If you’ve been eating fast food for years, get real about your approach: You’re probably not going to stick to an organic, gluten-free, paleo overhaul for very long. "You want to change as little as possible to create calorie deficit," says Dr. Seltzer, who insists the best way to support sustainable weight loss is to incorporate small changes into existing habits. So instead of giving up your daily BLT bagels in favor of an egg-white wrap, try ordering your sandwich on a lighter English muffin. Or say you eat a snack bar every afternoon: Swap your 300-calorie bar for a 150-calorie alternative. "Your brain will feel the same way about it, so you won’t feel deprived," he says.
And then below the subcutaneous fat lies visceral fat. Visceral fat is the deep-lying belly fat that surrounds internal organs and releases inflammatory compounds that negatively affect your system. It can lead to an increased risk of metabolic syndrome, cardiovascular disease, and type 2 diabetes. Women with a lot of belly fat are more likely to develop breast cancer or need gallbladder surgery.
But the information that researchers are unearthing about the differences in the way that men and women lose weight inspires hope that the next generation of weight-loss advice will be more tailored and effective than the generic tips that have gotten Americans no closer to sliding into their dream jeans. (More than a quarter of Americans are obese, according to a May Gallup poll, a number that has been ticking upward for years). Although experts have long insisted that losing weight is simply a matter of burning more calories than you consume, they now say that it’s much more complicated than that.