I have added a sixth cause group
I've had a bit of time to rehash this who obesity-overeating- cause chain. During this time of maintenance struggle I have regained 18 kg of the 67 kg that I lost. In this whole process, overeating has been a issue, as has hunger and cravings or the base desire to eat. As I have addresses each cause, and found a solution, another cause has come up. This causal chain must have a end other than death.
Over the years, in these three blogs, and through journaling, I have had substantial change, and discovery of much that I did not know. I am not the same person when I set out to understand why I was overeating all those years ago. In this last push, starting in 2008, I have addressed the following issues, but these issues are interrelated:
1) Food knowledge and physiological knowledge, sufficient to come to know what foods should be eaten and which are not foods but poisons. There is much debate, but I now know that the establishment is out to lunch, and that some form of low carb is about right. I still crave carbs, and likely need a few more than the Dr. Richard Bernstein level (30 gm/day) but less than most tested "low carb diet" (~100-150 gm/day). It seems that about 50-75 gm/day is about right for me. Phil Maffetones two week test is one way to determine this. Beliefs and values also need to be examined and corrected.
2) Physical issues can drive appetite. Insulin resistance, hyperinsulinemia, actual physical hunger, and appetite stimulus are problems that need to be understood. Adrenalin surges or cortisol may also be a problem due to the rush response. Short and long term solutions are different. Willpower, that logic powered force can overcome short term, but long term will overpower willpower. Habit must also be addressed. Primary root cause of (T2D and med syd) are excessive digestible carbohydrate. Remove these and the problem reduces greatly.
3) Environment and culture are difficult to separate, but both must be addressed, Food pushers, habit, cueing, priming, and the like must be eliminated. Some of this is physical habit which resides in the subconscious (automatic) part of the mind, and some is yielding or allowing to external control, often termed low impulse control. When we switch to internal control, we become "difficult to be around" in what was familiar culture, and this may strain relationships and make changes in our thinking and philosophy necessary, and also psychological change becomes necessary. All this creates the need for change, and understanding change, deciding what must change, and similar lifestyle changes.
4) Our psychology of the past may have produced some maladaptive behaviors, that is behaviors which need to change. These behaviors may be based on past experiences, and physiologically likely result from high glucose and insulin are sedatives, hence that sugar short took the edge off life before. Now we need to learn to deal with life on natures terms; nature does not care if we live of die, but nature gives us the urge to reproduce, to desire, and to think. CBT may be suitable for this, along with philosophy and belief cleaning. This is our first and only time through life, so we were bound to make mistakes. I need to correct my behaviors to more suitable ones. Eating disorders need to be addressed, and corrected. These are wrong thinking, wrong learning based issues. Some of there are cultural based, hence this may relate to the obesity epidemic. We may need to emulate only healthy and normal weight people. These descriptors may not be the same groups.
5) Food addiction is the problem of food containing, causing the production of, or being digested into harmful substances, such as opioids. Sugar, grains, wheat, dairy, carbohydrates, are the usually suspects. The only solution is to stop eating the food that give the problem. That may be difficult due to cultural pressure and non-acceptance of the problem.
6) Relationships or social problems are a subgroup of the maladaptive that may require special consideration. As some 20% of obese people have been reported to benefit from IPT, that is interpersonal therpy, there must be something there. I can see that, overeating is our response to a situation; we can think about it differently, and the problem becomes less. Hungry, angry, lonely, tired are some of the common driving factors, and social can address the lonely. http://www.drsharma.ca/are-smaller-families-driving-the-obesity-epidemic?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed:+AryaSharma+%28Arya+M.+Sharma,+MD%29
Will I ever get to the end of the problem? Is there an end? But what do I know?