When I first met Lilly, she was thirty-five years old, a respected editor
at a national news magazine--and more than fifty pounds overweight.
On the medical history form that I give to all my new patients, she
had summarized her primary health concern: "Can't lose weight."
"All my life it's been this way," she told me in one brief
phrase with tears in her eyes. "Sometimes I can lose for a little
while, taking off ten or even twenty pounds. But I have to starve myself
to make that happen, and even then, it doesn't last."
Lilly's frustration was all the greater because she'd been following
one diet or another ever since high school. In college, she'd supplemented
her severely restrictive diet with a vigorous exercise routine. "But
even when I dropped a few pounds, I always put them back again--and
then some," she explained. "I don't know why I can't lose
weight. Even when I'm good, I don't lose much. And if I slip for even
a single day, I go up five pounds."
By the time Lilly came to see me, she weighed 214 pounds. Yet as I reviewed
her diet and exercise plan, I could see that she was indeed making an
effort. Every morning, she worked out for forty minutes--"even
on Sundays and holidays," she insisted--and she'd gotten her daily
intake down to 1,200 calories or less, mostly in the form of low-fat
protein bars, chicken breasts, cottage cheese, and green salads. It
was hard to see how she could exercise any more or eat any less. Yet
the pounds clung stubbornly to her hips, thighs, and belly.
"Okay, doctor," she concluded with a sigh. "Tell me what
else to cut out. At this point, I'll try anything."
"Frankly," I told her, "I don't want you to eat less.
The problem isn't what you're eating--it's what you're not eating. So
from this day forward, I want you to eat more."
Excerpted from The Fat Resistance Diet by Leo Galland, M.D. Copyright © 2005 by Leo
Galland, M.D.. Excerpted by permission of Broadway, a division of Random
House, Inc. All rights reserved. No part of this excerpt may be reproduced
or reprinted without permission in writing from the publisher.