Another Look at Metabolic Damage
Originally I was going to do a full writeup of the recent study making the rounds suggesting that both low- and high-repetition training generate the same muscle growth but I’m going to save that until next week; this topic makes more logical sense given last week’s video on BMI and weighing frequency. It was also stimulated by a private message I got on FB regarding the topic.
That topic, of course is the idea of metabolic damage, something I have written about on the site previously. But rather than write something new, I just got permission from Alan Aragon to reproduce an interview I originally did for his (highly recommended) research review. It’s only $10 a month and chock full (that’s right, CHOCK!) of the most current research on diet and training along with interviews with top current coaches and feature articles on all topics big and small. Go subscribe, subscribe now.
Ok, so what exactly are we talking about here? As originally claimed, metabolic damage referred to a phenomenon wherby dieters (typically females) who had been on low calories and performing a large amount of cardio (i.e. typical physique sport contest prep)
- Stopped losing fat despite maintained low calories/high activity
- Started regaining fat despite those same maintained low calories/high activity
Hence their metabolism was damaged. I’m mainly bringing this up as the original concept has been somewhat, err let’s be nice and say, “modified” from the original (now being called metabolic adaptation, a concept I’ve been personally writing about for over a decade in pretty much all of my books).
And with that out of the way I reprint my original interview with Alan Aragon (did I mention that you should subscribe to his research review). Everything in bold is Alan, the other dense walls of texts are me.
My big question for you is related to the whole “metabolic damage” concept. Coaches and competitors involved in bodybuilding & physique contest prep – predominantly women – often report cases of consuming very low calories (i.e., in the 700-1000 kcal range), combines with high volumes of cardio (i.e., 2+ hours per day), and all this without any weight loss. What are your initial thoughts on this, as far as validity and/or mechanisms behind it.
First and foremost, I have myself written about how the odd combination of very low calories and excessive cardio can, in some people, cause problems. Some of it is metabolic which I’ll come back to. But most of it is simply due to one thing: water retention. It’s a little known fact that cortisol has cross-reactivity with the aldosterone receptor (aldosterone is the primary hormone for retaining water). But while cortisol only has about 1/100th the affinity for the receptor, there can be about 10,000 times as much. We know that cortisol causes water retention (Cushing’s patients who are often on high-dose cortisone have this problem).
- Now, dieting raises cortisol.
- Cardio raises cortisol.
- Mental stress raises cortisol.
So combine your typical headcase female dieter (who is already mentally stressing themselves out), add a massive caloric restriction, add tons of cardio. And cortisol goes through the roof. And this is worse in some personality types. You can always tell them on Internet forums, they type in all caps with lots of !!! (Subject line: NEED TO LOSE WEIGHT NOW!!!). You can sense the stress in their life in how they write. And what these people do other than mentally stressing themselves out is further physically stress themselves out. And when weight loss stops, they stress harder, cut calories harder, do more cardio. And make it worse.
I mean, hell, a woman can easily shift 10 pounds of water weight across her menstrual cycle. That’s not uncommon in this kind of stress condition. Now add to that the fact that a typical female dieter if she’s lucky, might be getting 1 pound of true fat loss per week. If her stress (due to mental, diet and physical factors) is causing her to retain 10 pounds of water it will appear that her diet is not working for 10 full weeks. During which time she will lose her absolute shit.
What always works in these types of dieters is chilling the fuck out (weed would help too). Raising calories, lowering cardio, a good lay. There’s no metabolic magic, cortisol finally drops when you get them stop being crazy for a couple of days and they experience the magical whoosh (or the LTDFLE, check my site for details). Boom, weight drops by 5+ pounds overnight.
All water. Well mostly. But clearly they didn’t have a 5 pound deficit in one day. They just finally dropped the water they’d been holding.
So that’s part 1. Any questions before I move on to part 2?
