Ben Carpenter
Ben Carpenter
Ben Carpenter
N e w Yo r k Boston
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LCCN: 2024949503
LSC-C
10 9 8 7 6 5 4 3 2 1
300m
Number of people
250m
200m
150m
100m
50m
0
1975 1980 1985 1990 1995 2000 2005 2010 2015
1955
1916 1976
1954
1938 1955 1908
SHELVES
you walk in
buying snacks
and drinks as you DISPLAY
are waiting in the
FRIDGE FRIDGE
queue to pay
You are often more likely to buy items prominently positioned
at end-of-display locations
3500
The ultra-processed
diet caused people
(calories per day)
Ad libitum intake
3000 to consistently
consume more
2500 calories than the
unprocessed diet . . .
2000
0
which translated
Body weight change (kg)
1
to weight gain, even
during the short
0
study duration
of 14 days
-1
0 2 4 6 8 10 12 14
Days on diet
Ultra-processed
Unprocessed
— 23 —
keep in mind that even after people lose a lot of weight by using strong
medications that help suppress appetite, or even following bariatric
surgery procedures, there are people who still regain a significant
amount of the weight they originally lost. 24,25,26 It’s important to
remember that this is an average—there are some people who do
significantly better and some who do significantly worse. This is not
to say that long-term weight loss is impossible, which is a harmful
narrative to reinforce. It is simply explaining why some people
struggle so much. This is why developing healthy long-term habits
that become second nature can help you combat this negative yo-yo
dieting cycle.
Body Weight Change in Response to Semaglutide Injections (2.4mg per week)
and Subsequent Follow-Up Period
Body Weight Change in Response to Semaglutide Injections
52-week off-treatment
68-week treatment phase extension phase 27
(2.4mg per week) and Subsequent Follow-up Period
-5
weight loss for the
change from baseline
-12
-14 -15
-16
-18
0 4 8 12 16 20 28 36 44 52 60 68 75 80 104 120
— 38 —
Barriers Example(s)
If you have struggled with yo-yo dieting throughout your life,
Lack of initial making nutrition changes or rejoining a gym can feel daunting.
motivation If you have a lot going on, exercise often takes a back seat
to other priorities.
Trying to squeeze exercise into long work hours or a hectic
Lack of time
family life when you already feel exhausted can be extremely
and energy
difficult.
Being given a terrible crash diet and exercise plan you detest
Lack of
that rapidly removes your will to live doesn’t exactly make you
enjoyment
want to keep going.
Unable to afford local gym memberships or at-home equipment.
Lack of money Struggling to afford nutritious foods when less nutritious foods
are often cheaper.
Lack of Being given a program and then kicked out the door without any
support ongoing guidance or accountability.
Lack of Being given a copy-and-paste training regimen and meal plan
personalization that don’t suit your personal preferences.
If you cannot see physical changes from working out, it can
Lack of results be significantly less exciting to keep going unless you can find
another reward that makes you want to continue.
Physical disability can make exercising anything from more
Sickness
difficult to impossible, especially if you are in a lot of pain.
Partners, family or friends that proactively discourage you from
Saboteurs
doing what you want or make you feel guilty.
Receiving negative comments about your weight.
Weight stigma Being injured or mocked in the gym, which makes you less likely
to want to keep going.
Eating for reasons besides hunger, like eating a lot when bored,
Inner food cues
stressed, anxious or sad.
An all-or-nothing mindset that makes you want to give up the
Dichotomous
moment you deviate slightly from a plan, like eating one cookie
thinking
and then thinking “Fuck it, my whole diet is ruined.”
Exercising
Exercisingregularly
regularlycan
canbebeaalot
loteasier
easierififyou
youhave
havepeople
peoplewho
who
also
alsolike
liketotoexercise
exercisewith
withyou,
you,like
likefriends,
friends,family
familyor
oreven
evenstrangers
strangers
Social
Social support
support
when
whenititisisin
inaagroup
groupclass
classsetting
settingbecause
becausesocializing
socializingcan
canbe
benice.
nice.
Access
Accesstotoprofessionals
professionalslike
likeaapersonal
personaltrainer
trainercan
canalso
alsobe
behelpful.
helpful.
