After promoting Dr. Phil and Dr. Oz, I no longer listen to Oprah. Thanks for explaining it in a way that’s easy to understand.

Thank you for being willing to make a video that may not be monetized. It shows your dedication to fighting misinformation which is so desperately needed right now. I can't say I'm surprised by what Oprah said but damn, she has access to so many things I would only dream of and is still this clueless...

I got into an argument with my husband about eating late at night. He thinks that it is the worst time to eat and that you should not eat after a certain time, which I explained is not scientifically correct and he wasn't hearing it lol. We got into this argument because my teenage son is overweight (he went to the doctor yesterday for his annual wellness check and it did go well and his weight has put him in the red zone) I did explain to my husband that the problem is that he is in a calorie surplus, regardless of what time he eats. My son and I have set up an actionable plan for how we can get him healthy as he already has high blood pressure and getting his blood panels done Friday. We are going to walk together outside 45 minutes everyday and strength train together. We have discussed how we can eat to better fuel our bodies. We talked about getting more fruits/vegetables and protein into our meals. Hopefully I am doing right by my son. I am not overweight but I am doing whatever it takes to support him

Oprah has been spewing misinfo since the 70s when she was a reporter here in Baltimore.

It certainly makes sense to frame issues around overeating as a disease because in many ways it does involve a kind of addiction. One thing I heard from a fitness KZfaqr is that the distinction for overeating from other diseases is that it is the only disease for which you will forever have to consume some form of what you are addicted to. Imagine if alcoholics had to drink two beers but no more than that every single day.

I’m gonna find a way to magically teleport you to my next doctor’s appointment so you can tell her it’s not the end of the world if I eat dinner after 7pm…

Being obese is all about mental health for soooo many people. We can know all about the technicalities of how to lose weight but it's addressing the why of our food or eating fixation that's the issue, and makes it incredibly difficult to start or commit to behaviors that help with weight loss (calories in, calories out etc). My goodness why is this psychologist up there trying to disprove how energy works when they could be leaning into their actual specialty and discussing how many people could benefit from healing their minds which will then help them heal their bodies. As an obese person myself, the wasted opportunity there with such a huge platform is so aggravating lol. Thanks for your vid... I appreciate your work!

Sucks when people who have a huge voice spread false information. She is doing a disservice to many. Thanks for fact checking!!!!!!

I am glad you brought up food desserts and people who are soooo busy living real life.

Also, I love that you actually acknowledge the nuance of this all. I feel like so much of this talk and turn into “personal responsibility” but then it’s also not entirely just “completely out of our control”. But the control we have is more impacted by socioeconomic factors/our environment/systems/etc and not just “our brains are different. Nothing we can do”.

Recently my husband decided he wanted to lose weight and then put on muscle. His Instagram algorithm figures this out and starts feeding him gym-bro and quack nutritionist content. He got SO confused, every day he thought maybe he was doing it all wrong, and that makes it impossible to achieve the consistency REQUIRED to lose weight sustainably. It's so frustrating, I can't imagine how you feel on this platform.

Justinaaa!!! I love reactions videos like these! I was stuck in a plateau but after watching your videos, I have lost 5lbs this last month eating all my favorite foods but in smaller portions. I have learned so much from you, Thank you!!!!❤️❤️❤️❤️

IMHO- the people who claim or are assumed they eat whatever they want and don’t gain weight are either extremely active or don’t eat the high calorically dense processed food we think they eat.

100% spot on per usual. I really appreciate you bringing up the role that economics and availability play in health. Far too often I see content creators and influencers completely ignoring privilege when discussing health and fitness and sadly I think that schools are guilty of the same oversight. I work with families who are grocery shopping in food pantries and working 2, sometimes 3 jobs, but who's schools are bombarding their children with messages of "make better choices" as if they have a choice at all.

For years, I struggled with anorexia. And I was told over and over, it's not much fault and my brain chemistry was changed by starvation. I fell I to a victim mentality. I've been recovered for nearly 20 years and why I agree I did not choose anorexia, I had to come to an understanding that my behavior had to change first. That allowed me to think more clearly, and realize I didn't have to believe every thought that ran through my head.

