This article is from Plus Magazine. Many have long thought that eating less and exercising more is enough to lose weight. And that it can be used to tackle a disease such as type 2 diabetes. But according to general practitioner Jacqui van Kemenade, more is needed: knowing which food suits you and what stress does to you.

How did you realize that not everyone can lose weight just like that?
"In my own general practice, I always obediently sent overweight and / or diabetic people to the dietitian. With the message: 'Just lose weight, get moving.' Until I started to see in my statistics that this approach was not working. Almost no patient continued to improve. "

"The proverbial straw was the visit of a mature patient in her sixties with severe obesity and type 2 diabetes. I started talking cautiously to the topic of weight. Suddenly she interrupted me and said, 'One thing, if you start moving more and lose weight, I'm gone. I haven't been able to say that for sixty years, but I'm not believed. ""

"Every body deals with what comes in calories differently"

Why was this a turning point?
"What this woman said touched me so much. I almost cried. At least she was still firmly in her shoes, but I suddenly realized how many overweight people feel guilty - and think they are doing everything wrong. And we, doctors, talk to them about that. "

"Triggered by the visit of this lady, I delved into the literature. What I saw in my practice was confirmed by figures. Eating fewer calories is not very successful at all. Diets with very few calories are difficult to maintain because you can are hungry all day. In addition, your body goes into energy saving mode: the metabolism slows down and that makes losing weight even more difficult. Conclusion: the assumption that every pound goes through the mouth is way too short. "

Where do those extra pounds come from?
"Every body deals with what comes in calories differently. Your body and the hormonal state it is in determine what happens to those calories. Whether you gain weight depends not only on how much you eat, but also on how much stress you have If you are constantly tense, your body thinks that there is danger. "

"What happens then is that your body is getting ready to fight the danger: fight or flee. Your blood pressure goes up, you produce the stress hormones cortisol and adrenaline, your liver produces sugar so that you have energy quickly. your blood sugar level rises. This makes you have an irresistible urge for sugar-rich food. Losing weight is doomed to fail. "

"This often also applies to people who sleep poorly. Sleep deprivation causes the hormonal processes to become confused. This in turn has an effect on your hunger and satiety. You can then line and move what you want, but still gain weight."