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By Hub staff report

When it comes to weight loss, how many calories you consume might be more important than when you consume them, challenging the popularity of intermittent fasting, according to a new study of time-restricted eating by researchers at Johns Hopkins University published April 19 in Annals of Internal Medicine.

Nisa Maruthur

Johns Hopkins School of Medicine

The Johns Hopkins researchers randomly assigned 41 adults with obesity and prediabetes to either time-restricted eating (TRE) with a 10-hour eating window or a regular eating pattern for 12 weeks to compare weight loss and other measures of metabolic health, according to a study summary provided by Annals of Internal Medicine. Their randomized, controlled trial found that both TRE and a more traditional daily eating pattern resulted in weight loss when calories were held constant in both groups. It did not seem to matter whether participants consumed most of their calories early in the day or in the evening, suggesting that overall calories may be more important than meal timing when it comes to weight loss.

"It makes us think that people who benefit from time-restricted eatingmeaning they lose weightit's probably from them eating fewer calories because their time window's shorter and not something else," said the study's lead author, Nisa Maruthur, an associate professor of medicine at Johns Hopkins University, in an interview with NBC News. Maruthur presented the findings at the inaugural scientific plenary session "New in Annals of Internal Medicine: Hear it First from the Authors" in Boston last week during the annual American College of Physician's Internal Medicine Meeting.

Image caption: Nisa Maruthur

Similar to intermittent fasting, patients using TRE limit their eating to a window of time during the day and then fast for the remaining hours. During the eating window, patients are not required to count calories or monitor food intake and during the fasting window, patients are limited to water and calorie-free beverages. Evidence shows that when adults with obesity limit their eating window to four to 10 hours, they naturally reduce caloric intake by approximately 200 to 550 calories per day and lose weight over two to 12 months. Whether TRE induces weight loss independent of reductions in calorie intake, as seen in rodent studies, is unknown.

At the beginning of the study, the researchers assessed participants' history and activity level to estimate baseline caloric needs. The participants received prepared meals with identical macronutrient and micronutrient compositions based on their individual calorie estimates and instructions on when to consume the meals. They ate the same number of calories daily throughout the study. The time restricted eating group was instructed to eat only between the hours of 8 a.m. to 6 p.m. and consumed most of their calories before 1 p.m. each day. The usual eating pattern group ate between 8 a.m. and midnight and consumed most of their calories after 5 p.m. each day. After 12 weeks, both groups lost about the same amount of weight and there were no real differences in fasting glucose, waist circumference, blood pressure, or lipid levels. According to the authors, these findings suggest that if or when TRE interventions induce weight loss, it is likely in part due to a reduction in calories, and, therefore, clinicians can counsel patients that TRE may help them lose weight by decreasing their caloric intake.

According to the authors of an accompanying editorial from the University of Illinois Chicago, these results have important clinical implications. While TRE was not found to be more effective for weight loss, it may be easier for patients to follow because it allows them to continue consuming familiar foods. This simplified approach to treating obesity could help patients who don't do well counting calories.

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New Johns Hopkins study challenges benefits of intermittent fasting - The Hub at Johns Hopkins

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Delta Burke Shares Dangerous Weight Loss AttemptsJason LaVeris - Getty Images

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Delta Burke opened up about the extreme and dangerous ways she once attempted to lose weight, which included trying crystal meth.

She said she did so because of the public scrutiny she witnessed as a sitcom star in the 80s and 90s.

She ultimately left acting because she was too emotionally fragile to handle the incredibly ugly public narratives about her.

Everyone remembers The Golden Girls, but there was another quartet of women who ran the sitcom scene in the 80s and 90sthey were the cast of Designing Women, led by Delta Burke, who experienced her share of body-shaming by tabloids and critics. The scrutiny pushed the then-twenty-something to go to extreme measures to lose weight. Now, at 67, Burke is sharing the dangerous diet hacks she tried, and what she learned along the way.

Before landing in TV, Burke went to acting school in London, where she was prescribed obscure pills for weight loss, she told Chelsea Devantez on her Glamorous Trash podcast. They made my heart race, she said. But I lost weight.

Fast forward to her time on Filthy Rich in the early 80s, where she was pressured to be smaller. She asked her doctor for more of the aforementioned pills, and discovered that the prescription was illegal in the United States. Eventually, she connected with someone who could sell her the Black Beauties, as she called them, off-market.

Before going to work, she would take them in the morning so you wont eat, she recalled. They were like medicine to me.