As soon as I saw her new weight losss, I had a feeling it was due to Ozempic. Oprah did introduce Dr Oz and Dr Phil so there's that. When Oprah says something, it is still seen as 1,000% accurate. Also Kelly Clarkson was on an add touting some rice and apple cider vinegar thing that prompted her weight loss. I like Oprah and Kelly but this makes me shake my head. BMI is not a real measurement either but medical community uses it as a tool. Sorry for the rambling. I was a registered dietitian and a personal trainer/fitness instructor and the amount of misinformation is amazing. MOST people eat more calories than they realize. Obesity IS a disease but it is a mental disease and a calorie surplus disease!! THIS is why I became a Respiratory Therapist after 28 years in the industry because the steroids and diet bullshit were getting to me. Thanks for carrying the common sense torch!

I read a book speaking of dis-ease, versus disease. The American culture promotes dis-ease within the body bc our food supply has been made into a science experiment, we are stressed from working like mules, and more sedentary. Therefore, our brains can’t send out the proper signals for satiation, or we just eat emotionally. Once I really figured that out, We started spending just as much on quality food as our rent. And we are more active, even if it’s just getting our steps in. We can’t travel as much etc, but our physical and mental health have improved. I know not everyone is as fortunate, but we sacrificed for our health.

I’m repeating myself but I’m so glad you are out here telling it like it is. Ty Justina for having the guts to do so ❤

Going to send this to a bunch of my clients/members. So well explained by you in a way they will understand! Thank you.

I love your videos and your workouts! As someone who’s on a weight loss medication, I do want to say that, for me, it ended my nearly uncontrollable cravings for sweets and binge eating. I think this speaks more to the point of psychological/hormonal eating issues, but for me, it’s been a life changer. Im actually able to lose weight and shut up the food noise you mentioned in the video. As an added, unexpected bonus, I actually want the healthier foods I “should have” been eating all along. Thank you for the video!

As someone who started nutrition base therapy, and that therapy introduced me to intuitive eating, etc, understanding that the science behind all of this is NOT a mortal enemy and that actually all humans work on balancing and stuff, idk, every day I embrace the science and understand that every step closer to understanding the balance is, like, the goal. And that’s a vibe!

Person-first / identity-first language are both fine, depending on the person's preference. Some people, myself included, prefer identity first because we believe that person-first stigmatises the disability and treats it as something that can be considered separate to the person, rather than something that permeates every aspect of our lives and is very interlinked with who we are. I definitely don't mind which you say - both are valid - but I do think it's ableist/misinformed of this psychologist to pretend like there's a consensus in this space

Dr Layne is great. I appreciated seeing your additional thoughts after watching his video.

LOVED this video. So informative and I love the fact checking in real time.

I love how honest you are and always have some scientific data to back up your opinion. I have learned a lot in the last two years thanks to your videos. Greetings from Costa Rica

Great video Justina! So educational and straight forward. I remember in the 80's when people were taking phen phen, essentially speed to lose weight; and they did, but as soon as they stopped all the weight came back because they never learned how to eat (portion control & adding movement). There is such a lack of basic knowledge about how our bodies work...thank goodness there are people like you that can break things down and help people understand more about health and fitness. xo p.s. I love your inclusive language and I love that you acknowledge privilege.

So refreshing to hear, we all don't have the same hours in a day and also identify we are not told the whole truth or misinformation and also that we cant break the rules of thermodynamics ie calories in verse out!

I would say it’s very mental. It is easy to say eat less but then your body is telling you that it is always hungry. I am trying to take care of myself, health and lose weight, now that my kids are a little more self sufficient.

I can see why she had a psychologist in the panel… In my case Obesity was sort of tied in with my ED. I went to an Obesity Clinic at Children’s Hospital and they had patients seeing Psychologists.

I love Oprah for many things she’s brought to public consciousness but I do think she has to check her ego sometimes when talking about things she really doesn’t know anything about. She also seems out of touch with the “average” person living in the world- I mean why wouldn’t she be, she’s been insanely rich for many years. I heard an interview of her several months ago and she said she’s NEVER BEEN TO THERAPY. I work in mental health so perhaps I was specifically irked by her sharing that. I mean it’s obviously her prerogative but my gosh…she has shared about significant trauma she’s experienced in her life and has also given life and spiritual advice to millions of people on her various shows over the years- not to mention she could clearly afford a quality therapist- and she’s never seen one!?? It made me lose respect for her, honestly. It felt like she wanted to have a platform to “tell others” how to live their life but hasn’t deeply examined her own.

The "can eat whatever they want people" if you track them over weeks, whatever they want balances out. They don't want to overeat. If they over eat for a meal here, they will under eat later. Thank you for bringing up the food chatter thing. If you never have this, you will never understand how hard it is to have your brain so focused on food all day long that you will eventually not be able to take it, and you just binge to make it stop.

