Over the past few years it has become clear that weight is an important health issue. Some people who need to lose weight for their health don't recognize it, while others who don't need to lose weight want to get thinner for cosmetic reasons. We understand that in some ways your weight is different from, for example, your cholesterol level or your blood pressure, because you can't see what these are by looking at someone. Many patients have had health care providers who approached their weight in a less-than-sensitive or helpful manner. Some patients may have had health care encounters in which they felt blamed, but not helped. Successful weight management is a long-term challenge.
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Fat metabolism is the most efficient way to produce energy, allowing you to go and go and go without burning through a ton of calories. But efficiency is the enemy of fat loss. To lose body fat, you want to churn through calories—calories from carbs, calories from fat, calories from anything—and you get there through carb metabolism. “The more energy-demanding the work, the more likely you are to lose body fat,” Zimmerman explains.
At its core, burning fat comes down to the process of lipolysis—the breaking down of fat lipids, explains Seedman. This happens in the mitochondria of the muscles, or the powerhouses of the cells, responsible for generating the energy our cells need to do their jobs. Exercise has been shown to improve mitochondria function, which then promotes fat breakdown, Seedman adds. Plus, working out helps regulate pretty much all the hormones that optimize fat loss.