Ongoing
Ongoing sources
sources of
of motivation
motivation don’t
don’t have
have to
to be
be physical.
physical. AA lot
lot
Psychological
Psychological of
of people
people who
who turn
turn exercising
exercising into
into an
an ingrained
ingrained habit
habit do
do so
so
improvement
improvement because
because ofof psychological
psychological changes,
changes, like
like having
having better
better mental
mental
health,
health, feeling
feeling more
more confident
confident oror noticing
noticing improved
improved mood.
mood.
Actually
Actually knowing
knowing what
what you
you are
are doing
doing can
can make
make itit easier
easier to
to move
move
Having
Having aa clear,
clear,
forward.
forward. For
For example,
example, aa plan
plan devised
devised specifically
specifically for
for you
you byby aa
personalized
personalized
personal
personal trainer
trainer versus
versus walking
walking around
around the
the gym
gym aimlessly,
aimlessly, or or
plan
plan
some
some clear
clear nutrition
nutrition habits
habits that
that suit
suit your
your personal
personal preferences.
preferences.
Conducive
Conducive Being
Being physically
physically active
active can
can be
be much
much easier
easier when
when you
you live
live or
or
exercise
exercise work
work in
in an
an area
area that
that facilitates
facilitates it,
it, like
like having
having aa gym
gym next
next toto your
your
environment
environment workplace
workplace oror having
having safe
safe walking
walking routes
routes by
by your
your home.
home.
Making
Making dietary
dietary changes
changes cancan be
be easier
easier when
when preferred
preferred foods
foods are
are
Conducive
Conducive food
food
more
more accessible,
accessible, like
like having
having affordable
affordable nutritious
nutritious foods
foods offered
offered
environment
environment
by
by your
your workplace
workplace and and convenience
convenience stores
stores close
close to
to your
your home.
home.
Instead
Instead of of all-or-nothing
all-or-nothing thinking
thinking where
where youyou feel
feel like
like your
your plan
plan
Psychological
Psychological isis ruined
ruined every
every time
time you
you deviate
deviate from
from itit even
even slightly,
slightly, knowing
knowing
flflexibility
exibility that
that you
you can
can keep
keep progressing
progressing forward
forward isis important.
important. You You don’t
don’t
need
need to to be
be perfect
perfect to
to keep
keep showing
showing upup and
and making
making progress.
progress.
People
People who
who monitor
monitor their
their progress
progress and
and behaviors
behaviors often
often see
see
better
better long-term
long-term results,
results, like
like people
people who
who are
are successful
successful in
in
Self-monitoring
Self-monitoring business
business may
may be
be more
more inclined
inclined toto frequently
frequently check
check their
their
bank
bank balance.
balance. This
This may
may include
include weighing
weighing yourself
yourself regularly
regularly
or
or keeping
keeping aa nutrition
nutrition and
and training
training diary.
diary.
Food-Choice Diets
Rather than searching for a magical macronutrient ratio, many diets
prefer to tell you which foods to prioritize or which to limit. These
programs are often less extreme than diets that say you are never
allowed to lick an apple again because it’s too high in carbohydrates,
or you are never allowed to even look at a steak again because it’s too
high in saturated fat. By focusing on foods that are nutritious, and
— 68 —
Fruits, vegetables
(maybe excluding
potatoes), fish, poultry,
red meat, eggs,
nuts, seeds
PaleoDiets
Paleo diet
Meal-Timing Diets
We now come to the third big umbrella group of diets, which are
based not on what macronutrients or foods you eat, but on what time
you eat them.
Meal-timing diets are entirely different from the macronutrient-
based diets and food-choice diets above as they tell you absolutely
zero about the macronutrients or foods you choose to prioritize.
They very simply tell you when you should or shouldn’t eat, and that’s
about it. The following diets—the 16:8 diet, alternate- day fasting
— 78 —
8am
8 am
Fast
Fast Eat 2pm
2 pm
Eat
8pm
8 pm 8pm
8 pm
Switching from this to this often causes people to eat fewer calories
without even realizing it, which promotes weight loss and can improve
some health markers. But in research studies where the calorie intake
is kept the same, the weight loss benefits seem to disappear.
