{"id":4095,"date":"2026-01-24T13:21:30","date_gmt":"2026-01-24T18:21:30","guid":{"rendered":"https:\/\/coattitude.com\/?p=4095"},"modified":"2026-01-24T13:28:59","modified_gmt":"2026-01-24T18:28:59","slug":"comment-perdre-du-poids-durablement","status":"publish","type":"post","link":"https:\/\/coattitude.com\/en_ca\/comment-perdre-du-poids-durablement\/","title":{"rendered":"How to lose weight permanently: expertise from Dr. S\u00e9verine Mazur, a doctor specializing in obesity"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"4095\" class=\"elementor elementor-4095\" data-elementor-settings=\"{&quot;element_pack_global_tooltip_width&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true}}\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a03b95 e-flex e-con-boxed e-con e-parent\" data-id=\"6a03b95\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a02e866 elementor-widget elementor-widget-text-editor\" data-id=\"a02e866\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Sustainable weight loss should never start with a new diet. In medical practice, <\/span><b><a href=\"https:\/\/coattitude.com\/en_ca\/a-propos\/\">Dr. S\u00e9verine Mazur<\/a><\/b><span style=\"font-weight: 400;\">, As an obesity specialist, the challenge is not to \u201chold on\u201d for a few weeks, but to <\/span><b>understanding the body, securing the process, and building a stable health approach<\/b><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> The goal is not a brutal transformation, but a realistic path that protects the person, their habits, their mind, and their future.<\/span><\/p><p><span style=\"font-weight: 400;\">In this article, you will discover a clear and lasting approach based on a central idea: <\/span><b>Nutrition, in the context of obesity, is part of the treatment.<\/b><\/p><h2><b>1) Forgetting the diets: the basis of lasting weight loss<\/b><\/h2><p><span style=\"font-weight: 400;\">To seriously talk about weight loss, it is essential to set aside what seems \u201clogical\u201d at first, but which almost always fails in the long run: <\/span><b>diets, strict rules and regimes<\/b><span style=\"font-weight: 400;\">.<\/span><\/p><p><span style=\"font-weight: 400;\">The scientific studies are clear: <\/span><b>Encouraging dietary restriction and rigidity is not a sustainable strategy<\/b><span style=\"font-weight: 400;\">. Dr. Mazur emphasizes a fundamental point:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>The restriction often leads to failure<\/b><span style=\"font-weight: 400;\">, Because it destabilizes the body, increases frustration, and then fuels a rebound in weight gain.<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Food addiction is not treated as an addiction where one can \u201cstop completely\u201d; because <\/span><b>You can't stop eating<\/b><span style=\"font-weight: 400;\">.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">The medically recommended direction today is <\/span><b>Nutritional therapy<\/b><span style=\"font-weight: 400;\">, That is, an eating pattern that is conceived as <\/span><b>a therapeutic pillar<\/b><span style=\"font-weight: 400;\"> in the same way as medical or psychological follow-up.<\/span><\/p><h2><b>2) Relearning to eat: reconnecting the body, hunger, and satiety<\/b><\/h2><p><span style=\"font-weight: 400;\">\u201cEating well\u201d is not just about choosing \u201chealthy\u201d foods. It is first and foremost about <\/span><b>knowing what we are doing when we eat<\/b><span style=\"font-weight: 400;\">.<\/span><\/p><p><span style=\"font-weight: 400;\">However, in obesity, it is common for people to be:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">disconnected from their bodily sensations,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">sometimes disconnected from their emotions,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">and have a strong potential for food dependence.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">The issue is therefore not only nutritional: it is also <\/span><b>Sensory and behavioral<\/b><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Dr. Mazur recommends bringing the person back to a simple and concrete understanding:<\/span><\/p><h3><b>Understanding what really fuels satiety<\/b><\/h3><p><span style=\"font-weight: 400;\">The most effective approaches allow patients to understand:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">how food affects satiety,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">how they contribute to the maintenance of muscles,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">and how they can support the natural regulation of hunger.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Gradually, the person improves their food knowledge, learning to:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">it would be better to read what she buys,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">avoid ultra-processed products that are too fatty or too sweet,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">make more consistent choices at the grocery store.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">It\u2019s not a strict rule: it\u2019s a <\/span><b>autonomy that is being built<\/b><span style=\"font-weight: 400;\">.<\/span><\/p><h2><b>3) Hydration: an underestimated lever to better regulate appetite<\/b><\/h2><p><span style=\"font-weight: 400;\">Hydration is a simple but particularly important point in weight management.<\/span><\/p><p><span style=\"font-weight: 400;\">Some people living with obesity may experience sometimes confusing internal signals. It happens that they:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">they confuse thirst with hunger,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They misinterpret certain sensations.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Thus, <\/span><b>learning to hydrate daily<\/b><span style=\"font-weight: 400;\"> It is part of the dietary rehabilitation.