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Brad Pilon
The Transcripts
By: Brad Pilon
www.EatStopEat.com
www.Nutritionhelp.blogspot.com
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If you have any health issues or concerns please consult with your
physician. Always consult your physician before beginning or making any
changes in your diet or exercise program, for diagnosis and treatment of
illness and injuries, and for advice regarding medications.
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Why Diets Stop Working
Welcome to Eat Stop Eat audio files. I’m Brad Pilon and this audio file explores what
could be the most overlooked area of research in all of weight loss science.
If you’ve ever wondered why sometimes diets just stop working, then you’re going to
love this audio file. All right, there’s a lot of information to get to, so let’s get started.
I want to talk to you about the idea of diets that don’t work or diets that stop working.
Now, you’ve probably heard this kind of rhetoric to some degree and it goes something
like this:
“I dieted and dieted and dieted, but all of a sudden, I wasn’t losing any more
weight. My metabolism had slowed to a crawl, and I looked like I was actually
getting fatter, then I started eating again and I started losing weight.”
Okay, this almost seems to be a dieter’s credo. And because of this everybody jumps on
the “fix your metabolism” bandwagon, treating your metabolism like it’s a physical thing
that can be broken or fixed (like the parts of a car). This however does not happen as we
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So what is happening?
After all, who am I to call someone a liar if they tell me that they’re dieting, but they’re
weight loss progress, but the explanation for why it is happening is wrong.
down to a point where massive caloric deficit doesn’t cause weight - is incorrect. Again,
it doesn’t mean these people that are reporting these facts are liars, it just means they are
making a false assumption about what is causing this impaired weight loss.
In fact, I can remember being at a conference last summer, where I was sharing a cab
with a trainer who I thought very highly of. This particular trainer works very closely
with a lot of top-level female fitness athletes. He was convinced that fat loss slowed
down as they got closer to being contest-ready. The only way he could keep weight loss
progressing was to sporadically increase the amount of calories in these women before
their contest.
I told him that from all my experience and education that his explanation of their
metabolism slowing down simply didn’t happen. I wasn’t about to say that he was lying
about what he saw, after all he did weigh his clients and their weight loss was in fact
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stalled. This person is a very, very good trainer, so if he tells me that he has people who
are dieting and not losing weight, then it’s probably true. So what was going on?
Let me point out that in most weigh loss research, people never get down to the low
levels of bodyfat that a figure competitor hits for a show. Weight loss research typically
We very, very rarely take normal people and make them ultra, super-shredded lean like a
bodybuilder or fitness competitor. To be perfectly frank, making people lose that much
weight is just not ethical. You’d never get a review board to allow you to say, “Hey, I
want to take a group of people who are perfectly healthy at 15% body fat, and I want to
see if I can get them down to 6% body fat.” You’re not getting approval or funding for
that kind of study and hence there is little or no research on it. So this slowing of weight
loss may happen in the very extreme of weight loss, outside of what we can study in
research.
It was because of the lack of scientific research in this area that the conversation in cab
ride bothered me, because I knew that this one trainer wouldn’t lie to me, but I knew
what he was telling me didn’t jive with what we scientifically knew to be correct.
I was at a complete loss for an explanation. It started to tweak my interest and over the
last year, I began to see numerous weight loss programs promoting the idea of metabolic
slow-down and the inability to lose weight even during massive caloric deficits.
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Something is obviously going on here. These same programs all recommended periods
Whenever faced with a problem like this, I do what any good scientist would do, I
investigate it. From my research, I knew that with Eat Stop Eat that metabolism wasn’t
the culprit here. Your metabolism isn’t slowing down, and it’s not getting damaged, so
something else must be going on. So I dug deep into the research and by deep, I mean I
went way back into the research. What I uncovered is probably one of the biggest
oversights in weight loss history, one that I think will absolutely revolutionize the way
It turns out that what I found is a very simple and well researched explanation to this
No, the answer has to do with the way your body handles water. Right now, you may be
thinking, “Water? What’s the big deal about water?” Well, think again. Remember the
largest component of your body is water. Water makes up between 45% and 75% of
your body weight, just rough numbers, and the variability between 45% and 75% is
primarily due to differences in body fat. Most tissues like muscles, skin, and your organs
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are all over 70% water, even adipose tissue, which is almost all fat, is still 10% to 14%
In medical terms, your body water is all the water content of the human body and it’s
typically broken down to different compartments within your body. There is your
extracellular fluid, ECF, usually meaning all of the body fluid outside of cells and the
“cytoplasm.” It’s the internal fluid inside the cell (which, coincidentally is where most of
So the fluid balance in your body, all this water, is under constant flux. It’s moving
around. It’s changing and it’s maintained through many different mechanisms and
balances, some of which, I’m pretty sure, we still don’t even fully understand yet.