It is totally true that fasting can improve many people’s health. But
whether you actually need to avoid food for long periods of time to
obtain all those health benefits is an ongoing debate. It’s possible
that fasting could improve some health markers even if you don’t
eat less,75 but, at the moment, solely from a weight loss perspective,
I think it’s sensible to play it safe and just view it as a tool that often
nudges people toward eating less food.
One big plus point of time-restricted feeding is that it is simple,
because saying, “Hey, don’t eat breakfast” or “Only eat between
midday and 8pm” is dietary advice that takes literally five seconds
to tell someone and, occasionally, that sound bite alone is enough
to promote weight loss. Another possible advantage is that people
who adopt this kind of fasting protocol often find themselves eating
fewer calories than they would on a normal diet, which can give them
a little extra weight loss edge.76 That said, if they are going to eat
— 82 —
Calorie intake
Fast day
Fast day
Fast day
Fast day
Fast day
M T W T F S S M T W T F S S
Modified alternate-day fasting Modified fasting two days per week (5:2 diet)
Having fasting (or “modified fasting”) days with aggressive calorie restriction can
cause people to eat fewer total calories over the course of a week. But again, in newer
research trials where they compare this to an equivalent degree of weekly calorie
restriction via regular dieting, the weight loss and health benefits seem to vanish.
It is true that meal-timing diets can promote weight loss and it is also
true that these can often improve certain health markers. Whether
they are better than traditional diets is a nerdy ongoing nutrition
debate with people arguing from both sides, so there definitely isn’t
a super clear winner yet.93,94,95 In my opinion, it is important for you
to know this because it means you get to choose whichever approach
floats your boat. If you prefer to avoid intermittent fasting, you can
rest assured knowing it’s not necessary to avoid food for long periods
of time to lose body fat and improve your health.
The rising popularity of fasting diets unfortunately also means
a lot of people exaggerate the shit out of their benefits, often in an
attempt to sell you something that is pretty and shiny. Obviously,
everything has pros and cons, and it concerns me that so many
people selling time-restricted eating or intermittent fasting diets
conveniently forget to tell you the downsides. Imagine you are a
— 88 —
Time-restricted The long fasting window When you avoid food for
feeding (16:8) shifts your body to using long periods of time you will
diets body fat for fuel probably eat fewer calories
this diet lost weight and improved several health markers without
any significant adverse psychological effects.103,104
Change in Body Mass Index (BMI) for the Ad Libitum Control Group and
Calorie Restriction Group105
5
Percentage change in BMI from baseline
-5
-10
-15
0 6 12 18 24
Follow-up month
— 94 —
5. When did you last weigh your target weight and how long
did you maintain it?
Lifestyle
1. Do you currently smoke? If so, how many cigarettes per
day? Feel free to say how many you smoke per month if
you don’t smoke daily.
2. If you have ever smoked and then stopped, did you notice
any weight gain? If so, how much, roughly?
Eating habits
1. Do you find that social factors affect your health and
weight, such as eating with family and friends or when
socializing, celebrating or at business events?
10. If you think you’ve eaten too much while on a diet, do you
tend to give up, feel like you’ve lost control and eat more?
Physical activity
During a typical week:
1. How many minutes of vigorous activity do you do?
This can include things like running, fast cycling and
heavy lifting.
60
Although not everyone reports emotional
Percentage of sample who endorsed
20
10
0
Comfort Stressed Low/down Emotionally Frustrated Self- No
eating drained punishment emotional
reasons
Women Men
— 106 —
Participant Expectations18
100
90
80
70
Despite a very
60
aggressive 48-week
Weight (kg)
10
0
t
yw t
ap ble w t
tua i n t e d g h t
tw t
ht
igh
igh
igh
st- eigh
pta eig
eig
i
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am
die
pp
Go
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Although the most common questions around weight loss are things
like, “How much weight do you want to lose?,” “What size clothing
would you like to wear?,” “When would you like to achieve this by?”
and “When did you last weigh this amount?,” I would like to ask a
different question. I would like to ask you why you have the goal (or
goals) that you do, and I actually want to ask it five times. This is
— 107 —
Uptake of wanted
behavior, or decrease of
unwanted behavior
Tips: it should be
intrinsically valued, simple
and realistic/achievable
(if not, consider revising)
Identify context/cues
(e.g., when, where, with whom, prior action)
Yes
Repeat target No Pursue alternative
Avoid cues
behavioral context behavior
(habit discontinuation)
(habit formation) (habit substitution)
Inhibit unwanted
response
(habit inhibition)
100
0
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Po
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Gr
Gr
Fruit
and Veg
This can be achieved in
a variety of ways, for example: Bowl of
breakfast cereal
Bowl of
breakfast cereal
Fruit
— 133 —
without using lots of added oils or butter, you will quickly realize how
important added fats are for texture and flavor.