I love this video and how you pointed out their BS and the experts who have no business yapping about certain topics!!

Many don't understand eating clean and believe fast food is in fact healthy and cheap. What can I say to them ? Nothing, because eating out or processed food is the norm. I am the odd one for cooking my meals and was even called cheap for not eating out. So you are correct when you say there is not enough education on healthy food choices. I too live in a walkable city with several grocery stores and farmer's market.

I so agree with everything you said. I always thought if a calorie deficit is not resulting in weight loss, how does eating more calories going to result in weight loss? It defies logic

This is the deal. When people struggle with weight (which I do...not a lot but I carry about 30lbs more than I should), the mindset of "it's not my fault" is overwhelming. You are searching everywhere for a reason that doesn't have to do with how you eat and move.

Me watching you talking or mentioning the importance of sleep while wasting precious sleep minutes is a series that keeps going 😂😂

I have so many feelings about this, it doesn't fit on a yt comment. Suffice to say thank you Justina for making this video I hope the right people find It. One think I want to say is, If you struggle with overweight and you're unhappy about that, I know a lot of people find calorie counting triggering, but for me it was empowering. Wish everyone well.

Yeah, as someone with multiple chronic illnesses, I can say that I know things like inflammation in the body and hormone levels CAN affect our weight/how much water we are retaining/how the body looks and this can totally make it SEEM like the calories in - calories out model isn't 'real' to an extent. Because again our body weight isn't just fat - it's also water, muscle, bone - and again, sometimes being able to control our weight really IS something that's more challenging given different factors. Also you're so right - the TYPES of food we eat are also going to affect our appetite, how much we are PERCEIVING we are consuming vs. how much we are actually consuming, and again I do believe that the quality of our food is going to have an effect on SO many other body systems, which can play into our metabolic rates, levels of inflammation, levels of water retention and so on and so forth. So in a way it is cut and dry/simple, and in other ways, it isn't for a lot of people. But overall, for the average person, I think you're likely correct - it's just really difficult to accurately understand how much we are burning and how much we are consuming in terms of the average population, because most people dramatically under estimate how much they are eating and how much they are moving/burning. What things like this do is obfuscate the real issues - which I think is really what the problem is here. This doesn't really empower people to better understand their bodies, food systems, to better be able to change their lifestyles in ways that are actually accessible to them and so on. It comes across as being more diet-industry non-sense that leaves people feeling like they have some sort of control when in reality it takes people farther from actual solutions. Because I believe that people like Oprah and many of the people on that panel are just out of touch with the lived reality of MOST PEOPLE. This didn't' address the actual issues people are facing that cause them to struggle, as you so aptly pointed out, and thus, it's just another distraction in the long line of confusing distractions that the diet industry is.

I LOVE this video, so many nutrition myths out there that celebrities love to discuss as ‘experts’😅 thanks Justina!

Thank gawd you exist on the internet to suss this out. I've been watching you and other common sense fitness folks for years and sometimes I still get confused by what these kinds of people are talking about lol

I appreciate you bringing some sense to this conversation

I feel like everyone says “healthy food is not available to a lot of people”. People can eat the same food they eat now, just less of it. Instead of two plates of food, eat one plate. That may be enough to get someone into a calorie deficit. Eat the same food, just less of it. And also frozen vegetables and canned vegetables are at all grocery stores.

Really tough subject to tackle. Especially since obesity affects such a wide demographic. Just wanted to share my experience :) I personally struggled for about 4 years after my daughter was born and finally learned my hormones were working against me. 120lb 5’6” my whole life but I ballooned and gained 50lbs in less than a year it got up to 200lb at one point. I’ve gone on fast after fast and calorie counted to lose 2lbs in a month next to my partner who did the same thing, larger portions and lost so much. Yes I calorie counted, yes I worked with a nutritionist, yes a cut out alcohol, yes a lifted weights. Turns out if you have high insulin high cortisol and chronic stress this advice has to wait until that’s under control. The food noise was insane, I woke up thinking about food, went to sleep thinking about food, insane cravings despite eating keto (that didn’t last long) - body never got into ketosis. Changed where we shopped went organic, cooked all my meals. I didn’t put anything in my mouth unless I tracked it, mentally the roughest 4 years of my life. Turns out it wasn’t my fault it was my hormones and medication was the answer to help my body better metabolize insulin. I don’t feel puffy/bloated, I don’t feel food noise, weights coming off steady and slow. I’m grateful. So yea there’s just no one size fits all advice everyone’s experience is gonna be different.

