ZOE Science & Nutrition - Forget crash diets: How to maintain a healthy weight | Alan Aragon & Prof. Sarah Berry
Episode Date: August 14, 2025Most people who try to lose weight and keep it off end up failing. But what if the problem isn’t you - it’s the diet? In this episode, we cut through the noise of weight loss fads to explore a sc...ience-backed method that’s helped countless people make real, sustainable changes. It’s called flexible dieting, and it’s built around the idea that personalised macronutrient targets, food quality, and consistency matter more than restrictive rules or trendy plans. Our guest is Alan Aragon, a leading expert in fitness nutrition who’s spent over 30 years coaching clients and publishing research that’s reshaped how the industry thinks about fat loss. Alongside Alan is Professor Sarah Berry, ZOE’s Chief Scientist, who brings insight from her studies on metabolism and how our bodies respond to food. Together, they unpack what actually works for long-term fat loss — and how you can get started with a realistic, effective approach that doesn’t require cutting out the foods you love. Unwrap the truth about your food 👉 Get the ZOE app 🌱 Try our new plant based wholefood supplement - Daily 30+ *Naturally high in copper which contributes to normal energy yielding metabolism and the normal function of the immune system Follow ZOE on Instagram. Timecodes 00:00 Forget crash diets 03:42 The REAL reason we're all gaining weight 10:50 Does the keto diet work? 13:15 High-carb or high-fat diet for weight loss 18:22 The biological reason you regain weight 19:26 What is the 'YOLO margin' and how can it help you lose weight? 22:53 How a single treat becomes a daily habit 24:22 The mindset trick to stop binge eating for good 27:53 How to turn your body into a metabolic engine 29:26 No.1 rule for PROTEIN intake 33:53 A surprising take on Ozempic 38:00 The hidden danger of weight loss drugs 39:23 Step one is NOT diet or exercise 42:02 Why poor sleep makes you crave junk food 47:50 Optimal protein for fat loss 49:07 The easiest way to hit your daily protein goal 51:17 The only 3 exercises you really need 53:58 How to do 80 squats a day without even trying 56:32 This simple eating trick can cut 15% of your calories 59:50 A final warning for anyone trying to lose weight 📚Books by our ZOE Scientists The Food For Life Cookbook Every Body Should Know This by Dr Federica Amati Food For Life by Prof. Tim Spector Free resources from ZOE Live Healthier: Top 10 Tips From ZOE Science & Nutrition Gut Guide - For a Healthier Microbiome in Weeks Mentioned in today's episode Resistance Training Combined With Diet Decreases Body Fat While Preserving Lean Mass Independent of Resting Metabolic Rate: A Randomized Trial Effects of meal frequency on weight loss and body composition: a meta-analysis Does Timing Matter? A Narrative Review of Intermittent Fasting Variants and Their Effects on Bodyweight and Body Composition International society of sports nutrition position stand: diets and body composition New insights in the mechanisms of weight-loss maintenance: Summary from a Pennington symposium Have feedback or a topic you'd like us to cover? Let us know here. Episode transcripts are available here.
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Welcome to Zoe, Science and Nutrition, where world-leading scientists explain how their research can improve your health.
It's time to examine the science behind weight loss and obesity.
Did you know that around 80% of people who attempt long-term weight loss fail?
So forget the fads. This isn't about willpower or crash diets.
In this episode, we'll uncover an approach that's worked for many people.
Today we're joined by Alan Aragon, who over more than three decades of research and fitness coaching,
has pioneered an approach that's called flexible dieting, a strategy to help you lose weight and keep it off.
Alan has published more than 20 papers and peer-reviewed journals and helped transform the fitness industry,
replacing outdated dogma with science-backed principles that have become standard practice in fitness and nutrition coaching.
We're also joined by Zoe's chief scientist, Sarah Berry, a professor in nutrition at King's College London,
who's run large-scale human nutrition studies on how foods impact on metabolism and how we store fat.
Alan, thank you for joining me today.
Thank you so much, Jonathan.
Really, really happy to be here.
And Sarah, thanks for being here too.
Excited as always.
Well, Alan, we always like to kick off our show here at Zoe with a rapid-fire Q&A with questions.
from our listeners. Are you up for that?
I think I was born for that. That's what I tell myself.
So we have some very strict rules. You can say yes or no, or if you have to, a one-sentence answer.
Let's go.
Alan, is there one approach to weight loss that will work for everyone?
No.
Sarah, does eating fat always make you fat?
No.
Alan, is exercise more important than diet for weight loss?
No, they're both equally important.
Sarah, if you have a slow metabolism, is it impossible to lose weight?
I don't really even understand what that term means.
Spoken like a true scientist.
Alan, what's the biggest mistake that people make when trying to lose weight?
listening to everything they hear on social media and just getting confused and just going with
who's the most charismatic weight loss is a really complex and a really important topic so alan i'm
really glad that you could join us today to try and help make sense of it and listeners often get
in touch with us asking for help they want to move towards a healthier lifestyle they want to move
towards a healthier weight but they're bewildered by exactly what you just mentioned in the
quickfire questions right all this conflicting and confusing advice
that they find online, you know, where within 10 minutes you can be told two things that
are diametrically opposed to each other.
There's obviously an enormous amount of misinformation around, you know, influencers pushing
their latest weight loss supplement, dangerous health hacks.
There's also this transformation of the field with these new weight loss drugs, right,
a Zempik and Wagovi and everything.
Let's start at the beginning.
Alan, why are we becoming more overweight?
It's a combination of several things.
So the way that I see it, it is a gradual shift towards sedentary living, and this has been facilitated by labor-saving devices and even electronic and digital means to not even have to get up off the couch to prepare food.
You just make a call and then wait for it to show up at the door and that's it.
in addition to that, there's a fundamental misunderstanding of how to maintain healthy body weight.
And people simply don't know or are unaware that fundamentally, in order to lose weight,
you have to impose a net caloric deficit over a period of time.
