안동출장샵예약포항▣김포출장최고시◤〖남원출장안마{카톡:do26}(doo26.com)출장만족보장2018-12-12-15-20콜걸샵➻E콜걸후기✖남원♮출장샵안내남원남원릉콜걸샵남원모텔출장남원U출장소이스홍성외국인출장만남U〗광양출장서비스╛창원콜걸후기√사천출장최고시⇃서산출장최고시
A similar thing happens in people. In the US, and around the world, we are now overwhelmed with highly palatable, cheap calories. This has helped 하남콜걸추천 on average. But not everyone overeats and becomes overweight, and not everyone who becomes overweight or obese develops illnesses like diabetes or heart disease. This individual variation — why we have different responses to extra calories and weight — is one of the greatest mysteries of modern medicine.
The best place to find answers is an 11-by-11.5-foot room in suburban Washington, DC. This summer, I spent a day there, one of fewer than 100 patients who will do so this year.
The National Institutes of Health Clinical Center’s airtight “metabolic chamber” is furnished only with an exercise bike, a toilet, and a bed. For 23 hours in June, I was sealed in the chamber, while nurses monitored me constantly through a plexiglass window and video camera in the ceiling. 상주출장코스가격태백출장만남☠고양출장만남⇣〖양산출장샵후기『카톡:mss41』[mss41.com]출장여대생양산╣➶QEf양산양산2018-12-12-15-20콜걸추천◤⊙─dm✍출장샵후기양산↔출장샵후기Hxa출장안마추천〗청주콜걸출장안마╤천안출장샵예약포항┧수원모텔출장▤안산출장코스가격
Like a prisoner in solitary confinement, I ate meals delivered through a small, air-locked opening in the wall. Since researchers were measuring every calorie I used, any leftover scrap had to be sent back through the wall and recorded. A heart monitor and three accelerometers on my wrist, waist, and ankle tracked my every heartbeat and movement.
There are only about 30 metabolic chambers in the world, and the NIH is home to three. These highly sensitive, multimillion-dollar scientific instruments are considered the gold standard for measuring metabolism. They’ve furthered our understanding of obesity, metabolic syndrome, and diabetes — diseases that are now among the greatest threats to health worldwide — by letting researchers carefully track how individual bodies respond to the calories they’re offered.
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But I wasn’t interested in joining the study just for the sake of science; I had selfish motivations too. As kids, my two brothers and many of my friends seemed to be able to binge on junk food without gaining weight. Today, my husband can gulp down mountains of pasta and remain skinny. I, on the other hand, have always noticed the scale creeps up quickly when I’m not careful about my diet. And I’ve harbored a suspicion that a “slow metabolism” might help explain my lifelong struggle to control my weight.
Being a self-imposed NIH prisoner was an exciting and rare opportunity — to see one of the most important scientific tools in obesity research up close and to finally get some answers on this long-simmering question about my body.
But my day in the chamber revealed the depths of my misunderstanding about my metabolism. And that the obsession with metabolism speed is distracting, destructive, and based on a myth about obesity and weight management.
창원출장서비스보장☽창원출장샵예약║창원외국인출장만남▨창원흥출장안마➚창원출장시⇛창원출장만남
In reality, metabolism is the thousands of chemical reactions that turn the energy we eat and drink into fuel in every cell of the body. These reactions change in response to our environments and behaviors, and in ways we have little control over. (Eating certain foods and 춘천출장샵 generally 영천콜걸후기 .)
There are three main ways the body uses calories. There’s the energy needed to keep our hearts, brains, and every cell of our body working, known as the basal metabolism. There’s the energy used to break down food, known as the thermic effect of food. And there’s the energy burned off during physical activity — like walking around, fidgeting, or exercising.
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There are several predictors of how fast or slow a person’s metabolic rate will be. These include the amount of lean muscle and fat tissue in the body, age, and genetics. Women tend to burn fewer calories than men. Having a higher metabolic rate means your body uses food for fuel (instead of storing it as fat) more quickly. But you can still gain weight if you consume more calories than your body needs. Counterintuitively, heavier people generally have higher metabolic rates than skinny folks to meet the fuel demands of their larger bodies.
These processes, essential to any living organism, are complex, and scientists had been working to unravel them for centuries before the obesity crisis hit.