Clear so far, please continue…
So, for the most part I think that’s a lot of what’s going on the fat loss is just being masked by severe water retention. I say this simply because getting folks to rest a couple of days, raise calories (especially from carbs, the increase in insulin lowers cortisol levels) and “refeed” invariably causes that big weight drop/whoosh effect. It has to be water.
However, that isn’t to say that there aren’t metabolic effects that can occur due to that combination of variables (low calories and high activity).
I’m going to assume (and hope) that your readers are familiar with leptin. If not, basically it signals to the brain (and elsewhere) about energy stores in the body (and how much you’re eating) and when it drops it induces much of what is often incorrectly called the “starvation response” or “metabolic damage”. I say incorrectly because this simply represents a normal ADAPTATION to dieting that occurs because the body, fundamentally, doesn’t give a damn that you need to look good on stage. It wants to keep you from starving to death.
So falling leptin causes a host of things to occur: metabolic rate slows, hunger increases, you get lethargic, thyroid goes down, testosterone drops, and a whole bunch of other shit goes wrong.
Pretty much everything bad that happens with dieting is controlled, to at least some degree by leptin levels especially at the level of the brain. On that note, studies that have given leptin replacement following dieting show a reversal of these effects; but don’t get your hopes up leptin is an injectable drug and still many hundreds of dollars per day. But drug using bodybuilders have basically been sort of fixing all of the peripheral problems with drugs: anabolics to counter falling testosterone, thyroid meds for thyroid, cortisol blockers, appetite suppressants, stimulants to keep energy levels up. Raising leptin would be more elegant (as it would fix the problem centrally in the brain) but difficult. Refeeds and full diet breaks (discussed on my site and in my books) help a lot. Injectable leptin would be skippy but way too expensive. The leptin-mimicking supplements are all bullshit.
I bring this up because cortisol, among its other fun features, induces leptin resistance in the brain. Like insulin resistance in skeletal muscle (where the cells don’t respond to insulin properly), leptin resistance means that what leptin is around doesn’t send a sufficient signal to the brain. So in those folks who are already psychotically stressed and cutting calories and doing too much cardio, the massive increase in cortisol will have that effect centrally in the brain.
But, wait…there’s more…
WHOOT!!! Keep going.
Ok, so finishing up, which is not to say that there is not a metabolic adaptation/adjustment to dieting and fat loss; that’s really never been up to debate. Once again, we have this leptin system that basically evolved to keep us from starving to death. In that regards, a lot of people think of leptin as an anti-obesity hormone but this is incorrect. Leptin does very little to keep us from getting fat (which had no evolutionary disadvantages until recently); leptin exists to keep us from starving to death. And fundamentally, dieting is just controlled starving to death. But the same things occur.
Now the determinants of total metabolic rate are multi-fold, typically divided up into the following four categories:
- BMR: Basal metabolic rate (also called RMR or resting metabolic rate): this is just the basal processes to run your body.
- TEF: Thermic effect of food, the extra calories you burn from eating. Quick-estimated at 10% or so it actually depends on the nutrient eaten.
- TEE: Thermic effect of exercise. The calories burned through exercise.
- SPA/NEAT: Spontaneous physical activity/Non-Exercise Activity Thermogenesis: This is a newer category and separate from thermic effect of exercise, it’s the calories you burn moving around, fidgeting, changing postures. It happens to be massively individual.
But all 4 respond to changing food intake and body weight. So as soon as you start dieting, TEF automatically goes down a bit since you are eating less food. Less food means less TEF (note that this has NOTHING to do with meal frequency). BMR goes down as you lose weight because a smaller body burns fewer calories. So do the calories burned during exercise; at any given absolute intensity, a smaller person burns less calories.
Again, SPA/NEAT is a big question mark since it varies so much. But you generally tend to be more lethargic during the day when you diet, so you end up moving around less, burning fewer calories in total. And while it’s great to think that you can consciously impact this, NEAT is subconscious. At best you can offset it with more exercise (part of why competitors usually raise cardio volume or intensity during a cut).