Here is an example you will all recognize. Take a plain potato.
If you bake it and eat it without any toppings, it tastes incredibly
bland. What do restaurants do to make it taste better? They slather
the humble potato with butter, bacon and cheese to make the
mouthgasmic loaded potato. What do big food corporations do to
make you more likely to buy their potatoes? They deep fry them in
some kind of fat and turn them into crisps (chips) and French fries.
The bland potato can become a delicious and somewhat addictive
little fucker when you deep fry it enough. Part of the reason a lot of
restaurant foods taste so good is because they drench things in a lot
more butter and oil than you would use at home.
Protein Protein
Carbs
Carbs
Fat Fat Carbs
Fat Carbs
Fat
Sugar Sugar
Sugar
Sugar
“Carbs” represents non-sugar Although people often worry about the sugar
carbohydrates, while “Sugar” content of foods, dietary fat is often a much
represents sugar carbohydrates larger contributor to the total calorie content,
even in foods you would not suspect, like creamy
milkshakes and even some chicken salads
— 137 —
Metabolic syndrome
risk increased by
29 percent
Sugar-sweetened beverage consumption
Obesity risk
increased by
18 percent Hypertension When comparing the
risk increased lowest and highest
by 12 percent
intakes of sugar-
sweetened beverages,
Healthy Type 2 diabetes these are the changes
adult risk increased in health risk factors
by 29 percent
— 143 —
may not get anything from training more. You will do more for your
health by going from 0 to 50 than someone will likely get by going
from 50 to 100.
Although being super fit can obviously be good for your health, significant
health improvements can also be seen at much lower thresholds, so doing
something will likely always be better for your health than doing nothing!
High Activity/fitness
Risk for chronic disease and
level at baseline
premature mortality
Health
benefits Change in health status
with an increase in
physical activity/fitness
Low
— 145 —
0
Less active More active
individual individual
0.75
again, something is better than nothing!
Relative
Relative risk
0.50
0.25
0
1600 6600 11600 16600 21600 26600
StepStep
count (steps
count per day)
(steps/day)
— 152 —
1500
1000
500
0
44hours
hoursofsleep
sleep 88hours
hoursof sleep
sleep
— 157 —
your diet, increase muscle tissue retention and increase fat loss
as a downstream effect of improving your sleep quality. If you are
habitually sleep- deprived and you manage to increase your sleep
duration, it’s quite likely that you will naturally reduce how much
food you are eating without even trying. In another study, people
who received sleep counseling to extend their sleep by just over one
hour per night naturally consumed 270 fewer calories compared to
those who carried on with their usual sleep patterns97—no dieting,
no intentional food restriction; your body’s appetite hormones
may simply settle after being out of whack for a while, so you crave
food less.