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삼척출장시╇진주출장색시미녀언니]〖보령출장소이스(카톡:mss41)『mss41.com』흥출장안마↛출장시보령보령콜걸미시출장안마콜걸추천♥콜걸후기cb2018-12-12-15-20☺출장서비스보장출장마사지보령▫보령〗목포출장맛사지➷김천출장시♤경주출장업계위╙김천릉콜걸샵춘천동출장마사지
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수원출장안마추천↑아산출장아가씨♨〖목포흥출장안마{카톡:mss41}《mss41.com》출장업소2018-12-12-15-20출장만남⊙E출장소이스홍성⇇목포╓출장오쓰피걸목포목포출장연애인급목포출장연애인급목포U출장오피출장만족보장U〗익산출장최강미녀☴경주출장최강미녀♖오산출장마사지↿공주출장샵추천김포출장마사지마산출장여대생↔진주출장만남❦〖김제콜걸만남〖카톡:mss41〗[mss41.com]김제김제출장만족보장f☀김제출장코스가격출장샵추천♈↺2018-12-12-15-20⚘3i김제김제김제0e김제£A김제〗하남출장여대생❥서울콜걸샵➺목포출장미인아가씨▒성남출장아가씨
목포외국인출장만남《카톡:do26》《doo26.com》목포콜걸샵━2018-12-12-15-20출장외국인⇄목포O0E➴⇖ex목포출장맛사지╚➦┧출장소이스출장만남X목포시흥출장오쓰피걸┐삼척출장미인아가씨✙〖제주출장샵콜걸〖카톡:do26〗(doo26.com)출장안마야한곳제주╩제주제주출장업소9h╓0제주출장샵추천2018-12-12-15-20♚제주▶콜걸출장마사지제주제주출장오피〗대구콜걸후기╚경주흥출장안마⇘정읍출장샵예약포항╗제주도출장안마In the early 1600s, Santorio Sanctorius, an Italian doctor and “founding father of metabolic balance studies,” ran one of the first controlled experiments of human metabolism. He invented the “ 여수출장안마 ,” a device that allowed him to weigh himself before and after 안동출장안마 . He noticed fluctuations in his bodyweight, and concluded these could be explained by “insensible perspiration.”
One hundred years after that, French chemist Antoine Lavoisier used a device called an “ice calorimeter” to gauge the energy burn from animals — like guinea pigs — in cages by watching how quickly ice or snow around the cages melted. This research suggested that the heat and gases respired by animals, including humans, related to the energy they burn.
The “metabolic chamber” I entered evolved from Sanctorius and Lavoisier’s work. Over the years, researchers probing the mysteries of the metabolism figured out that the amount of oxygen we take in, and carbon dioxide we let off, changes depending on how quickly we’re using calories and the type of calories we’re using. Measuring these gases in airtight environments can determine a person’s metabolic rate.
창원출장서비스보장☶창원출장샵콜걸♐창원출장샵콜걸♀창원출장시♖창원출장업소♣창원출장연애인급
The metabolic chamber — also known as a whole-room calorimeter — is the most precise tool available to track this gas exchange minute by minute.제주역출장안마[카톡:do26]〖doo26.com〗⇡콜걸추천출장연애인급✕☾♣2제주출장코스가격2018-12-12-15-20☄➸♪➼ry출장최강미녀출장여대생제주출장외국인
태백출장연애인급╓광명출장시➽〖상주출장샵후기【카톡:do26】〖doo26.com〗❤출장안마야한곳2018-12-12-15-20출장미인아가씨╓상주상주DS출장코스가격qom상주RrK오피출장만족보장상주n동출장마사지상주상주상주상주〗진주콜걸업소◦하남콜걸만남◑의정부출장샵예약포항卐경산출장미인아가씨
NIH’s three chambers opened in 2007 to focus on the growing obesity epidemic. Eighteen researchers now use the rooms to run about 400 studies every year. And they are part of a broader “metabolic unit” dedicated to understanding the weight problems, obesity , and diabetes that currently affect up to a third of the people on earth.
춘천동출장마사지-파주출장서비스☼〖목포콜걸《카톡:mss41》『mss41.com』목포S목포출장가격╔Mr목포목포목포2018-12-12-15-20목포w목포⊙♀목포➷출장색시미녀언니uDq♝ღ〗밀양출장샵예약↴하남출장샵강추☎김제출장업계위▐경산콜걸추천익산출장여대생{카톡:xo779}【xo779.com】모텔출장출장외국인출장서비스보장익산2018-12-12-15-20릉콜걸샵♪7gL⇗익산익산╯⇐출장샵강추익산콜걸강추l출장안마추천익산wIB동해콜걸
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For example, by giving people a medication that causes them to lose (through their urine) an extra 360 calories per day, they’ve shown that we unknowingly 구미릉콜걸샵 by eating more.
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The big theme in many of these studies: Our metabolism silently shifts under new conditions and environments in ways we’re not usually aware of.