Eh, hormones can be a real problem especially if you are being too restrictive causing you to mess up your metabolic rate. When I was in my worst of calorie restrictive dieting I was down to only 1100 calorie a day but would struggle to lose weight. My issue was trying to lose to much weight a week over focus on building healthy lifestyle changes. My hormones had me at a lower metabolic rate but rather than focus on building health habits that were sustainable. I know that I will have to work harder to do a substantial weight loss. (I have PCOS and Fibromyalgia by the way). Though the worst weight gain I have ever had was when I was under extreme stress due to a new job. So I think in the way people throw the word hormones around you are right but some people genuine have disorders which are now to make weight loss harder. The irony of alll of this is the more you weigh the worst I battle symptoms of my disorder. But I am not disagreeing Calories in versus Calories out is a huge factor to of course! But for me I know how to do the nutrition but I am one of those who struggles to find time for it all. Eating healthy can be a full time job at times! My doctor recommended starting with just focusing on one meal while we work to stabilize my fatigue and it was the best advice anyone gave me.

"We're taking the control out of the picture." YES!!! Obviously, we do all have different brains and find some things more challenging than others, but I feel like their whole vibe was encouraging a victim mindset.

As always, thank you for the fact-based analysis 🙏

Hi Justina, just wanted to give my thoughts, obesity is considered a multi factor disease, meaning it doesn't only come down to weight and bmi. It is supposed to be treated from many sides, one of them beaing mental and psychological implications. So it is actually appropriate for a psychologist to be talking about the topic, even though in this specific case I don't agree with these "experts" Hope I made sense, thanks ❤

Oprah's "expert" has a voice like nails on a chalkboard. As for you, Justina, your material is well presented and professional ... you killed it once again!

Great video Justina.

Love this. Love you. Love your use of gender neutral terms. 🙌 also, 100% support everything I’ve ever heard you say as a physical therapist. I just learned that you were going to be a physical therapist in your last vid I watched. I feel so honored! 😅🙌🙌

Excellent video Justina.❤

I feel like she's promoting an excuse to her audience for her using Ozempic and not being realistic and making the necessary long-term changes needed to support fat loss. Ozempic is no magic pill and everyone who doesn't change their habits will change in the long run. As you mentioned, nobody can escape the laws of thermodynamics!

Thank you for this!!!

Re: video on body types - I believe it was your response to vshred's grift

My problem with calories in, calories out isn't that it is inaccurate, it is that it is presented as a simple solution. It is so complicated, however, because equations calculating calorie expenditure cannot cover every factor that affects metabolism and so are estimates at best. Most of the equations I have seen use height, weight, and age, and if you believe the calorie calculators are infallible and see someone else the same age, weight, and height, eating the same food and exercising the same amount who is losing weight faster than you, it can be difficult to feel like weight loss is only CICO. And if people understand that things like sleep, cortisol, hormones, lean mass, etc., affect your metabolism, they can be empowered to learn about other factors outside of diet and exercise that they can try and adjust or control. Saying that weight loss comes down to calories in, calories out, while technically true, is a simplification, but I believe that saying it is not just CICO (while technically untrue) is another simplification, which can lead to a more nuanced understanding of human bodies and better ownership of one's health.

This video was very hard for me to watch. Not your fault, obviously, in fact I suffered with you and for you all throughout, but when that psychologist started rambling about CICO not being true for everybody, I died inside. My sister, who's being struggling with weight gain for decades at this point, tells herself (and others) the same story whenever someone mentions diet or fitness-related terms: she says that CICO is not true. And the most tragic and deeply unsettling thing is that she actually has a master degree in chemistry. A master degree. In chemistry. Okay? Good thing we're not American nor English speakers, otherwise she WOULD totally use Oprah's takes to validate her "science". When you say that there's a huge issue with the way we are getting our basic fitness/nutrition education you are absolutely correct...I don't know how these things keep on happening, but they terrify me, especially when there's a concerted effort to actively keep on spreading misinformation going on...

I was obese since i was a kid and struggled with losing weight until I actually took time to understand nutrition. Once i got my eating habits under control, prioritizing nutritious food, reducing processed food and understanding triggers that caused me to use food as a coping mechanism - I lost almost 50 pounds in one year and I am at a healthy weight now. Not fully there yet, but close. Maintaining for 3 years now. I am not saying this to toot my own horn but to share that before I took time to understand nutrition, I would have been ripe for the kind of message Oprah is selling - as I had repeatedly tried and failed to lose weight. My entire frikkin life upto that point. A pill to make that problem go away would have made me sign right up, damn the long term consequences. But our health is more in our control that we realize. Imo, what Oprah is peddling is downright dangerous. I won't even go down the Big Food, Big Pharma rabbit hole. A whole other topic.