Even with that said, research has typically divided the drop in metabolic rate into two different components. One part is simply due to the reduction in bodyweight. As I said above, a smaller body burns fewer calories and there’s really not much that can be done about this (wearing a weighted vest might have a small impact on at least TEE). Get lighter and you burn fewer calories.
There’s nothing you can do about this short of NOT LOSING WEIGHT. Which goes against the point of a cut. And yes, I’m using weight and fat interchangeably here: for anybody but a drug-using competitor, fat loss is going to mean weight loss. Don’t get picky.
But there is also evidence for what is called an adaptive component of metabolic rate reduction. Let me explain. Let’s say that someone loses twenty pounds and based on all of the math you’d expect a drop in metabolic rate of 10%. But when you measure it you actually see a reduction in 15%.
That is, the drop in metabolic rate is greater than what you’d predict based on the drop in bodyweight. That extra 5% is the adaptive component of metabolic rate reduction. And it’s hormonally driven, the drop in leptin, the drop in thyroid levels (conversion of T4 to T3 is impaired on a diet), there is a drop in sympathetic nervous system activity (part of why the ephedrine/caffeine stack helps, it offsets this drop), you get the idea.
The thing is that not every study has found this. Some do some don’t. A lot of it depends on starting body fat, the length of the diet, genetic individuality and all that stuff. But in dieting bodybuilders or fitness people, it is going to have an impact. But the preponderance of studies say that it does exist; I’d certainly expect it to occur in lean hard dieting physique athletes who is who we are concerned with (typically when it doesn’t show up is in studies of extremely overfat individuals whose hormones don’t really get mucked up until they have lost a lot of weight).
A-ha, you say, now we have an explanation for the so-called metabolic damage (and note that I’ve seen this term used to refer to a couple of different things: one is that weight/fat loss stops despite a huge deficit; a more extreme claim is that competitors start to regain fat even in the face of low calories/high activity). But wait, there’s more. And yes I’m almost done.
Ready for the big payoff?
I would have to be a crazy person to stop you here. Let it rip, Brofessor McDonald.
Actually I only have a BB (Bachelor of Bro-osity). I didn’t feel like doing advanced academic work to get my MB (Master of Bro-osity) or BrD (Doctor of Bro-osity). Note: I told you this was email and Alan and I were being a little bit silly.
Anyhow, I’ve looked at water retention (which I think is a big part of this) and some of what goes into metabolic rate adaptation. And yes it does occur. No one is doubting that. But that raises the important question. Is the drop in metabolic rate that occurs during dieting sufficient to stop weight loss in its tracks despite a claimed low caloric intake and high-activity level?
Actually, before I get to that, let me expand on the above sentence. You might note my use of the word “claimed” in regards to low-caloric intake. Because there’s an issue here that often gets overlooked. One of the known adaptations to dieting and getting lean is a massive increase in hunger. And even with the strongest willed competitor/dieter, often it becomes overwhelming. Geared bodybuilders often use appetite suppressants, the EC stack has been used perennially but the reality is that getting very lean means being hungry.
And that means binges. You can go to endless forums where competitors, men and women alike report losing their minds and going on a binge of varying types. Some go carb-crazy, some of the “clean-eaters” will have that one taste of something forbidden and go on a Blizzard binge that makes them sick. But most don’t really like to talk about it.
That is, these binges, as often as not go un-reported. So the dieter who is claiming 1200 calories with tons of cardio tends to often conveniently “forget” about the day they spent eating every piece of garbage they could stuff down their gullet. And in light female competitors, if the binges get crazy enough it can readily offset the deficit being created during the week.
But irrespective of that, let’s address what seems like a fairly simple question: Can the drop in metabolic rate, due to the drop in bodyweight and the adaptive component EVER be sufficient to completely eliminate true fat loss?
