If you're doing everything else right but missing these elements, you'll stall your progress. Getting subpar sleep, not moving enough, and environmental toxins are among the factors that can stall weight loss even when you're vigilantly following a keto diet. What you eat matters, but how you live also dramatically affects weight loss. For many patients, dialing up sleep, reducing environmental and psychological stressors, and incorporating high-intensity burst training can be big needle movers to overcome plateaus.
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One thing you’ll find people love about the Mediterranean diet is the allowance of moderate amounts of red wine. “Moderate” means 5 ounces (oz) or less each day for women (one glass) and no more than 10 oz daily for men (two glasses). (1) Above all else, these meals are eaten in the company of friends and family; strong social ties are a cornerstone of healthful lives — and a healthful diet. Here, food is celebrated.
“This is one of the really big issues I see for women — it is so much entwined with psychology, self-esteem, and societal pressure, and in many ways outside of women’s control, “says Dr. Hallberg. “They succumb to ways they think they need to be, rather than what is healthy for them. If you see victory as only a number on a scale, you are going to sabotage yourself.”
“Dietary fat is rewarding,” said Dr. Andreas Fritsche, study co-author and nutritional medicine professor at the University Hospital Tübingen in Germany. So rewarding, in fact, that it could be used as an effective dieting tool, though further studies are needed. “If you eat a fat-free aroma extract which is commonly associated with fat, it is possible that you get the rewarding effect of fat-triggered sensations without calories,” Dr. Fritsche said. 

That’s why the unique process we use at Bulletproof is completely chemical and solvent-free. Most MCT’s on the market are manufactured via chemical/solvent refining, which can require using chemicals like hexane and different enzymes and combustion chemicals, such as sodium methoxide. The oils used to make MCTs – palm and coconut – are often solvent extracted too, but not Bulletproof.
In Britain and the US, people consume on average around 1 litre of olive oil per person per year, but isn’t much compared to the Greeks, Italians and Spanish who all consume more 13 litres per person. Olive oil, with its high calories and mixed saturated and unsaturated fats, was once assumed by many doctors to be dreadfully unhealthy. But health surveys of European populations kept finding that southern Europeans lived longer and had less heart disease despite higher fat intakes. It turns out olive oil was the likely reason.
"I have changed my Life Rehabilitation Statement from five year goals, to 90-day goals because my life is changing rapidly and I'm hitting big goals. I still read the statement morning and night, I'm still achieving, I just gave myself the tighter time frame. I am more dialled into my immediate future and am making the most of opportunities that are right here, right now."
Because of the data, the research team stated that “the low-carbohydrate diet was more effective for weight loss and cardiovascular risk factor reduction than the low-fat diet. Restricting carbohydrates may be an option for persons seeking to lose weight and reduce cardiovascular risk factors.” [18] They also noted that “no serious adverse events were reported during the course of the study.” [18] Thus, the ketogenic diet might be a both a safe and effective weight-loss plan for you.
“MCTs” are medium-chain triglycerides, a form of saturated fatty acid that has numerous health benefits, ranging from improved cognitive function to better weight management. Coconut oil is one great source of MCTs — roughly 62 percent to 65 percent of the fatty acids in coconut oil are MCTs — but recently more concentrated “MCT oil” has also been growing in popularity.
According to the US FDA, having two tablespoons of extra virgin olive oil daily may reduce the risk of heart disease, due to its monounsaturated fat content. Some of the antioxidants present in extra virgin olive oil like oleocanthal and oleuropein are known for their anti-inflammatory action and help in reducing the levels of bad cholesterol which can be a risk factor for heart disease.
Day 2: There's a bagel shop less than a block from my office. I pass it every single day and never really think anything of it. Well, not today! The smell of the freshly baked everything bagels-and was that veggie cream cheese I smelled?-was wafting out the door as I walked by extra quickly. (Though I found out later that there is a way to have bread and still stay in ketosis.)
The Mediterranean diet wasn’t built as a weight loss plan — in fact, because it wasn’t developed at all, but is a style of eating of a region of people that evolved naturally over centuries, there’s no official way to follow it. But it’s popular because it’s a well-rounded approach to eating that isn’t restrictive. Two of the five Blue Zones — areas where people live longer and have lower rates of disease — are located in Mediterranean cities (Ikaria, Greece and Sardinia, Italy). (2) These places are known for having some of the lowest rates of heart disease and cancer worldwide. (3)