Love your breakdown here

My mom was always so backwards about weight loss too. I have been underweight my whole life. I just didn’t want to be anything like her. My mom idolized Oprah too so I always thought she was a joke. I am 42. I don’t believe in the chart either, I eat healthy exercise and I feel better 5 lbs under weight according to the chart.

Solid take. Appropriate level of nuance.

❤ for the algorithm… On my way over to continue my binge 😂

The person first language can also further the stigma of these conditions in my opinion. It depends on the person but this is talked about a lot in the social justice model of disability.

First law of thermodynamics, you got it E=E. As a physics teacher I'm proud of you Energie absorbed vs energie used will determine if you gain weight. If you eat to little you won't gain muscle either

About 90% of my clients are females, and oh my God, you are spot on!! These are the things that I have to explain over and over again. Seems like the pattern is the same, they recieve advice from a friend to fast, or the body type or the diets, etc, and i always have to pull them out of that mentality. This video was a relief that there's people (females) that actually know the facts to a t. Thank youuu 😅, love your videos btw.

Love your videos ❤

You said “the time of day has nothing to do with how your body uses or stores energy” - what are your thoughts on the role of the circadian rhythm and how our hormones fluctuate throughout day in terms of where the substrates are diverted to for energy and how signalling for storage changes?

Great video and honest prospective

Spot on as usual!!

Can I ask how you can make sure you are in a deficit. Is there an exact way? Don’t need to get your metabolic rate tested? X

Thankyou. Great video. How do I find your BMI video?

Thank you for your excellent, knowledgeable perspective on this topic. I’m very upset with Oprah presenting and promoting this as ‘science’. What a scam.

The psychologist should be talking about the role of trauma with disordered eating .... where do these issues come from? I believe that Oprah has a history of childhood sexual abuse. They just are working on the symptoms, not looking at the source .

Ozempic Oprah...🙄

There are individuals who experience fat or adipose conditions-look into lipedema and lymphedema (also involves lymphatics and connective tissues.)

We live in a wage slave society, where money is the "only" thing that matters and people will do "anything" to get it.

I think the word you’re looking for is “agency.” When we don’t feel like there’s anything we can do, we throw in the towel 13:26

I think what is grossly missed by the Phycologist is the mental health aspect of obesity. If you've ever watched an episode of My 600 pound life, so many times the patient benefits from therapy while working on the "calorie in - calorie out" of dieting. The mental and physical are linked (case in point extremes like binge eating or anorexia). Even as a person who doesn't suffer from those extreme conditions, I know that stress makes me eat more. Stress and anxiety make me "snacky" - particularly chocolate in my case. I was my own self-reflection that lead to me understand that. To see how I would unconsciously snack when a stressful event happened. So yeah sorry, I do feel mental and physical are linked. I don't think the doc on this show does a good job and explaining that (if that was her goal at all). We can all count our calories and exercise but if you're not mentally in the game, its not going to ever work.

For those women out there in/post menopause who may be feeling really after listening to this...hearing her say that weight gain is not about hormones...take heart! This has been my experience, with my daily data for 7 months to prove it. When I was Justina's age....absolutely calories in / out philosophy made sense and worked! Smaller portions of any kind of food. Calorie deficit. Also doing lots of cardio caused weight loss. HOWEVER--after menopause (about age 51ish for me) , this did NOT work. The inflammation was unreal--felt like a boiled sausage ready to pop! (I know you say hormones are no excuse, but...) I did all those things and kept gaining. I just could not figure it out. Tried being vegan for about 18 mo and lost weight, but felt and looked terrible!! September 2023 I started more animal based-low fat eating, meticulously weighing & tracking my food/calories, kept a daily journal, weighing myself daily, getting in a good (400-500) calorie deficit (I'm 5'7"), increasing protein, cutting out processed food, ate low carb, and did start losing 3-4 lbs a month. (Maybe only 2-3 times ate slightly over my calories this whole time.) I started strength training but also did some cardio. I got to a stall for about 3 weeks in Jan-Feb. I then took out my plain nonfat greek yogurt and berries, stopped HIIT, started moderate walking for my cardio and started losing again. I was eating lean animal protein only and some non starchy veg. But not sleeping well, skin dry, had low energy. BIG change 1 month ago: lowered my protein (to about 80-00g/dy), only non-hormone, fatty meat, no dairy except butter, no seed oils, increased my animal fat intake significantly (AND my calories)...I lost about 10 lbs in March and feel better than ever. Inflammation gone! Sleep improved, stress lowered, energy, skin also. My calories are massively up via the fat--but my body is really changing now for the better. Have only vegetable / fruit a few times per week. I have all my journal entries and dates to prove all this. I was eating roughly 12-1300 calories/day for about 5 mo....now I'm eating about 1800 and losing faster. Maybe it "doesn't make 1st law of thermodynamics sense"....but it absolutely is working for me at age 62 :) I am 10 lbs from my goal weight of 130 at 5'7". Hope this helps someone out there to at least not feel like you're crazy ;)

