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> I think this is still kind of missing the point about why people think that the EBM is unhelpful.

I don't think it's missing the point so much as disagreeing with the point :)

> Intentionally eating fewer calories to lose weight is a little bit like lowering the mains voltage going to your house because the thermostat is stuck at too high of a setting and your house is too hot. In the extreme case it will work (how could it not?) but it's going to cause all sorts of other problems in the meantime.

So this is why I have a problem with people arguing against the EBM and arguing against carbs (assuming I'm right of course!). It's teaching people a wrong underlying mechanism, that CICO "doesn't work", and that what foods you eat is more important than how much you eat.

What we should be teaching people is that any diet will produce weight loss, assuming it causes them to consume fewer calories. They need to find a diet that works for them and fits their lifestyle, and doesn't cause the above side-effects.

For one person that might be going keto and getting rid of carbs, because that seems to be a fairly "automatic" way of doing things, that causes people not to have hunger, and also not count calories. Great! They should do that.

For other people, getting rid of carbs is simply not something they can do for a sustained time. For them, other options might be better. Finding ways to make less calorically-dense foods, finding more fulfilling or lower-calorie versions of foods they like, etc.

For me personally, when I started my (relatively small) weight-loss journey a year ago, I just did pure calorie counting, which seemed to fit my life the best. I could still eat whatever I wanted, I just had to be smarter about amounts. I also had to learn to sometimes eat more fulfilling foods, otherwise I'd be hungry. It was a great way to learn about how nutrition and hunger work, and it's what I think will help most people.

So many people I ran into were surprised that this worked for me. After all, the only way to lose weight is to stop eating carbs, or so think a huge chunk of the population (including me a year and a half ago!).

> In the case of diet those other problems take the form of constant intrusive thoughts of eating, irritability, inability to think clearly, feeling cold all the time, and disinterest in any kind of movement/exercise.

Yes, just saying "eat less, move more" is definitely not the end of the conversation, because it's hard. You need to learn about foods and nutrition. You need to learn to substitute lower calorie alternatives or have more satiating meals. But you need to understand the underlying mechanism to even get there - if you think it's just about carbs, you're severely limiting your options and understanding.




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