PSYCHOLOGICAL IMPLICATIONS OF METABOLISM TESTING

Dear Dr. Diet

Ask Dr. Diet American Association of Bariatric CounselorsI don’t eat a lot and certainly not more than most women I know. Why would I weigh 100lbs more than them?

 

CASE HISTORY

PSYCHOLOGICAL IMPLICATIONS OF METABOLISM TESTING

Rational Emotive Behavioral Therapy (REBT) is founded on the concept that our irrational beliefs transcend to negative emotions and ultimately to dysfunctional behavior.

When a person that has continually been plagued with “the slings and arrows”  of lifelong obesity discovers that they have a very low Metabolic Factor (MF) and likely the primary cause of their obesity….they can begin to shed a good deal of the shame and self-blame that has become their unconscious belief system that has riddled their lives.  Often when they have reported to their medical doctors, “I don’t eat a lot,” and their doctors question their veracity by rolling their eyes….they themselves question their own veracity. After all how can I be so fat and not eat a lot. While not every patient has a low metabolic factor, It is a very prevalent cause of a specific kind of obesity.(hypo-metabolic). A simple 10 minute Resting Metabolic Rate (RMR) breathing test can begin to unravel the enduring angst that this patient lives with. This rational numeric test could be the beginning of mediating irrational beliefs and subsequent negative behaviors and feelings

 

METABOLIC TESTING

I worked with two female diabetes research partners  …one a biochemist who weighed 250 lbs. (lifelong obesity) and the other an endocrinologist who has always weighed 135 lbs.(since her teens)

I did their Resting Metabolic Rate tests (RMR) and reviewed the results with both of them at the same time.

The endocrinologist RMR was 1485 Kcal per day

The biochemist RMR was 1500 Kcal per day

Both expend almost identical Kcal per day…and if they replace their expended calories (1500/1485) with food they would remain at the same weight

Despite one being thin and the other thick they consume the same amount of calories

How could this be?

 

METABOLIC FACTOR 

By dividing their individual RMRs by their individual weights we can determine their individual Metabolic Factors (MF)

1485/135 = 11 (MF) Endocrinologist

1500/250 = 6 (MF) Biochemist (see complete metabolism tutorial below)

 

The biochemist has a MF of 6 which is very low and likely predisposed her to obesity

The endocrinologist has a MF of 11 (which is in typical range) and likely predisposed her to for thinness.

You could say one has 6 cylinders and the other 11 cylinders. The discovery of the MF is a missing link in understanding some obesities.

 

BARIATRIC SCIENCE A SCIENCE WHO’S TIME HAS COME

Importantly, after I reviewed the results with these friends and colleagues the thin endocrinologist guilt fully addressed her friend,…… ” I  always privately thought you did not care about yourself , was lazy, and  responsible for your  own girth” ….She then told her how terribly sorry she was for her unfounded  beliefs…

You might say that this test helped both overcome irrational belief systems

This is a shining example of how a numeric physiological test had profound psychosocial implications…and clear example of using REBT. .. It is up to us to use emerging bariatric science if we want offer best practices to our patients

Not knowing ones RMR/MF is like driving a car without a steering wheel.

 

Below: Metabolic Factor video tutorial AND Metabolic Factor research study published by two of our fellows that are both psychologists

 

VIDEO TUTORIAL OF METABOLIC FACTOR

 

Metabolic Factor Research Paper

https://touroscholar.touro.edu/cgi/viewcontent.cgi?referer=https://scholar.google.com/&httpsredir=1&article=1027&context=shs_pubs