And the answer, at least based on the last 80 years of studies into the topic (in humans, NOT animal models) says no. Perhaps the classic study in this regard was the oft-quoted (and oft- misunderstood) Minnesota Semi-Starvation Study. In it, a dozen or so war objectors got to avoid going to war and arguably got into something worse. That is, researchers wanted to study long- term starvation as might occur during war or famine or being held in a prisoner camp.
Specifically the men were put on 50% of their maintenance calories, subject to forced daily activity (walking, NO weight training) and basically had their lives controlled and managed for 6 months. And in various sub-analyses, it was found that, by the end of the study the total drop in metabolic rate was nearly 40%. That is, of the original 50% deficit in calories, 80% of it had been offset. Of that 40%, a full 25% was simply due to the reduced bodyweight. Again, lighter bodies burn less calories and there’s no getting around it. But that also means that the adaptive component of metabolic rate reduction was only 15%. Which is about the largest drop ever measured (most studies measure less).
But here’s the punchline, the men had also reached the limits of human leanness. They were in the realm of 4-5% body fat by this point in the study. Even though their fat loss had basically stopped (and at some points in the study WEIGHT loss stopped due to severe water retention) it didn’t occur until they reached ultimate leanness (NB: the claims of bodybuilders to be 2-3% bodyfat is a measurement error). And even they were still losing tiny amounts of weight/fat. It just wouldn’t have amounted to much since most of the deficit had been offset by the metabolic rate reduction.
Now some will (and may rightly) point out that the study was only in men and women’s bodies may be different. And they are correct; I’ve written about this myself (my odd little book on Bromocriptine talks about it in some detail). Certainly women’s bodies do some strange things in this regard, they are more evolutionarily, err, evolved, to hold onto calories and fat stores than men (and there’s some profoundly goofy shit that can occur where they shift upper body fat stores to their legs, discussed in my book The Stubborn Fat Solution). So I suppose it’s conceivable that there might be a woman or three for whom this could occur. Maybe. Not that that woman has ever shown up in a well-controlled study in 50 years. But I suppose she might exist. She probably rides my invisible unicorn.
Because in no study that i have ever seen or ever been aware of has the drop in metabolic rate (whether due to the drop in weight or adaptive component) EVER exceeded the actual deficit whether in men or women. Fine, yes, it may offset things, it may slow fat loss (i.e. if you set up a 30% caloric deficit and metabolic rate drops by 20%, your deficit is only 10% so fat loss is a lot slower than expected or predicted) but it has never been sufficient to either stop fat loss completely (or, even to address the even stupider claim being made about this, to cause actual fat gain).
But even when the drop in metabolic rate is massive, sufficient to drastically slow fat loss, even when it occurs it’s only when that person’s body has more or less reached the limits of leanness in the first place. So for ‘hundreds of women who are self-reporting this in emails’ to a certain coach to exist, well; just let me call that what it is: bullshit.
I think what’s really going on is you have a bunch of neurotic crazed female dieters, who are misreporting their food intake (especially the crazy food binges we KNOW happen in this population) and who are holding onto massive amounts of water due to the combination of low calories, high-cardio and being batshit stressed mentally about the whole process. And who magically start losing fat again when their poorly controlled 1200 calories becomes a well-controlled 1250 calories, well….you’ll have to call me incredulous about the whole thing.
Because the science doesn’t support it in any way shape or form. No study in humans in 50 years has ever shown the claimed phenomenon. I mean not ever. Not a single study showing truly stopped fat loss in the face of a controlled deficit much less fat regain. And with plenty of other mechanisms (like water retention) to explain the “apparent” lack of fat loss that make more logical sense (Occam’s razor for the win).
And that’s my take on the issue. Now it’s time for a nap.








So all these folks saying cardio and reduced calories will screw you over are talking shite!! Though so!! Thanks
You’re going to be causing a BCAA-addicted, rat-study-to-human-practice extrapolating doctor to become very stressed and start holding water. And he’s going to use that water to wash down some BCAAs and make stupid tweets and youtube videos that cause people to gain weight.
Please keep up the great work!