Burke said she eventually built up a tolerance, and the Black Beauties stopped working. A colleague then recommended she try methamphetamine, a highly addictive stimulant and appetite suppressant that affects the central nervous system, per the National Institute on Drug Abuse.

Nobody knew about crystal meth at the time, she told Devantez. [They told me,] You chop it up. You snort it. I said, I dont want to snort it. So I put it in cranberry juice and [drank] it and wouldnt eat for five days.

Even then, Burkes weight remained a topic of conversation. They were still saying, Your butts too big. Your legs are too big, she said. And I now look back at those pictures and go, I was a freaking goddess. I didnt have a clue. I wish I had a clue, I wouldve used it.

Ultimately, being put under a very public microscope took a toll on Burkes mental health, as it would for anyone. She said she was emotionally too fragile to deal with the incredibly ugly narratives about her size. In 1986, she was hospitalized. I did have a breakdown, she recalled. It had become too much. I really couldnt handle it and didnt wanna go back. Burke left Designing Women in 1991, per Peopleit ran for two more years.

I thought I was stronger. I tried very hard to defend myself against lies and all the ugliness that was there and I wasnt gonna win. Im just an actress, you know. I dont have any power, Burke explained. Hollywood will mess your head up. And I had always thought, I want to be a famous actress. I thought that meant that you would be a famous and well-respected actress, but thats not what it meant. And the moment I became famous, it was like, Oh no, no, no. This is not what I had in mind at all. I dont think I want to be this anymore. But then its too late.

If you believe you are struggling with an eating disorder and need support, call the National Eating Disorders Association helpline at (800) 931-2237. You can text HOME to 741741 to message a trained crisis counselor from the Crisis Text Line for free.

If you or someone you know is struggling with substance abuse, call the Substance Abuse and Mental Health Services Administrations free 24/7 hotline at 1-800-662-HELP (4357).

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Delta Burke, 67, Shares the Extreme Ways She Tried to Lose Weight - AOL

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REAL Housewives of Salt Lake City star Heather Gay has concerned fans after she was spotted in a new social media post.

The 49-year-old reality television star was pictured with a castmate, Whitney Rose, while traveling back from Mexico.

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Heather wore a pink printed Hawaiian shirt which she left open over a white tank top.

She completed the look with a grey baseball cap and left her blond locks completely straight.

Heather looked slimmer than ever and seemed to have shifted the pounds recently.

Whitney smiled and posed for the camera while sitting down in the airplane next to Heather.

"My friend is on a flight with the #RHOSLC cast and I am dyinggggg of fomo. How cute are @heathergay29 and @whitneywildrose wrote a fan on X, formerly Twitter, who took the photo.

A Bravo fan page reposted it onto their story and added the caption "Thats a wrap on the #RHOSLC cast trip to Mexico! Filming for S5 should wrap up very soon!"

Fans flooded to the comment section to express concern for Heather's appearance.

"I didnt even recognize Heather! She looks like the New York housewife Leah!!!" wrote one fan.

"Whoa!! Heather is half the size she was last season!! I didnt even recognize her," added another.

"Is Heather ok???? Omg," asked a third concerned follower.

"THATS NOT HEATHER omg girl put the Ozempic down," noted a fourth.

In November, theRHOSLCstar revealed that she's been using the controversialweight lossdrug Ozempic to lose weight.

Heather's weight loss was apparent on Tuesday when she arrived at Watch What Happens Live inNew York City.

Photos captured the reality star ahead of her sit down withBravoboss,Andy Cohen, wearing a silver metallic skirt, white shirt, Valentino belt, and white overcoat.

Heather, 49, confessed that she's on the "Ozempic train" in an interview withPeopleat Variety's Women of Reality TV event inLos Angeles, California.

"I've been on it for a long time, but hadn't really seen much results. And I haven't had massive results, but enough for people to notice, which is great," the Bad Mormon: A Memoir author said.

[I'm on the] Ozempic train

Heather then revealed she found how people treated her after losing weight "discouraging" as they acted "nicer" toward her.

"You lose five pounds, people are nicer to you," the TV personality observed. "I don't know why. It's just the way the world works and that makes me sad for women. But happy that I'm down five."

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RHOSLC star Heather Gay shows off drastic weight loss in new photo but fans are concerned for stars hea... - The US Sun

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Last year, a

The journal, Diabetes Care, took data from nearly 30,000 people with obesity, 10 per cent of whom who also had type 2 diabetes, and the authors found that participants who performed exercise at night had the lowest risk of heart disease and premature death than those who did not. Said participants performed aerobic exercise between 6pm and midnight.