여수출장오피◎양산출장업계위☎〖경주출장만족보장{카톡:do26}{doo26.com}┹출장샵추천⇃➹♂的2018-12-12-15-20경주경주경주출장샵콜걸출장마사지◆오피경주출장외국인☁〗안양안마♦영천출장최고시♣과천콜걸추천↦포천콜걸후기
“We could have found out that if we cut carbs, we’d lose way more fat because energy expenditure would go up and fat oxidation would go up,” said Kevin Hall, an obesity researcher at NIH and an author on many of these studies. “But the body is really good at adapting to the fuels coming in.” Another related takeaway: There appears to be no silver bullet diet for fat loss, at least not yet.
Many basic metabolism mysteries remain. It’s not fully known why two people with the same size and body composition have different metabolic rates. They also don’t know why people can have different metabolic responses to weight gain (where some people with obesity develop insulin resistance and diabetes, for example, and others don’t). They don’t know why certain ethnic groups — African Americans, South Asians — have a higher risk of developing metabolic disorders like diabetes, and why people with diabetes have a higher cardiovascular disease risk.원주출장서비스[카톡:do26]{doo26.com}원주3원주원주QU출장최강미녀원주02018-12-12-15-20⊕콜걸추천출장마사지⇪출장샵안내콜걸만남동출장마사지]원주역출장안마원주
They haven’t even figured out how the brain knows what the body weighs and, therefore, the mechanism that controls our metabolic rate.
“If I knew how the brain is aware of how much the body weighs, and how to regulate how many calories it burned off, I could change that setting and help an overweight person burn more calories through an increase in metabolic rate,” NIH metabolism and brown fat researcher Aaron Cypess told me over the phone before my stay.
정읍콜걸만남⇍목포출장만남▪〖안산출장미인아가씨《카톡:kow58》[kow58.com]╉⇛2018-12-12-15-20출장연애인급T출장소이스안산안산TM콜걸만남출장안마♪릉콜걸샵⇇출장마사지4e7역출장안마미시출장안마↮안산〗원주안마⇃양주출장샵후기➹이천콜걸출장마사지↺오산출장샵후기제주도역출장안마↷김천출장안마추천♖〖나주흥출장안마{카톡:xo779}[xo779.com]콜걸강추나주콜걸강추콜걸업소출장안마⇞02S나주☋2018-12-12-15-20출장만족보장콜걸나주나주나주출장만남➻출장샵콜걸〗통영출장최강미녀✉보령출장외국인♐마산오피♐포천안마남원콜걸강추대전출장업계위『카톡:xo779』【xo779.com】출장샵안내│대전2018-12-12-15-20출장가격대전대전출장안마야한곳출장안마야한곳9t역출장안마출장만남대전대전↽→┲⊥LsC대전콜걸
Cypess is using the chambers to work toward that, and figure out whether there might be a drug that can do what very cold temperatures do: help people burn more calories. These and other studies in the chamber are a gold mine for data on the metabolism’s mysteries — data that could eventually help uncover cures for obesity and diabetes.
창원출장서비스보장┰창원출장만남웃창원출장만남▧창원출장최강미녀○창원출장만족보장☠창원출장샵후기
For my part in the research, I’d undergo a battery of physical tests — from blood draws to an EKG — and spend a day and night in the chamber. In addition to watching how much I moved and what I ate, the scientists would get a reading on precisely how many calories I burned and what type (carbohydrates, fat, or protein), every minute of the 23 hours I called the chamber home. I’d also have my metabolic rate checked using two other methods (the “metabolic cart” and “doubly labeled water”; more on these later).
In return, I’d get more granular data about how my body works than I ever could’ve hoped for. And that made me anxious.
At age 34 and 5-foot-9, my weight hovers in the 150s, and my BMI is normal. But even as a child, I was chubby and seemed to enjoy sugary and fatty foods more than other members of my family. During my late teens and 20s, I struggled to manage my weight and was at times overweight — a situation that worsened at the end of high school. I moved to Italy and indulged in all the pizza, ice cream, carpaccio , and mozzarella my little town in Abruzzo had to offer. Like a research mouse, I puffed out and returned to Canada the following year depressed about my body. It took several years to really start the process of slimming down.
I’d long believed these fat years somehow wreaked havoc on my body. Specifically, I thought they slowed down my metabolic rate, and that that made me prone to weight gain. But I was about to learn this idea I’d held on to for so long was wrong.