I've spent years tackling subjects from urban health to medical marijuana to behavioral science—both as a city reporter for my hometown public radio station in Tulsa, Okla., and as a freelance writer. Now I cover health and food at Consumer Reports. My hobbies include tinkering with computer code and watching trashy TV. Follow me on Twitter: @catharob. 
There’s no required schedule of meals and snacks, either, but the diet does emphasize the social aspect of eating—like sitting down at a table with friends or family. “When you talk about the pillars of the Mediterranean lifestyle, diet is only part of it,” says Weinandy. “Regular social interaction and staying active with exercise are also really important.”

A: You’ll find a detailed menu earlier in this article (also, recipes from Everyday Health!), but generally, you’ll want to make plants and whole grains the stars of your plate. If you look at a Mediterranean diet food pyramid, sweets are up top (indicating they should make up only a small part of your diet), followed by meat and dairy, and then fish. Last are fruit, veggies, and whole grains (suggesting they can be eaten liberally). Also, enjoying food with friends and family is a tenet of the eating approach, so make your meals a social affair!
Our European neighbors have known for many centuries of the many benefits of olive oil — they use it inside the body and out! On the skin, they use it as an exfoliant mixed into a sugar scrub or as a moisturizer. But you don’t have to smear olive oil all over you; drinking it will provide known anti-aging compounds, like antioxidants and vitamin E.
I just came across your blog on the keto diet. I have tried everything under the sun. I’m getting at a menopausal stage and no matter how healthy I eat, and exercise I continue to gain. Have you had good success with people like me? Do you really think this will work for me? I understand when women enter this stage it’s near impossible to lose weight. And for all my attempts it seems to be true. Lol!
Eating like a Mediterranean is as much lifestyle as it is diet. Instead of gobbling your meal in front of the TV, slow down and sit down at the table with your family and friends to savor what you’re eating. Not only will you enjoy your company and your food, eating slowly allows you to tune in to your body’s hunger and fullness signals. You’re more apt to eat just until you’re satisfied than until you’re busting-at-the-seams full.

