If anyone knows how difficult it is to lose weight and keep it off, it’s me. My struggle accelerated as soon as soon as I entered adulthood. At 18, in my last year of high school, I moved to Italy. In six months, in a town near the Adriatic sea, I managed to put on 25 pounds.
The reason for my Italian waist expansion was clear: I ate ice cream, bread, and mozzarella di bufala like I’d never see it again. Before school, it was not uncommon to stop at a cafe and gossip over cappuccinos and bomboloni custard-filed donuts. After school, gelato. Dinner usually featured plates of pasta, cheese, and bread. Who needed vegetables when you had fresh mozzarella?
The stay in Italy was delicious. I made friends. I learned the language. I studied the streets, squares, and galleries of Rome and Florence. I also got fat. It took about three years to return to my pre-Italian sojourn size. And keeping the weight off since then has required daily thought and effort: avoiding sugary drinks and late meals, preparing food at home whenever I can, keeping running calorie counts in my head or iPhone app, and regularly weighing myself. When the number on the scale goes up and it still does sometimes I try to figure out where I’m going wrong and re-focus. I don’t view these efforts with disdain; I accept that they’re a necessary part of staying healthy.
It is with this context that I give you what I hope is a helpful guide to thinking about weight loss. Again, I know how difficult it is to manage one’s weight, and how annoying it is to see articles about “10 tricks” that will help bust your belly fat or promises about magic diet-pills and potions. I know from personal experience that there are none, and I wanted to offer you an alternative, something that actually reflects clinical experience and what science tells us about keeping healthy.
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