Health
‘Yo-yo’ weight loss occurs because of this surprising reason
About 40% of American adults live with obesity — and for many, it can feel a bit like a roller-coaster ride as their weight fluctuates up and down.
The cycle of losing and regaining weight, commonly known as the yo-yo effect, could be due to a type of “metabolic memory,” in which the body remembers and strives to return to its former state of obesity, according to a new study.
“Obesity is a chronic condition with significant metabolic consequences, strongly linked to various metabolic and cardiovascular diseases,” study author Dr. Ferdinand von Meyenn, assistant professor for nutrition and metabolic epigenetics at ETH Zurich in Switzerland, told Fox News Digital.
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“A well-documented observation is that the body tends to defend increased body weight, making weight loss and maintenance notoriously challenging.”
Obesity is a common chronic disease in the U.S., with one in five children and two out of five adults meeting the criteria, according to the Centers for Disease Control and Prevention (CDC).
The cycle of losing and regaining weight on repeat, commonly known as the yo-yo effect, could be due to a type of “metabolic memory,” a new study found. (iStock)
The new research, published in November in the journal Nature, points to epigenetics (genetic activity) that may play a role in regaining weight after weight loss.
What is epigenetics?
“Epigenetics, which involves chemical markers that influence gene activity without altering the DNA sequence, is crucial in how cells function and respond to environmental factors,” Dr. Fatima Cody Stanford, obesity medicine physician at Massachusetts General Hospital and Harvard Medical School, told Fox News Digital.
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“These markers can be altered by lifestyle factors, such as diet, and can remain stable for years, effectively creating a cellular ‘memory’ of past states, such as obesity,” added Stanford, who was not part of the study.
It is well-known that cells keep their genetic identity as they divide. The researchers were curious about what happens to fat cells — which live on average for 10 years before the body replaces them, von Meyenn said.
The researchers investigated what happens to fat cells, which live on average for 10 years before the body replaces them. (iStock)
This differs from other cells in tissues, which divide much faster – intestinal cells, for example, generally divide every other week, he added.
Fat cells still must adapt to external stimuli and undergo epigenetic adaptations, von Meyenn noted.
The researchers set out to determine whether these changes could be reversed.
Fighting ‘memory’ in fat cells
In mouse studies, the researchers found that even after significant weight loss, their cells have a “memory” of obesity encoded in the epigenome, which controls the activity of genes, said von Meyenn.
“Our study indicates that one reason maintaining body weight after initial weight loss is difficult is that the fat cells remember their prior obese state and likely aim to return to this state,” he told Fox News Digital.
“The body tends to defend increased body weight, making weight loss and maintenance notoriously challenging.”
“This means one would have to ‘fight’ this obesogenic memory to maintain body weight.”
Based on this research, a failure to maintain weight loss after dieting is not necessarily due to lack of effort or willpower, but could also be driven by an underlying biological phenomenon, von Meyenn added.
Potential limitations
The research looked only at fatty tissue, and the genetic mechanisms were studied only in mice. Even so, the researchers said they believe that similar mechanisms also apply to humans.
Other experts cautioned, however, that the study shows only association and does not prove that epigenetic changes cause the yo-yo effect.
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“The authors pointed out that they cannot say for certain that the epigenetic modifications directly cause people to regain their lost weight, nor pinpoint which specific epigenetic markers may be driving this effect,” Petronella Ravenshear, board-certified nutritionist and author of “The Human Being Diet,” told Fox News Digital.
Florida-based Ravenshear, who was not part of the study, noted that the results should not lead people to claim, “It’s not my fault, it’s my genes!”
Plans for future research
“We will need to now expand, see how the memory can be erased and whether other cells or tissues are also affected, [such as] the brain or the liver,” von Meyenn said.
It’s possible that if people maintain a healthy weight for a year or longer after dieting, that may be enough time to erase the memory in fat cells, according to Ravenshear.