And so when people are not aware of that, then they easily believe that there are magic foods
that, for example, burn belly fat or magic foods that burn fat and then other foods that
you should completely vilify or avoid. And that's where a lot of the confusion comes in.
And in addition to that, I would say that in the present time, people have a greater tendency
to use food to, I guess, medicate or entertain themselves, just from general work, stress,
interpersonal stress, anxiety. And so food ends up being kind of used as that sort of tool.
I think that the combination of those things is at least some of the factors underlying the obesity phenomenon that has basically started in the earlyish 80s and continued on to today.
To add to what Alan said, I do think as well as the fact that we're more sedentary, as well as we're all living such different lives and we have all of this food noise, our food landscape and the few choices that most people are making now are so, so different to 20, 30, 40, 50 years ago.
and they're almost hijacking our system.
You know, we have evolved to be able to handle excursions in blood sugar
to handle fat, to handle all sorts of things that are thrown against us.
But we haven't evolved to handle the food landscape that's out there
that's evolving even more quickly than science can evolve.
I knew I was missing a huge factor being the food environment.
Yes, thank you.
And I think one of the things that's interesting is that for as long as
I've been alive, actually, I'm aware of this constant trend of diets to deal with this
new issue of all of us putting on weight.
And I think we would now call those fad diets because they come and they go.
I'm guessing that both of you have seen hundreds of them.
I'd love you to both maybe share perhaps your favourite.
And then I'd like to talk a bit about what helps them to take off in the first place.
and then what's the reality like do they do they deliver well of course the carnivore diet and this is
coming from somebody who i love to eat meat i just think that you throw the baby out with
bathwater when you just fall headlong into carnivore because you heard it's optimal and in fairness
a lot of people who adopt the carnivore diet are seeking some alleviation to their gastrointestinal
distress to, you know, whatever symptoms that they're suffering through. And one can build a case
to start off with a baseline of just meat and then reintroduce the plant foods systematically to
find out who the offending agents are. However, there is a sizable amount of the carnivore fans
who hear that vegetables, yeah, they're bad for you, they'll attack you. So therefore,
we just have to stick with, you know, what the ancestrally correct way to eat is,
and it's just chunks of fatty meat, which couldn't be further from the truth
if you look at the weight of the evidence on what contributes to optimal health
and longevity, lifespan, health span.
So, yeah, sorry carnivore, guys.
I still think omnivoreism is superior.
So, are you got a favourite fad diet?
I mean, there's ones out there, like the alkaline diet.
I mean, most of these I don't even know what they are.
I mean, the alkaline diet is eating alkaline foods.
Not quite sure what alkaline foods are, strictly speaking, that then enter your stomach
that we all know is acidic, so don't know how that works.
The blood group diet, I don't know if you've heard of that, you eat certain foods based
on your blood type.
you know when you see how they pitch it you know it sounds really plausible and you know like
alan was saying at the beginning it's done in this really charismatic way and it's made to seem like
the silver bullet but no they're all nonsense in my opinion and do you know what the problem is is
it does take hard work to lose weight takes bloody hard work to maintain weight loss it can be hard
work to eat a healthy balanced diet in the food landscape we live in and so yes we all want one
of these quick fixes from these crazy diets, that if it's too good to be true, it's often not
true. It feels like one of the things that's in common across all of these stories is there's a
very simple story that sounds quite compelling that sort of explains everything. And then what
I'm hearing you say in all of these cases is either there's an aspect of this that might be true.
It's only a small part of the total story or there's no part at all. So why are they so successful?
Okay, so we can start off with keto in general. The prescription itself is very simple, very no-brainer. Avoid carbs, right? Everybody has this idea. When you think of carbs, especially when the general population thinks of carbs, they think of sweet desserts, creamy pastas, any number of highly engineered, highly processed, snack foods. And when you kick all
those things out of the diet, then you've kicked out a lot of foods that kind of enable this
passive overconsumption of total energy through the day. The issue with the ketogenic diet
is very similar to what I said about the carnivore diet. A lot of people end up throwing the
baby out with the bathwater. So keto works because you spontaneously eat a lot less calories by the
end of the day because you've kicked out all these foods and not only that but you finally are
eating enough protein and so you're more satiated in combination with kicking out the in quotes problematic
foods but the level of restriction on carbohydrate happens to be something that is not sustainable
for the majority of the general population and this has been seen over and over and over again
in research, even in vulnerable populations who would technically benefit from maintaining
something somewhat of a keto or carb-restricted diet because it is not sustainable for the
majority of the general public.
And there is a very vociferous minority who can sustain very low carbohydrate diets
and they love it.
And you know what?
More power to them.
Just the whole idea of saying, hey, keto is optimal for.
everybody, that is incorrect because there are issues with food selection that you can impact
long-term health, especially since your diet is going to be mostly from fat. We're talking
65 to 85% of the diet coming from fat, then you have to really start being pretty discriminating
about what kind of fat you're creating your keto diet on. And there is a pretty stark difference
between filling your fat allotment up with beef tallow, lard, and butter, and, you know, bacon,
versus filling your fat allotment up predominantly with things like nuts, avocados, extra virgin olive oil,
sesame oil, seeds, cheese, cheese, those types of fat sources.
Alan made an important point about the nutrients and being, you know, hyper-focused on the fat,
or the carbohydrate.
We know, firstly, that there's hugely variable responses within individuals.
There's some work that's been done by one of our collaborators.
Christopher Gardner, who put people either on a high fat or a high carb diet,
saw huge variability in the effectiveness for weight loss amongst each group.
So for some people, high fat worked really well.
For some people, high carbohydrate works really well.