Its not clear why working out at night may be beneficial, but the research suggests that it could lead to lower glucose levels in the morning, thereby potentially providing metabolic benefits.

While we need to do further research to establish causal links, this study suggests that the timing of physical activity could be an important part of the recommendations for future obesity and type 2 diabetes management, and preventive healthcare in general, study author Emmanuel Stamatakis, PhD, professor of physical activity, lifestyle, and population health at the University of Sydney, said in a press release.

The findings are worth noting if you, or someone you know, has type 2 diabetes or obesity, but know that its not the be all and end all if a 6pm-12pm workout timeframe doesnt work for you.

The NHS advises 150 minutes of moderate intensity activity per week, or 75 minutes of vigorous intensity activity. Its also recommended to spread this over four-five days per week. If evening exercise doesnt work for you, remember that, ultimately, what matters is that you cement a sustainable, regular exercise routine that works with your lifestyle.

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Study indicates 'best time' for people with obesity to exercise - Women's Health UK

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Fastest Diet: 'Battle of the Diet' Study Reveals the Winner - Woman's World

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Dr Babak Ashrafi, Superdrug Online Doctor, has explained how sudden weight loss can affect your hair and skin, and what you can do about it. Hair loss: If you've lost a lot of weight in a short space of time, you may notice that your hair isn't as thick as it used to be. "Rapid weight loss can trigger hair shedding and thinning. This occurs due to the body's response to stress, which can disrupt the hair growth cycle," Dr Ashrafi says. "As a result, individuals may experience noticeable thinning of the hair and a reduction in hair density.

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Expert reveals impact of sudden weight loss on hair and skin - Wetumpka Herald

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There's widespread uncertainty about whether or not dairy is good for you, especially when it comes to weight loss. Some concerns stem from the fact that many dairy foods are high in saturated fats associated with heart disease and weight gain or that consuming dairy may lead to inflammation. Additionally, many people are lactose intolerant and avoid dairy altogether. However, recent studies and expert opinions have challenged these beliefs and highlighted the benefits of consuming dairy foods for weight loss.

Dairy naturally contains important nutrients like calcium and protein, and research has shown that it can absolutely be a part of a balanced weight loss diet. One 2019 review found that dairy foodseven whole-fat optionsdon't lead to weight gain. In fact, they may decrease body fat and increase lean body mass. Additionally, consuming fermented dairy products, such as yogurt and cheese, is not only linked to a lower risk of cardiovascular disease but may also protect against type 2 diabetes.

S what are some of the best products for those looking to add dairy to their day, and how can these items specifically help with losing weight? We answered these questions by talking with a dietitian about the healthiest dairy foods and drinks. Read on to learn more, and check out these Easy 5-Ingredient Meals for Weight Loss.

People may often assume that they can't have milk when they're trying to lose weight, often because it contains fat and natural sugars. But this simply isn't true! According to Lauren Manaker, MS, RDN, 2% milk can help you achieveyour goals.

Manaker says, "2% milk can be a valuable component of a weight loss diet due to its balanced nutritional profile." For starters, "It delivers a moderate amount of fat, enhancing satiety and reducing the frequency of snacking on less healthy options," she says. 6254a4d1642c605c54bf1cab17d50f1e

Manaker also adds that the protein content in 2% milk "aids in muscle repair and growth, which can be particularly useful after exercise sessions."

Beyond providing fat and protein to keep you full and help you build muscle, Manaker adds that the calcium it contains "is not only pivotal for bone health but may also play a role in body weight regulation." She adds, however, that "more data is needed to confirm this."

25 Superfoods That Are Surprisingly High in Protein

Whether you eat it with granola or berries, yogurt can be an extremely healthy part of your weight loss goals.

Firs, this dairy product contains protein, which can help you feel more satiated, boost your metabolism, and help you build lean muscle mass. On top of its protein content, yogurt is fermented, making it an excellent source of probiotics. These probiotics can directly improve your gut microbiome, and a healthy gut has been linked to greater weight loss and management.

According to a review of over 20 research studies published in the International Journal of Obesity, consuming yogurt has been linked to lower body weight, smaller waist circumference, and lower body fat.

The 11 Best Yogurts for Weight Loss

Greek yogurt is similar to regular yogurt; it just goes through an extra straining process that removes the whey liquids, which gives it a thicker texture and a tangier flavor.