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> It\u2019s not a detail: it\u2019s a strategy that helps reduce automatic eating patterns and clarify body signals.<\/span><\/p><h2><b>4) The first real step: organizing the diet to reassure the body<\/b><\/h2><p><span style=\"font-weight: 400;\">Dr. Mazur proposes a very concrete approach:<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>organizing daily eating to reassure the body.<\/b><\/p><p><span style=\"font-weight: 400;\">The body needs to feel that it is safe in terms of food.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> When a person skips meals, waits too long, or eats in an unpredictable manner, this can amplify:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the frivolities,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">loss of control,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">impulsive food decisions.<\/span><p>\u00a0<\/p><\/li><\/ul><h3><b>Respecting hunger at the right time<\/b><\/h3><p><span style=\"font-weight: 400;\">A simple rule: <\/span><b>eating when hunger appears<\/b><span style=\"font-weight: 400;\">, without waiting for it to become unsustainable.<\/span><\/p><p><span style=\"font-weight: 400;\">Many patients explain that:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">in the morning, they are not hungry and skip breakfast,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Then the hunger becomes very intense around noon.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">In this case, a useful strategy might be to <\/span><b>stop fasting in the middle of the morning<\/b><span style=\"font-weight: 400;\">, In order to:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">achieve a more stable satiety,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">and bring the hunger of lunch back to a more comfortable intensity.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">This type of adjustment is nothing like a regimen: it is a smart adaptation to the body\u2019s truly physiological needs.<\/span><\/p><h2><b>5) Proteins and satiety: a simple and powerful pillar<\/b><\/h2><p><span style=\"font-weight: 400;\">Among the key recommendations of Dr. S\u00e9verine Mazur, one stands out with great effectiveness:<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>increase protein intake consistently at each meal.<\/b><\/p><p><span style=\"font-weight: 400;\">Why? Because the most satisfying foods are:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>the proteins<\/b><b> <\/b><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>the fats<\/b><b> <\/b><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">In an eating plan inspired by the Canadian Food Guide, the first effective step is to aim for: <\/span><b>a good supply of protein at every meal<\/b><span style=\"font-weight: 400;\">.<\/span><\/p><h3><b>How much protein per day?<\/b><\/h3><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A sedentary person can aim for about <\/span><b>1 g of protein per kg of body weight per day<\/b><span style=\"font-weight: 400;\">.<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">From a weight loss perspective, slightly increasing this amount can help to:<\/span><p>\u00a0<\/p><ul><li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">to support hunger,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">to reassure the body,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">limit muscle loss.<\/span><p>\u00a0<\/p><\/li><\/ul><\/li><\/ul><p><span style=\"font-weight: 400;\">Example:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A person of <\/span><b>90 kg<\/b><span style=\"font-weight: 400;\"> should consume <\/span><b>at least 90 g of protein per day<\/b><span style=\"font-weight: 400;\">.<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>6) The eating schedule: 3 meals + 1 to 2 snacks (if necessary)<\/b><\/h2><p><span style=\"font-weight: 400;\">Sustainable weight loss is not just about \u201cwhat to eat\u201d, but also <\/span><b>when to eat<\/b><span style=\"font-weight: 400;\">.<\/span><\/p><p><span style=\"font-weight: 400;\">Dr. Mazur often recommends a basic rhythm:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>3 meals per day<\/b><b> <\/b><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">and <\/span><b>1 to 2 snacks<\/b><span style=\"font-weight: 400;\"> according to needs<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">This rhythm corresponds to the natural functioning of the body in most people:<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>Eat about every 3 to 4 hours.<\/b><\/p><p><span style=\"font-weight: 400;\">The goal remains the same:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">stabilize the body,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">reduce the food emergency,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">reduce the gaps that result from too intense hunger.<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>7) Moderation: going further rather than \u201cholding on\u201d<\/b><\/h2><p><span style=\"font-weight: 400;\">Dr. Mazur summarizes this logic with a simple idea:<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>Everything is within the limits.<\/b><\/p><p><span style=\"font-weight: 400;\">Sustainable weight loss does not come from perfection, but from consistency.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> \u201cEating a little of everything, in moderation\u201d often allows:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">more serenity,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">less guilt,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">better stability over several months.<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>8) Sleep,\u00a0<\/b><a href=\"https:\/\/coattitude.com\/en_ca\/anxiete-et-perte-de-poids-comprendre-un-lien-souvent-sous-estime\/\" target=\"_blank\" rel=\"noopener\">stress<\/a><b>, Hormones: what influences weight loss beyond calories<\/b><\/h2><p><span style=\"font-weight: 400;\">Even with a well-structured diet, other factors strongly influence weight.