Smorgasbord Health Column – Size Matters: The Sequel – #Morbid Obesity – Hitting the Weight Loss Plateau #fluids by Sally Cronin

This is the updated and fifth edition of Size Matters and I had intended to release in 2021 for the 25th anniversary of my initial weight loss. However, with everything else going on in the world it did not seem appropriate to celebrate when people’s minds were fixed on survival in lockdown. Although this serialisation ontains much of the original material in relation to my own personal story, the programme has evolved over the last 25 years.

Although I studied nutritional therapy back in the mid-1990s, I have continued my studies and developed new programmes for healthy eating that are tailor made for the individual rather than a one size fits all. I still believe that the key elements of this basic weight loss programme I will share with you in this updated version works. Even when I work with clients who have arthritis or diabetes, I still approach their programmes from the three dimensions that I outline in this book.

Last week I shared some forms of exercise that are great for helping to shift the pounds and tone muscles.

You can read the previous post: HERE

Our physical approach, our mental attitude and our emotions are all factors in how we overcome disease and obesity, and should all be addressed when looking for the right programme that will work for each individual.

Hitting the Weight Loss Plateau

Experienced dieters will dread that plateau that everybody seems to hit five or six weeks into their weight reduction programme.

A pound of body fat is generally equated to 3,500 calories. However, you will not be losing just pure body fat in the initial stages of your weight loss, since 15% and 22% of the weight of a fat cell is excess water, and this must also be reduced. This water loss is one of the reasons why people tend to lose weight faster during the first few weeks.

 There are a couple of major reasons why this occurs.

  • The first relates to the ability of the fat cells to shrink in the 5th to the 8th week of a weight loss programme.
  • As fat leaves the cells to be used as a food source, the body has the task of shrinking the fat cell back to its normal size. In some cases this does not happen immediately, and the cell has an empty space, where the fat used to be.
  • Since the body cannot have ‘empty spaces’, water and salt automatically flow into the fat cell to replace the fat. As the body catches up with the shrinkage of the cells this water will be expelled, but the plateau can last from 2 to 8 days.
  • Since water weighs more than fat you may even see a slight weight gain during this period, but, you will still be losing fat if you continue with your diet.

If you ensure that you are drinking sufficient fluids that I outline in the next section, and have a regular exercise schedule, this will resolve itself naturally.

I do not recommend that you take diuretics to eliminate the excess fluid as these can do damage to your kidneys. It will also artificially affect your fluid balance and once you stop taking them it can take a while to correct that.

The other reason you are likely to plateau is starting your eating programme with too few calories.

If you read the earlier post on how many calories you should be taking in… you will have identified your BMR – Basal Metabolic Rate, which for women is around the 1500 nutritional calories and for men 1800 (men have a different muscle mass). This is your resting calorie requirement to run the operating systems of your body for 24 hours. Going below this for an extended period of time results in your body kicking into survival mode.

If you decide that you are going to starve your body into submission with only 1000 calories a day and combine that level of calories with lots of exercise, your body will begin to move into Nutritional Deficiency Syndrome, this is where the body detects that it is becoming deficient in essential nutrients combined with too few calories.. (My term for this process, others call it starvation syndrome)

Your body has some survival traits that will kick in once it perceives that there is a famine or drought and one of those is to hang on to what is in its fuel cells – in other words the fat and water gets locked up.

Even on days when you think you are eating sensibly your body will decide to top up the fat cells.. and if you go on a holiday break or over Christmas your body will take full advantage.

If you want to reassure your body that there is not going to be another famine… stick to a your eating plan and do not drop below the recommended calories.

So if you start your programme at a minimum of 1500 (woman) nutritional to 1800 (male) calories depending on your BMR – with normal activity and exercise you can create the 500/ 750 calories per day to achieve your 1lb. to 2lb weight loss per week.

Work through the natural plateau as your cells shrink and instead of reducing your nutritional calories (make sure that what calories you do consume are nutrient packed) and increase your activity levels slightly to maintain a steady weight loss.

Only kidding….

Fluids to keep you healthy.

Fluids are important for the body. We are 75% water and this is essential for life.

You can live without air for about 6 minutes,

without food for about 6 weeks (not me certainly)

but you only live for about 6 days with fluids.

Every organ in the body relies on a certain level of fluid to function and fluid washes over all the cells in our body keeping them healthy by removing toxins. When you are losing weight this is even more important because you will not be just losing fats from your cells – you will be losing stored toxins too.

You notice that I say fluids not water. It used to be that it was recommended that you drank at least 2litres of pure water per day. Well, we now know that certain water rich foods, your teas and coffees add to your fluid intake. But, fizzy drinks, too many fruit juices and alcohol are not acceptable due to their high sugar content. The odd glass of wine or fresh squeezed juice, or even B-vitamin rich Guinness a few times a week is good for you. But, at the end of the day you cannot beat good old fashioned tap water.