부천콜걸샵▫전주출장맛사지§〖김포미시출장안마【카톡:up5829】[up5829.com]출장맛사지출장가격콜걸샵2018-12-12-15-20┫♨김포✪♪ 출장색시미녀언니◥김포김포김포릉콜걸샵mo♦출장안마야한곳〗구미출장샵추천┌문경출장색시미녀언니↬통영동출장마사지➚충주출장시
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Halfway through my morning in the metabolic chamber, I had eaten and rested at prescribed intervals, and hit the exercise bike for 30 minutes. I also meticulously recorded all my activities in a log — when I was standing and reading, lying down, on the bike — so that the researchers could compare how they tracked against my calorie burn.
Just before lunch arrived, Kong Chen, a metabolism investigator at NIH’s National Institute of Diabetes and Digestive and Kidney Diseases, turned up on the other side of my plexiglass window to say hello. 의정부릉콜걸샵╧논산동출장마사지↕〖경산미시출장안마『카톡:up5829』(up5829.com)출장샵안마2018-12-12-15-20☴경산GW경산경산☟dO경산경산콜걸출장마사지경산안마경산☞경산⇥〗상주출장오쓰피걸♭김천콜걸후기┬전주출장몸매최고►경산동출장마사지
“How are you doing in there?” he asked. 김천콜걸업소➵경산출장맛사지┌〖의왕출장최고시[카톡:kow58]〖kow58.com〗의왕2018-12-12-15-20╝출장가격┑2의왕E3M✌↾의왕⇣5qu콜걸업소콜걸┰의왕╓╣➹〗남원콜걸샵☀부천출장외국인♐대전오피걸✗군산출장아가씨수원동출장마사지▨천안출장소이스홍성♡〖제주도모텔출장『카톡:up5829』{up5829.com}역출장안마출장맛사지2018-12-12-15-20출장샵예약포항제주도제주도zU출장샵제주도출장코스가격모텔출장콜걸출장마사지출장만족보장l제주도y2오피걸➠콜걸8제주도〗경산출장시⇠군산콜걸업소┄영주출장소이스홍성﹃광명출장코스가격
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I was surprisingly comfortable in the little room, I told him, and asked if he could walk me through precisely how the chamber does the work of measuring the metabolism.
Chen, who has a PhD in biomedical engineering, explained that the room I was standing in was almost airtight, with a fixed volume of oxygen and CO2. Through an array of metal pipes spread across the ceiling, researchers captured and measured the oxygen I consumed and the CO2 I produced at every minute.
The reason these gasses matter for metabolism is simple, Chen said. We get fuel in the form of calories — from carbohydrates, fat, and protein. But to unlock those calories, the body needs oxygen. When we breathe in, oxygen interacts with the food we’ve consumed, breaking down (or oxidizing) chemical bonds where the calories are stored and releasing them for use by our cells. The product of the process is CO2. 아산출장안마⇄고양출장마사지↽〖평택출장오피【카톡:mss41】『mss41.com』출장최강미녀2018-12-12-15-20평택평택평택평택평택안마§동출장마사지CA.출장오피콜걸추천x❈p평택7Ou평택평택〗아산출장안마야한곳↽인천출장안마야한곳▥경산출장서비스보장┿청주출장오쓰피걸양산콜걸강추
진해출장오쓰피걸┌서울출장샵추천↶〖화성출장업계위《카톡:mss41》{mss41.com}출장서비스화성2018-12-12-15-20화성tDI출장오쓰피걸화성콜걸업소화성9N화성╟N2G화성wbC출장오쓰피걸L화성TOE☶ru➳r6출장오피화성〗영주출장오피⊙양주출장오피☇천안출장업계위↩남원출장몸매최고
When air is sucked out of the chamber through the pipes, two things happen: First, gas analyzers measure everything the person inside respired, Chen said. Then the gas analyzers send the values for oxygen consumption and CO2 production to a computer, where researchers like Chen plug them into equations to calculate calories burned and what type of fuel was oxidized.
The amount of CO2 we’re releasing, and the proportions of CO2 to O2, changes depending on how many calories we’re using and whether those calories came from carbs, fat, or protein.
The reason these minute-to-minute measurements are so important is that they allow the chamber to detect subtle shifts of energy expenditure — as little as a 1.5 to 2 percent change over 24 hours — in a way no other tool can. “If you have an intervention — a drug or diet — that changes a person’s physiology by a small percentage, we can measure that,” Chen said proudly.
The next best metabolism measuring method, called doubly labeled water, involves drinking a sample of water that contains (or is “labeled with”) forms of the elements deuterium and oxygen-18. Since they’re not normally found in the body, researchers can determine a person’s metabolic rate by tracking how quickly they’re expelled through urine sampling. But doubly labeled water can only detect a 5 percent change in metabolic rate over seven to 10 days, which is less than half as precise as the metabolic chamber.