Nutrition and even the amount of fluid you drink, and your electrolyte balance are all
linked, and through ingestion, digestion and absorption, your body learns how to handle
Studies show that humans are not the best at maintaining our water. We have limited
ability to excrete excess salt and that’s just under normal conditions. It gets worse when
we’re starving or when we’re injured. (Allison, et al, Clinical Medicine, 2004).
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So in any given day, there’s a lot of water in your body and it’s constantly moving in and
out of different organs and areas of your body. If you’re still not convinced that water’s a
big deal, think of it this way. For a lean 180 pound man, water makes up over 100
pounds in total body weight. Imagine that 100 pounds shifting around or changing
slightly. It’s a lot of water and it can make a big difference in the way you look. And
If you go back through research, there isn’t much information about the phenomenon I’m
about to describe to you, but once you hit the 1950s, the ‘40s, the ‘30s, and even into the
late 1800s, you begin to see a startling amount of research on a condition known as
“dieter’s edema.”
Now, classically, the condition is called “starvation edema” or “famine edema,” which is
why it doesn’t show up in a lot of research during this era. We simply don’t do a lot of
research these days on starvation and famine. Nowadays it’s not ethical to starve a bunch
of people just to study what happens to them. But when you go back to a time when it
was ethical to study people during famines and starvation, starvation edema was a
rampant condition.
Back then, starvation edema happened when people were starving, usually in war-torn
countries. These days, it seems like people trying to get super lean, like bodybuilders and
fitness models, who are purposely putting themselves into a situation of semi-starvation,
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Edema, which is American English, and edema with an “o” in front of it (Oedema),
which is British English, used to be called “dropsy” or even “hydropsy.” Edema is the
increase of interstitial fluid in or around any organ. While this sounds really complicated,
Anyone who has ever dealt with swelling or bloating knows that this extra water can look
a lot like fat. In fact, just ask any women during her time of the month, and she’ll tell
Throughout history, edema has been associated with prolonged semi-starvation, which is
a fancy way of saying ‘a long period of time without a lot of calories’. If you consider
what today’s strict, strict diet is, it’s simply self-inflicted semi-starvation. From famines
This research and these findings go back really far into our history. It’s been reported of
conditions of edema as far back as 1915. Even more interestingly is the fact that this
starvation edema can conceal the loss of body fat. People can lose body fat without
losing weight or appearing to be leaning out because water is hiding the changes.
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This is worth repeating. The retention of water has been observed to conceal the loss of
body fat repeatedly throughout the course of obesity treatment. This exact quote (or
almost exact quote) can be found on Page 103 of The Biology of Human Starvation,
which is a text from the 1950s by Ancel Keys about the great Minnesota Experiment.
In fact, for more evidence of dieters edema hiding fat loss we can take a quote from the
Minnesota Experiment that was found in The Great Starvation Experiment, a book by
Todd Tucker. The quote goes like this, “Henry, who was a subject in the trial, along with
many others, saw his weight loss begin to plateau around the 20th week of starvation.
Henry and the other men were suffering from edema. The condition was, as researcher
Ancel Keys would put it, ‘One of the chief stigmata of starvation.’”
So there is some pretty solid evidence that we knew of starvation edema or dieter’s
edema back in the 1950s and that this was highly correlated in people who were on semi-
starvation diets.
In Another quote from the same book it was pointed out that “the edema occurred chiefly
in the ankles and knees, but also in the face, and when the subjects in the study pressed
their fingertips against their shins, the indentation stayed.” You can imagine the type of
water that you’re dealing with when you can press your fingertips into your shins and
leave marks!