But the really important point that I wanted to pick up on that Alan made is you talked
about all these high-car foods that essentially,
really it's not about the carb it's that they're all unhealthy foods the pies the pastries the
refined carbohydrates etc the sugar sweet and beverages and i think we really need to move away
when we're thinking about a healthy diet from focusing on nutrients apart from fiber which i'll
continue to say we all need to eat more of that we need to be thinking about it in terms of the
foods so alan's just described two keto diets one of which is undoubtedly incredibly unhealthy
the lot, the butter, et cetera, and one that could be healthy, you know, the extra virgin
olive oil, the seeds, the nuts, etc. So I think anyone going on a diet needs to have a food
first approach rather than a nutrient first approach based on my opinion, based on I think,
what the common evidence would support. You mentioned Chris Gardner's work, the diet
fit study. That study had a huge impact on the way that us nutrition folks have been able to
look at the viability of diets across the spectrum in terms of differences in carbohydrate and
fat proportion as long as food selection was right on. And the really interesting about Gardner's
study was that he and his team had the good sense to compare two diets that were equated
in protein, highly disparate in carbohydrate and fat. But the food selection was all mostly wholesome
some stuff. And because protein was equated between the groups and calories were equated
between the groups, there was no significant differences in fat loss by the end of the study.
And so it really does come down to energy balance, but there's a lot of different things
that influence energy balance. And one of the big things with the Diet Fit study that we
were happy to see is that they actually equated protein intake between the two groups.
So, Alan and Sarah, I feel like you sort of teed up really nicely the fact that we're surrounded
by all of this misinformation and confusion.
I feel like we probably could have spent another two hours talking about different
fad diets that entertain you, but I think we should move on from why most weight loss
approaches that people are listening to have tried don't work to sort of what does work.
And, Alan, I'd love to start with you.
Like, in a nutshell, what's your approach to helping your clients?
lose fat mass, but sustain a healthy body composition.
Okay, so it's a combination of a few things.
The diet has to consist of mostly healthy foods that the individual either likes or loves.
Because that way, when you look forward to the meals, then you can much more easily sustain
the diet.
and you know defining what's healthy and stuff it's a little bit complicated but for the most part
we're looking at minimally refined and processed foods exceptions here and there especially well
the main exception that would stick out to probably be protein powder a meal routine
that isn't fatiguing from a preparation standpoint or from an accessibility standpoint or an
economic standpoint. And then I have to mention that, you know, macro nutrition has to be
individualized as well. So there are going to be some people who love low-carbing it. There are
going to be people who love high-carb, low-fatting it. There are going to be people who love
ketoing it. And all of those types of diets are viable as long as it falls within the individual's
personal preference and goals. And so in addition to that,
a sound exercise or physical activity regimen has to be in play.
And that's got to include a resistance training element in order for it to be optimal.
So that's kind of a simple way that I can put it.
I think that the sustainable aspect to it is really, really critical.
We know that nearly every diet can work for people to lose weight.
And we know that most diets do work in the short term,
people to lose weight, but we know that nearly every diet is not sustainable in terms of
weight loss over a long period of time. You know, 50% of weight is typically regained within
two years, 70% after five years. So you've gone through all of that pain of losing weight
and then bang it goes back up. And losing weight by doing something that you know you can
sustain. So taking Alan's kind of approach where it's about choosing foods that you really love or
like, then you're going to sustain it. Again, going back to how we've evolved, we've not evolved
to be able to take weight loss. We've been evolved to be able to maintain a certain level of
weight. So as soon as you start losing weight, what happens is, is that your hunger signal is going
to overdrive, your reward signals going to overdrive. So you're feeling even more hungry than you
would have typically, but at the same calorie intake. Your metabolic rate changes a little bit,
not as much as we used to think, but that still changes.
So actually, you burn less calories just sitting around once you've lost weight than otherwise.
So to keep that motivation going that might have been there in the beginning
because your dieting to fit into a wedding dress or you're dieting because you're about to go on holiday
or, you know, and everyone around you are saying, oh, you're looking so great, Jonathan, you know.
That sounds nice.
You look great, Jonathan.
Thank you.
But, you know, I'm only going to tell you that for about six months, okay.
then I'm not going to be telling you that and no one else is.
And then, you know, have you got then the ability and the motivation to keep going,
having this diet that you're not enjoying and you're not happy with?
And so if you can find a diet like Alan said that is pleasurable, then you'll maintain it.
And Alan, I've heard that you talk about something called the YOLO margin.
What's that?
Okay, it's basically this.
So there's a concept called discretionary calories, which is a,
fancy way of saying your fun foods or indulgence foods or your junk yolo you only live once
margin Alan I'm glad that someone has explained to me what yolo is because I thought I was going
to be the just the only person left in the room going I'm not cool enough to know what that is
you've got a teenager Jonathan you need to keep up with these things he obviously thinks I'm
beyond you know training so so you only live once yes go on now yes enjoy life basically
The diet has to be able to accommodate our sense of fun or even rebellion, if you will.
And the working practical margin for that is about 10 to 20 percent of total calories coming from essentially whatever on earth you want.
And there's a little bit of nuance to that.
This recommendation hasn't been systematically rooted out and established in the literature,
but observationally and certainly in my practice,
I've seen it kind of the 80-20 principle all the way to the 90-10 principle work very well.
So, like let's say a typical 2,000 calorie diet.
Somewhere between 2 to 400 calories can accommodate the, in quotes, naughty stuff.
desserts, drinks, chocolate, ice cream, et cetera.
And the nuance to that, and I've been challenged on this, and I agree, if somebody is engaging a, in quotes, bulking phase, or they're purposely eating a sustained caloric surplus in order to grow, my bodybuilding friends regularly engage in this stuff, then you might want to go a little bit more towards the 10% Yolo margin rather than the 20%.
so you can sort of minimize your chances towards overconsuming an inordinate amount of junk
and sustaining that and then incurring the negative health impacts that that might have over time.
So that's where the 10 to 20 percent YOLO margin comes in.
I can tell now you're hanging out in a very particular part of L.A.
Don't know about you, Sarah, but I don't hang out with a lot of people who are trying to bulk up
in order to then further improve their muscles.
I'm pretty much surrounded by people at my stage in life who,
are only interested in maintaining or preferably taking a few pounds off.
