How effective is the keto diet for weight loss? How can HIIT (high-intensity interval training) work to accelerate weight loss?
Rehabilitation specialist Dr. Damon Noto frequently guides patients’ weight loss to relieve joint strain and to boost overall health.
On VitalSigns with Brendon Fallon, Dr. Noto returns to highlight how the time-tested ketogenic diet can be used for weight loss and what results to expect.
“If you’re someone who is used to eating a lot of sugary foods, sweets, sugary sodas, and desserts, once you put your body into that ketosis-like state, it’s kind of a shock.”
Alongside diet, the role of physical activity is a major determinant of body weight and health, says Dr. Noto. Here, he outlines how HIIT can accelerate weight loss:
“The most effective way to get rid of that visceral fat, in terms of exercise, is this high-intensity type of training. Low-intensity …training will get rid … outside fat, but it’s much harder to burn this visceral fat.”
What gives HIIT an edge over other cardio workouts, and how do you ensure safety when starting an intensive diet and/or exercise routine?
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it seems there's always some new dietary
magic to losing weight or some kind of
new spin on a classic weight loss plan
the ketogenic diet though has certainly
stood the test of time its usage runs
back centuries to include both diabetes
and epilepsy treatment more recently
it's been at the Forefront of dietary
strategies for weight loss what does the
ketogenic diet reveal about the
interplay between fats carbs including
sugars and your body's Health how can
entering the state of ketosis that it
induces be like coming off a drug
addiction
I ask returning guest Dr Damon Noto so
if you're someone who's used to eating a
lot of sugary Foods sweets sugary sodas
and desserts once you put your body into
that ketosis like State it's kind of
like a shock how about exercise for
weight loss more active you are the more
activity you do the higher metabolism is
going to be the easier you're going to
burn fat the easier you're going to lose
weight what gives hit or high-intensity
interval training an edge of over other
kinds of cardio workout and how do you
ensure safety when starting an intensive
diet or exercise routine we'll probe
these in other questions today for part
one of Vital Signs weight loss Roundup
from keto and interval training to
weight loss medicine this series looks
at leading ways to lose weight and how
to fix factors like inflammation which
block weight loss welcome to Vital Signs
I'm brandan Fallon our guide in weight
loss methodology is Dr Damon Noto a
rehabilitation medicine specialist who
in this post-pandemic age regularly
guides patients to weight loss Dr notto
has twice been classed in the top 1% of
America's doctors by the American
registry Dr Damon notto welcome again to
Vital Signs thank you for inviting me
I'm very interested today to get your
insights about weight loss I know that
we saw quite a rise in people's weight
in general over the pandemic I guess
there's a lot of people still coping
with that first off to what degree is
weight loss a healthy issue in itself in
the United States is a huge issue uh we
have actually a tremendous problem with
obesity and being overweight it's
basically one of the major health
concerns uh in our country uh and it's
starting at a younger and younger age we
have children in their teenage years
vastly overweight and uh in our society
obesity is uh it's an epidemic it's
really a serious health concern that's
affecting
uh people in major ways with their
health you said it's it's becoming more
prevalent among younger people what what
do you put that down to well diet and I
think mostly being sedentary you know
when I was younger it was very common
people would go outside and play with
their neighbors run around and it was
safe enough that you would be out all
day running around now children are
inside they're playing video games a lot
more they're not going out they're not
interacting with their friends as much
so being sedentary is a very big problem
and then our diet in general is getting
worse so when kids go eat fast foods or
even sometimes in the cafeteria the food
options they have is more high calorie
not as healthy lower quality so that's a
it's a major issue this is with kids you
know this this is starting with kids in
I guess Elementary School I remember
when I was young I would particularly on
the weekends the holidays I was riding
my bike all over the neighborhood and um
having adventures and things like that
it's sadly it it doesn't seem so much
the situation for for kids these days
especially during the pandemic when they
were very limited to go out and go to
their friend's house or play outside it
made things much worse and now kids
don't go and meet up with their friends
outside and like you said ride their
bicycles all around town it's just their
activity level has decreased tenfold
which is a serious problem there's a lot
of studies would show is if you're obese
