Category: Myth-busters

  • The 10,000 Steps Myth: How Many Steps You Really Need

    The 10,000 Steps Myth: How Many Steps You Really Need

    In short: You do not need 10,000 steps a day for your health to benefit. The number began as the name of a Japanese pedometer in 1965, not as a research finding. Large studies now link the biggest drop in risk of early death to the range from very few steps up to about 7,000 to 8,000 a day, with benefits leveling off around 6,000 to 8,000 for adults over 60 and 8,000 to 10,000 for younger adults. For weight loss, steps help most as part of a plan with eating changes.

    Old people, man, woman, love, nature, path, walk, harmony, hand in hand, arm-in-arm, people, pair, togetherness, together, as a couple, older, old, relationship, man and woman, silhouettes, lovers, fa
    Photo: Marzena7 / Pixabay

    Fitness trackers often set 10,000 steps as the default goal, and many people feel they have failed if they fall short. This article explains where the number came from, what the biggest step studies found, and how steps fit into weight loss. For a practical walking plan, see our guide to walking for weight loss, which has a 6-week plan and pace targets.

    Steps at a glance

    Checked on October 7, 2026

    Where 10,000 steps came from

    The goal traces back to Japan in the 1960s. In 1965, a company sold a pedometer called the manpo-kei, which translates as “10,000 steps meter”. Dr. I-Min Lee, a Harvard epidemiologist who has studied step counts and health, told Harvard Health Publishing that “the name was a marketing tool”. A 2004 review by step researchers traced the figure to Japanese walking clubs and a business slogan, and said that 10,000 steps was a reasonable estimate of daily activity for healthy adults but might not be sustainable for some groups, including older adults and people with chronic conditions.

    In other words, 10,000 was a round, memorable number that happened to sit near what active people do. It was never tested as a threshold, and for decades nobody checked whether fewer steps would bring most of the benefit. Our history of exercise fads shows how often fitness targets begin as marketing.

    What the big step studies found

    Researchers finally tested the question with step counters worn by tens of thousands of people, then followed them for years. Three studies stand out.

    Older women (2019). In the Women’s Health Study, 16,741 women with an average age of 72 wore a step counter for a week and were followed for about four years. Women in the lowest group averaged 2,718 steps a day. Those averaging 4,363 steps had a 41% lower risk of dying during the study, and the risk kept falling up to about 7,500 steps a day, then leveled off. How fast they walked mattered less once the total number of steps was taken into account.

    US adults (2020). In a national sample of 4,840 adults aged 40 and older, followed for about 10 years, taking 8,000 steps a day was linked to a 51% lower risk of death from any cause than taking 4,000, and 12,000 steps to a 65% lower risk, after adjusting for age, health conditions, body mass index and other factors.

    Fifteen studies pooled (2022). The largest analysis combined data from 15 studies and 47,471 adults, followed for a median of 7.1 years. Compared with the least active quarter, who averaged 3,553 steps a day, people averaging 5,801 steps had a 40% lower risk of death, 7,842 steps a 45% lower risk, and 10,901 steps a 53% lower risk. The curve flattened: for adults 60 and older, risk stopped falling much beyond 6,000 to 8,000 steps a day; for younger adults, beyond 8,000 to 10,000.

    Risk of death by daily steps, compared with the least active group (set at 100)
    Risk of death by daily steps, compared with the least active group (set at 100)
    ItemValue
    3,553 steps a day100
    5,801 steps a day60
    7,842 steps a day55
    10,901 steps a day47

    Adjusted hazard ratios x 100 for each quarter of daily steps (median steps shown), median follow-up 7.1 years. Observational: shows a link, not proof that steps caused the difference.

    Source: Paluch AE et al., The Lancet Public Health 2022 (15 cohorts, 47,471 adults) (checked on October 7, 2026)

    The biggest gain comes from moving out of the least active group. Going from about 3,500 to about 5,800 steps was linked to a 40% lower risk; the extra 5,000 steps after that added only about 13 more points. If you are taking very few steps now, a modest increase is where most of the benefit appears.

    The 2025 update: about 7,000 steps for many health outcomes

    A 2025 review in The Lancet Public Health looked beyond death to other health outcomes, using 57 studies from 35 groups of people. Compared with 2,000 steps a day, about 7,000 steps a day was linked to a 47% lower risk of death from any cause, a 25% lower risk of heart disease, a 37% lower risk of dying from cancer and a 14% lower risk of type 2 diabetes. For death, heart disease, dementia and falls, the benefit curve bent at around 5,000 to 7,000 steps, meaning each extra thousand steps added less after that point.

    About 7,000 vs 2,000 steps a day: how much lower the risk wasValues in %
    About 7,000 vs 2,000 steps a day: how much lower the risk was
    ItemValue
    Death from any cause47%
    Death from heart disease47%
    Death from cancer37%
    Heart disease25%
    Type 2 diabetes14%

    Percent lower risk, from pooled hazard ratios. Observational studies; some outcomes rest on only 3 to 6 studies.

    Source: Ding D et al., The Lancet Public Health 2025 (systematic review, 57 studies) (checked on October 7, 2026)

    It also helps to know what these studies counted. Participants wore a research-grade step counter during waking hours for about a week; in the US study, people wore it for an average of 5.7 days and 14.4 hours a day. Every step counted, from walking to the bus to housework, not only planned walks. So the totals are comparable to an all-day count on your phone or tracker, though readings can vary from one device to another. A single week was used to describe each person’s habits for years afterward, which is another reason to treat the exact thresholds as approximate.

    One important caution applies to all of these numbers. They come from observational studies: people who walk more may differ in many ways, such as being healthier to begin with. The researchers adjust for what they can, but these studies show strong links, not proof that each extra step causes the benefit. Our guide on how to read a weight-loss study headline explains the difference.

    A woman walks her dog along the beach at sunset, creating a serene silhouette against the colorful sky.
    Photo: George Zografidis / Pexels

    Steps and weight loss

    Steps on their own move the scale only a little. In a meta-analysis of nine pedometer-based walking programs without any diet change, 307 participants lost 1.27 kg (about 2.8 lb) on average over a median of 16 weeks, or about 0.05 kg a week; longer programs led to more loss. That is modest, but it adds up and comes with the health benefits above. Programs like these typically raise daily steps by about 2,000 to 2,500.

    The American College of Sports Medicine has found that 150 to 250 minutes a week of moderate activity brings modest weight loss, and that larger amounts, or activity combined with eating changes, do more. Walking is also one of the best tools for keeping weight off once you have lost it; our guide to maintaining weight loss explains why. For the weight-loss side, pair your steps with a steady calorie deficit and some strength training to protect muscle. You can see what a walk burns at your weight with our calories burned calculator.

    Steps or minutes: how they line up with the guidelines

    The Physical Activity Guidelines for Americans are written in minutes, not steps: 150 to 300 minutes a week of moderate activity, such as brisk walking, plus muscle-strengthening activity on two or more days. Step researchers have found that about 100 steps a minute is a common marker of moderate-intensity walking for adults. So 30 minutes of brisk walking adds roughly 3,000 steps on top of the steps you take in daily life, by that cadence.

    Pace is a bonus rather than a requirement. In the 2022 pooled study, the link between faster stepping and lower risk weakened once total steps were counted, although the fastest 30 minutes of the day still mattered somewhat. Walking faster does burn more per minute, as our walking vs running comparison shows, and it can help you fit your minutes into a shorter time.

    Is 10,000 steps a bad goal, then?

    Not at all. It is just not the minimum. The same 2004 review that traced the number to Japan proposed rough bands that are still useful: under 5,000 steps a day as a “sedentary” marker, 5,000 to 7,499 as typical daily activity without exercise, 7,500 to 9,999 as “somewhat active”, and 10,000 or more as “active”. A 2011 update found that healthy adults take anywhere from about 4,000 to 18,000 steps a day. If you already reach 10,000 and enjoy it, there is no reason to cut back; for adults under 60, the 2022 pooled study saw benefit continue up to about that level.

    The problem with 10,000 is what it does to people far below it. If your average is 3,000 steps, a goal of 10,000 can feel impossible and lead you to give up, even though the research suggests that reaching 5,000 or 6,000 would already be linked to a large drop in risk. The 2004 reviewers made the same point: goals based on gradual increases from your own baseline were showing promise and are easier to sustain.

    Age matters as well. In the study of older women, the benefit leveled off at about 7,500 steps a day, and in the 2022 analysis the plateau for adults 60 and older came at 6,000 to 8,000. For many older adults, a realistic target in that range, plus balance and strength exercises, is a better fit than chasing a five-figure number.

    How to pick a step goal that works for you

    There is no single number for everyone. A useful starting point is your own average: check what your phone or tracker shows for the last week, then add a little.

    Build your step goal in 1-2-3

    1. Find your baselineLook at your average daily steps over the past 7 days.
    2. Add 1,000 to 2,000Aim for that for two weeks, for example with a 10- to 15-minute walk after a meal.
    3. Move toward 7,000 to 8,000Then add more if you enjoy it; for younger adults, benefit kept growing to about 8,000 to 10,000.

    Small changes count: a walk after dinner, a phone call on the move, or an indoor walking pad on bad-weather days. Our guide to walking pads and our picks of fitness trackers and walking and step-counter apps can help if you want tools, though none is required. Step counts from wrist devices are estimates, and our fitness tracker vs smart ring comparison explains how accurate they tend to be. If steps are hard because of joint pain, our list of low-impact workouts has options that count toward the same weekly minutes.

    Steps are one measure among many. Our guide to tracking progress without the scale covers others, and our check of viral workout trends looks at Japanese walking and other walking-based fads. If you have a health condition that limits walking, ask your clinician what amount is right for you.

  • Brown Fat, Cold Plunges and Saunas: Do They Help Weight Loss?

    Brown Fat, Cold Plunges and Saunas: Do They Help Weight Loss?

    In short: Not much, on their own. Adults do have some brown fat, and cold switches it on, but careful measurements found it burns only about 15 to 25 extra calories a day in mild cold, less than a 10-minute brisk walk. Very cold water raises your calorie burn for as long as you shiver, yet no trial has shown that cold plunges lead to meaningful weight loss. The weight you lose in a sauna is sweat, and it comes back when you drink. Both can be pleasant habits, but they are not weight-loss tools.

    A woman relaxing in a sauna wrapped in a towel, experiencing ultimate wellness and comfort.
    Photo: Andrea Piacquadio / Pexels

    Cold plunges, ice baths and “cold therapy” are everywhere on social media, often with the promise that they turn on fat-burning brown fat and fire up your metabolism. Saunas come with their own claims about sweating off pounds. This article checks those claims against human studies. For the bigger picture of how your body uses energy, see our guide to metabolism and weight; for foods sold as metabolism boosters, see metabolism-boosting foods: fact or fiction.