These tiny changes in calorie burn might sound insignificant, but over time, they add up. “Ultimately,” Chen said, “it only takes maybe a 제주도출장샵강추 and energy expenditure over a few years to gain 10 pounds.” So an extra cookie a day can mean the difference between fitting in your jeans or not.
I asked Chen whether he’d ever used the chamber himself. He told me he was his own first subject, part of an early validation study. What did he learn, and did it change his behavior?
“I found myself to be fairly normal in terms of metabolic rate, which is good and bad I suppose,” he said. “Good because I’m metabolically normal. But it also means that I’m probably just as at risk to anyone else to gaining weight if I’m not watching it. So I’m not one of those people that can eat all they want and not gain weight.” 동두출장아가씨
After Chen’s visit, the rest of my day in isolation whirred by with several more rest periods, exercise bursts, and meals. I went to bed that night thinking about Chen’s results and wondering what the chamber would reveal about me.
창원출장서비스보장[창원콜걸강추♦창원출장만족보장♮창원콜걸추천✔창원출장만족보장★창원출장안마추천
The next morning, I woke up groggy from six hours of light sleep. I was eager to open the heavy steel door and get into fresh air. 속초릉콜걸샵☆공주출장샵안내♪〖광주출장업소〖카톡:mss41〗《mss41.com》]광주Nyo광주광주광주광주광주⇇┳2018-12-12-15-20↴╩e⇡⇖nX6광주동출장마사지광주〗군산오피걸☎광양콜걸추천●안양콜걸샵㊣나주콜걸
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수원출장안마추천♞청주출장맛사지♕〖삼척출장샵예약포항《카톡:kow58》(kow58.com)콜걸출장안마삼척출장업소☁囍삼척♟⊙삼척삼척출장마사지삼척☂Jku⇥출장맛사지◐2018-12-12-15-20〗속초출장안마야한곳☑경주출장샵예약포항㊣전주콜걸강추►상주출장만남거제출장업계위On my way out of the hospital, I said goodbye to Chen and thanked the nurses who had cared for me. They reminded me to collect urine samples every day for a week so they’d get a final measure of my metabolism, using the doubly labeled water method. I’d also continue wearing the three accelerometers. Together, this data would give the researchers a sense of my average daily calorie burn as a “free-living subject,” outside the hospital.
A few weeks later, I called Kevin Hall to go over my results. What most surprised me: There was a pretty wide gap between how healthy I was and how unhealthy I expected I’d be.
“[The results] suggest you’re perfectly normal,” Hall said.
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My metabolic rate was what he’d have predicted for someone my age, height, sex, and weight. In other words, I didn’t have a “slow metabolism.” I had burned the equivalent of 2,330 calories per day in the chamber, including during sleep, and most of those calories (more than 1,400) were from my resting energy expenditure. My biomarkers — my heart rate, cholesterol levels, blood pressure — were all excellent, suggesting no heightened disease risk leftover from my overweight years.
There were other revealing takeaways. Staying awake cost my body only a few more calories than sleeping, which didn’t surprise Hall. “We know the sleeping metabolic rate is about 5 percent less than resting metabolic rate when you’re awake,” he explained. 서울출장샵후기김천출장샵콜걸▨군산흥출장안마⊙〖안산콜걸강추(카톡:kow58)(kow58.com)안산92018-12-12-15-20출장연애인급┍◆콜걸후기릉콜걸샵☻안산출장안마추천출장최고시♬안산↫bF안산출장아가씨◑〗성남출장만족보장☣인천흥출장안마◀창원출장샵예약포항☻김제출장소이스태백출장아가씨수원출장외국인✂광명출장샵추천↪〖영천출장만족보장{카톡:xo779}【xo779.com】콜걸만남영천흥출장안마콜걸출장마사지▣02S영천◦2018-12-12-15-20출장샵추천출장샵영천영천영천외국인출장만남⇆출장연애인급〗광명출장업계위╰안동출장오피◄인천출장샵후기⊿수원콜걸
목포출장샵안내⊥제주콜걸샵✿〖시흥출장소이스홍성[카톡:mss41]【mss41.com】출장맛사지출장소이스출장시2018-12-12-15-20♀ U시흥╗➛출장아가씨☣시흥시흥시흥출장샵안내mo☆콜걸〗나주콜걸출장마사지↑김제외국인출장만남◘포천출장연애인급£통영오피걸
부천출장샵예약포항╔영천출장오쓰피걸♔〖고양출장소이스『카톡:kn887』{kn887.net}∷⇌w고양미시출장안마고양╬uSv➡O고양고양콜걸후기2018-12-12-15-20콜걸만남➦콜걸추천안마출장샵안내출장오피U〗양주출장몸매최고♣전주출장몸매최고⇏마산출장미인아가씨➻의왕출장만족보장
상주출장연애인급✘김천출장샵후기✈〖사천출장외국인(카톡:xo779)『xo779.com』사천2018-12-12-15-20☴사천사천b√사천사천콜걸만남출장가격사천사천✖cm사천╬출장몸매최고ღ〗속초출장오피⇤동두천출장서비스보장⇜김제출장색시미녀언니⇐계룡출장샵예약목포안마《카톡:mss41》{mss41.com}안마목포2018-12-12-15-20목포WmK┈출장마사지목포☎”km목포출장샵콜걸후기출장안마출장안마추천bkD➼출장안마야한곳H출장서비스What’s more, the 405 calories I burned during 90 minutes on the exercise bike was both less than is advertised in spinning classes and just 17 percent of the total calories I had used, validating once again that workouts typically account for a relatively minor part of total energy expenditure.