when you're a child the chances of you
being obese as an adult you know double
or triple and then if you were obese as
a child and you want to lose weight when
you're an adult it becomes much more
difficult um there's several studies out
there would show if you were leaner and
thinner when you're in your teens and
younger the chances of being in shape
when you get older are much higher and
easier in terms of diet I know that um
in Your Capacity you're doing you're
involved in functional medicine you're
so you're counseling people in this
Direction Let's St by looking at the
Ketone diet a little bit this revolves
around the notion the the concept of
ketosis could you tell us what that is
so the ketogenic diet is actually really
interesting cuz it started actually
maybe 60 80 years ago when they were
using it for for actually children who
had uh different ailments um and when we
learned that actually the brain tends to
function better on ketones so in general
when we're eating carbs in a normal diet
we're using carbohydrates as our main
source of fuel right so we're using
sugar and glucose in the blood uh to
feed the brain and to feed the body what
happens is when you decrease your
overall carbohydrate intake let's say if
I said stop eating for uh you know a day
your body will start to use fat as a
source of fuel and what it does is the
body breaks down fat into ketones
ketones go in the blood and now your
body is using ketones instead of sugars
to function the interesting thing about
ketones is your body actually functions
better and more efficiently on ketones
than it does on sugar or glucose so your
brain which loves to suck up a lot of
energy 25 to 30% of your energy
consumption is with your brain your
brain loves ketones it actually uses it
more efficiently and better so ketogenic
diet is actually very interesting for
many reasons not just for weight loss
but for overall health what we found is
with ketosis you're going to have uh the
ability to actually burn fat at a much
higher rate and a faster rate and it's
much easier for you to drop pounds when
you're in this ketosis like State than
when you're in a general State using
sugars or glucose as your form of energy
and actually after being on the Ketone
diet for a little while you actually
feel better there is this ketogenic flu
people talk about for the first 2 to 3
days so you go in to ketosis you don't
feel that great in the beginning this
sounds a little bit like getting over a
some kind of addiction exactly so there
is this concept of a sugar addiction
your brain loves sugar and there's been
some studies that show that Sugar can be
as addictive as cigarettes or even
cocaine your brain when it has very high
levels of sugar it loves it it shoots
out a lot of dopamine and it makes you
feel great you got a high so what
happens is you you keep craving it right
but if you can break that craving you'll
find actually you feel better your
thoughts are clearer you're more awake
you sleep better um and it gets rid of
what we call inflammation so
inflammation in the brain is a big
problem how does how does sugar lead to
inflammation so high levels of sugar
makes it your body more prone to get
inflammatory so swelling and lack of
actually utilizing energy well so your
body has mitochondria which is like the
power House of a cell right and when
that mitochondria is not functioning
well or efficiently it can cause things
to back up or it can actually cause your
body to get uh into more of an
inflammatory State when you use ketones
you're actually mitochondria function
better and your brain functions better
and more efficiently and it actually
drops the level of inflammation in your
brain which actually makes it function
better so you can think better you can
think more clearly you can learn better
so so uh there's a lot of benefits for
going into this ketogenic State besides
weight loss which is also one of them so
the the Kone it's like a it's a
component of of the fat that's stored in
in the body correct it's when you when
your body breaks down the fat what it
releases is ketones into your blood so
it's actually a little bit of a
component of the fat and once it's
broken it's cleaved and it goes into the
blood and now your body is using that as
its main source of energy it's
interesting because back in the day when
we were hunter gatherers we go through
periods where you have plenty of food
and your body has all this food and then
you go through periods where you don't
have that much food and you're forced
into this ketosis like State because
your body is trying to conserve energy
conserve fat and you're not giving it a
lot of sugars or carbs right so it's a
natural way that the body will function
when it doesn't have a lot of food
around and I think this is another thing
that when people talk about intermittent
fasting it's actually you're causing
this ketosis to take effect because
you're going for prolonged periods of
time without eating so you're forcing
your body to get into this ketosis like
state