What is Joe Donnely gonna rant about now 😉
That certainly turned the tables! Goes against what I have heard for my 47 yrs.
And it makes sense! Well written, and you have managed to make a complex controversial topic easy and fun to read.
Thank you
I agree wholeheartedly. I, and my clients, have experienced the “whoosh” phenomenon many times. Your conclusions about water retention, binges, and everything else are spot on from everything I’ve experienced. Great article Lyle.
Jay
It a shame to see two such well educated individuals miss the fructose connection….. JOKING!!!
My question Lyle… Is it not somewhat strange to suggest that extremely low calorie intake is a large part of the cause of water retention, and in the same go, also suggest binge eating patterns that are not reported. Surely if this were the case the binges would cause the whoosh and all would be well?
Thoughts?
How would one deal with massive hunger signals when or after dieting to avoid drastic weight gain?
You hear those stories of men and women adding 20+lbs in a few days after contest. I didnt even think such increase in weight can happen but it does
(standing ovation).
This is fabulous. Well said, to the point, and absolutely accurate. Water retention, binges, underreporting and needing to chill the heck out are exactly what is really going on in “OMG I broke my metabolism!!!!” cases.
Keep bringing it.
-Georgie
Hate to be that guy, but you have a typo in the paragraph when you discuss the calories people “claim” to eat. “teh” should be “the”
Great article, as always.
Amit, I think he spells “the” as “teh” on purpose now.
Lyle, what are your thoughts about thyroid problems and weight loss? I know someone that could not lose weight for anything until they had a thyroid panel and got on some meds. From what I understand, this sort of thing is common after a while for people with persistent weight problems.
Also, what are your thoughts about “efficient bacteria” in the gut? There’s at least one study showing gut bacteria can affect fat/weight gain in a mouse model. I think there’s also a study showing the same in humans but I could be wrong.
Yeah, those types of rapid weight gains are always glycogen, water, etc. when folks come out of super-restrictive diets straight into bingeing. How to deal with appetite/hunger? Not sure I have a good answer: if you get to contest shape, the hormones involved in this (leptin, ghrelin, etc.) are going to be messed up and there’s really nothing you can do about it. Psychologically at least, people who use more flexible approaches to fat loss (i.e. allowing the “forbidden” foods) don’t seem to have quite the cravings that invariably exist for people who do it the more “traditional” way. As soon as they release the breaks on eating, they binge for days.
And thanks for catching teh typo, guys. Get it?
“And who magically start losing fat again when their poorly controlled 1200 calories becomes a well-controlled 1250 calories”
This line right here times 10000000!!!! First thing that popped into my head the minute I heard about this “coach” and his stupid theory.
Does the metabolism recover when you put the weight back on, or if the adaptive component of the metabolic rate drops does it stay down permanently?
Yes metabolic down regulation is a much more balanced term.
A compounding factor in over weight females is determining that reference maintenance to move back up to.
E.g. female 100kg approx 45% bf.
Ref Maint = 100kg x 30 = 3000 kcal. Which is going to be way too much.
Calculators that include height = 2400 kcal. Still too much.
Using a ref weight of 72kg (est 20% bf) x 30 = 2160 kcal. More reasonable?
Ha, I’d like Layne Norton try and respond to this. He could not possibly win this argument with his idiotic bro-science metabolic adaption crap.
I like how Lyle has the decency to not mention him. I doubt. Layne would do the same if they switched places.
Always recovers when/if you get fat again.
I wrote this on another site, which had a link to your article, so I’ll send this to you too:
Interesting read, but I think you might have made the wrong conclusions despite touching the exact right reasons! The problem with all the info and studies you are referring to is that they are most probably made within a healthy margings and that’s entirely different than what “normal” people do, hah. ‘Cos I too have heard of people who won’t lose weight no matter what they do and it’s not because they are lying about binging, it’s because they truly are doing TOO much and eating too LITTLE. And this causes the body to basically go into a lockdown or in other words starvation mode. And in all the cases I’ve heard the people have been eating 500-1000kcal a day, which is too little for ANYONE. It’s been calculated that a healthy minimum for an adult is 1500kcal. So when u combine drastic calorie deficit with going under the healthy minimum and then ADD aerobic exercising you are destined for trouble! You are basically living on fumes at that point. And I’m quite sure none of the studies have been this drastic. Even in the Minnesota study the people were fed 1500kcal a day, which was supposedly meaning “starvation”, but that’s still half as much as some crazy people do!