    Cold, heat and calories at a glance

    Checked on October 7, 2026

    What brown fat is, and how much of it adults have

    Most body fat is white fat, which stores energy. Brown fat is different: it is packed with mitochondria and a protein called UCP1 that lets it turn energy straight into heat. Babies and small mammals depend on it to stay warm. Until 2009, most scientists thought adults had almost none. That year, studies in the New England Journal of Medicine showed that many adults do have active brown fat, mainly in a region from the front of the neck down into the chest.

    How much depends on who you are and how cold it is. On PET-CT scans done for other medical reasons in nearly 2,000 people, clear brown-fat deposits showed up in 7.5% of women and 3.1% of men; they were less common in older people, in people taking beta-blockers and when the weather was warm. When researchers deliberately cooled 24 young men to 16°C (61°F), brown-fat activity appeared in 23 of them, but it was lower in men with overweight or obesity than in lean men. So brown fat is real and cold does activate it. The question is how much energy it actually uses.

    How many calories does brown fat burn?

    Much less than the headlines suggest. A 2013 study measured oxygen use directly inside brown fat with PET scans in 25 adults at rest and in mild cold (15.5°C, about 60°F). In the people with the most brown fat, about 59 grams on average, it added roughly 3 calories a day at rest and about 6 calories a day in the cold, by direct measurement. The authors concluded that cold-activated brown fat accounts for about 15 to 25 calories a day even in people with relatively large deposits, and called it “a minor source” of heat production in humans. Most of the extra energy you spend in the cold comes from muscles, through shivering and tensing.

    Extra calories above resting: brown fat in mild cold vs a brisk walkValues in kcal
    Extra calories above resting: brown fat in mild cold vs a brisk walk
    ItemValue
    Brown fat in mild cold, a whole day (upper estimate)25 kcal
    Brisk walk, 10 minutes44 kcal
    Brisk walk, 30 minutes133 kcal

    Walking values are our arithmetic for a 154-lb (70-kg) adult: (4.8 – 1 MET) x 70 kg x time in hours, calories above resting. Brown-fat value is the study's upper estimate for people with large brown-fat deposits.

    Source: Muzik O et al., J Nucl Med 2013 (brown fat); 2024 Adult Compendium of Physical Activities, code 17200, walking 3.5-3.9 mph, 4.8 METs (walk) (checked on October 7, 2026)

    Our calories burned calculator uses the same Compendium values, so you can check the walking numbers for your own weight and pace. For why a short walk adds up over time, see our guide to walking for weight loss.

    Can you grow more brown fat with regular cold?

    Somewhat, in the lab. In a Dutch study, 10 days of mild cold acclimation raised brown-fat activity and non-shivering heat production in volunteers, and people reported feeling more comfortable in the cold and shivering less. In a Japanese randomized study, 12 young adults with little brown fat spent 2 hours a day at 17°C (63°F) for six weeks, while 10 others kept to their normal routine. The cold group’s brown fat became more active and their body fat fell by about 0.7 kg (1.5 lb), or 5.2% of their fat mass; the control group’s did not change. Their body weight, however, did not change significantly.

    Those are encouraging signals for research, and they come with big caveats: very small groups, two hours of cold every day (about 84 hours in total) and no change on the scale. In another small study, 10 days at 14-15°C (57-59°F) improved insulin sensitivity by about 43% in eight people with type 2 diabetes, but brown fat itself changed only a little; most of the effect was in muscle. None of these studies tested cold plunges, and none showed weight loss you would notice. Our guide to how to read a weight-loss study headline explains why small, short studies like these are a starting point, not an answer.

    Couple walking hand-in-hand along a tropical beach at sunset, creating a romantic ambiance.
    Photo: Andres Idda Bianchi / Pexels

    Cooler rooms, cold showers and “brown fat” supplements

    What about everyday cold, such as a cooler bedroom or a cold shower? The Dutch researchers who ran the 10-day acclimation study suggested that a home or office temperature that varies, with frequent mild cold, might be an acceptable way to raise energy use a little. That is an idea for further research, not a tested weight-loss method, and the amounts involved are small. Comfort and sleep matter too; if a cold room keeps you awake, the trade-off is not worth it.

    The same Japanese team also tested capsinoids, mild relatives of the compound that makes chili peppers hot. Six weeks of daily capsinoids raised cold-induced energy use in a small group of volunteers, but the study did not report weight loss from them. Supplements sold to “activate brown fat” rely on this kind of early evidence. Our article on metabolism-boosting foods shows how small the effects of chili, caffeine and green tea are in practice, and our guide to fat burners explains why the label claims run far ahead of the research.

    The pattern is the same each time. Brown fat is a fascinating area of research, and scientists hope it could one day lead to treatments, but nothing you can do at home has been shown to turn it into a meaningful weight-loss engine. The big levers are still what you eat and how much you move.

    Cold plunges and ice baths

    Cold water pulls heat from the body much faster than cold air, so your body works hard to stay warm. In a classic study, young men sat in water up to the neck for one hour. At 32°C (90°F), their metabolic rate did not change. At 20°C (68°F), it rose by 93%. At 14°C (57°F), it rose by 350%, along with large jumps in noradrenaline, heart rate and blood pressure. That is a real increase in calorie burn, but it lasts only while you are cold, it comes mostly from shivering, and an hour at that temperature is far beyond a typical 2- to 5-minute plunge.

    Rise in metabolic rate during 1 hour of head-out water immersionValues in %
    Rise in metabolic rate during 1 hour of head-out water immersion
    ItemValue
    32°C (90°F)0%
    20°C (68°F)93%
    14°C (57°F)350%

    Small laboratory study in young men; compared with sitting in room-temperature air. The rise lasts only during the cold exposure.

    Source: Srámek P et al., European Journal of Applied Physiology 2000 (checked on October 7, 2026)

    We found no randomized trial showing that regular cold plunges or cold-water swimming cause meaningful weight loss. A 2022 review of 104 studies on voluntary cold-water immersion found signs that it may change body fat and improve insulin sensitivity, but said clear conclusions were hampered because most studies were small, often in one sex, and used different temperatures; the authors called the topic “a continuing subject of debate”. A 2023 randomized cross-over trial in 18 rugby players found no effect of regular cold or hot water immersion after weight training on body composition. Winter swimmers may also simply be healthier people to begin with.

    Many people enjoy cold plunges for how they feel afterward, and athletes use them for recovery; those are separate questions from weight. Our check of viral workout trends covers other social-media favorites with the same evidence lens.

    Saunas: what the scale shows is water

    A sauna makes you sweat, and sweat weighs something. In a study of 674 university students, two 10-minute sessions in a 90°C (194°F) dry sauna reduced body weight by 0.37 kg (about 0.8 lb) in women and 0.50 kg (about 1.1 lb) in men on average; people with a higher BMI lost more. That weight is water, and it returns as soon as you rehydrate. The researchers’ practical advice was about the opposite of weight loss: people with a higher BMI should take particular care to replace fluids.

    Average weight lost in two 10-minute dry sauna sessions (it is water)Values in kg
    Average weight lost in two 10-minute dry sauna sessions (it is water)
    ItemValue
    Women (326)0.37 kg
    Men (348)0.50 kg

    90°C dry sauna, 674 sedentary students aged 19-20. Body-mass loss from sweating; regained with fluids.

    Source: Podstawski R et al., The Scientific World Journal 2014 (checked on October 7, 2026)

    Sweating does not “detox” fat either; the kidneys and liver handle waste, as our article on detox teas and cleanses explains. And sauna suits, which make you sweat during exercise, have a long history as a weight-loss gimmick, covered in our history of weight-loss hoaxes.

    Saunas may still be good for you in other ways. In a Finnish study that followed 2,315 middle-aged men for about 20 years, those who used a sauna 4 to 7 times a week had a lower risk of sudden cardiac death than those who went once a week, after adjusting for other risk factors. That is an observational link in a population where sauna is a lifelong habit, not proof that saunas cause the benefit, and it says nothing about weight. A review of sauna research found it well tolerated by healthy people and by people with stable, treated heart conditions, with one caution: blood pressure medicines can make you light-headed when you stand up afterward.

    What does move the needle

    The approaches with strong evidence are less exotic: a steady calorie deficit, regular activity you enjoy, strength training to protect muscle, enough sleep and, for some people, medical treatment. If you like cold plunges or saunas, there is no need to stop; just do not count them as your weight-loss plan. Our list of weight-loss myths science has busted and our guide to keeping weight off are good next reads.

    If you enjoy the cold or the heat

    1. Keep it safeShort cold exposures, never alone, no alcohol; drink water before and after a sauna.
    2. Count it as recovery, not exerciseAdd a walk or a strength session for the calorie side.
    3. Check with your clinicianEspecially with heart disease, high blood pressure, pregnancy or diabetes.
  • Detox Teas and Cleanses: What They Do (and Don’t) for Weight

    Detox Teas and Cleanses: What They Do (and Don’t) for Weight

    In short: Detox teas and cleanses can make the scale drop for a few days, but mostly through water and stool, not fat. Many “slimming” teas contain laxatives such as senna, and studies show that even extreme laxative use cuts calorie absorption by only about 12%. Juice cleanses work only because they are very low in calories, and the weight tends to return once normal eating resumes. Regulators have also acted against detox tea marketing: the FTC settled with Teami in 2020 over unsupported weight-loss claims, and the FDA has found the banned drug sibutramine in some “slim” teas.

    This page looks at what is actually in detox teas and cleanse kits, what each ingredient does to your body, and what the FDA and FTC have done about them. For pills and capsules sold for weight loss, see our weight-loss pills guide; for eating well without a cleanse, start at our nutrition hub. This is general education, not medical advice: talk with your clinician before using any laxative or cleanse, especially if you take medicines or have a health condition.

    What “detox” products promise

    The pitch is usually the same: modern life fills your body with “toxins”, the toxins make you bloated and heavy, and a tea, juice program or colon cleanse flushes them out so you feel lighter and lose weight. Products come as teatoxes (often a “morning” tea and an “evening” tea), juice cleanses of 3 to 10 days, powders, and colon cleansing kits or procedures. Social media made them famous, often through influencer posts.

    The National Center for Complementary and Integrative Health (NCCIH), part of the NIH, summarizes the science plainly: a 2015 review found “no compelling research” supporting detox diets for weight management, and a 2017 review noted that any early weight loss comes from eating very few calories and is usually regained afterward. The 2015 review also found no randomized trials testing commercial detox diets in people, and NCCIH notes that the FDA and FTC have acted against several detox and cleansing products for hidden ingredients, false disease claims or unapproved colon-cleansing devices.

    What’s actually in the cup: ingredient by ingredient

    Labels vary, but most detox and slimming teas combine three kinds of ingredient. None of them removes body fat.