Disease is chronic prgressive and fatal if not in remission. Disease affects an organ or organs. I am pretty sure.

“There goes my rent money” 😂😂😂😂

What r they talking about? Its calories in, calories out.

I agree with the premise of this video but categorically disagree that a Psychologist has no place talking about 'disease'. Many, many psychologists practice clinically and an interdiscplinary approach to disease treatment and management is increasingly being considered best practice. Dr. Rachel Goldman is a Clinical Associate Professor at NYU medical school who specializes in weight management and disordered eating and if you browse her recent publications several of them are on the mechanisms of food addiction, so it's actually NOT inappropriate for her to discussing obesity from a disease model. I enjoy your content but diminishing credentials and downplaying the important role of psychology in obesity/management doesn't sit super well with me.

I haven't watched any clips from Oprah's special, but based on your reactions in your video, I feel that you have a blind spot understanding an aspect of obesity, which is the mental health aspect, and that perhaps the obese brain is "wired differently.". I lost close to 90lbs about 4years ago with the important tools you mentioned: nutrition, exercise, other healthy habits, etc. Pretty proud of this! But I can also tell you that throughout those 4years and even now, I have periods of overeating and bingeing because my mental health is not the strongest or I'm triggered. The food chatter and noise in my head have never gone away, and I feel hopeless that it might always be like this. Also, one of the things that's fairly common with a lot of obese people is personal traumas (childhood, sexual, financial trauma, etc.). You just need to watch a couple of episodes of My 600lb life to know that these patients have experienced some serious trauma in their lives, and that is probably the primary driver for their obesity. I think your reactions and advice are all common sense. But it also feels like a response from a privileged person in a smaller body by also saying, it's just CICO and eat less and move more. Yeah, I know that. Trust me, every obese or fat person knows that too. But there is something else going on that makes it much harder to treat. I don't know if taking drugs for the rest of your life seems like the best answer. But if we do think that obesity is a type of disease--mental health disease? obesity as a result of PTSD?---, then why shouldn't an obese person be able to take weight loss drugs like this for treatment? You wouldn't tell a person with depression to stop taking anti-depressants for the rest of their lives because obviously, to feel better, you just need to have better sleep, smile more and have a positive attitude.

So yes calories in calories out matters but people have biological drivers that are disregulated that glp-1 address and correct.

Yea she twists the truth about a lot of things

The uk is any better at this I think we need to drop the word diet for life style change!

How many Bosu balls do you think Oprah owns?

I’m not very far into this but why when I know where this is going do I have a shred of hope that maybe the psychologist was about to talk about behavior still?? Like for SOME things a therapist could help with eating behavior as it relates to things you mentioned like not eating enough during the day and making decisions at night that put you in a calorie surplus every single day leading to weight gain. But alas that was not where she went.

1:54. Nope, Oprah is not talking about body types. She’s referring to the science behind obesity and how not all overweight people suffer from the disease of obesity. Just as not all people who drink too much are alcoholics.

