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Episode #303: Metabolic Adaptation

Barbell Medicine Podcast

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Metabolic Adaptation: The Genetic Battle Against Weight Management

Metabolic adaptation is a significant and unavoidable factor during active weight loss, influencing changes in resting energy expenditure that often exceed alterations in body composition. Individual responses to weight loss vary widely, with genetic predispositions playing a crucial role in appetite regulation, feelings of fullness, and energy expenditure. Those who struggle with weight loss typically experience increased hunger and reduced satiety, compounded by variations in daily energy use. Despite evident metabolic changes during weight loss, these adaptations seemingly diminish during stable weight periods and do not substantially impact long-term weight management. This complex interplay of genetics and metabolic response explains the challenges faced by many in achieving and sustaining significant weight loss.

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