44 Joel Fuhrman, M.D.
vegetables and grains. Cooking your food in oil will make your diet
less effective and you will not lose weight as easily. You may not
even lose any weight at all.
Vigilante and Flynn tested their diet on 120 people, and the av-
erage person lost eight pounds in eight weeks. In the same amount
of tune on my diet, you will lose at least three times that, if you have
that much extra weight to lose. Keep in mind, weight loss slows
down over time. Most people starting almost any diet after eating
haphazardly lose some weight initially. It is easy to drop a few pounds
by merely counting calories, but many overweight individuals with a
strong genetic tendency to obesity and slow metabolism who need to
lose lots of weight may lose very little or none at all. Some may lose
an initial five to fifteen pounds, but then when further weight loss
becomes even more difficult, they give up.
Another problem with Mediterranean diets is the preponderance
of pasta and Italian bread, which not only causes difficulty with
weight control but is also an important factor in increasing colon
cancer risk in populations with this eating style.^34
For the very overweight individual, this Mediterranean diet, like
other conventional weight-loss programs, is neither restrictive enough
nor filling enough to achieve the results desired. Because olive oil
adds so many extra calories to their diet, the dieters still have to care-
fully count calories and eat tiny portions. All those calories supplied
by olive oil, almost one-third of the total caloric intake, make the diet
significantly lower in nutrients and fiber.
You can always lose weight by exercising more, and I am all for
it. However, many very overweight patients are too ill and too heavy
to exercise much. As a former athlete, and today as a physician, I am
an exercise nut and a fanatic about recommending exercise to my
patients, but many patients cannot comply with a substantial exer-
cise program until they are in better health or lose some more weight
first. So many people need a diet that will drop weight effectively,
even if they can't do lots of exercise.
I have tested my recommendation on more than two thousand
patients. The average patient loses the most weight in the first four to
six weeks, with the average being about twenty pounds. The weight
loss continues nicely — those following this program continue to lose
about ten pounds the second month and about a pound and a half
per week thereafter. The weight loss continues at this comparatively
quick rate until they reach their ideal weight.