The term “diet,” in its original connotation, means “way of living” — but it is now synonymous with short-term dietary changes that are unsustainable, one expert said. (iStock)
“This discovery underscores the importance of preventing obesity, particularly in children and adolescents, to avoid establishing this epigenetic memory that complicates long-term weight management,” Stanford noted.
“Understanding these mechanisms further could lead to more effective treatments and prevention strategies, emphasizing the need for a proactive approach to weight management from an early age,” she added.
‘Way of living’
The term “diet,” in its original connotation, means “way of living” — but it is now synonymous with short-term dietary changes that are unsustainable, Ravenshear noted.
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People often regain the weight they lose when they return to the eating habits that led to weight gain in the first place, many experts agree.
Ravenshear cited Professor David Benton at Swansea University in the U.K., author of “Tackling the Obesity Crisis,” who recently shared in a Guardian interview, “The mantra is that diets fail.”
One expert recommends focusing on breaking addictions to sugar and refined carbohydrates and embracing a new way of eating. (iStock)
“They fail because to avoid regaining lost weight, you need to permanently change your diet.”
After finishing a diet, many people return to the previous lifestyle that caused the problem in the first place, he noted.
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“Frequently snacking, and eating calorie-dense, nutrient-poor foods, disrupts our blood sugar, raises insulin levels and adds to inflammation – and the inflammation itself makes it harder to lose weight,” Ravenshear told Fox News Digital.
“Eating calorie-dense, nutrient-poor foods disrupts our blood sugar, raises insulin levels and adds to inflammation – and the inflammation itself makes it harder to lose weight,” one expert cautioned. (iStock)
She recommends focusing on breaking addictions to sugar and refined carbohydrates and embracing a new way of eating.
The expert suggests choosing nutrient-dense whole foods, eating three meals a day, and fasting with nothing but water for five hours between meals.
The weight loss occurs as a side effect of rebalanced hormones and lowered inflammation, she noted.
Ravenshear added, “When we are getting the calories, but not the nutrients that our body and brain need, we’re always hungry because our brain drives us to keep searching for food.”
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Health
Parasitic infection causing ‘explosive’ stomach illness exceeds 1,000 cases in northern state
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Cases of cyclosporiasis infections are rising across America, with more than 1,000 people diagnosed in Michigan and more than 500 in Ohio.
This is the largest outbreak of its kind in Michigan’s history and one of the country’s largest in years, according to the Associated Press.
The parasitic infection can cause weeks of watery diarrhea. The source of the infections has not been identified and no deaths have been reported.
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Michigan officials announced the outbreak last week following the identification of more than 170 cases since June 22 in the southeastern part of the state. Typically, only about 50 cases are identified in Michigan each year, according to AP.
A cyclospora infection often causes watery, “explosive” diarrhea that can last for weeks or even months if left untreated, the CDC says. (iStock)
Similar illnesses have been reported in 28 other states, including neighboring Ohio, where diagnoses have popped up across the Michigan border.
Cases have been climbing since the CDC identified an uptick in infections in mid-June, with illnesses now reported in dozens of states.
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Michigan has now reported more than 1,200 cases and at least 40 hospitalizations. In Ohio, northwest counties have identified more than 500 cases, including at least 306 in Lucas County, according to the latest available local figures.
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Texas has reported at least 48 cases, and illnesses have been identified in numerous other states as health officials investigate the source.
The hallmark symptom of a cyclospora infection is watery, often “explosive” diarrhea that can last for weeks or even months if left untreated, the CDC says.
Other symptoms of cyclosporiasis include severe abdominal cramping, bloating, nausea, fatigue and significant weight loss. (iStock)
Other symptoms include severe abdominal cramping, bloating, nausea, fatigue and significant weight loss.
The official outbreak season for the parasite runs from May 1 through Aug. 31, a window where warmer temperatures historically coincide with a spike in infections, according to the CDC.
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While the infection can sometimes clear up on its own, it frequently requires antibiotics. The CDC advises anyone experiencing symptoms of cyclosporiasis to contact a healthcare provider for testing and treatment.