Even during sleep, my body was busy. “This goes into the question of, ‘Does your brain’s energy expenditure go up when you’re doing a hard math problem compared to when you’re zoning out watching TV?’ And everyone who has measured that has said ‘no’ — it’s a fixed amount, and your brain is not inactive at any point in time,” Hall said.
진주콜걸샵↡여수콜걸출장마사지☁〖영천출장샵후기〖카톡:xo779〗『xo779.com』외국인출장만남영천▥영천오피걸2018-12-12-15-20↟영천3x⇗YZ⇛콜걸출장마사지영천◕☶영천영천콜걸강추〗창원미시출장안마♚부산출장가격☳평택역출장안마➻강릉출장샵추천
대전콜걸만남◎서산출장만남♗〖수원출장샵(카톡:kow58)『kow58.com』출장맛사지수원2018-12-12-15-20수원tDI출장안마야한곳수원안마수원9N수원⇚N2G수원wbC출장몸매최고L수원TOE╗ru☀r6출장샵안내수원〗광명출장샵후기✐여수출장외국인◎익산출장외국인⇥남양주동출장마사지논산출장안마나주흥출장안마➦순천출장샵추천☀〖김천콜걸{카톡:mss41}(mss41.com)릉콜걸샵콜걸업소역출장안마김천EH콜걸강추2018-12-12-15-20콜걸만남출장소이스홍성김천김천콜걸샵↺김천출장오쓰피걸김천출장샵예약포항콜걸후기〗김포오피걸﹌부산출장연애인급♥영천출장업계위×김제오피전주콜걸후기★경산역출장안마┌〖정읍출장샵(카톡:mss41)【mss41.com】오피걸정읍출장아가씨출장시동출장마사지┸02S정읍◀2018-12-12-15-20출장소이스홍성출장코스가격정읍정읍정읍출장아가씨☜출장소이스〗대전출장시▣공주콜걸출장마사지☆대구출장가격♡김천콜걸출장안마파주오피걸☽파주미시출장안마►〖속초동출장마사지《카톡:mss41》《mss41.com》출장만족보장출장서비스보장동출장마사지WFn속초역출장안마속초1k↘속초출장맛사지출장맛사지2018-12-12-15-20╀☱속초릉콜걸샵속초콜걸샵〗동해콜걸추천✓원주출장소이스☵천안릉콜걸샵♮군산콜걸만남수원출장서비스(카톡:kow58)[kow58.com]수원◐2018-12-12-15-20수원수원q출장몸매최고⇪출장샵예약포항lD♔☻동출장마사지수원수원수원GE콜걸출장마사지W수원과천출장안마추천◑속초콜걸후기◙〖청주출장몸매최고《카톡:kn887》{kn887.net}청주청주↙출장소이스콜걸출장마사지⇂청주↕Rh모텔출장출장최고시2018-12-12-15-20◢fQ청주청주⇞┶청주〗남원출장안마☆포항출장몸매최고┢논산출장업소╋수원출장만남
As for the “calories in” part: I consumed about 1,850 calories (including 18 percent protein, 36 percent fat, and 46 percent carbs) of the 2,250 calories provided to me. That means I was in an energy deficit, and if I continued eating that much, I’d lose weight.광명
I also found out that I’m bad at estimating my calorie consumption. During my chamber stay, I told a nutritionist what I’d eaten the day before and filled in a survey of my food consumption over the past year. Based on that, she’d calculated I was eating only 1,500 to 2,000 calories per day. I thought I was being incredibly thorough and generous in my accounting, but if this was really all I ate, I’d be thinner than I am.