    Ingredient typeCommon examplesWhat it doesEffect on body fatWatch out for
    Stimulant laxativesSenna (often listed as senna leaf or sennosides), cascaraMakes the bowel move faster; more frequent, looser stoolsNone: even extreme purging cut calorie absorption by about 12%Cramps, diarrhea, dehydration; NIH advises no more than 1 week of senna without a doctor; dependence with long use
    Diuretic herbsDandelion leaf, othersMore frequent urination for a few hoursNone: the loss is water, which returns when you drinkDehydration, especially with heat, exercise or other diuretics
    Caffeine sourcesGreen tea, yerba mate, guaranaMild stimulant; slightly higher energy useVery small: catechins plus caffeine added about 100 calories a day in lab studiesJitters, poor sleep, fast heartbeat; FDA cites 400 mg a day as generally safe for most adults
    Hidden drugs (in some products)Sibutramine, phenolphthaleinNot listed on the label; found by FDA testingNot a reason to use them: sibutramine was withdrawn in 2010Raised blood pressure and heart rate; dangerous with heart disease

    Laxatives empty your bowel, not your fat cells

    Most of the weight lost on a teatox is the contents of your gut and the water that goes with it. A carefully measured 1983 study in the Annals of Internal Medicine tested this directly: in bulimic patients who used laxatives and in healthy young women, even extreme purging that produced 4 to 6 liters of diarrhea reduced calorie absorption by only about 12% of what they ate. The authors concluded that the idea of using laxatives for weight control “is unsound”.

    Even with extreme laxative purging, most calories were still absorbed
    Even with extreme laxative purging, most calories were still absorbed
    ItemValue
    Calories still absorbed88%
    Calories lost to purging12%

    88% is 100% minus the reported reduction of about 12% of calorie intake.

    Source: Bo-Linn GW et al., Annals of Internal Medicine 1983 (calorie balance study during purges of 4 to 6 liters) (checked on October 7, 2026)

    Senna is a real medicine for occasional constipation, sold over the counter. NIH’s MedlinePlus advises not taking it for more than one week without talking to your doctor, warns that frequent or continued use may make you dependent on laxatives so that your bowels “lose their normal activity”, and notes it can cause cramps, nausea and faintness. Rectal bleeding needs medical attention right away. A product you drink every evening for 14 or 28 days is a long course of a laxative, whatever the packaging calls it.

    Why the scale drops anyway

    Three things make a cleanse look as if it worked. First, the gut empties. Second, diuretic herbs and caffeine make you pass more urine for a few hours: in a small 2009 study, a dandelion leaf extract increased how often 17 volunteers urinated in the five hours after the first dose. Third, cleanses are usually very low in calories and carbohydrates, so the body uses its glycogen (stored carbohydrate). Glycogen is stored with three to four parts water, so using it up releases a lot of water weight in the first days of any very low-calorie plan, and eating normally again brings it straight back.

    Evidence that detox teas or cleanses cause lasting fat lossNone found

    Juice cleanses and colon cleansing

    Juice cleanses replace meals with juices for a few days. They do cut calories, but NCCIH points out several risks: unpasteurized juices can carry harmful bacteria, which is especially serious for children, older adults and people with weak immune systems; juices made from high-oxalate foods such as spinach and beets can be a problem for people prone to kidney stones; and the laxative products often sold alongside them can cause diarrhea, dehydration and poor absorption of nutrients. Very low-calorie cleanses also leave little room for protein, which you need to protect muscle.

    Colon cleansing (colonic irrigation) has little evidence behind it, and NCCIH lists potentially serious side effects, especially for people with digestive disease, past colon surgery, severe hemorrhoids, kidney disease or heart disease. If you feel bloated or irregular, our guide to a flatter stomach covers common causes of bloating and when it is worth seeing a doctor.

    What regulators have done

    The FTC and Teami (2020). In March 2020, the Federal Trade Commission announced a settlement with Teami, LLC and its owners. The FTC alleged that they claimed, without reliable scientific evidence, that the Teami 30 Day Detox Pack would help people lose weight and that other teas could fight cancer, clear clogged arteries and treat colds and flu. The complaint also highlighted paid Instagram posts by well-known influencers whose disclosure was hidden unless followers clicked “more”. The order banned unsupported health claims, required clear disclosure of paid endorsements and imposed a $15.2 million judgment, suspended on payment of $1 million because of the defendants’ inability to pay. The FTC also sent warning letters to 10 influencers.

    The FTC's Teami case, March 2020

    Checked on October 7, 2026

    The FDA and tainted “slim” teas. The FDA tests products sold for weight loss and posts public notifications when it finds hidden drugs. Two examples from its tainted-products list: in 2014 the agency warned that Lingzhi Cleansed Slim Tea contained sibutramine, and in 2021 it warned that Vy & Tea contained sibutramine. Sibutramine is a prescription weight-loss drug that was removed from the U.S. market in October 2010 for safety reasons; the FDA warns it can substantially raise blood pressure and pulse and is especially risky for people with heart disease or a history of stroke. Other products have contained phenolphthalein, a laxative chemical that is not an approved drug ingredient in the United States and that studies suggest may raise cancer risk.

    These are not rare accidents. A 2018 analysis of the FDA’s tainted-supplements database found 776 adulterated products between 2007 and 2016, and 317 of them were sold for weight loss. Among those weight-loss products, 84.9% contained sibutramine. The FDA itself says its list covers only a small fraction of the contaminated products on the market, so a product’s absence from the list is not proof that it is clean.

    Adulterated supplements found by the FDA, 2007 to 2016, by what they were sold for
    Adulterated supplements found by the FDA, 2007 to 2016, by what they were sold for
    ItemValue
    Sexual enhancement353
    Weight loss317
    Muscle building92

    776 products in all; sibutramine was in 84.9% of the weight-loss products.

    Source: Tucker J et al., JAMA Network Open 2018 (analysis of the FDA tainted-products database) (checked on October 7, 2026)

    How to spot a risky detox product

    • Fast-loss promises. “Lose 10 pounds in 7 days” or “flatten your belly overnight” are classic warning signs in FTC and FDA consumer advice.
    • Senna or another laxative in a daily, multi-week program. Check the label, including “evening” or “colon” teas.
    • Disease claims. A tea that claims to fight cancer or clear arteries is making claims the FTC said Teami could not back up.
    • Influencer posts with buried disclosures. Paid posts must say so clearly; the FTC’s case turned on posts that hid it.
    • Imported “slimming” teas sold online with labels you can’t read. Several FDA notices involve products like these. Our guide on how to read a supplement label shows what else to check.

    What to do instead

    If you want the “fresh start” feeling a cleanse promises, you can get it in ways that also help long term. Drink water and unsweetened tea in place of sugary drinks (see our weight-loss drinks list). Fill up on vegetables, fruit, beans and whole grains, which add fiber that keeps you regular without a laxative; our best filling foods and the fibermaxxing explainer help. And aim for a modest, steady calorie deficit. If you want results quickly but safely, our page on losing weight fast explains what is realistic.

    The verdict

    Detox teas and cleanses do not remove fat. They move water and stool, and the quick drop on the scale comes back. Some contain laxatives meant for short-term use, a few have contained hidden prescription drugs, and the best-known detox tea brand settled FTC charges over its claims. Your money is better spent on food and habits that last. For more claims checked against the evidence, see our weight-loss myths roundup, our supplements hub, the history of diet fads and our look at weight-loss hoaxes in history.

  • Weight-Loss Before-and-After Photos: What’s Real, Edited and Typical

    Weight-Loss Before-and-After Photos: What’s Real, Edited and Typical

    In short: Many before-and-after photos show a real change, but the gap is often widened by lighting, posture, clothing, timing and editing, and the people chosen are usually the best results, not the typical ones. U.S. rules agree: under the FTC’s Endorsement Guides, an ad that shows one person’s dramatic loss is taken to promise similar results to you, and a small “results not typical” note does not fix that. In trials, the typical extra loss from popular commercial programs was a few percent of body weight over a year.

    High angle of cheerful ethnic female friends wearing Santa hats laughing together while sharing mobile phone
    Photo: Julia Larson / Pexels

    This page explains how to read the photos you see in ads and on social media: what can make a picture look different without any change in the body, what the law says advertisers must show, and what results are realistic. It is also why InstaTuck never uses before-and-after photos, as our editorial standards explain. If you are looking for honest numbers on speed, see our guide to losing weight fast, and for body confidence, our body hub.

    Why the photos are so persuasive

    A pair of photos tells a story in a second: one person, one product, one dramatic change. Our eyes read the “after” as the result of the product and assume we would get the same. That is exactly how the Federal Trade Commission says consumers read such ads. Its Endorsement Guides state that an ad featuring a consumer’s experience on a key feature “will likely be interpreted as representing that the endorser’s experience is representative of what consumers will generally achieve”. The guides even use a weight-loss example: plain before-and-after pictures of a woman who says she lost 50 pounds in six months are likely to be read as a typical result.

    What can change between two photos (without changing the body)

    Think of this as an annotated example. Picture two photos of the same person taken an hour apart, with no weight change at all. Each of these can make the second photo look slimmer or more toned:

    What changes“Before” photo“After” photoWhy it matters
    LightingFlat, overhead or harsh lightSide light that creates shadows and contoursASPS warns that lighting and angles can change how results look
    Posture and poseSlouched, belly relaxed, arms downStanding tall, core braced, arms liftedA plastic surgeon quoted by ASPS describes flanks looking full with arms down and slimmer with arms up
    Camera angle and distanceClose up, lens at waist heightFurther back, slightly aboveDistance and angle change body proportions in a picture
    ClothingBaggy clothes or ill-fitting underwearFitted, dark or high-waisted clothingClothes change the outline a lot
    TimingAfter a salty meal or in the eveningMorning, after a workout, tannedWater and gut contents shift from day to day (see below)
    Editing and filtersUneditedSmoothed, reshaped or swappedThe FTC warns some ads use stock or altered photos, not product users

    Plastic surgeons have known this for years. The American Society of Plastic Surgeons’ Code of Ethics (updated January 2025) bars members from advertising with before-and-after photos “which use different light, poses, or photographic techniques to misrepresent the results achieved”, and from showing results that are not typical of the average patient without clearly saying so. An ASPS article for patients adds that “everyone puts their best before and after pictures forward” and that there are no industry-wide standards for how such photos are presented.

    Water weight: the hidden “before” and “after”

    Body weight moves around even when body fat does not. In a European study that tracked more than 1,400 people with connected scales, weight rose at weekends and fell on weekdays by about 0.35% on average, and rose about 1.35% over Christmas. Rapid early drops on low-carbohydrate or very low-calorie plans are partly water too: glycogen, the body’s stored carbohydrate, is held with three to four parts water, so using it up sheds water quickly. A “two-week transformation” photo can capture these swings rather than fat loss.