Aside from the flavor differences, Greek yogurt is also naturally lower in sugar and higher in protein than regular yogurt. Protein can help you lose weight for many reasons, and some people choose to cut down on their sugar intake because of the link between high-sugar consumption and weight gain.

This makes Greek yogurt a great choice for those looking to increase their protein and reduce their sugar intake as part of their weight loss plan.

The 6 Healthiest Greek Yogurts

Throwing another type of yogurt into the mix, Skyr is an Icelandic dairy product that Manaker says works great as a part of a weight loss diet.

"The protein in skyr helps promote satiety, making one feel fuller for longer periods, which can lead to a reduction in overall calorie intake," she says. "Furthermore, the probiotics present in skyr aid in improving gut health, which is crucial for maintaining a healthy metabolism."

Kefir is a fermented product made from dairy milk, and according to Manaker, "this beverage is rich in probiotics, proteins, and various vitamins and minerals," and it makes for an excellent healthy dairy item for your weight loss goals.

"Its unique fermentation process, involving the culture of kefir grains in milk, results in a tangy, slightly carbonated drink that supports digestive health through its probiotic content," she says. "These beneficial bacteria may boost metabolism and enhance the body's ability to digest and assimilate nutrients effectively."

She also adds that "kefir's high protein content can increase feelings of fullness, reducing overall calorie intake and supporting weight loss efforts."

7 Fermented Foods Scientifically Linked to Better Health

Cottage cheese stepped into the spotlight a few years back when people started realizing you can use it in a variety of recipes like smoothies, ice cream, dips, and even bread.

Because of how easy it is to add to your favorite foods, and the fact that it has a lower fat content and tons of protein, cottage cheese is an excellent dairy food for those trying to lose weight.

Can Cottage Cheese Help You Lose Weight?

If you haven't tried labneh yet, you're missing outnot just because of its health benefits but because of its addictingly tasty flavors.

"A creamy, tangy cheese made by straining yogurt to remove most of its whey, labneh is a staple in Middle Eastern cuisine known for its versatility and health benefits," says Manaker. "Its high protein content makes it an excellent choice for those aiming to lose weight, as it can help in feeling fuller for longer periods, reducing overall calorie intake."

She adds, "the probiotics found in labneh assist in maintaining a healthy gut microbiome, which is crucial for digestion and may play a role in weight management."

Nope, string cheese isn't just for your kid's lunchbox. This snack is perfect for your weight loss goals because it's already portioned out so you don't have to worry about consuming too much. And on top of that, each stick contains a helpful dose of protein to keep you full until you're next meal. For instance, it of course depends on the type of cheese and brand, but a standard string cheese contains about 7 grams of protein for only 80 calories!

If you want to add some fiber to your snack, which is a nutrient that can also help you feel more full, add some apple slices or some whole-wheat crackers to your plate.

9 Best & Worst Mozzarella Cheeses

Any time you go to the store, you know there are rows and rows of different types of milk to choose from. Although we've already discussed that dairy milk comes with helpful nutrients like fat, protein, and calcium, you can also buy fortified cow's milk, which means certain vitamins have been added to the milk in addition to what's naturally there.

Fortified milk most commonly contains vitamins A and D, both of which have been linked to potentially helping with weight loss efforts.

According to a study published in the International Journal of Preventative Medicine, deficiency in vitamin D has been connected to a greater risk of obesity, and supplementing this vitamin can help with weight loss. Another study found that there is a possible connection between vitamin A and weight loss (as well as abdominal fat loss, specifically), but this was an animal study and more research is needed overall.

Because dairy milk in general can be helpful in people's efforts to lose weight, buying fortified milk when you feel you may be lacking in certain vitamins can help you even more.

Similar to string cheese, pre-portioned cheese wedges are a great weight-loss snack. Many brands make spreadable cheese that comes individually wrapped and are lower in calories while still maintaining their protein and calcium content.These snacks work great for weight loss because you can keep your calories at bay and still enjoy a savory snack.

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The 10 Healthiest Dairy Foods for Weight Loss - Eat This, Not That

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Last year was called the year of Ozempic, though it was also a year of Ozempic backlash and Ozempic shortages, which could persist for years. Even so, we appear very far from a peak for GLP-1 drugs, like Ozempic and Wegovy, which are powered by a molecule called semaglutide, and Mounjaro, which uses its cousin tirzepatide. It seems possible to imagine a future in which almost everyone is taking some variety of GLP-1 drug, and with a pretty good reason to do so.