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For any woman who has ever tried to compete in a fitness contest, you know how hard it
is to get your legs truly lean and “dialed in,” as they say. Dieter’s edema could play a
large role in this issue. To me it seems clear that you are dealing with something very
similar that’s being described in the Minnesota Experiment, of people retaining a lot of
Ancel Keys would point out in his experiment that edema greatly complicated the weight
loss calculations he needed to make. As the body retained water, it made weight loss
So in the Minnesota Experiment it says right on Page 103 of Volume 1 that it was edema
that was preventing weight loss and it hid the loss of body fat. Incidentally this is the
research most nutrition guru’s point to for proof of metabolic slow-down (obviously they
This research is readily available. You could probably find it in any major University
library. It shows us, quite clearly, that one of the principle problems with a semi-
Even better, in the exact same experiment, it states that in a surprising development at the
end of the research trial, when they begin to refeed the subjects, many of the subjects
began to lose weight even more rapidly than they were early in the recovery period.
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Again, we now have evidence that the whole bodybuilding trial and error method of, “If
you stop losing weight when you’re dieting, you have to eat more,” is actually correct.
The only difference between modern bodybuilders and a world class researcher like
Ancel Keys is that the bodybuilders got the reason wrong. Bodybuilders assumed it had
something to do with their metabolism, but in reality it was simply a method to stave off
dieter’s edema. Despite this mistake it is evident that through trial and error, a lot of
Okay, so we know that dieter’s edema exists. This is a very real phenomenon that can
cause drastic, unwanted effects while someone is dieting. Though we know it happens,
So we can first look at blood for a clue, and during the famous Minnesota Experiment,
there was a slight absolute increase in the amount of plasma volume, but this doesn’t
Many people will point to blood proteins, like globulin and albumin as a cause and this
doesn’t really pan out either. A classic answer always has to do with protein during
starvation – prolonged starvation leads to a lack of protein amino acids, liver is unable to
maintain blood levels of albumin, osmotic balance disturbed – blah, blah, blah. It turns
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In the world of dietary protein deficiency like kwashiorkor, it’s been shown that it’s not
lack of protein that is the cause of famine edema in adults. In 66 patients given a very
low-protein diet, but being refed from a famine (increased calories), they lost their edema
In fact, it’s suggested that protein deficiency is not the cause of edema in kwashiorkor at
all and that there is no need to try to figure out how protein affects edema because it just
It’s also been suggested that maybe just extra salt while dieting is the culprit; however, a
this theory.
We’ve also looked at potassium and magnesium and electrolyte balances. We looked at
the constituents of food and it just seems to be, in general, refeeding a starved person that
gets rid of dieter’s edema. That seems to be really the only true way we have to prevent
and or reduce dieter’s edema right now. There is one other way I’m going to get to at the
end of this audio file, but for now through traditional dieting refeeding is the only way
What exactly is happening with this edema? Well, on a purely qualitative evaluation, as
you lose fat from your fat cells, the fat being lost is replaced by a water-like fluid. As fat
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Remember I told you that a typical person’s adipose is about 10% to 14% water? Well
when we’re looking at people who are in a semi-starvation state, it could actually be
much, much higher. The key factor here is that your fat is being replaced by water in the
areas where there was fat. And, this wouldn’t be noticeable using very traditional
methods of measuring body fat, like skin fold calipers. It would take some pretty
sophisticated measures to be able to see through these changes of where that water is
being positioned. Again, this isn’t new research. If anything, this was lost research.
If you trace this research back through time, you’ll find a paper by Bozeraad published in
1911 and it quoted a paper from 1838 by Shozet talking about dieter’s edema. The
interesting thing is that with dieter’s edema, there is actually no change in the absolute
While other areas of your body are shrinking, (like specifically the amount of body fat
that you’re carrying), the amount of body water that you’re carrying isn’t shrinking. It
gets to a point where it starts to hide weight loss even though the body water isn’t
changing, per se; it’s changing in percentage and is localizing itself where your fat used
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Dieter’s edema usually starts after the first month of semi-starvation. At first, it’s very
transient, it comes in later in the day, and it’s gone by the morning. As semi-starvation
So the longer you diet, even when your weight loss starts to plateau, you’re still losing
fat, but it’s being hidden by this edema. While it’s great that we finally have the answers
to why this happens and we know it has nothing to do with some metabolic loss slow-
If you’re a person who’s dieting and trying to get really, really lean, you still really don’t
So how do you prevent it? What are your options? Well, first, as I told you, if you’re
going to follow a traditional diet which is just semi-starvation to get ultra-lean, it looks
like you’re going to have to do periodic periods of refeeding because there’s not a lot of
new research on this, we really don’t know how long you have to refeed for, but it seems
like the effect is fairly quick. Once you start eating a larger amount of calories, your
edema will quickly go away to the point where it looks like you’re starting to lose weight
again.