    Normal weight swings that photos can capture

    Checked on October 7, 2026

    What the FTC requires

    The FTC’s Guides Concerning the Use of Endorsements and Testimonials in Advertising (16 CFR Part 255, last amended in July 2023) set out the rules most relevant to before-and-after ads:

    • Testimonials are not evidence. An advertiser needs the same scientific support for a claim made through a customer story as for a claim it makes directly. “Consumer endorsements themselves are not competent and reliable scientific evidence.”
    • Typical results must be shown. If a featured person’s results are not what people generally achieve, the ad should clearly disclose the generally expected results. The guides’ example of a good disclosure is “women who use QRS Weight-Loss for six months typically lose 15 pounds”.
    • “Results not typical” is not enough. The FTC tested that wording, and the stronger “you are not likely to have similar results”, and found neither stopped viewers from assuming the results were typical.
    • Real people, real pictures. Ads that present “actual consumers” should use actual consumers or say they don’t. The guides give an example of a deceptive ad that pairs a real 50-pound loss with a photo of someone much thinner than the real endorser.
    • Paid connections must be disclosed. Free products, payments and family or business ties to the brand must be clear.

    The FTC’s 2022 Health Products Compliance Guidance adds that health claims generally need support from high-quality randomized controlled trials in people, which a photo can never provide. Since October 21, 2024, a separate FTC rule also bans fake reviews and testimonials, including buying them or having company insiders write them without disclosure. And the FTC enforces these rules in weight loss: in 2025 it finalized an order against the telehealth provider NextMed, which it charged with unsupported weight-loss claims, fake testimonials and distorted consumer reviews. The FTC’s consumer advice puts it simply: some dramatic images “are just stock or altered photographs, not photos of people who actually used the product.”

    What typical results look like

    Honest numbers are less dramatic and more encouraging than they sound. A 2015 review in the Annals of Internal Medicine pooled randomized trials of commercial programs. At 12 months, Weight Watchers (now WW) participants lost at least 2.6% more of their weight than people given education alone, and Jenny Craig participants at least 4.9% more. For a 200-pound person, that is roughly 5 to 10 pounds beyond what a control group lost, and the CDC notes that a 5% loss can already lower the risk of some chronic diseases. Prescription medicines can lead to larger average losses; our FDA-approved medications compared page gives the trial numbers.

    Extra weight lost at 12 months vs control groups in commercial-program trialsValues in %
    Extra weight lost at 12 months vs control groups in commercial-program trials
    ItemValue
    Jenny Craig (vs control/education)4.9%
    Weight Watchers (vs control/education)2.6%

    Values are "at least" differences in percent of body weight, from randomized trials. Typical results, not best cases.

    Source: Gudzune KA et al., Annals of Internal Medicine 2015 (systematic review of 45 studies) (checked on October 7, 2026)

    The CDC also notes that people who lose weight gradually, about 1 to 2 pounds a week, are more likely to keep it off. Our best weight-loss programs list and the guide on how to choose a weight-loss program show how to ask a program for its average results rather than its best photos.

    Smiling woman enjoys a sunny walk with her dog in a lush green park.
    Photo: Helena Lopes / Pexels

    How to read any before-and-after ad

    Five questions to ask about a transformation photo

    1. Same conditions?Check light, pose, clothing, camera distance and time of day. If they all changed, the photo proves little.
    2. How long, and how?Look for the time frame and everything the person did, such as diet, exercise, medicine or surgery.
    3. Is it typical?Look for the average result in the ad. A tiny "results not typical" line is a warning sign, not a disclosure.
    4. Is it a real user?Stock images, reused photos and paid endorsers must be disclosed; reverse image search helps.
    5. What do the studies say?Ask for trial results for the product or program, not testimonials.

    Why it matters for how you feel

    Idealized photos don’t only sell products; they can also change how people feel about their own bodies. In a 2020 experiment, researchers showed 192 young women Instagram images of thin, attractive women. Seeing the images with a “reality check” comment underneath, one that pointed out the photo was not realistic, reduced body dissatisfaction compared with seeing the same images with a flattering comment alone. In other words, reminding yourself how photos are made is not cynicism; it is a simple way to protect your confidence while you work on your health. Unfollowing accounts that make you feel worse is another.

    Before-and-after photos for surgery and contouring

    Photos matter more when you are choosing a surgeon or a body-contouring treatment, because you are judging someone’s skill. Ask to see many photos of patients with a starting point like yours, taken in the same position and light, and ask how many months after treatment they were taken. Our checklist of questions before body contouring and the guide to finding board-certified plastic surgeons help. Remember that body contouring reshapes an area; it is not weight loss.

    Your own photos: useful, if you keep them fair

    Progress photos can be a helpful private record, as long as you take them the same way each time: same spot, light, time of day, clothing and pose. Take them every four weeks rather than daily, because daily water swings will mislead you. Photos work best next to other measures, such as your waist, how clothes fit, strength and energy; our guide to tracking progress without the scale lists eight. And if comparing your body to others’ photos leaves you feeling worse, step back: our page on body image has support and ideas.

    The verdict

    Before-and-after photos are real moments, carefully chosen and often staged. Lighting, pose, timing and editing can add a lot, and the people shown are rarely typical. U.S. law says a dramatic testimonial implies typical results, so ads must show what people generally achieve; when they don’t, that is your cue to look for the study instead of the picture. Typical, lasting results are smaller, slower and still worth a great deal for your health. For more claims checked against the research, see our spot reduction explainer and the weight-loss myths roundup.

  • Metabolism-Boosting Foods: Fact or Fiction?

    Metabolism-Boosting Foods: Fact or Fiction?

    In short: A few foods and drinks nudge your metabolism up, but only a little. Chili’s capsaicin added about 59 calories a day in pooled studies, caffeine and green tea extracts about 100 in lab conditions, and cold water roughly 24 calories per half liter at best. Compared with a typical day’s energy use of around 2,000 calories or more, those are rounding errors. What helps more is eating enough protein, which costs more energy to digest and keeps you fuller, and protecting your muscle with strength training.

    For the full picture of how your body uses energy, including why metabolism barely changes between ages 20 and 60, see our main metabolism guide. This page checks one popular claim: that particular foods “boost” or “rev up” your metabolism enough to help you lose weight. We look at each favorite, the size of the effect in real numbers, and what is worth doing instead. It is general education, not personal advice.

    How food affects metabolism at all

    Every day your body spends energy in three ways: keeping you alive at rest (basal metabolic rate), moving, and digesting and storing food. That last part is called the thermic effect of food, or diet-induced thermogenesis. A 2004 review by Klaas Westerterp found that on a mixed diet, digestion accounts for 5 to 15% of daily energy use. The amount depends mostly on how much you eat and on what: protein and alcohol cost the most to process, carbohydrates less, and fat very little.

    Share of a nutrient's calories used up in digesting itValues in %
    Share of a nutrient's calories used up in digesting it
    ItemLowHigh
    Protein20%30%
    Carbohydrate5%10%
    Fat0%3%

    Alcohol is reported at 10-30%. On a mixed diet the total is 5-15% of daily energy use.

    Source: Westerterp KR, Nutrition & Metabolism 2004 (review of diet-induced thermogenesis) (checked on October 7, 2026)

    That chart is the most useful fact in this whole topic. It means no single “magic” food sets your metabolism on fire; the biggest food-related lever you have is the protein share of your meals. It also quietly debunks the “negative-calorie food” idea. Celery, cucumber and grapefruit are low in calories, which makes them great for filling up, but because digestion uses only a fraction of the calories a food provides (at most around 30% for protein), no food costs more energy to digest than it gives you.

    The usual suspects, checked

    Chili peppers (capsaicin). Capsaicin, the compound that makes chili hot, and its milder relatives called capsinoids do raise energy use a little. A 2018 meta-analysis pooled nine studies and found an average increase of about 245 kilojoules, or 59 calories, a day. The effect showed up only in studies of people with a BMI above 25 (about 70 calories a day) and not in leaner groups. Most studies gave capsaicin as a measured dose, often in capsules, not as a sprinkle of chili flakes on dinner.

    Coffee and caffeine. Caffeine is a genuine stimulant. In a classic 1989 study, a single 100 mg dose (less than one 12-ounce cup of coffee, going by the FDA’s estimate that 400 mg is about two to three cups) raised resting metabolic rate by 3 to 4% for two and a half hours. When volunteers took 100 mg every two hours for 12 hours, their daily energy use rose by about 150 calories in lean people and 79 calories in people who had previously had obesity. But that schedule adds up to 600 mg a day, more than the 400 mg the FDA cites as an amount not generally associated with negative effects for most adults. A 2019 meta-analysis of 13 trials linked caffeine intake with slightly more weight loss, but the studies were very different from one another, so the size of any real effect is uncertain.

    Green tea. Green tea contains catechins plus caffeine. A 2011 meta-analysis of respiration-chamber studies found that catechin-caffeine mixtures raised 24-hour energy use by 4.7%, or about 428 kilojoules (around 100 calories), and caffeine alone did almost the same (4.8%). That sounds promising, but when the Cochrane Collaboration looked at what actually happened to body weight in longer trials outside Japan, green tea preparations led to a difference of just 0.04 kg, which was not statistically significant. Concentrated green tea extract has been linked with cases of liver damage, according to the NIH Office of Dietary Supplements; see our green tea extract page before trying pills.

    Ice-cold water. A 2003 study made headlines by reporting that drinking 500 ml of water raised metabolic rate by 30%, a total of about 100 kilojoules (roughly 24 calories). When a different team retested the idea in 2006, room-temperature water did not raise energy use at all, and water chilled to 3°C produced only a small 4.5% rise over an hour, well below the energy needed to warm it to body temperature. Drinking water is still a good habit, especially in place of sugary drinks, but not because it “burns” calories.

    Extra calories burned per day in the studies (approximate)Values in kcal
    Extra calories burned per day in the studies (approximate)
    ItemValue
    Caffeine 100 mg every 2 h for 12 h (lean)150 kcal
    Caffeine-only capsules (chamber studies)103 kcal
    Green tea catechins + caffeine102 kcal
    Capsaicin or capsinoids59 kcal
    500 ml of water (2003 study)24 kcal

    Kilojoules converted to kcal (1 kcal = 4.184 kJ). Lab doses, not everyday servings; a 2006 retest found no rise with room-temperature water.

    Source: Dulloo AG et al. AJCN 1989; Hursel R et al. Obesity Reviews 2011; Zsiborás C et al. Crit Rev Food Sci Nutr 2018; Boschmann M et al. JCEM 2003 (checked on October 7, 2026)

    “Fat-burning” spices, vinegar and grapefruit. Cinnamon, ginger, apple cider vinegar and grapefruit are often added to “metabolism” lists. They can be part of a tasty, healthy diet, but we did not find good human evidence that any of them raises daily energy use by a meaningful amount. Supplements built on these ingredients are a different story, and many make claims their evidence can’t support; our pages on fat burners and “nature’s Ozempic” supplements explain why.