Probably, you have heard about the game-changing impact of such drugs on obesity, a condition that affects 40 percent of Americans and increases the risk of heart disease, stroke and hundreds of other comorbidities. Patients on Ozempic and Wegovy can lose 15 to 20 percent or more of their weight in a little over a year, and if they stay on the drugs, the weight tends to stay off. That may not sound like a monumental effect, but consider that on average, an obese 210-pound man who loses 20 percent of his body mass generally passes quickly through the overweight stage all the way to a normal weight.

If anything, though, weve probably talked too much about cosmetic weight loss and Hollywood vanity and certainly made too many comparisons to fen-phen, Botox and Viagra. The GLP-1 drugs have been shown to cut risk of heart attacks, strokes and death from coronary disease by 20 percent among overweight and obese patients, presumably through the salubrious effects of weight loss, though the researchers cant yet say for sure. Semaglutide has been shown to eliminate or reduce the need for insulin among those with recent-onset Type 1 diabetes. In a clinical trial of people with Type 2 diabetes and moderate to severe kidney disease, the drug reduced the risk of kidney disease progression and cut the death rate from cardiovascular and kidney-related causes by 24 percent such a clear result that the trial was ended early. Semaglutide has reduced fatty liver deposits in patients with H.I.V. and nonalcoholic steatotic liver disease. It has normalized the menstrual cycles of those with polycystic ovary syndrome. (It has also, somewhat mysteriously, seemed to produce a wave of unintended pregnancies among women taking birth control, at least if TikTok videos are to be trusted.)

Studies have shown promise in treating Alzheimers and Parkinsons with GLP-1 drugs, perhaps by regulating insulin levels and reducing inflammation, and the drugs may yet prove useful in treating many other conditions made worse by chronic inflammation. Some studies have found large decreases in the risk of depression and anxiety; others found smaller but still positive effects. There are potential applications for schizophrenia and neurological dysfunction, thanks to the role that insulinlike hormones like GLP-1 play in the development of the central nervous system and the way semaglutide reshapes the brains chemical reward system. It seems to bend the curve on alcoholism and drug addiction and curb other addictive behaviors, as well compulsive shopping and sex addiction, gambling and nail biting, smoking and skin picking. A compulsive nation has stumbled into what looks like a treatment for compulsion and one that happens to protect against some of the countrys biggest killers and curb some of its most pervasive pathologies and inner demons.

Americans love to dream of miracle drugs, but hardly anything ever seems to fill the bill. True, semaglutide has arrived with real questions trailing like bunting: Much of the weight loss is from lean muscle mass, which isnt ideal, and there are reasons to worry over the possibility of thyroid problems, loss of bone density and sarcopenia, a weakness disorder associated with aging. There are potentially other serious long-term side effects, though millions of Americans have been taking Ozempic for Type 2 diabetes for years without serious issues. (Some of them do report more familiar side effects, like nausea.) The GLP-1 drugs arent a permanent fix in a single shot whether the thing being addressed is body mass index or cardiac risk or the progression of Alzheimers but a permanent disease-management program. They also havent exactly cured cancer, although more than a dozen cancers are linked to obesity, and in at least one case, colorectal cancer, there is reason to believe GLP-1 drugs may directly cut the chances of developing the disease.

All that means that semaglutide isnt exactly a cure-all, in the vernacular sense. But it seems to be about as close as weve gotten, even in a time of racing biomedical progress, to that old science-fiction proposition one pill for almost everything and almost everyone forever.

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Opinion | Ozempic and Wegovy Have Health Benefits Beyond Weight Loss - The New York Times

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Summary

1000-Lb Sisters star Tammy Slaton looks different in her new photos from her glamorous girls' trip with her soul sister. Tammy is a 37-year-old YouTuber from Dixon, Kentucky, who got her reality TV break on 1000-Lb Sisters season 1 with sister Amy Slaton. Tammy weighed more than 700 pounds but wasnt serious about losing weight at the start. A health scare and a visit to the hospital motivated Tammy to get rid of her bad habits and shed some pounds to qualify for her bariatric surgery. Tammy has lost 440 pounds since her weight loss surgery in July 2022.

1000-Lb Sisters star Tammy Slaton is embarking on new adventures as she slims down and shows off her new figure.

Tammy has become good friends with psychic Haley Michelle, and the two have started spending a lot of time together.

They recently posted a screenshot of them talking on FaceTime where they were perhaps making plans to go on a girls' trip together. Haley shared a photo with Tammy where the two ladies hugged each other. Haley captioned it, Spiritual sisters. She mentioned that her connection with Tammy was powerful and they dont have to explain anything to anyone. She told Tammy she was her best friend. Tammy showed her tattoo in her picture with a slight smile to look mysterious.