John, there's a bro in all of us.
I'm going to bring it out at some point.
Alan's going to bring out your bro, Jonathan.
In a bro, absolutely. He's there.
The whole 80-20 yolo that Alan does, you know, is a real approach that we also do at Zoe.
And it's a real approach that we would as nutritionists give to anyone.
You can't be good 100% of the time.
That's really pretty boring.
even if being good does involve a diet that you like.
You've got to let yourself have treats.
You've got to fall off the wagon the odd time.
And that's something that's really very much ingrained
in how we communicate the advice at Zori as well
that have the odd treat, absolutely fine.
If 80% of the time you're doing well,
so what, don't worry about the other 20% of the time.
How do you avoid what is a treat becoming then a routine
and overwhelming the rest of your patterns?
because I think what I find is like I'm eating the ice cream for the third day in the row
is I'm realizing I'm just making this into a habit.
So how do you manage the 80-20?
Because I love the idea of it.
It's definitely something we believe like nothing is off-limits.
How do you think about that without it then just suddenly dominating your plate again?
Okay, so I'm going to give you a two to three-part answer if you're ready.
Okay, so the first part would be I think it's perfectly fine if you are one of these nine,
99-1 folks, and that's how you enjoy your food, and that's how you love it, and you would
much rather have, let's say, a fresh fruit versus a piece of chocolate. That is more power
to you. And then part two would be, in order to accommodate this sort of 10 to 20% YOLO
margin, it requires a little bit of, I guess, cognitive priming or conditioning your mind to
view these types of foods as somewhat powerless. It's just food. It's just a cookie or it's just
a scoop of ice cream. Take the power away from the food and put the power back in your hands
and just know that you can have it every day if you want it or you can leave it. If you had it in
your mind that I'm never supposed to have this food, then that is actually one of the aspects
that underlies the binging phenomenon because when people allow themselves to have what they perceive
as an off-limits food, then they'll go, okay, I'm going to eat this whole pint or I'm going to
eat this whole bag right now and I'm never going to do this again until at least next year,
let's say. Then if they didn't have that attitude, if they thought, oh, it's just food, I can have
some or I can't, or I can't, I can have this every day or I can't, then it just takes the power
completely away from the food. So that's number two. The research is interesting in that
if you avoid a given junk food or if you avoid any given food, your cravings for it eventually
disappear. And when I went over that research, I was like, oh, does that really kind of invalidate
the encouragement even of this margin of junk food? Well, not really because when people
regain their body weight, it's usually consisting of these foods that
they were avoiding.
And so weight cycling and, you know, this whole regaining phenomenon is potentially driven
by the idea, or at least in part, driven by the idea that there's this dichotomy of foods
totally forbidden and totally, you know, health haloed.
We put these foods on a pedestal.
And so the third part of my answer would be you can eat healthy versions of these dessert
foods. And people just are not necessarily adventurous enough or willing to break out of their
bubble, their routine, to try certain foods in certain contexts and just see how delicious
they are. There are certain people who are giving these healthy alternatives to what would
be considered these no-go sweet trees. We have a lot in the Zoe Cookbook as well,
where we've recreated healthy versions of what would have been kind of no-go sweet trees as well.
And so I think we are quite lucky that there are all of these options now.
Yep, absolutely.
Alan, I know one of the things that you focus probably more than we do it, tend to do it at Zoe's around macros.
Why do you think that's important for fat loss?
And I heard you maybe particularly talk about protein within that.
As far as the macros thing goes, I've tracked them.
and I've done the whole micromanage
the protein carbs and fats thing.
But one of the ways that we in the coaching community
have sort of piloted and it's worked
is just having people be aware of their protein intake.
And sometimes that in and of itself,
by default, takes care of everything else.
It sort of auto-regulates everything else.
But protein and total calories are at least
from a baseline programming standpoint, the most important as far as structuring the diet.
So with protein intake, the importance of getting enough protein is, well, in the context of body
composition, to just maintain your lean body mass, your skeletal muscle tissue in particular.
Could you explain for a minute why you're saying that?
Yeah.
So our muscle tissue is essentially the major controllable metabolic engine of the body, if you will.
And so our muscle, it doesn't just move the joints and enable us to, you know, overcome the physics of life.
But it also acts as a metabolic processing unit.
So it processes our nutrients and our calories and allows us to remain,
healthy. So there's a phenomenon called nutrient partitioning where you can favorably partition
calories and nutrients towards the lean tissue or you can have this excess going in towards the fat
tissue. So if you're training muscle properly and you're maintaining a body composition that respects
the need for a minimum amount of muscle tissue through the life stages, then you stand to have
just better overall functioning of the bodily systems when you can maintain your muscle mass.
And so that is one of the big reasons to keep protein sufficient.
And Alan, something I'm curious about related to protein, because we've been doing quite a bit of work on it recently at Zoe.
And we often get asked, how should I take my protein?
Should I be having a certain amount with every meal?
What's the best way to plan it throughout the day?
Yeah, okay, that's a great question. And there's a hierarchy of importance with protein intake. So of first importance is your total for the day. So if you get enough protein by the end of the day, then the other details are just distant secondary importance. You know, the distribution of protein, the timing of it, the spread, the individual dosing sizes, all that stuff is just pretty trivial. Secondary importance is.
is the timing and distribution of the constituent doses.
There's a whole science to that.
And, Alan, could you help me to understand in really simple words
why you're saying that that protein is important
if I'm following this program you're describing to help me to lose fat?
Because I think a lot of people listen to this are like,
well, don't I just have to eat less food overall?
I'm increasing the quality of it, but I'm just eating less food.
So why or no, do I need to worry about how much protein I have?
while I'm doing this.
Okay, so protein is crucial for supporting
your lean body mass.
So your lean mass is all the tissues in your body
that are not fat mass.
And if you do not consume enough protein,
then over time and especially over the life stages,
you incur conditions like sarcopenia,
and then the umbrella over sarcopenia being frailty.