Eating extra virgin olive oil as part of a diverse Mediterranean diet is clearly beneficial in Spanish adults. And although genes partially control preferences, there is no reason to believe it won’t work in other cultures and populations. If we start educating people to use high-quality extra virgin olive oil early in life and change its stigma as a medicine or punishment, we could make our populations and our gut microbiomes healthier. Although we are unlikely to ever match the Greeks.
Type 2 diabetes is a long-term metabolic disorder that is characterized by high blood sugar, insulin resistance, and relative lack of insulin. Insulin resistance is when the body is no longer able to secrete insulin naturally in response to blood sugar increases, and hence blood sugar remains high. This is typically a dysfunction with the insulin receptors, and with changes in diet, including lower levels of sugar and carbohydrates, it can be controlled or reversed.
Experiment with “real” whole grains that are still in their “whole” form and haven’t been refined. Quinoa cooks up in just 20 minutes, making it a great side dish for weeknight meals. Barley is full of fiber and it’s filling: pair it with mushrooms for a steamy, satisfying soup. A hot bowl of oatmeal is perfect for breakfast on a cold winter morning. Even popcorn is a whole grain—just keep it healthy by eating air-popped corn and forgo the butter (try a drizzle of olive oil instead). Supplement your intake with other whole-grain products, like whole-wheat bread and pasta. Look for the term “whole” or “whole grain” on the food package and in the ingredient list—it should be listed as the first ingredient. But if you still find it too hard to make the switch from your old refined favorites, phase in a whole grain by using whole-grain blends of pastas and rice or mixing whole grains half-and-half with a refined one (like half whole-wheat pasta and half white).
Additionally, they remarked that “concerns about adverse metabolic effects of the Atkins diet were not substantiated within the 12-month study period.” [16] They acknowledged that more research needs to be done on the long-term effects on cardiovascular and metabolic health especially on men. However, their study supports the idea that a low-carbohydrate diet can help you lower body mass and body fat better than higher-carbohydrate alternatives.
When you’re on keto, you’re less hungry. Ketones help control hormones that influence appetite.[2] They suppress ghrelin, your “hunger hormone,” and at the same time they boost cholecystokinin (CCK) — the hormone that keeps you feeling full.[3] You won’t want to snack as regularly, making it easier to go longer without food. Your body will then reach into its fat stores for energy. The result? More weight loss. Learn more here about how the keto diet suppresses appetite.
Fat is a macronutrient with many benefits, one of which is the absorption of fat-soluble vitamins A, D, E and K. It is also a building block of every cell membrane in the body. It provides energy, slows the absorption of other nutrients (so you feel full longer after a meal) and is required for healthy liver function. Plus, let’s face it, fat makes food taste better.
On a high-fat ketogenic diet, you can easily eat 3,000 calories or more daily with high-calorie foods like cheese and nuts. Sure, your body will shift into ketosis on a high-fat diet, but eating too many calories means your body will utilize dietary fat instead of body fat. A food journal can help you pinpoint high-calorie foods that might sabotage your weight loss. You don't need to be on an old Atkins diet plan to lose weight the keto way.
A 2010 study in Diabetes, Obesity and Metabolism assigned 259 overweight diabetics to one of three diets: a low-carb Mediterranean diet, a traditional Mediterranean diet or a diet based on recommendations from the American Diabetes Association. All groups were told to exercise 30 to 45 minutes at least three times per week. After a year, all groups lost weight; the traditional group lost an average of about 16 pounds while the ADA group dropped 17 pounds and the low-carb group lost 22 pounds.
Another key component of the Mediterranean diet is lifestyle. Enjoy the social component of eating by sharing meals with family and friends as often as possible, whether on a weeknight or special occasion. Slow down, savor each bite, and don’t be afraid to have a glass of wine (or two) in moderation. While wine packs antioxidants, you should also drink plenty of water, as staying properly hydrated keeps your body functioning. The last bit of the equation is making physical activity a part of your daily routine, whether it’s biking to work or simply taking a walk during your lunch break to enjoy the fresh air.
The cost of the Mediterranean diet, like most aspects of the diet, depends on how you shape it. While some ingredients (olive oil, nuts, fish and fresh produce in particular) can be expensive, you can find ways to keep the tab reasonable – especially if you're replacing red meats and meals with plant-based home cooking, some research suggests. Your shopping choices matter, too. Can't spring for the $50 bottle of wine? Grab one for $15 instead. And snag whatever veggies are on sale that day, rather than the $3-a-piece artichokes.

Given the choice of a fat and protein source like meat or a salt and carb rich food like potato chips, we are designed say yes to both. No matter how stuffed we are, the most primal parts of our brain will typically tell us that there is room for more if a novel food source is available. These behaviors were essential for our survival as a species. If we ate reasonably whenever food was available, then we wouldn’t have enough fat or muscle to fuel us when calories were scarce.
Note to all potential buyers: these are meant to support a ketogenic diet (no carb, high fat, moderate protein), a specific diet which takes time and dedication to engage in. These are not “silver bullets” that will cause rapid weight loss without diet and exercise, so don’t expect it. No such products exist, on Amazon or otherwise. On the other hand, if you’re following a ketogenic diet already and need a little boost every now and then, these are for you. Watch out, though, they have a lot of caffeine. Three pills have 200 mg, the equivalent of several cups of coffee. If you can tolerate it, go for it. Just don’t make a regular habit of it.
In 2010, researchers published findings showing MCTs help lower your risk of developing metabolic syndrome,18 which includes a cluster of symptoms such as abdominal obesity, high blood pressure and insulin resistance. Unlike carbohydrates, ketones don't stimulate a surge in insulin. Another benefit is that they don't need insulin to help them cross cell membranes, including neuronal membranes. Instead, they use protein transporters, which allow them to enter cells that have become insulin resistant.
When asked about the impact of importation of adulterated olive oils on her work, Flynn said that it was a “huge concern.” She realized that the ubiquity of poor-quality olive oils likely explains why she did not always get consistent results with her patients. She feels that “a people’s revolution” is needed to have an impact on the corruption issues in the olive oil world and aims to improve others’ knowledge and awareness of the adulteration problem by spreading the word.
Remove artificial sweeteners: If you have been including artificial sweeteners like aspartame or sucralose in your low-carb or keto diet, our experts recommend you wean yourself off them. “While there are not a whole lot of scientific studies, anecdotally we find when people get rid of artificial sweeetners, they were able to lose weight. Come off them as soon as you can,” advises Dr. Westman.
Day 3: I'm tired AF. Like the kind of tired when you're so exhausted you have to use your left arm to lift your right arm. Somehow, I pried myself out of bed to work out only to realize cardio has never been more hardio, so some chill strength training was going to have to do. (I Now Know These 8 Things About Exercising While On the Keto Diet.) Nonetheless, feelings of lethargy were to be expected, says Dr. Axe, who says days 2 and 3 were also the hardest for him the first time he tried keto. "Every body is different," he assures me. "Some people feel better by day 5, others take two weeks."
Here are some known to be killed by medium-chain fats: streptococcus (which causes strep throat, pneumonia and sinus infections), straphylococcus (which causes food poisoning and urinary tract infections), neisseria (which causes meningitis, gonorrhea and pelvic inflammatory diseases), and some other strains that cause stomach viruses, candida, ulcers and sexually transmitted diseases. (9)