Tammys friend accompanied her on the girls' trip where they filmed a hilarious new video. The Instagram Reel posted by Haley showed her, Tammy, and their friend Paola in an outdoor setting reenacting a scene from Alvin And The Chipmunks: The Squeakquel. Tammy was Simon Seville in the Cheeseballs Scene and mouthed the words, Its a food ghost town in here, while Haley pretended to be Alvin. While Tammy hid behind a tree in the video, her slimmer frame was noticeable in a black off-shoulder dress. Tammy was also glammed up for the video, wearing bright red lipstick.

While Tammy seems to be enjoying her new friendship with the TikToker, not all of her fans are pleased with her choices.

Haleys caption for her sisterly photo with Tammy also seemed to be taking aim at fans who think she is a clout chaser. 1000-Lb Sisters fans went to the comments section to question if people are using Tammy to become famous or to get noticed. There seem to be fans who suspect Haley is riding on Tammys coattails, even though some of them think Haley has always been quite famous on social media. Someone even asked Tammy if Haley would still be friends with her if Tammy refused to take photos with her.

Haley herself insists that shes hung out with Tammy hundreds of times, and they havent always taken photos. She claims it's Tammys idea to post the pictures, since she wants to start posting more on social media and even wants to start modeling as a career. Haleys claims are believable because Tammy has dolled up for the pictures and even posed in a swimsuit recently with Haley on the same trip. That photo of Tammy has also gone viral for showing her incredible post-weight loss makeover.

1000-Lb Sisters seasons 1-5 can be streamed on Discovery Plus.

Sources: Tammy Slaton/Instagram, Haley Michelle/Instagram

1000-lb Sisters follows sisters Amy Salton-Halterman and Tammy Slaton in their home in Dixon, Kentucky, covering their daily lives, weight loss attempts, and subsequent weight loss surgery. The show covers such moments as attempts to have children, medical visits, and dramatic emergency room visitations. The family wrestles with supporting their daughters and their weight loss efforts while struggling with their own life troubles.

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1000-Lb Sisters' Tammy Slaton Reveals Weight Loss Transformation On Girls Trip - Screen Rant

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Featured Image Credit: Instagram/@misshaleymichelle / TLC

Published 15:44 25 Apr 2024 GMT+1Updated 15:44 25 Apr 2024 GMT+1

Tammy Slaton has shown off the next steps in her weight loss journey with a post on Instagram.

Reality TV star Tammy Slaton has been praised by her social media fans as she shows off her massive weight loss.

Whatever your health or weight goals, we all know it can prove to be difficult and is an ongoing battle with ups and downs.

And the fans of 1000-lb Sisters star Tammy Slaton have shown they are going to continue to support her as she goes from strength to strength.

The 37-year-old was seen posing poolside with her friend and psychic Haley Michelle in an Instagram post where Michelle said she was so proud of her.

Tammy has been on a long weight loss journey, weighing around 725 pounds at her heaviest.

The reality star has long been candid about her food addiction and her difficulties on dropping her size and getting her health in order.

Previously confined to a wheelchair due to her size, last year in May it was reported she was finally able to walk on her own after losing weight.

Tragically, in the same year her husband died at the age of 40, with Tammy saying she missed him 'like crazy'.

Many of her fans have been on the journey from the beginning and continue to encourage the reality star to continue dropping the pounds.

Holy wow! The transformation is incredible! So happy to see how far you have come I may have cried a little, one user wrote.

I know that Tammy must be so proud of herself. She fought the hard fight and made it when so many people wrote her off. Congrats girl! added another.

Goo Tammy!!! Watching your journey has been nothing but amazing. Keep going Tammy!!! Proud of you, a third commented.

However, just like with any post on social media, there were some that took issue with it. Some users accused friend Michelle of using Tammy to gain social media fame.

Tammy, I'd love to see pics of just YOU. @misshaleymichelle, we are tired of seeing your over filter face. This is Tammy's journey, not yours, wrote one user

Who is this rando that has kidnapped Tammy for clout, commented another.

But this spearheaded another breed of comment with some users complaining about those complaining.

It really is an endless cycle but all in all, Tammy seems to be happy and making progress, which is the main thing.

Topics:Health, Celebrity

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1000-Lb Sisters star Tammy shows off incredible 440-pound weight loss in new post with friends - UNILAD

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