Those of us who are lucky to live in countries where it is safe to drink water straight from the tap should take full advantage of this very inexpensive alternative to bottled water. I enjoy a glass of sparkling water from time to time but you will get less sodium and depending on local conditions, plenty of minerals from your own tap.

It amuses me when people moan about the price of petrol and then go into a bar and pay £2 for a glass of ‘mineral’ water with a bit of ice and lemon. That makes it around about £5 per litre or more. Petrol sounds pretty cheap in comparison.

In recent months it has emerged that the cheaper mineral waters for sale in supermarkets for under 50p per bottle is actually just filtered tap water. You can do that yourself if you wish either with a filter attached under your sink or by using one of the jug filters.

There is a knack to drinking your water so that it does not interfere with the digestive process.

If you drink a couple of pints of water with your meal you will dilute the gastric juices and the process then becomes less effective.

Drink a glass of water when you get up in the morning – even better hot water with a squeeze of lemon juice to give you a Vitamin C hit. This also helps with sugar cravings

Drink a glass half hour before your main meals and about 90 minutes afterwards.

I will drink a glass of coconut water during the day as it has an alkaline effect on the body and also contains some helpful nutrients.

I also will sometimes drink green or peppermint tea an hour after a meal however; I find that particularly mint tea helps with digestion, which is why many cultures drink so much of it.

So with water first thing, hot water and lemon, a tea or coffee mid-morning, a glass of water 30 minutes before your lunchtime and evening meal and one 90 minutes afterwards, a cup of tea mid-afternoon and water rich salads, fruits and vegetables and you will have consumed at least 2 litres of fluid.

If you do 30 minutes of intensive exercise, drink another glass of water before and afterwards.

If you drink a couple of glasses of wine occasionally, have at least one glass of water afterwards.

If you drink a little more water you will not come to harm, but do not drink too much either as excess fluids can cause you to lose essential nutrients and make you feel very unwell.


©sally cronin Just Food for Health 1998 – 2022

Next time weight loss and the benefit of sleep

A little bit about me nutritionally. .

About Sally Cronin

I am a qualified nutritional therapist with twenty-four years experience working with clients in Ireland and the UK as well as being a health consultant on radio in Spain.

Although I write a lot of fiction, I actually wrote my first two books on health, the first one, Size Matters, a weight loss programme 21 years ago, based on my own weight loss of 154lbs. My first clinic was in Ireland, the Cronin Diet Advisory Centre and my second book, Just Food for Health was written as my client’s workbook. Since then I have written a men’s health manual, and anti-aging programme, articles for magazines, radio programmes and posts here on Smorgasbord.

You can buy my books from: Amazon US – and: Amazon UK – Follow me :Goodreads – Twitter: @sgc58 – Facebook: Sally Cronin – LinkedIn: Sally Cronin

29 thoughts on “Smorgasbord Health Column – Size Matters: The Sequel – #Morbid Obesity – Hitting the Weight Loss Plateau #fluids by Sally Cronin

  1. This is filled with great suggestions and insights Sally. I did realize the importance of water but did not know when it was best to drink it or how much. Such valuable information, thank you for sharing. Hugs, C

    Liked by 1 person

  2. Water is essential here and I must admit to having water with my food as well as before and afterwards especially when it is very hot and humid…my father (I think) I mentioned before went over the top with water and was quite ill…Another good informative post, Sally scheduled to share this afternoon Hugs xx

    Liked by 2 people

    • You do need extra water in a climate such as yours Carol.. we had under 20% humidity in Madrid most of the time as we lived at altitude as well as a dry climate and we drank much more than we do here. But even in the winter months with the heating on part of the day I notice a difference. Thanks for the share ♥♥


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  5. Spme great watery facts and advice.
    I drink water but sometimes with my meal instead of the glass of wine.
    I think I will do the 30 minutes before and the 90 after as you suggest.

    Liked by 1 person

  6. HI Sally, this is all good information. Michael has lot 5 kg in a month on his new healthy eating plan. He is recovering from his surgery and is doing better tonight after steaming and douching. There was a lot of old blood, poor boy.

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  7. I do find this series so positive and encouraging – as well as practical! I hope you will publish it in book form later once the hurlyburly’s done. There are factors here I didn’t know and once you’ve explained them, it all makes sense. Thanks! xx

    Liked by 1 person

  8. A sensible approach to water, Sally. We see people walking around clutching a bottle of water and taking a small sip every few minutes. I argue that it’s not a natural thing to do. We don’t see animals taking frequent little sips.

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