“However, it may be time to question the wisdom of promoting diets with 20 to 35% fat or more for people with cardiovascular disease and/or type 2 diabetes. Diets this high in fat appear to greatly increase both acute and chronic low–grade inflammation in the body. Increasingly, inflammation is being linked to not only more cardiovascular disease but also insulin resistance and type 2 diabetes.”
MCT (Medium Chain Triglycerides) are a particular type of beneficial fat that requires minimal action from the liver to convert directly into fuel in the form of ketones. Ketones are one of the brain’s two primary fuel sources, and also a vital source of ATP energy for the body. ATP energy is what allows every muscle to move inside your body. You may have heard people discussing the ketogenic diet, which is a diet designed to help the body run on ketones (from fats) rather than glycogen (from carbohydrates). This state is called ketosis. For anyone on a ketogenic or low carb diet, MCT oil is pure gold. But you don’t need to go full ‘keto’ to benefit from ketones.
That is the short and narrow on ketosis. The last, and possible most important rule, one which applies to all diets, is that you must have a plan for whenever you decide to end your diet. Going back to your old eating habbits will result in weight gain back to your original weight, and no one wants to see all of their hrd work lost in a diet yo-yo effect. Your new diet plan needs to take two things into account: your old diet was making you fat. It was either full of poor foods, or didnt give you the nutrients that you needed and that caused you to be hungrier and overeat. Whatever the reason, your normal diet is no longer an option if it was making you fat. Take the time tht you are in ketosis to learn what you can about nutrition. I personally suggest forgoetting and forever ignoring everything that youve learned about calories in calories out rules, because they, with all due respect, do not work routinely, or even at all for some people. I suggest that you invest some time in learning how to cook for yourself (as otherwise you are at the mercy of food pdistributors, ones who are competing for the tastiest product in an attempt to lure you and your money in, with little to no concern for your health). Specifically I suggest looking into actual healthy diets, instead of starvation diets, these include but are not limited to diets such as the paleo diet, the caveman diet, or even just probiotic promoting diets.

Following a very high-fat diet may be challenging to maintain. Possible symptoms of extreme carbohydrate restriction that may last days to weeks include hunger, fatigue, low mood, irritability, constipation, headaches, and brain “fog.” Though these uncomfortable feelings may subside, staying satisfied with the limited variety of foods available and being restricted from otherwise enjoyable foods like a crunchy apple or creamy sweet potato may present new challenges.
Benefits The main ingredient in hummus, chickpeas pack an impressive amount of fiber (more than half of a woman’s 25 g daily quota), as well as iron, zinc, folate, and magnesium, according to a paper published in November 2014 in the journal Applied Physiology, Nutrition, and Metabolism. (15,16) The stats above are for a whole cup, but you only need ½ cup per day to reap the benefits.
YEP.Our Perfect MCT Oil contains only C8 and C10 MCTs. Here is a Fatty Acid lab assay to prove the MCT make-up. In addition, here is our Supplement Fact panel showing that all 14 grams of fat come from C8 and C10. Beware as many other products have high levels of C12, which is really more of a medium-long chain fatty acid and less beneficial as a quick energy source.
When it comes to eating a healthy diet, olive oil is your best friend. It tastes delicious, it's full of healthy, good-for-your-heart fats, and it might even help fight off dangerous belly bugs. But there’s another way this golden health elixir can make your life better—and you don't even need to eat it. Simply smelling olive oil may help you lose weight, according to a recent study in the American Journal of Nutrition.
Your current health status. Your overall health plays a major role in how fast you will lose weight and adapt to a lower carb diet. If you have any hormonal or metabolic issues, weight loss might be slower or a bit more challenging than expected. Insulin resistance, excess visceral fat, and thyroid issues, for example, can all have a significant impact on your weight loss rate.