    Eating little and often to “stoke the fire”. Because digestion uses energy, some diets claim that six small meals keep metabolism higher than three larger ones. But the thermic effect depends on the total amount and type of food, not on how it is split up. In a 2010 trial, 16 adults on the same calorie-reduced diet for eight weeks ate either three meals a day or three meals plus three snacks. Both groups lost weight (about 4.7% on average), with no difference between them in body fat, appetite or hunger hormones. Eat on the schedule that keeps you comfortable and in control of portions.

    Put the numbers in context

    Tens of calories a day can sound useful, but they are easy to cancel out. A medium apple has about 95 calories, according to the USDA’s food database, which is more than any everyday food “booster” adds. Add sugar and cream to a coffee, and the drink can easily bring in more calories than its caffeine burns.

    What really sets your daily energy use

    Checked on October 7, 2026

    Two things move the needle more than any single food. First, the size of your body and how much muscle you carry: each kilogram of muscle burns about 13 calories a day at rest, compared with about 4.5 for a kilogram of fat. That is not huge either, but muscle also lets you be more active. Second, how much you move. Our TDEE calculator estimates your total daily energy use from your size and activity level, and the calories burned calculator shows what a walk or workout adds.

    What does help: protein, muscle and movement

    Protein at every meal. Protein has the highest thermic effect, and the Westerterp review links that extra energy use to feeling fuller. In a respiration-chamber study, a diet with 29% of calories from protein (and plenty of carbohydrate) used 14.6% of its energy in digestion versus 10.5% for a high-fat diet, and people felt more satisfied. Over weeks, a 2012 meta-analysis of trials found that higher-protein, energy-restricted diets led to more fat loss and helped protect lean mass and resting energy use compared with standard-protein diets. Our high-protein diet guide, the protein calculator and the best high-protein breakfasts make it practical.

    Strength training. Muscle is the tissue you can most easily add, and it matters even more while you lose weight, when some lean mass is usually lost too. Two or more sessions a week, as the Physical Activity Guidelines suggest, is a good start; see our strength training guide.

    Filling, lower-calorie foods. The “metabolism foods” that really help weight loss do it by filling you up for fewer calories, not by burning more. Vegetables, fruit, beans, lean proteins and soups top our list of the best filling foods, and swapping sugary drinks for water, unsweetened tea or black coffee helps too (see weight-loss drinks).

    Swap the boosters for these

    1. Anchor meals with proteinEggs, Greek yogurt, fish, chicken, tofu or beans at breakfast, lunch and dinner.
    2. Fill half the plate with produceHigh-volume vegetables and fruit fill you up for few calories.
    3. Keep coffee and tea simpleBlack or lightly sweetened; stay within about 400 mg of caffeine a day, as the FDA cites for most adults.
    4. Lift twice a weekFull-body strength work protects muscle while you lose weight.
    5. Move more every dayWalks and everyday activity add far more than any food can.

    When metabolism really is the issue

    Some medical conditions do affect weight: the NIDDK lists weight gain, tiredness and feeling cold among common symptoms of an underactive thyroid. If you are gaining weight without a change in habits, or also feel unusually tired or cold, talk with your clinician rather than trying “boosting” products. And if you have lost a lot of weight, your energy needs really do fall: in a well-known follow-up of TV contestants who lost 58 kg on average, resting metabolism was still about 500 calories a day lower than expected six years later. That is a reason to plan for maintenance, which our keeping weight off guide covers, not a reason to buy metabolism pills.

    The verdict

    Metabolism-boosting foods are mostly fiction, with a grain of truth. Capsaicin, caffeine and green tea raise energy use a little in the lab, and protein really does cost more to digest, but none of them add up to meaningful weight loss on their own. Enjoy chili, coffee and tea if you like them. Then put your effort where the evidence is: enough protein, plenty of filling plants, regular strength training and daily movement, inside a calorie deficit you can live with. For more claims checked against the studies, see our weight-loss myths roundup and the nutrition hub.

  • Can You Spot-Reduce Fat? What Studies Say About Targeted Fat Loss

    Can You Spot-Reduce Fat? What Studies Say About Targeted Fat Loss

    In short: Mostly no. When researchers train one body part and measure the fat over it, the fat usually does not shrink faster there than anywhere else: a 2022 pooled analysis of 13 studies and 1,158 people found no spot-reduction effect at all. Exercise still matters a lot, because it helps you lose fat from the whole body, including the belly, and it builds the muscle underneath. One small 2023 trial hinted at a local effect, so the door is not fully closed, but the practical advice has not changed.

    If your real question is how to slim your middle, our practical guide on how to lose belly fat covers that step by step. This page answers a narrower question: can crunches, inner-thigh squeezes or arm toning burn the fat in that exact spot? Below we walk through the studies, explain why the idea refuses to die, and show what does change your shape.

    Where the idea comes from

    Spot reduction feels logical. When you do a lot of sit-ups, your stomach muscles get tired and warm, so it seems natural that they would use the fat right on top of them. Fitness marketing has leaned on that intuition for decades, with ab rollers, belly belts and “trouble zone” workouts. The authors of the 2022 review we describe below put the long life of the belief down to “wishful thinking and convenient marketing strategies”.

    The body works differently. Fat is stored in fat cells all over the body, and when you burn more energy than you eat, hormones release fatty acids from fat stores into the blood, where any working muscle can use them. Which stores give up their fat is not simply decided by which muscle is moving. That is why the studies below compare a trained area with an untrained one in the same person: if spot reduction worked, the trained side should lose more.

    What the studies found

    Six weeks of ab exercises (2011). In a randomized trial at Brigham Young University, 24 sedentary adults were split into a control group and a group that did seven abdominal exercises, two sets of 10 repetitions, five days a week for six weeks, while everyone kept their usual calorie intake. The ab group got much stronger: they managed 47 curl-ups on average at the end, compared with 32 in the control group. But there was no significant change in body weight, body fat percentage, belly fat measured by scan, waist circumference or skinfolds.

    Twelve weeks of training one arm (2007). A larger study had 104 men and women train only their non-dominant arm for 12 weeks. MRI, which measures fat along the whole upper arm, found the same fat change in the trained and untrained arms. Skinfold calipers suggested a small local loss in men only. The authors concluded that the MRI results support “the notion that spot reduction does not occur”.

    Twelve weeks of training one leg (2013). In a Chilean study, 11 young adults did very long, light leg-press sets (960 to 1,200 repetitions per session) with one leg only, three times a week. Total body fat fell by 5.1%. But the fat did not come off the trained leg: it came off the arms and the trunk instead.

    Training one leg for 12 weeks: where the fat came offValues in %
    Training one leg for 12 weeks: where the fat came off
    ItemValue
    Whole body5.1%
    Arms10.2%
    Trunk6.9%

    Fat mass lost. The trained leg (and the untrained leg) showed no significant change in fat mass.

    Source: Ramírez-Campillo R et al., Journal of Strength and Conditioning Research 2013 (11 adults, DXA scans) (checked on October 7, 2026)

    The pooled evidence (2022). The same research group then gathered every suitable study that trained one limb and compared it with the other. Thirteen studies with 1,158 people aged 14 to 71 made the cut, giving 37 comparisons. Seventeen of them favored the trained limb and 20 favored the untrained one, which is about what you would expect from chance. The pooled effect was essentially zero, the studies agreed with each other, and there was no sign that missing studies skewed the result. Their conclusion: localized muscle training “had no effect on localized adipose tissue depots”.

    The 2022 spot-reduction meta-analysis

    Checked on October 7, 2026

    The study that says “maybe”

    To be fair to the other side: a 2023 randomized trial from Norway reported a local effect. Sixteen men with overweight either ran on a treadmill for 45 minutes, or ran for 27 minutes and then did torso rotations and crunches for the rest of the session, four days a week for 10 weeks, with energy use matched between groups. The ab group lost about 1.2 kg (7%) of trunk fat, while the running-only group showed no change in trunk fat. Total fat loss was similar in both groups (about 1.7 kg vs 1.1 kg), and the running group actually lost more body weight (2.3 kg vs 1.2 kg).

    This is interesting, but it is one small trial in middle-aged men, and the ab work was long and continuous, closer to an endurance workout than a few sets of crunches. Until it is repeated in larger and more varied groups, it does not outweigh a meta-analysis of 13 studies. The fair summary is that any local effect, if it exists, is small, and it does not happen without overall fat loss.

    Evidence that training a body part burns the fat over itVery weak

    So why do some people see a change in one spot?

    Plenty of people swear that ab work flattened their stomach. Usually, several real things are happening at once:

    • Overall fat loss. People who start an ab routine often change their eating and activity too. The belly shrinks because body fat fell everywhere.
    • Stronger, firmer muscle. Trained muscles look and feel firmer, and stronger core muscles can change how you stand. That can change the outline without any fat loss.
    • Less bloating. A flatter stomach in the morning often has more to do with gas and digestion than fat. Our guide to a flatter stomach covers the four things that change how a belly looks.
    • Different photos. Light, posture and arm position change how a waist looks on camera. Our before-and-after photo explainer shows how.

    What does reduce belly fat

    The fat inside the belly, around the organs, is called visceral fat, and it is the kind most linked with heart disease and type 2 diabetes (our visceral fat guide explains why). The good news is that it responds well to whole-body exercise. A 2012 meta-analysis of 35 trials that measured visceral fat with CT or MRI found that aerobic exercise reduced it compared with no exercise, while resistance training alone did not show a significant effect. A 2013 review of 15 studies with 852 people found that exercise lowered visceral fat even without a calorie-cutting diet.

    So the most reliable recipe for a smaller waist is not a special ab move. It is the combination that reduces body fat overall:

    • A modest calorie deficit from an eating pattern you can keep. Our calorie deficit guide and calorie calculator help you estimate it.
    • Regular aerobic activity, such as brisk walking. The Physical Activity Guidelines suggest 150 to 300 minutes of moderate activity a week.
    • Strength training for the whole body on two or more days a week. It protects muscle while you lose weight: a 2021 overview of reviews found resistance training reduced lean-mass loss during weight loss by about 0.8 kg. See our strength training guide.
    • Core work for strength, posture and comfort, not as a fat burner. Planks, carries and bird-dogs are worth doing for a strong back and middle.

    A realistic plan for a trimmer middle

    1. Measure your waistJust above the hip bones, after breathing out. NIH notes that risk rises above 35 inches for women and 40 inches for men.
    2. Build the weekly base150 to 300 minutes of moderate activity, such as brisk walks, spread across the week.
    3. Train every major muscleTwo or more strength sessions a week, including legs, back, chest and core.
    4. Eat for a small, steady deficitProtein and vegetables at each meal; fewer sugary drinks and ultra-processed snacks.
    5. Check again in 4 weeksCompare your waist, not your mirror on a bloated day.

