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I disagree with some points you raised in a previous Q&A regarding the safety of The Biggest Loser and would like to hear your response.

Q: The Biggest Loser has never been touted as a "long term solution" though one would hope that the contestants would go away with enough knowledge to self maintain at a healthy (if not their final) weight.

A: True that. However I feel that there is a very strong implication by the show that once the weight is lost, the contestants will be rid of any weight issues for the rest of their life. This is just my interpretation and I totally see your point. However this idealistic view that "shed the weight as quickly as possible and it's gone forever" is completely inaccurate and is what fuels the massive dieting industry.

Q: Exercising to the point of throwing up is not in itself dangerous, and coming from the low baseline of activity that these people do, is almost inevitable. Respect to Alex for going the distance should be given.

A: Exercising to the point of throwing up is not in itself dangerous. Exercising to the point of throwing up upon leading a sedentary lifestyle, in my opinion, is a very clear warning sign that they are being pushed way too far. I cannot comprehend how the body can safely cope with going from 0 to 4 hours of high intensity exercise per day. This is why such adverse reactions seem to be occurring - throwing up, fainting, being sent to hospital.

As I mentioned in my answer, I hold a very great respect for all the contestants for a variety of reasons. It must have taken some real mental strength to be able to endure what Alex did (I assume Alex is the one who threw up? Not good with names lol). However he was under the instruction of a trainer - it is the method of training that I have a problem with.

Q: Artie did have gall stones removed, these "could" have been due to weight loss but were more likely due to his extreme overweight in the first place. Also Artie is now self maintained in his diabetes without medication due to his weight loss, a far more beneficial outcome.

A: It is hard to conclude that gall stones was the direct result of weight loss.  However, I did quote the doctors in stating that it was due to weight loss (as quoted in my Q&A).

There is some very strong evidence to suggest that gall stones result from rapid weight loss. I recommend that you have a read of an article I published which discusses the health implications of rapid weight loss at:

Yo-Yo Dieting - No-No Dieting

I also recommend that you check out those references as you will find them to provide some very strong evidence for the arguments purported in that review.

You raise a good point regarding diabetes and weight loss. According to an array of research, an obese individual is at a far greater risk of contracting type II diabetes. Weight loss is of great health benefit if performed in a safe manner. So, losing weight is absolutely imperative for an obese individual in order to reduce the risk of type II diabetes. However, rapid weight loss (in excess of 1kg per week) can pose further health risks that are not necessary.

Q: Weight loss in the 5-10 kilos per week range if coupled with the healthy diet and exercise, again going back to these peoples previous exercise levels is not in any way exceptional or dangerous. Even the change of eating pattern from greasy fast salt laden sugary foods to plain veg and salads, would enable these people to lose 2-3 kilos per week, with only light exercise.

A: I have to disagree with you here. There is a quite a substantial amount of research on this topic to suggest that rapid weight loss may pose very serious health implications including:

increased risk of gall stones, elevated blood pressure, high cholesterol, coronary heart disease, increased long-term weight gain, binge eating, reduced physical activity, reduced energy expenditure, increased hunger levels, altered hormone levels, changes in substrate utilisation, increased fatigue, increased disposition toward fat storage and depression

Please refer to the article quoted above for more information along with an array of references.

I absolutely do not dispute that changing their eating habits is not a positive step forward. Their nutritional improvements are absolutely vital for improvements in body fat levels, health and wellbeing. My stance is that they are very restricted in their caloric intake relative to their a. body mass and b. daily activity.

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