<\/span><\/p><h3><b>Sleep: a pillar too often neglected<\/b><\/h3><p><span style=\"font-weight: 400;\">Quality sleep (duration + rhythm) has a favorable influence:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the loss of weight,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">maintaining weight.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Dr. Mazur reminds us that:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">to sleep <\/span><b>less than 6 hours<\/b><b> <\/b><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">or <\/span><b>more than 9 hours<\/b><b><br \/><\/b><span style=\"font-weight: 400;\"> They increase the risk of weight gain.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">The reasons may include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the stress of too long days,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">sedentary lifestyle combined with very long nights,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">a global disruption of the regulatory signals.<\/span><p>\u00a0<\/p><\/li><\/ul><h3><b>Sleep apnea: essential screening for obesity<\/b><\/h3><p><span style=\"font-weight: 400;\">Every person with obesity should consider testing for sleep apnea, because:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">deteriorates the quality of sleep,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">promotes weight gain.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Useful tools for detecting apnea include:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: inherit; font-family: inherit; font-size: inherit; font-style: inherit; letter-spacing: inherit; text-transform: inherit;\"><a href=\"https:\/\/fondationsommeil.com\/ameliorer-son-sommeil\/evaluer-votre-sommeil\/echelle-de-somnolence-depworth\/\" target=\"_blank\" rel=\"noopener\">the Epworth scale\u00a0<\/a><\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: inherit; font-family: inherit; font-size: inherit; font-style: inherit; letter-spacing: inherit; text-transform: inherit;\">the <\/span><b style=\"color: inherit; font-family: inherit; font-size: inherit; font-style: inherit; letter-spacing: inherit; text-transform: inherit;\">circumference of the neck<\/b><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><ul><li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">above <\/span><b>48 cm<\/b><span style=\"font-weight: 400;\"> : increased probability<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Below <\/span><b>37 cm<\/b><span style=\"font-weight: 400;\"> : probability reduced<\/span><p>\u00a0<\/p><\/li><\/ul><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">and some factors such as: snoring, hypertension, sex, signs of drowsiness.<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>9) Metabolism, Genetics and the \u201cSet Weight\u201d Theory: Why the Body Resists<\/b><\/h2><p><span style=\"font-weight: 400;\">The body naturally seeks balance between:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the energy intake (what we eat),<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">and the expenses (what we consume).<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">When income exceeds expenses, the body stores it.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Over time, the highest weight becomes a form of internal reference: <\/span><b>the set-point weight.<\/b><\/p><h3><b>Why weight loss becomes more difficult after a drop<\/b><\/h3><p><span style=\"font-weight: 400;\">When weight loss occurs, the body may interpret this as a signal of danger (such as a disease).<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> He reacts by:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">by slowing down the basal metabolism,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">by conserving energy in reserve,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">favouring a return to the standard weight.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Genetics also plays an important role:<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>more than 140 genes<\/b><span style=\"font-weight: 400;\"> are involved in weight management.<\/span><\/p><p><span style=\"font-weight: 400;\">That is why, according to Dr. Mazur, the changes <\/span><b>Progressive and slower<\/b><span style=\"font-weight: 400;\"> They are often more effective:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">they respect the body,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">support the acceptance,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">and increase the chances of installing a new \u201cwell-being weight\u201d.<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>10) Measuring weight loss in health: beyond the scale<\/b><\/h2><p><a style=\"background-color: #ffffff;\" href=\"https:\/\/coattitude.com\/en_ca\/mesures-medecine-obesite-au-dela-imc\/\" target=\"_blank\" rel=\"noopener\">The balance sheet figure is not the best indicator of health.<\/a><span style=\"font-size: inherit;\">A very useful indicator is:<\/span><\/p><h3><b>Waist circumference (in cm)<\/b><\/h3><p><span style=\"font-weight: 400;\">Especially if the person increases their physical activity, because:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">abdominal fat mass decreases,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">muscle mass can stabilize or increase,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The waist circumference decreases even though the weight does not decrease as much (or increases).<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Other tools exist (depending on the case):<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">impedance balance<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">lipodensitometry<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">The real progress may therefore be invisible on the balance sheet, but very visible on health.