And this is one of the unfortunate fate
of the general population, who's not involved with any sort of training or any sort of
awareness about eating enough protein.
And so those are the big reasons.
And protein has other aspects to it that help with the fat loss process, including
keeping people satiated.
So of all the macronutrients, protein appears to be the one with the most potent effect
on hunger control.
So there's a bunch of research out of Joey Antonio's lab where he had the subjects just literally stack lean sources of protein on top of their habitual diets.
And this is five studies running now.
And there's no gain in body fat over time.
And this is in free living conditions in participants who are engaged in training.
So resistance training.
So they're, you know, recreationally athletic subjects.
And so protein has a very interesting effect on appetite regulation
and the prevention of fat gain, even if you stack it on top of your existing diet.
So there are some very interesting effects of protein,
but if I were to boil it down to why is it so important?
It's because it supports our lean body mass.
And our lean body mass is really important for supporting what people know as our metabolism
or our resting metabolic rate or resting energy expenditure.
So when you can support that, then you can support the fat loss process.
If you can retain your muscle tissue over time while reducing body fat, then that is the ideal
scenario and that's where getting enough protein comes in plus resistance training.
And we see with our own data from the studies that we've done as part of the Zoroa predict research,
if you're adding protein to your carbohydrate-rich meals,
then you're having a smooth and metabolic response, so to say,
so that you're preventing that dip in blood glucose that I talked about earlier
that means that you go on to feel hungrier more quickly,
you go on to consume more calories more quickly.
Adding in fibre, adding in fat, will also have the same effect,
but protein is even more potent.
So as well as the fact that it stimulates these hormones
that make you feel fuller, it also has this lovely effect
and kind of smoothing out, so to say,
your post-mill metabolic responses.
Before we move on and talk about practical tips,
one thing that hasn't really come up in this episode so far
feels a bit like the elephant in the room,
which is all of these GLP1 Agnes drugs,
like a Zempik and Wagovi and all the rest of it,
which are obviously everywhere at the moment.
And I think a lot of people listening are like,
oh, I mean, come on, guys,
if I wanted to lose some fat, I would just take these injections and then surely I don't need to
worry about the rest of this. What are your thoughts on them, Alan?
Okay, so I'm coming from a bias of nearly 30 years of helping people transform their bodies
and never having, in quotes, needed to implement these types of drugs. And so I almost
want to see them fail. But the evidence
is in favor of them.
And so, you know, as much as it hurts our ego sometimes,
we just have to give credit to where it's due.
And the GLP1 drugs have been quite the significant positive
in certain populations.
And some people genuinely need them.
And they originally were developed to control diabetes,
which they're very good at.
I think they have the potential to be abused
by folks who want to, you know, lose the last 10,
pounds or something to that effect, I think that they have the potential for being knee-jerk
prescribed to people who are too young and also knee-jerk prescribed as sort of this first-line
defense even without first making lifestyle changes. However, I would concede that they do
make a good life jacket in the sense that if somebody has a lot of
lot of excess body fat and their biomarkers are off the charts and they're in a really bad
spot health-wise. I do think that they make for a good life jacket. For example, you wouldn't
have somebody jump out of the boat and tell them to come swim to shore. Let's go. The GLP1 drugs
serve as a good life jacket. But I think, and this is my bias, I would prefer for people to see it
as that rather than something that they are going to commit to from here on out.
I think that the GLP1 drugs should, I mean, they're a good tool, but I would like to see
them placed more in the light of being a sort of a triage situation that should be weaned
off of rather than just sort of this convenient band-aid.
And if someone was on GLP-1s and is listening to this, and there will be lots of people like that, does your advice change significantly?
I think that in all of those cases, we need to just assess the individual situation.
Some people need them and will benefit from them, depending on their circumstances.
And some of them, it is more of the scenario that I described where let's see it as a, let's use this as a last.
resort and then let's also focus on weaning off. I think it's really tough to universalize a yes or no
type of prescription with GLP1 drugs. When you have people are morbidly obese, this is their
life jacket. It's their way to get out of that. But I know a few individuals that have now reached
a stage where they can hardly leave their house because of how obese they are, that they can't
walk downstairs because they're so out of breath.
They're desperate to get GLP agonists.
This is a perfect candidate that could transform their entire life.
They have tried everything, but unfortunately they've reached a stage where they are so obese
that it's too big a hurdle to overcome now despite trying.
And they're not in the position that they can physically exercise.
And so I do think that in that situation, yes, we should embrace it.
But yeah, absolutely for someone that's got maybe one inch of fat to lose around their waist
to look like amazing in their bikini? No. But I think something we've got to be really mindful of
is that for people who are on these drugs, and there's a growing number of people on these drugs,
we have to be really, really mindful about the diet that they are then eating. Because they're a hunger
suppressor. They get rid of all the food noise. It means that you're not eating the same amount of food.
You're not eating the same amount of calories. So you've got to make every calorie count. And I think
this is something that we need to be really, really cautious about that people who are on these
GLP agonists suddenly think, okay, that's it, it's all fixed. Or, well, my meal today or my one meal,
I'm hungry, I'll go and have a McDonald's because the weight's coming off. No, this is the time
where you've really got to think about. You have to get enough protein in. That's critical to keep
the lean mass. You have to still get enough fiber in. You have to still get enough
diversity of different bioactives, different micronutrients. And so it is a very, very critical time
to think about your diet as well as being on these drugs.
Thank you both.
I think we have this great sort of background story to where we are, sort of grounding, I think, Alan, in your approach.
And so if I was going to summarize quickly, but sort of like food quality is really important, getting enough protein is really important.
Resistance exercise is an important role.
I'd love to now make it really actionable for our listeners so they could begin their journey as if, you know, you were there, taking them through this.
Maybe we can imagine a new client, Alan.