Key Takeaways: Two large-scale meta-analysis indicate that people who consume a low-carb diet (<50 g carb/day) lose a slightly larger amount of weight compared to people eating a low-fat diet over 12-month span. Neither meta-analysis assessed the loss in body fat percentage within each diet and which other dietary of exercise interventions promoted weight-loss when coupled with the ketogenic diet.
Researchers attributed this to the increased metabolism and fat burning that comes with consuming MCTs. I love coconut oil because it provides the very best natural source of MCT oils to boost metabolism, cut your hunger, lower triglycerides, reduce fat storage, and even improve athletic performance.  On top of all these benefits, MCTs make excellent brain and cellular fuel.
To put it another way, the ketogenic diet is one of the best ways to “hack” our brain and food environment so that we naturally eat fewer calories and lose weight. What is even more interesting is that this isn’t the only reason why many people find weight loss success with keto. By restricting carbs, we also unlock the weight loss boosting benefits of ketones.
Once fat adapted, cut back on extra fat: One of the great joys of low-carb keto eating is adding back fat into our bodies after denying them fat for so long. But a keto diet is not carte blanche to gorge yourself on fat, the experts note. If you want to lose weight, you have to burn your own fat stores for energy, not consume all the energy you need by eating fat. So stop the bulletproof coffee and fat bombs for now.
After investigating 20 controlled feeding studies, Hall and Guo found that both low-carb and high-carb diets had similar effects on body fatness and energy expenditure. The results of this meta-analysis provide us with high-quality evidence that supports the widely-believed theory that calories matter much more than the fat or carbohydrate content of the diet when it comes to weight loss. [24]
At this point, you probably already know that the Mediterranean diet is good for your health. Research proves over and over again that people who put an emphasis on produce, fish, whole grains, and healthy fats not only weigh less, but also have a decreased risk for heart disease, depression, and dementia. So what are you waiting for? Here are the basics: Shop the market perimeter, eat seasonally, and break (whole-grain) bread with people who make you smile. Now for the nitty-gritty.
And so much more. Click Here to open a chart comparing the nutrients in the same number of calories from green leafy lettuce and olive oil. Keep in mind, too, what mountains of research over the past several decades have told us. Consistently, the foods linked with healthier, longer, disease-free lives are foods rich in all kinds of nutrients – vitamins, minerals, fiber, polyphenols, beta carotene, and so on. Yes, foods like leafy greens. Olive oil, by comparison, tallies up a whole lot of zeros.
It’s also crucial, if you’re eating more fats, to make sure you eat the right kinds. A study published last year in Lancet Public Health of 15,428 adults found that low-carb diets were linked with a higher risk of dying during the study period if people replaced carbs with animal-based fats and protein. But those who replaced carbs with fat and protein from plants—such as avocados, olive oil, nuts, and seeds—had a lower risk of dying.  

In 2013, a landmark study of more than 7,000 people in Spain was published. The study’s subjects were split into three groups: those receiving advice about following a Mediterranean diet and getting extra-virgin olive oil delivered to their home; receiving advice about following the Mediterranean diet and getting nuts delivered to their home; and, in the control group, receiving advice about following a low-fat diet.

Good fats in olive oil, nuts, and fish are beneficial for our health, and science is continually proving this to be the case. Recent studies have shown that consuming a Mediterranean diet with extra virgin olive oil leads to lower rates of cardiovascular diseases and cancer. And now there is evidence that the healthy fats in olive oil is linked to weight loss.