    Arms, thighs and the “stubborn” areas

    The same rule applies to upper arms, inner thighs, hips and the bra-line. Training those muscles makes them stronger and firmer, which many people love, but the fat over them goes down when your overall body fat goes down. If one area seems slow to change, that is common and not a sign of failure. Keep going with the whole-body plan and measure progress in several ways; our list of ways to track progress without the scale can help on the weeks when the mirror does not seem to move.

    What about fat freezing and other “spot” treatments?

    Procedures such as cryolipolysis (fat freezing) and liposuction do remove fat from a chosen area. That is the one place where “spot reduction” is real, but it is cosmetic body contouring, not weight loss, and it does not replace the habits above. Our body contouring hub and non-surgical fat reduction compared explain the options, costs and limits. If weight loss is the goal, start at our lose weight hub.

    The verdict

    Spot reduction is mostly a myth. Decades of studies, pooled in 2022, show that training a body part does not burn the fat over it in any meaningful way, and the one recent trial that disagreed is small. That is not a reason to skip crunches or arm work: strong muscles help you move, protect your back and change your shape as body fat comes down. Just pair them with whole-body activity and a sustainable eating plan, and judge progress over weeks, not days. For more claims checked against the research, see our weight-loss myths roundup.

  • Non-Surgical Tummy Tuck: What These Treatments Can and Can’t Do

    Non-Surgical Tummy Tuck: What These Treatments Can and Can’t Do

    In short: There is no non-surgical treatment that does what a tummy tuck does. A tummy tuck removes loose skin and fat from the lower belly and, in most cases, repairs stretched or separated stomach muscles. The treatments sold as a “non-surgical tummy tuck” do one smaller job each: fat freezing and heat devices reduce a small fat bulge, radiofrequency and ultrasound can tighten mildly loose skin, and magnetic devices tone muscle. None removes skin, none is weight loss, and results are modest and often temporary. They can still suit someone with a small concern who wants little downtime.

    Happy group of friends having a picnic by a fountain in a Brussels park, enjoying summer outdoors.
    Photo: Studio Labonheure / Pexels

    “Non-surgical tummy tuck” is a marketing phrase, not a medical procedure, and it is searched about 1,600 times a month in the U.S. This page checks the common claims against the FDA’s clearance documents, the American Society of Plastic Surgeons (ASPS) and the American Academy of Dermatology (AAD). For the surgery itself, see our tummy tuck guide; for every non-surgical option side by side, see non-surgical fat reduction compared. This is general education: what fits your body is a question for a board-certified plastic surgeon or dermatologist.

    What a tummy tuck actually does

    A tummy tuck (abdominoplasty) is surgery under IV sedation or general anesthesia. The surgeon makes a horizontal cut between the pubic hairline and the belly button, tightens the stomach muscles if they have stretched or separated, removes the extra skin and fat, and brings the belly button out through a new opening. ASPS lists the usual causes of the problem it fixes: pregnancy, aging, heredity, earlier surgery and large weight changes. Stretch marks are only removed if they sit on the skin that is cut away.

    That is three jobs at once: skin, fat and muscle. Keep those three in mind, because every “non-surgical tummy tuck” claim can be checked against them.

    The surgery in four numbers

    Checked on October 6, 2026

    Removes skin? Tightens? Reduces fat? Repairs muscle?

    Here is what each option can do for the belly, based on what the FDA has cleared or approved it for and what the professional societies say. “Mild” means the source describes a small or modest effect.

    OptionRemoves loose skin?Tightens skin?Reduces fat?Repairs separated muscles?
    Tummy tuck (surgery)YesYesYesYes, in most cases
    Panniculectomy (surgery)Yes, the hanging foldYesYes, in the foldNo, muscles are typically not tightened
    Liposuction (surgery)NoNo; loose skin reshapes poorlyYesNo
    Fat freezing (cryolipolysis)NoNoMild, in a pinchable bulgeNo
    Radiofrequency or laser fat devicesNoSome RF devices, mildMild; cleared for circumference or fat breakdown in set areasNo
    Focused ultrasoundNoOne system cleared for abdominal skin laxity, mildSome systems cleared for abdominal circumferenceNo
    Magnetic muscle stimulationNoNoSmall changes in small studiesNot a repair; tones muscle
    Kybella injectionsNoNoApproved only for fat under the chinNo
    Shapewear or a waist trainerNoNo, only while wornNoNo
    Based on ASPS procedure pages, AAD skin-tightening guidance, FDA 510(k) clearances and the Kybella label, checked October 6, 2026. “Mild” reflects the sources’ own wording (“modest”, “small amount of sagging”).

    Myth 1: “It removes loose skin without surgery”

    What the evidence says: only surgery removes skin. The AAD says ultrasound, radiofrequency and laser treatments heat the deeper skin to prompt new collagen, and that they suit people with a small amount of sagging; results are modest and appear gradually over about 2 to 6 months. One focused-ultrasound system, Ulthera, has an FDA clearance (2026) that includes improving skin laxity of the abdomen, which is a real but narrow claim: laxity, not removal. ASPS’s 2025 report quotes a member surgeon saying skin-tightening devices still “leave a lot to be desired” for real excess skin, and ASPS notes that when liposuction and energy devices are not enough, the skin has to be removed surgically. If loose skin after weight loss is your main concern, our loose skin guide walks through what helps.

    Myth 2: “It flattens your stomach like a tummy tuck”

    What the evidence says: fat-reducing devices can shrink a small bulge, not reshape the whole belly. A 2015 review of cryolipolysis studies found the treated fat layer got 10.3% to 25.5% thinner when measured by ultrasound, and ASPS describes an average reduction of about 20%. The FDA clearance for CoolSculpting covers “the appearance of visible fat bulges” in people with a BMI of 30 or less, and other devices are cleared for “reduction in abdominal circumference”. None of that touches skin or muscle, so a belly that is mostly loose skin or a muscle bulge from pregnancy will not look like it does after surgery. The full device-by-device picture is in our non-surgical fat reduction comparison and our cryolipolysis guide.

    Myth 3: “Muscle stimulation fixes ab separation”

    What the evidence says: it can tone muscle, but it is not cleared to repair a separation. Separated stomach muscles after pregnancy (diastasis recti) are repaired with stitches during a tummy tuck. Magnetic devices such as Emsculpt are FDA-cleared for improving abdominal tone, strengthening the abdominal muscles and a firmer abdomen. In one small study of 22 people with no comparison group, the gap between the muscles measured about 10% narrower two months after four treatments. That is a small change in a small study, and the FDA says results may be temporary. Our muscle stimulation guide covers who should avoid these devices.

    Myth 4: “No downtime means no risk”

    What the evidence says: downtime is shorter, but these are still medical procedures. The FDA lists burns, blisters, nodules and nerve damage among complications of heat and ultrasound devices, and says some complications last a long time, become permanent or need surgery. Fat freezing can rarely cause paradoxical adipose hyperplasia, where treated fat grows instead of shrinking; a 2025 review estimated it at about 1 in 455. For comparison, surgery carries more risk: in 25,478 insured tummy tucks, 4.0% had a major complication, most often a collection of blood (hematoma), infection or a blood clot, and the rate rose when other procedures were done at the same time.

    What the trade-off in recovery looks like

    The real appeal of a device is time. Recovery from a tummy tuck is measured in weeks: MedlinePlus, the National Library of Medicine’s patient guide, says people usually wear elastic support for 2 to 3 weeks, return to work in about 2 to 4 weeks and avoid strenuous activity for 4 to 6 weeks, and that scars lighten over about a year. ASPS says most people can stand fully upright within a week or two, and that a second, smaller procedure is sometimes needed. Smoking slows healing and raises the risk of blood clots, so surgeons ask people to stop well before surgery.

    Device treatments, by contrast, usually let people go back to normal activities the same day, with soreness, redness or numbness for a while. That difference is worth weighing honestly: a shorter recovery for a smaller, often temporary change, or a longer recovery for removing skin and repairing muscle. Neither is “better” in general. It depends on what you want changed, your health and how much time you can take off, which is why the examination matters more than the advertising. If you take a GLP-1 medicine, tell any surgical or sedation team, because the labels warn about breathing in stomach contents under anesthesia or deep sedation.

    Myth 5: “It’s a cheaper tummy tuck”

    What the evidence says: it is cheaper per visit, but it is not the same result, and a series adds up. ASPS’s 2023 average fees were $1,157 for non-surgical fat reduction and $2,326 for skin tightening, compared with $8,174 for a tummy tuck surgeon’s fee alone. Non-surgical treatments often need several sessions, and the FDA says repeat treatments may be needed to keep the effect. Most insurance plans do not cover cosmetic treatments like these. Our tummy tuck cost guide explains every part of a surgical bill.

    Average fees reported by ASPS members, 2023Values in USD
    Average fees reported by ASPS members, 2023
    ItemValue
    Non-surgical fat reduction$1,157 USD
    Skin tightening$2,326 USD
    Tummy tuck$8,174 USD

    Fee for one procedure only, before anesthesia, facility and other costs. Non-surgical treatments often take more than one session. The 2025 ASPS report did not publish fees.

    Source: ASPS 2023 Procedural Statistics Report, average surgeon/physician fees (checked on October 6, 2026)

    Myth 6: “It helps you lose weight”

    What the evidence says: no. The FDA states plainly that non-invasive body contouring is not intended to treat obesity or improve health and will not result in weight loss. In the muscle-stimulation study above, body weight did not change. Contouring is about shape in one area. If weight is still changing, ASPS advises postponing a tummy tuck, and the same logic applies to devices: results look best on a stable weight. Our guide to keeping weight off covers that stage.

    Why so many people are asking now

    Interest in both surgical and non-surgical options is shifting. ASPS members performed 447,581 non-surgical fat reduction procedures in 2024, 40% fewer than in 2023, while tummy tucks rose slightly to 173,251 in 2025. Many people who have lost a lot of weight, including on GLP-1 medicines, find that the remaining concern is skin rather than fat. In 2025, 88% of ASPS members reported GLP-1-related tummy tuck consultations, though a consultation is not the same as surgery. Our page on life after a GLP-1 covers the body changes people notice.

    Procedures by ASPS members in 2024
    Procedures by ASPS members in 2024
    ItemValue
    Non-surgical fat reduction447,581
    Skin tightening439,032
    Tummy tuck170,544

    Counts for all body areas, not only the abdomen. Non-surgical fat reduction fell 40% from 2023; the 2025 report gave 173,251 tummy tucks.

    Source: ASPS 2024 Procedural Statistics Release (checked on October 6, 2026)

    When a non-surgical option can make sense

    Non-surgical treatments are not a scam; they are just a different, smaller tool. Based on what ASPS and the AAD describe, they are generally meant for people who:

    • are at or near a stable weight, with a small, pinchable pocket of fat;
    • have firm skin, or only a small amount of sagging;
    • are not pregnant or breastfeeding and have no condition that rules out the device;
    • want little downtime and accept a modest, possibly temporary change.