I have two female friends who have this exact problem. Both are overweight and both barely eat anything. And what they do eat is mainly salad and other carbs. So, they have a severa lack of protein and fats (which would help in body composition), they do zero exercise, and they probably eat 1000-1500kcal a day, which is way too little and which is why they haven’t lost any weight in years despite always being on “diet”…
I do like your theory of cortisol/water retention. It makes sense. But then in the end u say there’s no proof of weight loss coming to a stop? I think it’s just because the studies haven’t been drastic enough! They should do a study where they put bunch of people of different weights all on a same 800-1000kcal diet for 2 months! I’m sure the results would amaze the current official understandings! I’m also sure this would raise several health issues in the people involved…
No, you have women who are overweight who SAY that they don’t eat anything. Every study in the last 30+ years show that the obese always underestimate their true caloric intake. They say they are eating some tiny amount but it is NEVER EVER EVER true. EVER. They are simply reporting their food intake incorrectly.
Lyle is right here. People overlook what they eat. 10 packets of Splenda add up. That “touch” of mayo counts. Measuring cups need to be leveled or just below the line. Fluid measure should be read at the bottom of the meniscus. All of these seemingly minor details matter if someone is counting calories.
Had this recent study been considered for discussion? Well laid out, looked at the NEAT, sedentary TDEE, and RMR changes in a 25% tested deficit from measured TDEE for overweight folks, and looked at change in metabolic efficiency outside what was expected for weight and LBM loss. So above and beyond. And these were participants starting out healthy otherwise, not some of the constant dieters with already jacked up hormones. And true, it didn’t prevent weight loss, but it sure would impact how much you could eat to still lose or what maintenance ends up at, so about adherence. Also shows a way to prevent it, and recovery is possible. So this applies more it seems to those that do have decent estimates of food eaten. And with a smaller deficit, that stress side effect masks it even worse. http://www.plosone.org/article/info:doi/10.1371/journal.pone.0004377
[WORDPRESS HASHCASH] The poster sent us ‘0 which is not a hashcash value.
But that’s just it: thjey kept losing weight. The claim that you can stop losing weight or GAIN weight in a deficit is utter bullshit but that is what is being made. And this study just supports that, along with 5 decades of other research.
This is not metabolic damage. This is metabolic adaptation. Totally 100% normal.
Lyle,
Thanks for this article – which was bloody hilarious. I particularly appreciated what you had to say about stress-head dieters and water retention.
A few months ago, I set my mind on getting really lean. (Yup, I am one of these excessively driven lawyer types.) I was already dieting and about 20% BF. I dropped my calories by 200 to approximately 1,500 and was maintaining my exercise schedule (4 hrs of cardio and 4 hrs of heavy weights per week).
To my horror, I started gaining weight. Daily. About 1-2 lb per day – for 10 days. I started freaking the f*** out. So I trained even harder and for even longer, getting even less sleep and cutting my calories even further – but still the weight was piling on.
And so I decided to try keto for the first time ever – keeping my calorie intake at 1,500. In 7 days, I dropped 19.5 lb. The following week I lost a further 5.5 lb.
What must have been going on, was that keto caused me to drop the mother-load of water I had been retaining by freaking myself out.
Moral of my story – chill the f*** out!
thanks for sharing this great article
btw, a mentalism in my country who become a entertainer now, ever explain about his theory of diet
in my country his theory wellknown with OCD,
OCD used the metabolic damage theory too
and so many people success in their diet with ocd