So let's say they're in midlife.
they want to lose, say, 10 pounds, where do you start? And could you take us through the journey
with them sort of step by step? Okay, so not everybody is ready to go on a program where they
transform their body. Okay, let's say somebody thinks they're ready. I would start with,
let's see your sleeping cycle. How much sleep are you getting? Do you feel it's enough? And what is
your history with regard to that because sleep is the X factor for a lot of the success or
failure in programs because when you don't get enough sleep, not only does it kind of affect
the obvious stuff, meaning your energy to be physically active and certainly your energy
to engage in any kind of progressive training program, but it also increases your appetite
in your cravings, your hunger levels, and increases your cravings for calorie dense,
hyper-palatable foods, that's what sleep-deprived people mostly reach for almost instinctively.
There's some very interesting research showing that subjects who are sleep-deprived consume
across studies, on average, about 200 to 300 calories more per day while they're sleep-deprived.
There's studies where they actually take people into these kind of chambers and they monitor them for
weeks and they actually sleep deprived them. They say, right, you're going to become a short sleeper,
so less than six hours. And they see anywhere between 150, 300 calories per day increase
in how many calories they're having just from depriving. I mean, it's a pretty cool study
that these guys do. Yeah, and the interesting thing is it went the other way, too. They took a
group of habitual less than six and a half hour sleepers. And they put them through a coaching and
training sort of this education program on how to improve their sleep hygiene and the goal was to
add two hours of sleep a night. So they wanted to bring them up to, I believe, eight and a half
hours or so. Seven hours of sleep appears to be this sort of threshold where, you know, below that,
it's, you know, the outcomes are somewhat adverse. So they trained these folks to bring their
sleep average from less than six and a half hours up to eight and a half. And they ended up eating
about 260-ish, 270-ish calories less per day, which is pretty dang significant in the scheme of
things, especially when you consider that while they were sleep deprived, they probably had
some sort of compromise in the amount of energy output that they had through either the
exercise pathways or the non-exercise pathways, just lower spontaneous physical
activity and less capacity for purposeful physical activity. So that's the, you know, sort of the
basis of everything. Get the sleep right? And also, so by changing the sleep, it changes the types
of foods that you have. We did a study at King's called the slumber study, which was one of those
sleep extension studies where people who were short sleepers less than six hours of sleep were
asked to increase by two hours, exactly similar to the study you're saying. And what we saw was
that by people increasing their sleep, they had no advice about what food to have at all.
all they were told was, here's good sleep hygiene, we want you to increase your sleep.
And we happen as part of this to be measuring the kind of food you're having.
They significantly reduced by quite a large amount, the amount of sugar intake that they had.
So this deficit in calories is coming from the bad foods as well.
So we are in this sort of perfect storm where we're surrounded by all this terrible process food
and we've got these incredibly addictive phones, you know, with TikTok and Instagram, whatever.
keeping us up late at night, so we sleep less, and then we need to eat more processed food.
So there's a sort of, we are surrounded by this environment that is attacking us, aren't we?
Oh, yeah.
Bidirectional badness, basically.
Yes.
So you fixed my sleep.
What happens next?
Right, right.
So fix the sleep, and then the other elements, we're to try to simplify this, is, okay, so you have a goal of fat loss.
you have to make the individual understand that this is about fat loss and the scale is just a very, very vague proxy of what's going on.
And so the usefulness of what the bathroom scale is telling you will get progressively less.
So it'll get more and more useless the more fit that you become and the closer you come to your goal.
Why is that?
Some people can actually gain lean mass or muscle mass while they're losing fat mass,
and so they're losing inches, their body fat percent is coming down, but the scale won't necessarily
register that.
And so people have to understand it's not 100 percent about the scale telling you what's going
on.
I'll give you an example.
So if you were to take somebody through who is completely untrained, they're fresh off the
couch and their goal is to reduce their body fat in half in that process they may gain depending on
the time period let's say it's a six month period they may gain up to six probably more pounds
of muscle mass during that period and i would rather people look when they engage a program i
I would rather than look at the six to 12 month overview
rather than the popular, okay, I want this in six weeks type of thing.
And so if they understand that they're going to gain
a certain amount of muscle mass,
just by virtue of engaging the right training program
and getting their diet correct,
then this is going to offset, who knows,
six to 10 pounds of weight loss
that they would have wanted.
and in that case that that's where it becomes important for people to take note of how clothing is fitting you know take take note of how that might reflect circumference measurements if you have more fancy devices for guesstimating body fat percent like the in-body or dexa bod pod any any number of these devices then that gives you a little bigger picture than what the scale is saying
but let's imagine that somebody just you know they don't want to wrap tape around themselves
and they don't have necessarily access or they don't want to go over to get their body comp done
at some facility well then you would want to limit your weekly weight loss to i'd say a maximum
of one percent of your total body weight per week at max if you lose more than that then there's
this tendency that you're sacrificing too much lean mass
while you're losing fat mass.
And so that would be the other sort of simple thing.
We got the sleep, we've got the rate of weight loss.
You want to limit it to half a percent to a full percent.
And really, the one pound per week benchmark is fair.
It's fair and it's realistic.
Now, with that said, I don't think people should be discouraged
if they're losing even half of that.
So if you're losing half a pound a week, two pounds a month, you know, heck, that's still 24 or 25 pounds in a year.
And most people have spent the last 10, 20 years putting on that 25 pounds.
And so people have to have these realistic expectations of weight loss.
So I would say half a pound to a pound a week is a good rate of expectation.
If you lose more than that, then that's a bonus.
And then finally, from just a sort of a programming standpoint, okay, we got the sleep, we got the rate of weight loss, and we've got protein.
Most of the focus that my colleagues and I have been on research-wise has been on protein.
So I have certainly a biased interest in protein.
So the amount of protein that people consume per day that is optimal has been a matter of debate without overcomplicating it.
the general public, 1.2 to 1.6 grams per kilogram of body weight is a fair and realistic
protein target for the general population. But I think that that is just kind of a good starting
point. I really think you start getting into optimal and helpful for fat loss and lean mass
preservation, once you get to the 1.6 grams per kilogram of body weight, and in imperial terms,
that's 0.7 grams per pound. If you fall somewhere between 1.2 on the low end, I'd rather
see people do 1.6 all the way up to 2.2 grams per kilogram of body weight. So about 0.7 to 1 whole gram
per pound of body weight is really sort of the sweet spot for the goal of weight loss or fat loss.