    Timing matters for both routes. ASPS advises postponing a tummy tuck if you are planning more weight loss or a future pregnancy, because both can stretch the abdomen again and change the result. Stretch marks are another common hope: a tummy tuck removes only those on the skin that is cut away, and no device on this page is cleared to remove them. If your weight is still changing, many people find it useful to focus first on strength, fitness and a steady weight, and to revisit the question of shape once things have settled. That way, whichever option you choose works with a body that has found its new normal.

    Surgery is generally discussed when the main issue is loose or hanging skin, separated muscles after pregnancy, or a larger amount of fat. When a hanging fold causes rashes or infections, a panniculectomy may be considered reconstructive, and insurers have their own criteria. Liposuction removes fat but not skin; our tummy tuck vs liposuction comparison explains the difference.

    Match the treatment to the problem

    1. Name the main concernLoose skin, a small fat bulge, or a muscle bulge after pregnancy are three different problems.
    2. Check your weightMost options work best once your weight has been stable for a while.
    3. Ask what the device is cleared forAsk for the brand and its exact FDA wording, and whether it covers the belly.
    4. See a board-certified specialistA plastic surgeon or dermatologist can examine you and explain surgical and non-surgical options.

    Before any appointment, our printable questions to ask before body contouring or a tummy tuck helps you compare answers, and our guide to finding a plastic surgeon shows how to check board certification. The wider picture of surgical and non-surgical shaping is on our body contouring hub.

  • “Nature’s Ozempic”: Berberine, GLP-1 “Boosters” and What the Evidence Says

    “Nature’s Ozempic”: Berberine, GLP-1 “Boosters” and What the Evidence Says

    In short: No supplement works like Ozempic. Berberine, the plant compound social media nicknamed “nature’s Ozempic”, led to roughly 1 to 2 kg (2 to 4.5 lb) more weight loss than placebo in pooled trials, and some analyses found no significant effect, while semaglutide 2.4 mg led to about 12.7 kg more than placebo in its main trial. Products sold as “GLP-1 boosters” or “GLP-1 support” do not contain GLP-1 medicine, and the FDA does not approve any supplement before it is sold.

    A doctor and patient having a friendly conversation in a modern clinic.
    Photo: Cedric Fauntleroy / Pexels

    This page checks the “nature’s Ozempic” claims against the research and the regulators. For the full record on the most talked-about ingredient, see our berberine guide; for how prescription GLP-1 medicines work, see GLP-1 medications. It is general education, not individual advice: if you are considering any supplement, especially with diabetes medicines or other prescriptions, talk with your clinician or pharmacist first.

    Where “nature’s Ozempic” came from

    The nickname took off on TikTok in the spring and summer of 2023, as Ozempic and Wegovy shortages and prices made headlines. By late June 2023, CBC News reported that the hashtag #NaturesOzempic had more than 12.2 million views. Most videos were about berberine; since then the label has spread to fiber pills, probiotics, citrus and saffron extracts, yerba mate and even skin patches. The appeal is easy to understand: a cheap, natural capsule that does what a prescription injection does. The research tells a different story.

    What Ozempic and Wegovy actually do

    Ozempic and Wegovy contain semaglutide, a lab-made version of the gut hormone GLP-1. The FDA label describes it as a GLP-1 analogue with 94% sequence similarity to human GLP-1 that binds to and activates the GLP-1 receptor, including in brain areas that regulate appetite. The key difference from your own GLP-1 is how long it lasts: semaglutide is built to bind to a blood protein (albumin), which the label says protects it from breakdown; its elimination half-life is about one week. That long half-life is why semaglutide works as a once-weekly injection; Wegovy also comes as a daily 25 mg pill.

    In the STEP 1 trial, 1,961 adults with obesity or overweight used semaglutide 2.4 mg or placebo for 68 weeks alongside lifestyle support. Average weight fell 14.9% with semaglutide and 2.4% with placebo, a difference of 12.7 kg (about 28 lb). Semaglutide also carries a boxed warning about thyroid C-cell tumors seen in rodents, and it needs a prescription because its effects, side effects and interactions need medical oversight. Read more in our Wegovy and Ozempic guides.

    Extra weight lost vs placebo: semaglutide and the most-hyped supplementsValues in kg
    Extra weight lost vs placebo: semaglutide and the most-hyped supplements
    ItemValue
    Semaglutide 2.4 mg (STEP 1, 68 weeks)12.70 kg
    Berberine (23 trials, pooled)0.88 kg
    Glucomannan (8 trials, pooled; not significant)0.22 kg
    Green tea preparations outside Japan (6 trials; not significant)0.04 kg

    Different trials, people and durations: this is not a head-to-head comparison. It shows the size of the effects each body of research found.

    Source: Wilding et al., NEJM 2021; Elahi Vahed et al., Int J Obes 2026; Onakpoya et al., J Am Coll Nutr 2014; Jurgens et al., Cochrane 2012 (checked on October 6, 2026)

    Berberine: what the trials found

    Berberine is a bitter yellow compound found in plants such as goldenseal and barberry. It has been studied mostly for blood sugar and cholesterol, and some lab research suggests effects on metabolism, but it is not a GLP-1 medicine and not FDA approved for weight loss. Here is what pooled human trials report for weight:

    AnalysisTrialsWeight vs controlWhat else it found
    Elahi Vahed et al., International Journal of Obesity, 202623 randomized trials-0.88 kg (about 2 lb)BMI -0.48; waist -1.32 cm; authors called for better trials and better reporting of product purity and dose
    Asbaghi et al., Clinical Nutrition ESPEN, 202012 studies-2.07 kg (about 4.5 lb)BMI -0.47; waist -1.08 cm
    Xiong et al., Complementary Therapies in Clinical Practice, 202010 studies-0.11 kg, not significantSmall drops in BMI and waist
    Amini et al., Complementary Therapies in Medicine, 202012 trials, 849 people-0.11 kg, not significantNo significant change in BMI or waist

    An umbrella review of 11 berberine meta-analyses, published in 2023, rated their methods and concluded that the reported effects “need to be confirmed in high-quality” randomized trials. In plain terms: berberine might help a little, the trials are small and uneven, and the best-case effect is a fraction of what prescription GLP-1 medicines do.

    Evidence that berberine helps with weight lossPartly established: small, inconsistent effect

    Berberine’s safety and interactions

    • Drug interactions. In healthy men taking 300 mg three times a day for two weeks, berberine reduced the activity of three liver enzymes (CYP2D6, CYP2C9 and CYP3A4) that clear many common medicines. In kidney-transplant patients, berberine raised blood levels of the anti-rejection drug cyclosporine by about 29%.
    • Metformin. NIH’s complementary health center reports that metformin levels fell about 25% in healthy adults given goldenseal extract (which contains berberine) plus metformin.
    • Pregnancy, breastfeeding and babies. NIH says people who are pregnant or breastfeeding should not use goldenseal, it should not be given to infants, and its berberine “can be harmful to newborns”.
    • Stomach upset. Constipation and diarrhea are the side effects most often reported in the trials.
    • Blood sugar. Because berberine is studied for lowering blood sugar, combining it with diabetes medicines is a conversation to have with your prescriber first.

    Other “GLP-1 boosters”, checked

    These are the other ingredients most often sold as natural GLP-1 helpers. We rate each one by how well weight loss is established in human research, the same way our supplements hub does: established, partly established or not established. None is “established”.

    Ingredient or product typeThe claimWhat the evidence saysWeight claim
    Berberine“Nature’s Ozempic”About 0 to 2 kg more than placebo in pooled trials; low-quality evidencePartly established
    Psyllium and other gel-forming fiberFills you up, “boosts GLP-1”Small losses in some pooled trials; one positive 2023 analysis was written by employees of a psyllium maker. See our fiber supplements pagePartly established
    Glucomannan (konjac fiber)Expands in the stomach8 trials: -0.22 kg, not significant; NIH: “little to no effect”, and tablets can block the esophagusNot established
    Green tea extractBurns fatCochrane: -0.04 kg in trials outside Japan; extracts linked to liver injury. See green tea extractNot established
    “GLP-1” probioticsRaise your own GLP-1NIH: inconsistent effects on weight. One leading brand’s page says its GLP-1 claims are based on preclinical studies and the product is “not intended for weight loss”Not established
    Citrus and saffron “GLP-1 support” capsules“Supports GLP-1 production”Small trials measured GLP-1 levels; one found no change in body measurements. A best-known product’s own page calls it “not a weight loss supplement”Not established
    Yerba mateAppetite and fat-burningA 2025 analysis of 13 trials found no significant effect on BMI or waist; side effects included insomnia and a fast heartbeatNot established
    “GLP-1 patches”Absorbed through the skinNo published trials. The FTC’s consumer advice: “Nothing you can wear or apply to your skin will cause you to lose weight. Period.”Not established

    Notice the careful wording on many labels: “GLP-1 support”, “supports healthy GLP-1 levels”, “not a GLP-1 agonist drug”. Raising your own GLP-1 a little after a meal is not the same as taking a long-acting medicine that keeps the receptor switched on all week. Eating protein- and fiber-rich meals is a reasonable, food-first way to feel fuller; our list of the most filling foods and our high-protein diet guide show how, without a supplement.

    What regulators have actually done

    Under U.S. law, the FDA “does not have the authority to approve dietary supplements before they are marketed.” Makers are responsible for safety and truthful labels, and the FDA and the Federal Trade Commission (FTC) act afterward. Here is what each has done that bears on “nature’s Ozempic” products, described exactly as issued:

    • FDA warning letter to Veronvy (December 10, 2024). The FDA told the seller of “Elily Veronvy” drops that the products were unapproved new drugs and misbranded. Claims quoted in the letter included that the drops “helped people lose up to 52 pounds in 3 months during clinical trials and was approved by the Food and Drug Administration last year” and a section titled “The Science of GLP-1”. A warning letter is a formal notice, not a court ruling.
    • FDA warnings about unapproved GLP-1 drugs. The FDA has warned companies selling semaglutide, tirzepatide and retatrutide labelled “for research purposes” or “not for human consumption”, and has reported counterfeit Ozempic. These are drugs sold outside the legal system, not supplements, but they are often marketed in the same places.
    • FDA’s tainted weight-loss products list. The FDA keeps a running list of weight-loss products found to contain hidden drugs and says it “covers only a small fraction” of contaminated products on the market. According to NIH, the hidden ingredient is often sibutramine, a weight-loss drug withdrawn from the U.S. market in 2010.
    • FTC. We found no FTC case aimed specifically at “GLP-1” or “nature’s Ozempic” supplements as of October 6, 2026. The FTC’s 2022 Health Products Compliance Guidance says it generally expects health claims to be backed by high-quality randomized, controlled human trials. In 2025 the FTC finalized an order against NextMed, a telehealth seller of GLP-1 drug programs (not a supplement company), over allegedly deceptive weight-loss claims, fake reviews and before-and-after photos.

