I'm 350 pounds and 6-2. Ideally I should weigh 200 pounds or less. Rather than jump back on the yo yo game of significant loss followed by more significant gains that got me to this point, I have instead spent a lot of time researching diet and lifestyle to try to find a final answer. I expected my research to lead me to my friend's raw vegan lifestyle, so this paleo thing is like a dream come true. I hope I am not dreaming. Bacon is good. Bananas are bad. This works for me! I do okay avoiding sugars but I am a carboholic so this will be a battle, but I am desperate so I am going for it.
My question: What are the caveats for the morbidly obese on this diet? I've found tons of great information and testimonials but very little about massive weight loss, and us real big people.
Not so much a caveat as an observation. Robb Wolf says that for some people, it takes a LONG time to turn the ship around, so to speak. The analogy is of a big oil tanker -- if it is going in one direction, and has a lot of inertia, it will take some time to turn it around. The longer you have been obese, the more damaged your metabolism is. It may take you a long time to repair it, which means you may not see rapid results. Be patient and stick with it. Even if you don't experience extremely rapid weight loss, you are getting healthier.
In biochemical terms, we're talking about regaining insulin sensitivity, fixing hyperinsulinemia and possibly hypertension, and probably converting your metabolism from one that is used to running primarily on carbs to one that will run mostly on fat.
That said, I know that some people have seen stunningly quick results on a low-carb, gluten- and grain-free Paleo diet, especially when combined with adequate sleep, adequate vitamin D supplementation, probably omega-3 fish oil supplementation (initially, high doses), and an appropriately scaled fitness program (short and RELATIVELY intense, not long slow cardio).
So, ditch the grains and sugars and all processed carbs, ditch the vegetable oil, eat more meat and fat, experiment with what works for you, and keep us posted on how you're doing!
You need to go and read Jimmy Moore's blog at http://livinlavidalowcarb.com/blog/beforeandafter
These are some before and after photos. The main page is http://livinlavidalowcarb.com
I think he weighed in at 460 a few years ago and is now about 250 and sometimes struggles. But he is very up front with everything.
He is an inspiration to those that say they cannot lose the weight.
Keep in mind that I'm not a expert. I'm just a coach who is still learning and applying is knowledge (and english is my second language)
My first suggestion would be to clean up your diet. So exit grains, legumes and process sugar. Aim for quality food and variety in your fat. With that in mind, bacon at each meal is a Big no go! Aim for good quality protein (grass fed if your budget allow it), green vegetable and quality fat: Olive Oil, Avocado, coconut oil and nuts at each meal.
Add to that quality sleep 8 hours a night and Supplement with good quality fish oil (omega-3)
Remember: - Paleo diet is not a all you can eat. - Keep a journal of your meal, sleep and mood, - Fruits should be kept at a minimum. Focus on veggies. - Stick with this diet for 4 to 6 weeks.
another awesome real food book on obesity is A Life Unburdened-http://www.breadandmoney.com/docs/thebook.html he basically stopped eating all processed foods, ate lower-carb, doesnt eat flour or much grains etc. read it, its inspiring and a quick read.
The cravings for carbs (a former carbaholic) were: 1st day rough
1 week still rough but better
Almost gave in at 2 weeks. But got much easier after that.
Had my 1st "cheat" meal after 30 days and it just wasn't as good as I thought it would be...and I didn't feel as good...so going forward became easier. (I was still eating fruits and honey LOTS of it to break me into the new lifestyle.)
In my second month I started getting the results.
Recommendations: Go strict for a period of time (a month) Keep a journal of not only the food, but your experience.
It works! Go for it!
Just a side-note some of you gut flora will be highly adjusted to your old diet and will try and resist your body's set-point changing, the cooling inflammation blog has some info on this, but basically I'd recommend also taking a probiotic and/or fermented foods to help jump start your gut flora towards the right way.
An inital period with a very strict version of a diet change is also supposed to help, while not strictly paleo the Eades 6 week belly diet is an example (first two weeks is just whey shakes or something weird )