You're saying you like people who eat a lot of protein, but you're also talking about the ways
in which you want to make sure that they're getting all the benefits of whole food and not
too much processed. How do you balance a diet? If you don't want to be eating really large
amounts of meat because you really want to be getting other foods onto your plate, right,
which have all of this other benefits, and you don't really want to eat some sort of like
ultra-processed protein powder because you look at all the stuff on the back and you're like,
I don't really want to put this in my diet. This seems like a challenging combination to pull off.
What's your thoughts and what's your advice there?
So protein powder makes hitting protein targets very easy.
Two scoops of protein, bam, there's 40 grams of protein. This could be a third of your intake for the day pretty easily for a lot of people.
and so if you're already consuming like a mix of high-quality animal-based proteins in the diet,
then it can be of benefit to do a plant-based protein powder.
If you wanted to sort of bias towards this higher diversity of protein sources.
Or you could just go with sort of a standard way of which the ingredients don't, you know,
don't offend or that you're okay with.
ingredients list. And short of engaging the protein powder tactic, getting protein from the diet is pretty
easy when you've got the kind of the food lists and the resources in front of you. I personally
have at least two protein shakes a day. And I get a good 80 grams of protein from those two
shakes a day. So the rest of my protein requirement for the day is pretty smooth sailing. And I have a
of control over how I make these protein smoothies and I, you know, they're always, they always
have fresh fruit, sometimes they have like chia seeds. There's various, um, recipes I engage in,
in the direction of protein smoothies. And they're really like delightful desserts for me twice
a day. And some, and one of them has a lot of peanut butter in it, so that's a bonus.
If you found this episode useful, the chances are there are a lot of other people who will
to. Why not pass it along to someone who could benefit from it? Maybe someone who spent too much
time thinking about quick hacks and would really benefit from the real science. It might be what
puts them on the path to long-term success. I would love to go on to what's next. You'd know you
solve me sleep, you solve me protein. I have a feeling you're going to start to talk about
some of this exercise you were talking about before. Exercise is similar to food in the sense that
you have to find the type of exercise that you actually enjoy and even look forward to.
That's the way to get compliance. And so with some people, it'll be going to the gym.
With some people, it'll be going to the park. In either case, what a lot of people don't
understand is that it has to contain a resistance training element. And when I say resistance
training, a lot of people automatically think of, you know, bench, squat, and deadlift and stuff,
but any resisted joint movement is going to qualify as resistance training, calisthenics,
and, you know, even various forms of group exercise are beginning to engage resistance training
type movements as well. As long as people can find what they enjoy and sustain that,
then they're going to be ahead of the curve. So, yeah, it's a whole big role with exercise,
but I think people miss the fact that they need to actually enjoy it.
And you talked about resistance training.
So I think a lot of people listening,
and I think we see this even more so with women who are listening,
have never done any sort of resistance training.
So it doesn't fit it in really into the category maybe of things
that they're used to and they think about naturally.
But I know you said earlier that you thought that was a really critical part of this program.
Oh, yeah, yeah.
So as we get older, we just lose our functional.
capability muscularly because we just sit around and barely move and for people who have
really no clue as to how to engage like any sort of resistance training program then you can
just think of three basic movements in any variation of the planes push pull squat those three
movements if you can engage those through you know a progressive
amount of volume over time, and you become familiar with how to apply effort to various
movements within a simple pull, push, and squat type of thing, then there are ways to do
full-body training sessions. There are ways to do split sessions where you might do upper body
one day the next day you do lower body and then you repeat that cycle again through the week
and then you have other splits yet where you're doing some variation of either the three
times full body or the upper lower split plus some specialization on a lagging body part
so that's some of the basics of it i think that's ways you can fit it into your lifestyle
without it feeling daunting as well.
I'm someone that's never liked exercise.
I've never been to a gym.
I play a bit of tennis,
but other than that,
the thought of doing any kind of exercise class
fills me with horror,
so I'm just not going to do it.
So I've started doing what I call exercise snacks
because I am sitting at my desk all day.
I am now 48.
I do need to be thinking of not how I look,
but my muscles, the fact that I know I'm at that age,
they're all going downhill.
And so I have by my desk,
one of those exercise bands. So I do what Alan says every now and then. You might see me on
calls going like this. And squats, every time I bowl a kettle, I do squats. I can get 20 squats in.
I have about eight cups of tea a day. That's 80 squats without even thinking about it.
How do you keep people motivated, Alan? So you've got this brilliant program all laid out,
but I think we all know that the hard thing is you go in, really motivated, and your motivation
declines. Wow. Wow, that is a huge question. As a general statement,
most people get motivated most powerfully by health scares in their middle age.
Aside from that general statement, motivation is just going to be different with everybody,
how to keep them motivated while we as coaches just try to maintain a certain accountability
with clients, midweek checkings, even daily reports from clients, individuals, even in coaching groups.
that seems to work a lot better than just sending them off on their own untethered for a week.
Yeah, that's a tough one, the motivational thing.
I would like to think that results are self-motivating.
So the pressure is on the practitioner to help the client get results.
And I don't think that everybody needs to constantly chase body composition goals.
you can take a break from them because it can be very psychologically fatiguing to be dieting
for weeks and weeks and months and months.
So you can diverge from that goal just by focusing on performance goals or building a skill
and also taking regular diet breaks and maintenance phases through the journey.
And so there's a way you can systematize that.