    The rules in three numbers

    Checked on October 6, 2026

    How to spot a “nature’s Ozempic” claim that doesn’t hold up

    Five quick checks

    1. "FDA approved" on a supplementSupplements are not approved before sale; a supplement claiming FDA approval for weight loss is a red flag.
    2. GLP-1 in the nameAsk whether it contains a GLP-1 medicine. Supplement makers' own fine print usually says it does not.
    3. Big numbers, no trial"Lose 50 pounds" with no published, randomized human trial behind it.
    4. Wear it or rub it onPatches, creams and wraps don't cause weight loss, per the FTC.
    5. Sold as "research only"Injectable peptides labelled "not for human consumption" are unapproved drugs, not supplements.

    You can also look up a product in the FDA’s tainted-products notices, and check our evidence ratings for fat burners and other weight-loss supplements. For more claims we have checked, see 12 weight-loss myths science has busted.

    What does work, if you want a GLP-1-style effect

    If you are drawn to “nature’s Ozempic” because you want the appetite effect of a GLP-1 medicine, the honest options are prescription ones, used with a clinician. Our every FDA-approved weight-loss medication compared page lays them out side by side, the weight-loss pills guide covers the oral options, and compounded GLP-1s explains the risks of cheaper versions. Coverage and cost are often the real barrier; our insurance and cost guides can help. If medication isn’t right for you, the foundations still work: a modest calorie deficit, protein and fiber at meals, regular activity and enough sleep. Start with how to lose weight.

  • 12 Weight-Loss Myths Science Has Busted

    12 Weight-Loss Myths Science Has Busted

    In short: Many popular weight-loss “rules” do not hold up in trials. Small daily changes do not add up as fast as the 3,500-calorie rule says, metabolism does not crash in your 30s or 40s, crunches do not burn belly fat, and losing weight quickly is not regained any faster than losing it slowly. What does hold up: a steady calorie deficit you can live with, regular activity and strength work, and habits you keep after the weight is off.

    Each myth below is checked against randomized trials or large studies, with the source named so you can read it yourself. Many of them come from a widely cited 2013 New England Journal of Medicine review, “Myths, Presumptions, and Facts about Obesity”, by Casazza and colleagues. This is general education; your own plan is best made with your clinician. For the basics, start with our guides to calorie deficits and metabolism.

    Myth 1: Cut 100 calories a day and you’ll lose 10 pounds a year, every year

    The facts: The old “3,500 calories equals one pound” rule assumes your body keeps burning the same amount as you shrink. It doesn’t: a smaller body uses less energy, so weight loss slows and levels off. Casazza and colleagues give the example of walking an extra mile a day (about 100 calories): the 3,500 rule predicts more than 50 pounds lost over five years, while models that account for the body’s changes predict about 10 pounds. Hall and colleagues, writing in the Lancet in 2011, showed that weight responds slowly to a change in intake, with a half-time of about a year, and that people with more body fat lose more weight for the same calorie change and take longer to reach a new steady weight. That is why two people following the same plan can see very different numbers on the scale.

    Walking 1 extra mile a day for 5 years: predicted weight lossValues in lb
    Walking 1 extra mile a day for 5 years: predicted weight loss
    ItemValue
    Old 3,500-calorie rule50 lb
    Model that accounts for the body adapting10 lb

    The paper says 'more than 50 lb' for the old rule and 'only about 10 lb' with dynamic models.

    Source: Casazza K et al., New England Journal of Medicine 2013 (checked on October 6, 2026)

    Small changes still help, especially for preventing weight gain, but expect them to slow over time. Our weight loss calculator gives a realistic timeline.

    Myth 2: Your metabolism crashes in your 30s and 40s

    The facts: A 2021 study in Science pooled measurements of daily energy use from people aged 8 days to 95 years, using the doubly labeled water method. After adjusting for body size and fat-free mass, energy use was stable from about age 20 to 60, even during pregnancy, and only declined after 60. Midlife weight gain is real for many people, but this study suggests a slowing metabolism is not the main reason before 60. Keeping active and keeping muscle are within your control; see our strength training guide.

    Myth 3: Crunches burn belly fat

    The facts: In a randomized trial, 24 adults did seven abdominal exercises, two sets of 10, five days a week for six weeks while keeping their diet steady. Their abdominal muscle endurance improved, but belly fat, waist size, body fat percentage and weight did not change compared with the control group. You can’t choose where you lose fat. Overall fat loss, through diet, cardio and strength work, is what shrinks the waist; read more in our belly fat guide.

    Myth 4: Weight lost quickly comes back faster

    The facts: An Australian trial randomly assigned 200 adults with obesity to lose about 15% of their weight either quickly (over 12 weeks) or gradually (over 36 weeks). More people in the fast group reached the target (81% vs 50%). Three years later, both groups had regained the same share of what they lost: about 71%. The speed did not change the regain. Rapid loss is not free of risk: one participant in the fast group developed gallbladder inflammation and needed surgery, so talk with your clinician before trying a very low-calorie plan. Our page on losing weight fast covers what is safe.

    Share of lost weight regained after about 3 yearsValues in %
    Share of lost weight regained after about 3 years
    ItemValue
    Gradual loss (36 weeks)71.2%
    Rapid loss (12 weeks)70.5%

    Completers at week 144 of the maintenance phase; intention-to-treat analysis: 76.3% in both groups.

    Source: Purcell K et al., Lancet Diabetes and Endocrinology 2014 (checked on October 6, 2026)

    Myth 5: Breakfast is essential for weight loss

    The facts: Observational studies link breakfast with lower weight, but when researchers tested it directly, the link disappeared. In a 16-week trial of 309 adults trying to lose weight, being told to eat breakfast or to skip it made no difference to weight loss, whether people had been breakfast eaters or skippers before. Average changes were small in every group, between about 0.5 and 0.8 kg, and more than 9 in 10 people followed their assigned advice, so the result was not due to people ignoring it. Eat breakfast if it keeps you from overeating later; skip it if you’re not hungry. What matters is the day’s total.

    Myth 6: Eating six small meals “stokes” your metabolism

    The facts: In an eight-week trial, adults with obesity ate the same reduced calories either as three meals or as three meals plus three snacks. Both groups lost about 4.7% of their weight, with no difference in fat loss, appetite or hunger hormones. Meal frequency is a matter of preference. The 2013 NEJM review likewise found that trials do not support the idea that snacking, by itself, causes weight gain.

    Myth 7: Carbs (or fat) are the only thing that matters

    The facts: Two of the largest diet trials tested this directly. In POUNDS LOST, 811 adults followed reduced-calorie diets with 35% to 65% of calories from carbohydrate for two years, and lost similar amounts of weight. In DIETFITS, 609 adults on a healthy low-carb or healthy low-fat diet lost 6.0 and 5.3 kg after a year, a difference that was not significant. DIETFITS also tested whether genes or insulin levels could predict who would do better on low-carb or low-fat; they could not. Choose the pattern you can keep; our list of the best diets for weight loss ranks them by long-term evidence.

    Myth 8: Setting a big goal sets you up to fail

    The facts: It sounds sensible to aim low, but the NEJM review found no consistent evidence that ambitious goals hurt results, and several studies linked more ambitious goals with better weight loss. A goal that motivates you, combined with a realistic plan for the steps to get there, is fine. The American College of Sports Medicine notes that even a 3% to 5% weight loss lowers health risks.

    Myth 9: Exercise alone can’t move the scale

    The facts: Exercise is not as powerful as diet for weight loss, but it is not useless. In the Midwest Exercise Trial 2, sedentary young adults with overweight or obesity did supervised exercise five days a week for 10 months, burning 400 or 600 calories a session, without being asked to diet. They lost 3.9 kg and 5.2 kg on average (4.3% and 5.7%), while the control group gained 0.5 kg. That is a lot of exercise, about 2,000 to 3,000 calories a week, which is why most plans combine activity with eating changes. The American College of Sports Medicine found that 150 to 250 minutes of moderate activity a week gives only modest weight loss on its own, while more than 250 minutes is linked with clinically significant loss. See the 10 best exercises for weight loss for calories per workout.

    Myth 10: “Starvation mode” stops weight loss for good

    The facts: Your body does adapt to weight loss, but it doesn’t stop it. In a follow-up of 14 contestants from “The Biggest Loser”, resting metabolism was still about 500 calories a day lower than expected for their body size six years later. Yet the group still weighed about 17 kg (38 pounds) less on average than when they started, and those who kept more weight off had more adaptation, not less. Adaptation makes keeping weight off harder; it does not make losing weight impossible. Planning for weight maintenance from the start helps.

    Myth-busting numbers

    Checked on October 6, 2026

    Myth 11: Sex burns 100 to 300 calories

    The facts: This one is popular in magazines. The NEJM review worked it out: a 70 kg (154 lb) man uses roughly 21 calories during sex lasting about six minutes, and only about 14 more than he would have used watching TV. Enjoy it for its own sake, not as a workout.

    Myth 12: Weight-loss teas and “fat-burning” supplements do the work for you

    The facts: The FDA warns that many weight-loss products sold as dietary supplements or natural remedies contain hidden drug ingredients, and that they pose a serious health risk. Its list of tainted weight-loss products runs from 2009 to 2026, and the agency says the list covers only a small fraction of contaminated products, so a product not being on it does not mean it is safe. No supplement replaces a calorie deficit. If a product promises fast loss without diet or exercise, treat that as a warning sign. Our supplements hub rates common ingredients by evidence.

    How to spot the next weight-loss myth

    • Ask what kind of study it is. Many myths start from observational studies, where two things happen together (like breakfast and lower weight). Randomized trials, where people are assigned to one approach or another, are better at showing cause and effect.
    • Look for the length. A result after a few weeks may not hold after a year. Most diets look better at six months than at twelve.
    • Check the size of the effect. “Boosts metabolism” can describe a change too small to show up on the scale, so look for the actual number.
    • Be wary of one-weird-trick claims. Products promising fast loss with no change in eating or activity deserve extra caution (see myth 12).

    What the research does support

    Evidence-backed basics

    1. A deficit you can keepAny eating pattern works if it lowers your total calories over time.
    2. Track somethingLogging food or weighing yourself regularly is linked with more weight loss.
    3. Move and liftRegular activity plus strength work helps keep muscle and keep weight off.
    4. Plan for maintenanceMost regain happens after the first year, so keep the habits that worked.

    If you are comparing approaches, our side-by-side of intermittent fasting vs calorie counting shows how two popular methods stack up, and the TDEE calculator estimates your daily needs. The lose weight hub brings every option together, from food to medical treatment.