I feel incredibly confused 😭. I did not watch Oprah's special, because I knew it would be sketch. However, I understand why she lands where she does. I feel completely helpless re: my own weight. I have complex health issues (EDS, etc). I take meds that possibly cause weight gain, and I probably can't stop taking them. How does CICO come into play with meds that cause weight gain? But also, I don't overeat (I try to stay at 1200-1600 calories). Maybe that is overeating? But again, I get confused, because that could be considered undereating? I easily feel massive shame for how many calories I do have (even if that's 1200 calories). I'm 5.6 feet, 186 lbs and most of my weight is around my belly (my legs and arms are pretty thin). And I don't know how to measure my metabolic rate - especially with all of the complex factors of my health. I don't feel terribly confident that anyone can at this point, because my health is complicated! I don't even know how many calories I actually burn, because I have POTS (postural orthostatic autonomic syndrome). My heart rate can be overly elevated, or it can even be sluggish. Just because my heart rate is fast, it doesn't mean I'm burning calories. But I can't exercise with vigour on bad heart rate days, because it's getting dangerously high. There are days right now that I can't even stand up, because it's dangerously high, and I might need to go to the ER. Sometimes my resting heart rate is 160bpm (obviously this is getting thoroughly checked by a cardiologist - I'm very closely monitored). For the last several months, I've been paying close attention, tracking my calories, upping my protein, and exercising as faithfully as possible given my health struggles (4-6 times a week, for an hour and half a day). But I am not losing weight. However, I was sick for the last couple weeks, and I struggled to eat...and was eating 400-500 calories a day, and I did lose weight (I did not exercise). I did lose 5lbs (this might not even have been fat loss). But quickly plateaued. This isn't a safe option either...but seems to be the only thing that ever helps me to lose actual weight. I have bouts of gastroparesis every now and then, and that's what happened the last couple weeks. Nothing would go down, and everything I ate, almost came back up again. I live on brown rice congee when this happens. There are times when this lasts for months, and I do lose 20-40lbs in these seasons. BUT it's not at all a healthy way to lose weight. When I do eat a bit more than I should, it's not usually because I'm hungry, but because I'm faint, and if I don't eat, I will pass out (literally black out). I have some blood sugar issues and some very low blood pressure issues, which both make me feel faint. So when I am eating, it's to keep me upright. And so this can cause me to overeat a little bit (getting to 1700-2200 calories a day), just so that I can survive a busy day. It's usually some kind of protein that I try to eat on these days. I definitely gain weight when I eat this many calories. I feel confused because every single doctor is unhelpful and judgmental. They tell me I'm morbidly obese and must lose weight. They assume I binge eat, which I do not do at all. I follow protocols with dietitians or nutritionists or personal trainers, and they get confused too, because I gain weight (and I have been following all the things correctly). And so many of them put me on crazy diets, that had me restricting healthy foods, and did not consider my unique health struggles. For example, a Keto diet kills my digestion (wayyyyy too much protein and fat). But all the doctors/nutritionists have put me on Keto (and other diets - I have probably done them all, following a doctor's counsel). There's no one on my health team that can answer any of these questions, and sadly, they just traumatise me, and make horrible assumptions about how I eat. They look at me, and assume I eat horrifically. But because of a myriad of food sensitivities, I can't eat processed, high sugar, high carb or deep fried foods, even if I wanted to! I mostly live on homemade soups, gf ramen or brown rice and chicken breast. And I'm careful to not overeat the ramen and rice! I feel so defeated. No one can give me answers for why I gain weight so easily (even in a calorie deficit) and why I can't lose weight (unless I'm basically starving myself). I've never lost weight in a healthy way. It's only been during periods of gastroparesis, when I literally can't eat much at all (and I'm not able to exercise at all during these times, so it's terrible for my heart health and my joint health - I HAVE to have regular steady state cardio and gentle strength training just to keep mobile because of the EDS and POTS - otherwise, I'm literally in a wheelchair). I've just been working so hard and carefully, trying to be balanced and not do any crazy fad, unhealthy diets or exercise regimes. But even though I am working so hard, so faithfully, I am not seeing any results and it's so discouraging. Anyway, sometimes it doesn't seem as simple as calories in, calories out 😥 . I obviously know my metabolism is a wreck, but I feel so confused on how to remedy it with chronic health issues, and I feel so confused about how to lose weight (for the sake of bad knees and longterm health). I have to exercise, which means I do need to eat more than 500-800 calories a day (because I'm far too weak to exercise safely at that intake, and clearly, that's very unsafe period). But I won't be trying any of these weight loss drugs either. There seems to be evidence that they can cause gastroparesis, and I already have that issue, so they would be a dangerous option for me. I am very discouraged, and feel very judged by many people around me (especially my health team).