<\/span><\/p><h2><b>11) Physical activity: a health tool, not a punishment for losing weight<\/b><\/h2><p><span style=\"font-weight: 400;\">Dr. Mazur is very clear:<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>The goal of sports is not weight loss.<\/b><\/p><p><span style=\"font-weight: 400;\">In a weight management approach, physical activity primarily serves to:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">protecting muscle mass,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">supporting overall health,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">improve the body's ability to function effectively.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">The risk when losing weight is that you will lose:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">of fat <\/span><b>and also<\/b><b> <\/b><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">muscle<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">However, losing muscle is not desirable.<\/span><\/p><h3><b>Beware of the hunger signal after exercise<\/b><\/h3><p><span style=\"font-weight: 400;\">After an activity, the body often sends a signal of hunger to \u201crecharge\u201d.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> In the context of a weight loss goal, this signal must be consciously moderated through strategies such as:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">choosing good post-workout snacks,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">drink plenty of water,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">rinse if necessary.<\/span><p>\u00a0<\/p><\/li><\/ul><h3><b>What activities are sustainable?<\/b><\/h3><p><span style=\"font-weight: 400;\">Moderate activity is often enough to:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">maintain muscle mass,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">encourage the body to use energy without storing it.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Possible examples:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">march<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Active housekeeping<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">bicycle<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">dance<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">skate<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">move in a way that suits the person<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">To strengthen the body, Pilates can be useful for deep abdominal training:<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>10 to 30 minutes per day<\/b><span style=\"font-weight: 400;\"> may be enough.<\/span><\/p><p><a style=\"background-color: #ffffff;\" href=\"https:\/\/coattitude.com\/en_ca\/perdre-du-poids-rapidement\/\" target=\"_blank\" rel=\"noopener\">The more compatible the activity is with a normal life, the more likely it is to be maintained.<\/a><\/p><p><b style=\"font-size: 40px; letter-spacing: -1.08px;\">12) Common myths about weight loss that need to be debunked<\/b><\/p><h3><b>Myth 1: \u201cBalance = happiness\u201d<\/b><\/h3><p><span style=\"font-weight: 400;\">Weight can be a central point at the beginning, and that\u2019s normal.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> But sustainable health takes hold when the person discovers a broader vision:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">balanced diet<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">psychic balance<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">physical balance<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">calmness<\/span><p>\u00a0<\/p><\/li><\/ul><h3><b>Myth 2: \u201cYou have to be strict to succeed\u201d<\/b><\/h3><p><span style=\"font-weight: 400;\">Restraint is often the basis of failure.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> In obesity, the solution is not rigidity, but:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the compromises,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the choices,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">stability.<\/span><p>\u00a0<\/p><\/li><\/ul><h3><b>Myth 3: \u201cI have to exercise to lose weight\u201d<\/b><\/h3><p><span style=\"font-weight: 400;\">Sport helps health, muscles, organs, and reduces several risks.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> But the main goal is not weight loss.<\/span><\/p><h3><b>Myth 4: \u201cI have to get there on my own\u201d<\/b><\/h3><p><span style=\"font-weight: 400;\">Asking for help is not a failure or a weakness.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Obesity is a chronic, progressive disease: the body fights against weight loss.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Sometimes support is needed.<\/span><\/p><h2><b>13) Medical follow-up and psychological support: ensuring a safe journey<\/b><\/h2><p><span style=\"font-weight: 400;\">Dr. Mazur explains that medical follow-up serves to:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">to secure weight loss,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">monitor vital signs and biological parameters,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">prescribe examinations,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">perform essential screenings,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">recommend an appropriate activity,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Offer medication when necessary.