The participants had an age range of 22 to 75 years with an average age of 46.8 years. They had a BMI range of 30 to 45 kg/m2. About 88% of the participants were female and 51% were of African origin; thus, it was considerably more diverse than the prior study. They were also free of cardiovascular and renal complications including type 2 diabetes, cardiovascular diseases, and kidney disease as well as significant weight-loss in the past six months.
Over the past 50 years, what we think of as Mediterranean fare has changed. Many of us picture huge, three-hour feasts with multiple courses of pizza, lasagna, racks of lamb, long loaves of white bread, and endless bottles of wine. But the true Mediterranean Diet is based on the region’s traditional fruits, vegetables, beans, nuts, seafood, olive oil, and dairy—with perhaps a glass or two of red wine. That’s how the inhabitants of Crete, Greece, and southern Italy ate circa 1960, when their rates of chronic disease were among the lowest in the world and their life expectancy among the highest, despite having only limited medical services.And the real Mediterranean diet is about more than just eating fresh, wholesome food. Daily physical activity and sharing meals with others are vital elements of the Mediterranean Diet Pyramid. Together, they can have a profound effect on your mood and mental health and help you foster a deep appreciation for the pleasures of eating healthy and delicious foods.
For example, a 2003 study published in the Journal of Obesity and Related Metabolic Disorders showed that after comparing long-term consumption of MCTs and LCTs on energy expenditure, body composition and fat oxidation in obese women, the MCTs had more significant effects. Substitution of MCTs for LCTs in a targeted energy balance diet proved to offer better prevention of long-term weight gain due to increases in energy expenditure and fat-burning. (2)
On a less serious (but still important) note, it is important to start using MCT oil slowly. Because it is so readily and quickly used by the body, it can lead to all kinds of (temporary but embarrassing) digestive disturbances if you jump in to quickly. I’ve even stumbled across entire threads in online forums bemoaning the “disaster pants” that resulted from using too much MCT oil too quickly. It is generally considered safe to start with 1/2 to 1 teaspoon and work up as the stomach permits.

Research suggests that the benefits of following a Mediterranean-style eating pattern may be many: improved weight loss, better control of blood glucose (sugar) levels and reduced risk of depression, to name a few. Eating like a Mediterranean has also been associated with reduced levels of inflammation, a risk factor for heart attack, stroke and Alzheimer’s disease.


Additionally, they remarked that “concerns about adverse metabolic effects of the Atkins diet were not substantiated within the 12-month study period.” [16] They acknowledged that more research needs to be done on the long-term effects on cardiovascular and metabolic health especially on men. However, their study supports the idea that a low-carbohydrate diet can help you lower body mass and body fat better than higher-carbohydrate alternatives.
There’s no one book or website to follow if you want to learn about the Mediterranean diet, and there’s no one way to structure a meal plan around it. But in general, says Weems, the Mediterranean diet is rich in fruits, vegetables, nuts, whole grains, olive oil and lean sources of animal protein. It’s low in red meat and other saturated fats, and it contains few processed foods or refined sugars.
I so admire all the hard work you put into this article. I learned so much ! And you look healthy and great ! This article was really thorough and includes everything someone like me needs to know about keto. I’ve slogged through the last 1 1/2 to 2 years on a so-so low carb diet, never really committing. I have more energy now but I know I could have more. Yes, I lost some weight–about 25 to 30 pounds over the course of the last two years, but I need to lose way more. Just in the last week or so I’ve started seriously considering keto and trying to learn more about it. Your article was a godsend…thank you !! You’ve given me just that boost I needed ! Thanks so much !!
"I always make an assessment of whether or not the cheat is worth it and 99 percent of the time, it’s not. If I do have a cheat meal, I don't worry about what the scale says afterward. I want to be happy with the decision before I make it, during it, and after I make it. A lot of it is living with your decisions and not beating yourself up over it."
The FDA appears to agree with data showing that replacing butter with olive oil generally improves blood lipids, “but it also recognizes that this improvement might or might not reduce the risk of coronary heart disease,” points out Gomer “There is no convincing evidence at this time that those better-looking blood lipids necessarily lead to a lot less atherosclerosis or fewer heart attacks.”

“It makes other food, especially vegetables, taste delicious,” says Palinski-Wade. Raw broccoli? Salad with fat-free dressing? Meh. But broccoli sautéed with garlic and olive oil, salad drizzled with homemade vinaigrette — now we’re talking. “There are so many micronutrients in veggies with potential to help reduce belly fat — but they won’t work if you don’t eat them. I really think that’s a huge reason diets rich in olive oil have been shown to take off more weight,” says the pro. “Olive oil leads to greater vegetable consumption!”
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