I think it's a bit unfair to say that a psychologist has no business talking about obesity. I mean, obesity isn't an isolated subject. We all know how hard it is to lose weight and if it it were as easy as "calories in calories out", then nobody would have a problem. I'm not saying you don't need a deficit, I'm saying it's very difficult to get that because of very deep and conplex psychological (as well as many other!) aspects. Health psychology, for example, is a huge field especially looking into behaviour change for physical health. An example of that would be psychologists being involved as a part of beating HIV in the beginning. How do we understand the mind and motivate people to behave in a way that directs them to health or prevents illness? Don't get me wrong, Justina. I'm not trying to attack you at all and enjoy your content a lot. I just think this comment is a little short sighted. Otherwise, thanks for all the great content. Looking forward to the next one 😉

watch Ruben Meerman (or read his book) on where fat goes when you lose it. so cool. Not what you think :)

I think this video is actually horrible misinformation. Eating at night is TERRIBLE not just for gaining weight, but for the other reasons like terrible digestion, GERD, ulcers…etc. Also have you ever heard of the concept that the gut is your second brain? These two organs, your brain and your gut work together, its not just “fast metabolism” when people can eat whatever they want, and exercise a little or not at all and not gain weight. How can you create a video claiming these people shouldn’t be talking about diseases, and then claim that you shouldn’t be talking about it either…but yet here you are posting this? These GLP-1s are not just helping with obesity, they are help a whole slew of issues. If you’re going to make a video about this subject, why not talk about it as a whole and not just the part that makes it seem like you’re literally shaming the concept (and proven fact) that obesity is a disease?

Hold on. When the psychologist says, "It's not calories in and calories out," that's not really what she means. That's short-hand for what I assume her argument will be. YOU are wrong. It is not EXCLUSIVELY calories in and calories out--or shouldn't be. The problem that dieticians and weight loss scientists have is the same problem economists have when looking at economic systems. PEOPLE ARE NOT LOGICAL ROBOTS. People deal with emotional flux. The question is, how can someone who is obese MAINTAIN a fitness (diet plus exercise) routine that is SUSTAINTABLE FOR THEM OVER THE LONG-TERM (and possibly for life, more or less)? This requires motivation and discipline, neither of which are easy to maintain--and some life-hack experts feel are not real anyway so you have to approach them in different ways that expected (or that even some psychologists think (wrongly)). So yes, you are correct that the primary goal should be on reducing energy consumption and increasing energy expenditure. However, that is not the ANSWER. The answer is for the INDIVIDUAL to work out how to (a) achieve those two things, probably in tandem; (b) maintain them over time for a very long period of time and possibly life (with some adjustments)--in a way that works for them. This requires a system that includes MENTAL forms of jiu-jitsu to deal with psychological (and physical) obstacles to developing and mataining that system WHILE ENJOYING THEIR LIFE. In fact, a solitary focus on calories tends, more often than not, to self-sabotage and hopelessness, which can lead instead to weight GAIN. You cannot do the physical without the mental.

I really needed to hear the ‘you can eat at any time.’ Cos in my little recovered settled mind, I was always a lil unsure ab nighttime eating. As someone who eats, sometimes, up until 12 or 1am. And whose family says eating past a certain time makes you fat (obviously nonsense but 🤷🏽). So. That’s good to know ☺️

I agree with the psychologist, like you do, talking about how you need to be careful in labeling overweight and obese people in negative ways, as that will make it more difficult to help many (maybe most) to lose their excess fat. HOWEVER, as someone who was seriously obese myself, I personally found it important to use others' negative energies against me as a source of temporary motivation to work to prove them wrong and to self-identify that I had a problem that was risking my health I needed to deal with. When you look at the motivation guru (who is personally insane himself in a very different way, but useful for some like myself--he went from morbidly obese to running like 14 marathons in a year and now runs supermarathons and iron mans, etc. all the time. He argues that you need to tap into the hate and the self-loathing to prove everyone--and yourself--wrong and to focus in on improving yourself against yourself rather than measuring yourself against others. But he said that our natural inclination is to seek out people who will coddle and protect us and say that we're beautiful at any size to avoid the negativeity. He says you need to look in the mirror and acknowledge, "No, I might be FAT. Get yourself out of the house and go for a walk." Listen to his videos and you'll see he's the ultimate embodiment of "Just do it," only MORE EFFECTIVE.

“obesitayy” - psychologist lady That’s all I wanted to say.

This is in line with people aren’t fat; people have fat. Regardless of the reason for the problem or the approach for treatment/change, everyone is worthy of respect. But you can’t successfully make change, if you don’t accurately identify the problem. I really don’t understand Oprah pushing weight loss drugs though. Oprah ran a marathon, and when she did, she was in phenomenal shape.

This sounds a bit more tough-lovey than a lot of your content, because I'm pretty sure I've heard you say that some people are in bigger bodies (maybe not obese) and that they can be incredibly fit and healthy. I think it came up in a few of your FITT Down videos. Would love some links to videos and conversations you've had about different sizes that are more thoughtful than the Oprah fluff.

As a medically obese person: i approve this message. 😂