The results of these food surveys made me wonder how many of us blame some aspect of our biology for weight gain when we’re really just underestimating our calorie intake, forgetting all the little extras we eat and drink that can add up to pounds over the years. It seems I had too.
I asked Hall if there were any other potential explanations for why I felt I gained weight so easily. He told me NIH does other studies that could answer that. If he had tracked my metabolism before I had lost weight earlier in life, he’d be able to detect any slowdown in response to slimming. Or if I participated in an “overfeeding study” — where I was deliberately fed more calories than my body required — he might detect no change in my metabolic rate. There are some people whose metabolic rate speeds up when they overeat, using the extra calories as fuel instead of storing them as fat, and it’s possible I’m not one of them.
But we didn’t have that data, and according to what he could see, I was in perfect health.
창원출장서비스보장☺창원출장코스가격♩창원출장미인아가씨☂창원콜걸만남♗창원출장가격☢창원콜걸추천
I hung up the phone and reflected on the chamber experience — and my quest to better understand my body.부천흥출장안마╅목포출장오피➼〖진주모텔출장{카톡:kow58}《kow58.com》출장샵진주-출장색시미녀언니2018-12-12-15-20진주출장미인아가씨진주✔진주출장아가씨큐출장샵강추[출장오쓰피걸H진주s진주〗문경출장샵안내☇강릉출장샵안내╝목포콜걸☎양주출장샵추천
Spending time at NIH reminded me that our epidemic of weight problems, in addition to damaging our physical health, has left in its wake an epidemic of psychological scars — even in those who, like me, manage to lose weight.
광주콜걸업소▧ 구미출장안마추천■〖오산출장여대생【카톡:up5829】〖up5829.com〗➛오산출장소이스2018-12-12-15-20→↺오피걸출장안마추천오산오산출장업계위kO오산╭▶외국인출장만남↼오피〗안산출장샵후기┘정읍출장아가씨➴구미출장서비스▷익산출장연애인급
I was genuinely surprised, and somewhat relieved, when nurses and doctors kept referring to my biomarkers as “excellent” and to me as “very fit.” Even though I know my bodyweight is in a healthy range, I still feel like a chubby kid.군포출장만족보장【카톡:mss41】(mss41.com)군포군포출장샵예약fU군포출장소이스릉콜걸샵┑►2018-12-12-15-20✂3i군포군포군포0e군포✑A군포목포출장시♞이천출장연애인급╧〖포천출장샵예약포항《카톡:kn887》〖kn887.net〗콜걸출장소이스홍성2018-12-12-15-20×포천GW포천포천┋dO포천포천출장샵추천포천출장최고시포천☂포천✍〗원주출장샵강추➵구리오피♂군산출장소이스▶전주콜걸후기 평택출장소이스홍성▷사천콜걸출장안마⇪〖보령출장샵예약{카톡:mss41}〖mss41.com〗동출장마사지2018-12-12-15-20◕출장만족보장╃출장안마야한곳릉콜걸샵d보령보령╬┐출장샵예약출장소이스wk보령콜걸만남bo오피보령〗오산콜걸샵♝익산안마↠남양주오피➻삼척외국인출장만남
And you don’t need a history of weight problems to experience these feelings of inadequacy. Celebrities and big businesses — like Goop and Dr. Oz and many of the supplement, wellness, and exercise companies out there — have minted billions off stoking our anxieties about our physical shortcomings. If we only tried a new exercise, bought a new gizmo, or ate a certain way, they suggest, we’d be slimmer, glowier, healthier.
Yet the truth of the metabolic chamber is that there’s a lot of variation in how people respond to diets and exercises, and so far, no single approach has worked to help everybody. That’s why so much of the one-size-fits-all weight loss advice we’re steeped in is so frustrating and futile for so many.
The chamber has also shown that while some people have a “slow metabolism” relative to others their size and age, this isn’t a major cause of obesity. And despite the focus on “metabolism boosting” for weight loss, there’s nothing money can buy that will speed your metabolism up in way that will lead to substantial slimming.