I wonder that Jonathan as well whether another way to motivate people is to give them more
kind of tools in their toolbox and there's some really interesting work we've been doing
Alan at Zoe where we've been looking at how you eat impacts your energy intake your healthfulness
and so looking at factors like time-restricted eating which I know you've done a lot of research
in but also looking at other factors such as eating rate and so we know that if you can get
people to eat more slowly i.e. if you just say slow down the rate at which you eat your food by
20%. So that's having your breakfast in 10 minutes instead of eight minutes. Without them even
thinking about it, that that results in a 15% calorie deficit just from slowing down the rate that
they're eating. Timing of eating. Again, I know you've done work on this as well, but eating earlier
in the day, trying to avoid late night eating, trying to avoid late night snacking. There's all of those
kind of things, I think, as well, that we can make sure we communicate with people so that they've got
a few different tools to choose from. Yeah, there are some interesting
non-quantitative tactics than people can employ that do work.
And I think the evidence around time-restricted eating is really strong,
and especially if it's what we call early time-instricted eating.
So having your first meal maybe at nine in the morning,
but finishing your last meal no later than seven or six in the evening,
it doesn't have to be excessive.
It doesn't have to be, you know, limiting it to, you know, six hours and be really restrictive.
even giving yourself a 14-hour rest period overnight,
so you've only got a 10-hour eating window,
that can result in a calorie deficit.
It can result in a weight loss.
We've seen this.
And the studies overall show that on average,
obviously it depends on the regime,
that there's about a 2 to 300 calorie deficit
from practicing time-restricted eating,
even if people aren't told, okay, you know,
reduce your energy intake.
I agree.
There's consistent positive results from time-restricted eating,
whether it's early shifted or late shifted, yes, the early shifted regimes show more favorable
outcomes. I would like to see more long-term research to see if it still bears out that the
early time-restricted feeding is the optimal version of that. But as far as biomarkers, especially
glucose control and things, it appears to be so. There's one long-term study I know of by Liu, L-I-U,
and colleagues, which you might be familiar with,
where they dragged out an early time-restricted feeding regime
versus an eight-to-eight regime.
And they actually didn't see any advantage
to the early-time-restricted feeding model,
but in the short term, it usually wins.
So I tend to think that the better we can individualize these things
than maybe the wider range of individuals
that we can help.
Some people, like in Spain, for example,
I'll hate the idea of eating dinner earlier than 9 o'clock.
So I think that maybe with folks in that direction, we can counsel them on how to position exercise
so that they can kind of get the best of both worlds.
Alan, final question.
Sure.
If you could combine all that you've learned about fat loss and maintaining this healthy body composition
into one short motivational message, what would you say?
That's a hard one, Jonathan.
It is super hard, and I want people to run with this in the right way.
Don't immediately believe everything you hear on the Internet, including, well, you mean for me,
don't just take it on faith, okay?
Be skeptical, most of the information dished out on the Internet.
people can't support it with any real evidence or data, much less the weight of the research
evidence. And yeah, just be more skeptical. Don't believe stuff so quickly. I love it.
Alan and Sarah, I'd like to do a quick summary. We covered lots of things. I'm going to try and
stick to the core, Alan, of what you were sharing. The thing that really sticks in my mind is that
my diet has to support YOLO. You only live once. I had no idea what that was until an hour ago.
And so you're saying like 10 to 20% of the diet that you're designing for somebody who's looking for this fat loss can be just the things that they really enjoy.
So if you like an ice cream, you can have an ice cream.
But importantly, you want to encourage your clients to change their mindset.
It's just food.
It doesn't have power over them.
So it's not off limits.
That also means if you have some, you don't suddenly have to sort of binge on it because it doesn't mean you can never have it tomorrow.
It doesn't mean your failure.
And then in terms of your core approach, interestingly, you spend a lot of time talking about things that.
weren't food before you went to food. So the first thing you said is you need to be ready.
But also you need to have like a six to 12 months mindset and you need to be like ready to make
change. Then interestingly you went straight to sleep, which was a big surprise for me. So you were
saying, you know, if you're a bad sleeper, you're going to eat two to 300 calories. Sarah was
talking about all this research about how it changes what you want to eat. So you've got to
address that first. You can't just go to diet. You then said you've also got to learn to
ignore the bathroom scales. So the opposite of everything I was taught growing up.
that is literally just about changing this.
I mean, there was a whole company called Weight Watchers, right?
Which is like literally looking at the bathroom scale.
So this is a big change.
And that's because you're saying you want to increase people's muscle.
So actually, that's going to make them heavier,
but with this wonderful muscle with all of these great benefits.
Good to put in the bank.
Muscle on the bones is like money in the bank,
especially as you get old and sarcopenia looms.
So I love that.
And I think both Sarah and I have got very sold on that over the last few years,
which means then you,
you say sound physical exercise program and really making sure there's resistance training within
that for the reasons you described.
And only when you've gone through all of that interestingly, you then start talking about
actually the food that you eat, which I think for most listeners is really surprising.
I think much of what you described, I think, is not going to be very surprising to people
who listen to these podcasts often.
So you talk a lot about sort of healthy, minimally processed foods, really focused on what the individual
likes or loves.
So saying, again, like, if you can find the thing.
that you enjoy, then you're much more like to stick with that, which I think is the complete
opposite of, like, eating the watermelon diet or the alkaline diet, all these things you're
describing, which is sort of picking these very narrow set of things that, you know, are magic,
but weren't necessarily what you wanted. Similarly, find a meal routine that's sustainable
and that you can do also in terms of your time and your money. Again, personalized to what people
like, right? So if they like a food, a diet that's quite low carb, that's good. If they like a diet
that's got lots of fat, it's good. Like, you can find a way to solve around that.
And then finally, like the big thing I think that you're adding on top here that's really striking is try and eat enough protein when you're in this fat loss phase.
So you want to maintain your lean tissue and protein is also helping with less hunger.
So you're really trying to push that up alongside all the rest of these things.
Yes, protein is higher protein is more important and useful in people sustaining hypochloric conditions or dieting conditions than it is for people just maintaining.
I'll end this episode with something I think you'll like, a free Zoe gut health guide.
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You know,