The CDC, alongside the Food and Drug Administration and state health officials, is actively investigating several multistate clusters, but they have yet to find a cause behind the spread.
Fresh produce should be washed thoroughly before eating, although this may not eliminate the risk of infection, the AP noted. (iStock)
Past infections have reportedly been linked to consuming contamined fruits or vegetables, or being exposed to contaminated irrigation water.
Fresh produce should be washed thoroughly before being eaten, although this may not eliminate the risk of infection, the AP noted.
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Michigan officials recommend purchasing salad mixes or whole heads of lettuce instead of pre-washed, bagged lettuce. Remove two to three leaves from the outer layer of the lettuce head before washing and cook vegetables when possible.
Fox News Digital’s Khloe Quill contributed to this report.
Health
Dr Oz links obesity to chronic disease surge, says GLP-1s can ‘jumpstart’ better health
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Washington, DC – GLP-1 weight-loss drugs have become a prevalent part of American healthcare, and the current administration is getting behind the movement.
In an exclusive interview with Fox News Digital at the Great American State Fair in the nation’s capital on July 6, CMS Administrator Dr. Mehmet Oz voiced his support for the use of GLP-1 (glucagon-like peptide-1) medications, such as Ozempic, for appropriate uses.
“I’m a fan of GLP-1 drugs when used correctly,” he said. “They do help people who are overweight lose weight quite effectively. They’re not a replacement for diet and exercise, but they might jumpstart the system so it’s easier for you to use healthier tactics.”
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This is especially helpful for those who may have trouble moving due to joint pain or are experiencing internal dysfunction, Oz said.
Certain GLP-1 drugs are covered by Medicare for overweight candidates with certain conditions, such as high blood pressure and diabetes, and Oz projected the benefits will continue to benefit taxpayers.
Dr. Mehmet Oz is pictured in Washington, D.C., at the Great American State Fair, where he spoke about federal health policy. (Angelica Stabile/Fox News Digital)
“We believe these are so effective in reducing conditions like high blood pressure and diabetes that they’ll actually save money for the federal taxpayer, because [they’re] going to make you healthy enough that you don’t have to consume health services,” Oz said.
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“We think about 70% of all the money we spend on healthcare is caused by chronic conditions, and obesity is the No. 1 driver of all that, so it’s a smart decision.”
Oz recently announced the launch of the Medicare GLP-1 Bridge program, which will allow more seniors to access GLP-1 drugs for only $50 a month if they meet qualifying health criteria and receive prior authorization from a doctor.
The doctor expressed support for broadening affordable access to GLP-1 medications for Americans. (iStock)
“There are a lot of overweight people who don’t have high blood pressure, diabetes or other conditions, so they don’t get access to the drug normally,” he said. “We want them to have the ability to use it as well.”
Although these access shifts could boost Americans’ overall health — and in some cases could be lifesaving — Oz noted that there is “no silver bullet” when it comes to these medications.
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“I love the fact that the innovation that’s coming out of pharmaceutical companies is allowing us to save lives and make lives better,” he said. “But the real secret to longevity is eating right, exercising, sleeping, dealing with the stress of your life, finding some purpose in your existence [and] realizing you have agency over the future.”
“These are things that your mom would have told you [and that] you don’t need a doctor to be emphasizing.”
Medicating appropriately, combined with eating right, exercising and staying connected with others, can help make health goals attainable, the doctor said. (iStock)
While GLP-1s may not be a fix-all, combining these medications with foundational health practices “makes a lot of sense,” Oz said.
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“I don’t want people being fat-shamed … I don’t want you feeling guilty that you’re gaining weight even though everyone else around you seems to have figured it out,” he said. “It’s not that simple — our set points for hunger are different. We have different things going on in our lives.”
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“But if you realize how precious you are — the temple of the soul is so valuable. It’s the greatest gift your parents ever gave you, and you take advantage of every tool out there to make it work … which includes using medications when appropriate. That, to me, is MAHA.”
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