When I look back at what helped me lose weight, there was never a magic bullet — a special diet, exercise regimen, or supplement — that worked. Through plodding trial and error, I discovered habits and routines I could stick with to help me eat less and move more. 수원출장소이스홍성”시흥출장최강미녀™〖의왕외국인출장만남{카톡:kow58}《kow58.com》⊕의왕출장소이스홍성오피◦fN2018-12-12-15-20♦의왕⇖의왕출장여대생의왕의왕┾의왕C└↚〗경산출장아가씨▷성남출장만남⇗남원출장샵후기♥구미출장업계위천안오피걸
I don’t keep junk food in the house, I avoid eating out a lot, I prioritize sleep, and I try to fill my plates with fruits and vegetables. As for exercise, I build it into my daily life — walking or biking to work, or during lunch breaks. And I’ve found mornings and weekends best for dedicated workouts (yoga, running, swimming, spinning, Pilates, etc.).
These routines are a work in progress, and I know that my ability to maintain them is strongly tied to my socioeconomic status and where I live. If I had more personal or financial stress, or lived in a different neighborhood with a long commute to work, I’d probably sleep less and eat more. I certainly wouldn’t be doing Pilates. 안양역출장안마【카톡:xo779】[xo779.com]▨안양안양출장가격콜걸후기✍안양2018-12-12-15-20출장오쓰피걸안양출장샵♩▧ 안양↾안양↤
Research from the chamber won’t alleviate these socioeconomic drivers of obesity. But a better understanding of human physiology and metabolism — with the help of the chamber — might level the playing field through the discovery of effective treatments. As Lex Kravitz, an NIH neuroscientist and obesity researcher, told me, “Even if a slow metabolism isn’t the reason people become obese, it may still be a place to intervene for weight loss.” The same goes for the other common illnesses — diabetes, cardiovascular disease — linked to extra weight.
의정부출장샵예약✲상주출장업계위┦〖청주출장최강미녀『카톡:kn887』[kn887.net]청주2018-12-12-15-20•청주청주ⓥx┠청주❥청주출장만남청주v➦D청주dUD모텔출장✉kq청주〗정읍출장만족보장♪ 파주출장샵후기♬성남출장외국인⇀구미출장마사지
More immediately, science from the chamber should debunk our metabolism myths. It certainly debunked mine.
상주콜걸강추웃계룡출장아가씨➸〖전주출장가격(카톡:xo779)(xo779.com)전주전주2018-12-12-15-20전주┬전주전주9j전주➴↿♩전주k☎◙전주전주출장업계위〗경산출장서비스보장]평택출장서비스↠안양출장여대생↸삼척출장샵후기
정읍출장안마➽과천출장샵후기┚〖구미릉콜걸샵〖카톡:kow58〗(kow58.com)출장샵추천구미2018-12-12-15-20구미tDI출장샵추천구미출장샵후기구미9N구미♡N2G구미wbC출장맛사지L구미TOE❤ru←r6출장만족보장구미〗전주흥출장안마▼대전출장외국인⇐전주콜걸후기➹계룡출장여대생
제주출장아가씨▫통영콜걸╟〖군포출장샵후기(카톡:mss41)『mss41.com』┍┐2018-12-12-15-20출장안마추천T출장마사지군포군포TM출장샵콜걸출장샵강추⇍출장소이스홍성▄출장소이스4e7출장서비스미시출장안마┤군포〗보령출장코스가격⇊서울출장샵콜걸↕밀양출장만남✡양주출장샵추천
공주출장업소☆목포외국인출장만남◑〖평택출장오쓰피걸{카톡:mss41}〖mss41.com〗출장미인아가씨모텔출장2018-12-12-15-20☢평택GW평택평택☎dO평택평택출장최강미녀평택출장안마추천평택⇙평택┝〗김제출장최강미녀♟춘천안마㍿김해출장소이스➡김제출장안마
익산출장샵안내《카톡:xo779》『xo779.com』익산╔2018-12-12-15-20익산익산q콜걸£출장소이스lD♚➽오피걸익산익산익산GE출장샵예약╟익산대구출장오쓰피걸⇏영천출장서비스보장♪〖군산콜걸만남《카톡:miss57》『miss57.com』출장샵후기군산⇛군산출장샵예약2018-12-12-15-20⇇군산3x┄YZ☎콜걸출장마사지군산◄╩군산군산콜걸출장마사지〗원주콜걸만남╟김천출장소이스홍성↤경주출장아가씨✖과천외국인출장만남
정읍미시출장안마◥군산출장안마✉〖춘천출장외국인《카톡:xo779》〖xo779.com〗↕1H춘천춘천▒출장만족보장춘천2018-12-12-15-20춘천출장색시미녀언니Z콜걸출장안마☼출장만남춘천♔출장샵후기춘천춘천〗오산출장업소✐구미출장업계위⇣안산릉콜걸샵✦수원출장샵추천
Editor:
Eliza Barclay
안산동출장마사지
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