While this is a good solution, there is another option and this option comes from research
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That’s right, while semi-starvation causes dieter’s edema, total starvation or fasting, does
not.
So you could use the Eat Stop Eat protocol of flexible intermittent fasting and weight
training and you would not get dieter’s edema. What you’re essentially doing here is
periods of complete starvation, which don’t cause dieter’s edema, followed by periods of
refeedings. Even if, for some weird, crazy reason, you did get a little bit of edema, it
would go away.
So Eat Stop Eat seems to be the perfect answer to preventing dieter’s edema. But again,
if Eat Stop Eat isn’t your thing, and you want to follow a more traditional diet, then
research suggests that what you need to do is use short periods of higher calorie in order
to prevent or even decrease your dieter’s edema. What I love about this is a great
A lot of bodybuilders know that if you’re going to diet for a long time, you have to do
periods of higher calorie eating. They got the reason why this works wrong, but they did
This brings up more questions, especially for bodybuilders. Bodybuilders always have to
use diuretics; it’s something that we often say is completely not needed, but for these
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people you now can see why diuretics become so popular in the bodybuilding and fitness
industry.
It also makes you question things like creatine and carbohydrate. Creatine is a very
widely used sports supplement that causes a very quick increase in body weight and we
believe that quick increase is mostly due to body water. For an average person who is
trying to get down from 15% body fat to 10%, it probably wouldn’t make a large
difference, but for someone trying to get down from 10% to contest-ready at 5% or 6%
bodyfat, creatine could be the difference, possibly from being very, very lean, shredded
and dry-looking, to maybe looking a little bit more watery. We don’t know. This
research simply hasn’t been done yet. And unfortunetly, outside of bodybuilding there
The phenomena of dieter’s edema also lends a bit more understanding to the popularity of
weight loss supplements. While we know that in true research, weight loss supplements
do little more than diet and exercise for weight loss, we do know that bodybuilders and
fitness models swear by them. They are convinced that leading up to their contest weight
Weight loss supplements right now are mostly caffeine pills, and we know caffeine is a
natural diuretic. You can now start to theorize why a diet pill may do the difference
between looking kind of watery and looking very dry for a person trying to get ultra lean.
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It also brings up the issue of what steroids do because we know through research that
during semi-starvation, not only does the water content of your fat change, but the water
In well fed rabbits, water content is about 75% of muscle, but as they starve and lost
weight, the water content slowly and progressively increased to almost 80%. So we
know that the water level of muscle can also change and if that would happen during
semi-starvation, you can only imagine what would happen when you pharmaceutically
Body water is a poorly understood area of human physiology when it comes down to
weight loss or specifically changing the way you look. There’s not much research on it
lately, but it’s an area that we know is something we have to pay special attention to
when we’re trying to get very lean. If you’re following a traditional diet, you’re probably
gonna need periods of sporadic higher calories if you see a slow down in your weight
loss. If you just ditch the traditional diet, and follow Eat Stop Eat using periods of fasting
combined with periods of normal eating you can ensure that you will never suffer from
dieter’s edema.
So there you have it, something that I believe is a complete oversight by the entire weight
loss industry, something that helps explain so many of the unanswered questions we’ve
had about weight loss in past 30 years, and something I believe can truly help anybody
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trying to get lean, make sure they get lean and not have the frustration of dieting without
losing weight.
I’m Brad Pilon, author of Eat Stop Eat. I hoped you like this special audio session. I
hope that the information in it helps you avoid dieter’s edema. Thanks for listening. If
you have enjoyed the information that I have just shared with you then please visit my
blog at www.nutritionhelp.blogspot.com.
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of this research.
www.nutritionhelp.blogspot.com
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