Change in Calorie Intake (calories per day) During the 2-Week Intervention98
Title to come
300
per day)
(calorieskcal/d
200
from baseline,
100
from baseline
Participants following
0 the sleep extension
intake
intervention reduced
intake
-200
Change
-300
Habitual sleep
Habitual sleep Sleepextension
Sleep extension
intervention
intervention
— 158 —
1000
750
Volume
750
(kCal)
Volume intake
intake
Intake
500
intake (grams)
500
Calorie
Calorie
(grams)
250 250
0 0
Macaroni Pizza Macaroni Pizza
and cheese and cheese
Watching TV resulted in
Music TV a significant increase
in food intake compared
to listening to music
— 165 —
Very few people try to be stricter Many people tend to be less strict
with their diet during weekends around holidays as well, not more strict
a b
40 40
Percentage of participants
Percentage of participants
30 30
% of participants
20 20
10 10
0 0
1 2 3 4 5 6 7 1 2 3 4 5 6 7
More
More strict
on weekends
Same
Same on
on weekend
and weekdays
Less
Less strict
on weekends
More
More strict Same on
Same on holidays Less
Less strict
on holidays and weekdays on holidays
strict on weekends and strict on strict on holidays as strict on
weekends weekdays weekends holidays rest of year holidays
— 174 —
Strongly Making your plan as easy to stick to in the long term as possible
recommended Eating a nutritious diet (better for appetite regulation but also
health, obviously)
Exercising regularly (aerobic and resistance)
Being physically active in daily life (NEAT)
Adequate, good quality sleep
Consuming enough protein
Doing all of the above consistently
Now that you have some dietary strategies from Chapter 3 and
some individual healthy habits from this chapter, let’s move on to a
topic that is woefully neglected in the health, fitness and weight loss
industries: how you can become better at adhering to these in the
long term and with less conscious effort.
— 177 —
The behaviors
People with the they know they
best intentions should follow
The easy-looking
bridge that most people
struggle to cross
Keeping weight off after the initial diet phase is actually so tricky
for so many people that the National Institutes of Health in the US
organized a team of experts to discuss what factors make long-
term weight loss such an elusive creature and what can be done
to help. 2 It isn’t just about knowing what behaviors to follow, but
understanding why adhering to them over a long period of time
gets progressively harder. They discussed some of the things I have
already talked about in this book, like genetics and appetite, and
some things I don’t plan on talking about, like weight loss drugs
and surgeries. However, one novel thing they explored was the
“overwhelming conclusion” that weight loss success needs to involve
the expertise of behavioral researchers, rather than just focusing
on physiology (like a lot of weight loss diets and weight loss books
do). They agreed that weight regain was extremely common after
six to nine months of a weight loss intervention and that, even at
— 180 —
approaches, like which diet plan is better than the others, there are
likely some neglected underlying psychological influences that can
help you toward, or hinder you from, achieving those results, so let’s
talk about some of them now.
— 182 —
strategies you could implement that would divert your focus could
change this cycle.13
Title to come
Stress BMI
Over time,
Emotional dysregulation Emotional eating snacking and
emotional eating
can cause an
If you find yourself struggling with these increase in
three things, it can cause an increase in body weight
snacking and emotional eating
— 186 —
Self-Compassion
Imagine that you have engaged in a “dietary lapse,” which is a
slightly fancy term for “Oh shit, I ate something that I do not think is
conducive to my diet,” like the cookie example I gave earlier. Rather
than feeling guilty for breaking the rules of your diet, what would
happen if you just...didn’t feel guilty at all? What would happen if,
— 192 —
Actually doing
Self-monitoring Self-evaluation the thing
This can be an ongoing process, where self-monitoring allows you to identify anything you want to
change as you get closer to your goal, like a medical professional routinely checking health status
— 202 —
It found that successful dieters walked far more than both control
PAEE (calories per day)
900
Physical activity energy
800 2
15000
700
— 205 —
2.2.Eat
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and
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10.
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11.11.Slow
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IIstarted
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12.
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The Habits M T W T F S S 5 days or Notes
more?
3. Be mindful of extra
dietary fat
4. Prioritize lower-
calorie drinks
7. Exercise snacks
8. Ensure adequate .
sleep quality
Your weight
eating more fruits and vegetables, and improving your sleep quality,
you could significantly improve your health, and lose body fat in the
process (depending on how much food you are eating and how much
exercise you are doing, of course), even if you never set foot on the
scales again. This is why there is a growing trend for people to use
a “weight-inclusive,” “weight-neutral” or “health-centric” approach to
their lifestyle, which basically means “Please stop worrying so bloody
much about whether you lose weight or not and just focus on the
individual behaviors that you know are healthy.”44,45,46
You are, always have been and always will be a worthy human,
and how much you weigh is one of the least interesting things about
you. Please don’t be one of those people who give up 95 percent of
their happiness just to weigh 5 percent less. Life is far too short and
too precious to spend it hating yourself and feeling miserable. If you
use the information in this book to become a healthier and happier
human one year from now, I have achieved the goal I set out to when
I first started writing.
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