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">She also seeks to identify certain elements often associated with obesity:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">sleep apnea<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">female hormonal challenges<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ADHD<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">hyperphagic access disorder<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">depression<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">anxiety disorder<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">daily food organization<\/span><p>\u00a0<\/p><\/li><\/ul><h3><b>Why psychological support is essential<\/b><\/h3><p><span style=\"font-weight: 400;\">Especially at the beginning, because it allows:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">to identify what is blocking the process,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">to create appropriate support,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">to accommodate the challenges that emerge along the way.<\/span><p>\u00a0<\/p><\/li><\/ul><p><a href=\"https:\/\/coattitude.com\/en_ca\/services\/medecine-de-lobesite-et-coaching\/\" target=\"_blank\" rel=\"noopener\">Not everything is resolved in a single step. The process takes place at the patient's pace, using tools that are available depending on the moment:\u00a0\u00a0<\/a><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/coattitude.com\/en_ca\/medicaments-pour-la-perte-de-poids\/\"><span style=\"font-weight: 400;\">medications<\/span><\/a><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PNL<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">hypnosis<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">EFT<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">gastric balloon<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">food replacements<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">surgery<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>14) Scientific discoveries that transform our understanding of obesity<\/b><\/h2><p><span style=\"font-weight: 400;\">According to Dr. Mazur, understanding the pathophysiology of obesity is a major advance.<\/span><\/p><p><span style=\"font-weight: 400;\">Among the important mechanisms:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">an imbalance in communication between the brain and fat cells<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The role of leptin and ghrelin in hunger and satiety<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the dysfunction of the reward loop in emotional, compulsive, or anxious eating<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">a better understanding of bulimic hyperphagia<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The concept of the weight of the consignee<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">re-gain mechanisms after diets and rapid weight loss<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">These discoveries show why <\/span><b>Food and physical activity alone are not always enough<\/b><span style=\"font-weight: 400;\"> to \u201ccure\u201d obesity, and why the strategy must be comprehensive.<\/span><\/p><h2><b>15) What distinguishes the patients who progress the best (beyond the result)<\/b><\/h2><p><span style=\"font-weight: 400;\">According to Dr. S\u00e9verine Mazur, the best indicators of progress are:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the sustainable installation of habits with less effort<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the constancy of the routine<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the ability to let go of constraints<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The movement resumed with pleasure, even at a minimum level<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The return of social life<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">a form of inner calm, a presence within oneself<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the presence of pleasure in the journey<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">a clear and stable health goal<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>Conclusion: Losing weight permanently means regaining security and consistency<\/b><\/h2><p><span style=\"font-weight: 400;\">The approach of <\/span><b>Dr. S\u00e9verine Mazur<\/b><span style=\"font-weight: 400;\">, The doctor of obesity does not rely on absolute control, but on understanding, stability, and care.<\/span><\/p><p><span style=\"font-weight: 400;\">Losing weight permanently means:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">stop fighting against your body,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">learn to listen to it,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">structure a reassuring routine,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">protecting his muscles,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">sleep better,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">to have someone accompany you,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">and progress at a pace that respects the reality of the disease.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">It is a medical, psychological and human process, which aims less at immediate performance\u2026 than at long-term peace.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Sustainable weight loss should never rely on a new diet. Inspired by Dr. S\u00e9verine Mazur\u2019s medical approach, this method aims to secure the body, stabilize appetite, and build a realistic routine by combining therapeutic nutrition, protein intake, sleep, and support.<\/p>","protected":false},"author":2,"featured_media":4101,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,9],"tags":[],"class_list":["post-4095","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-accompagnement-psychologie","category-comprendre-obesite"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Perte de poids durable : l\u2019approche m\u00e9dicale recommand\u00e9e<\/title>\n<meta name=\"description\" content=\"D\u00e9couvrez l\u2019approche m\u00e9dicale de la Dre S\u00e9verine Mazur : sati\u00e9t\u00e9, prot\u00e9ines, rythme, sommeil et 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