, body weight workout that a beginner could do easily -- you mentioned you have a desk job -- Try doing some IF (don't eat after dinner, skip breakfast), then throw this into a lunch time workout 3 days a week, followed by a high protein meal (either a shake or lunch). Using your lunch hour to workout really helps break up the afternoon!!!

http://www.marksdailyapple.com/bodyweight-workout/#axzz21RdQ7hne

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The IF isn't a great idea for a woman who wants to improve fertility. IF may not be all that good for women as opposed to men anyway. marksdailyapple.com/… – Karen Jul 23 at 11:55
Thanks for your comments. As I said, I'm not that bothered about the extra 15lbs as I was too thin to begin with. But find it upsetting to have a belly for the first time in my life. It's flabby and has cellulite on it, which is upsetting. As I'm trying to conceive, I don't want to do IF but I will definitely try to incorporate more exercise into my daily routine. – lilliputty Jul 23 at 12:46
Talk to Dragonfly re best types/amounts of exercises since you want to conceive. Excess can be as bad as too little. – Karen Jul 23 at 13:02
Fatty meat roast with starch will fatten you up every time, more so than a meal of equal calories consisting of fatty meat alone, or one of very mean meat and starch. Check leangains.com. He's right. Agree with the poster, your body has a favorite fat storage go-to site. That preference won't change. What fat you lose will go from everywhere else first, and You'll be quite lean before it comes off that fav spot. Try kettlebells. 15 min 4xweek of hard swings will do wonders. – animaleater Jul 24 at 0:32
Very LEAN, not MEAN, lol – animaleater Jul 24 at 0:33
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I always think sugar and fruit when inches around the waist is an issue. Is it possible your moderate amounts have inched their way up over the year? Don't skimp on the healthy fats, though, especially if your intention is to have children.

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I rarely eat fruit, but I'll keep a check on my sugar consumption in the form of chocolate and wine! – lilliputty Jul 23 at 13:23
obviously it's not the fruit. Could it be, the, um, FAT? Carbs and sugar are important for fertility. I'd say lower the fat and eat more fruit. – mmartian Jul 23 at 23:40
I most sincerely disagree, mmartian. – aseafish Jul 24 at 1:01
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It sounds like you are insulin resistant, get a blood test.

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She's eating meat and alot of fat. That's not insulin resistance. – animaleater Jul 24 at 2:07
Low carb leads to insulin resistance, so it's not that far off. – mM Jul 24 at 12:06
Low carb does NOT lead to insulin resistance. It leads to a temporary resistance of the muscles to spare glucose, quickly reversible as I've tested on myself. Low carb repairs broken metabolisms, giving your system a rest, and restores chronic insulin resistance. – animaleater Jul 24 at 22:12

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