Once fat cells are formed, can you ever get rid of them?

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"[font=nyt-franklin, arial, helvetica, sans-serif][font=arial, helvetica, sans-serif]Once fat cells are formed, can you ever get rid of them?
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[font=georgia,]The number of fat cells in a person’s body seems to be able to change in only one direction: up. Fat cell number increases through childhood and adolescence and generally stabilizes in adulthood.
But this doesn’t mean that fat cells, or adipocytes, are stagnant. The size of individual fat cells is remarkably variable, expanding and contracting with weight gain or weight loss. And as with most cell types in the body, adipocytes die eventually.
“Usually when old ones die, they are replaced by new fat cells,” said Dr. Michael Jensen, an endocrinologist and obesity researcher at the Mayo Clinic. Cell death and production appear to be tightly coupled, so although about 10 percent of adipocytes die each year, they’re replaced at the same rate.
Even among bariatric surgery patients, who can lose massive amounts of weight, the number of fat cells tends to remain the same, although the cells shrink in size, studies show.
Liposuction reduces the number of fat cells in a person’s body, but studies show the weight lost is typically regained within a year. It isn’t known whether this regain occurs through the production of new fat cells or expansion of existing ones.
People who are obese tend to have more fat cells than those who are not, and several studies have found an increase in fat cell number with weight regain following weight loss.
The fact that fat cell number can be increased but not decreased most likely contributes to the body’s drive to regain weight after weight loss, said Dr. Kirsty L. Spalding, a cell biologist at the Karolinska Institute in Sweden and the lead author of a 2008 study showing that fat cells die and are replaced[/font]


[font=georgia,]Beyond their role in storing fat, adipocytes secrete proteins and hormones that affect energy metabolism.[/font]
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[size=small]“Following weight loss, adipocytes become smaller, generally smaller than those from people with a similar B.M.I.,” [/size][/font]

[font=georgia,]Dr. Spalding said. One hypothesis is that those smaller cells might send signals to increase appetite and fat storage, which could help to explain why weight loss is so difficult to maintain, though much more research is needed." nytimes[/font]
 
At age 21, I dieted by counting calories and lost 20# (from 140 to 120).

First pregnancy, gained 50.  Afterwards, down to 130.

Second pregnancy, gained 30.  Kept it.

Over time, each time I lost weight, I would gain it back plus another 10#. Tried every diet you can name.  Best one for me was Weight Watchers.

Twelve years ago, after my husband died, I was at the grocery store and noticed what was in my cart.  Boxed mac and cheese and other processed foods.  I stood there and thought, "I don't even like this stuff" but it was what my husband had liked.  I put it all back and started over.  I just started eating healthy.  Lost 70# and this time have kept it off, over 12 years now.

Why and how?  When I saw 200 on the scale, it was a shock.  When my doctor said the word "diabetes", I freaked out.  That did it! I started shopping for ME.  I changed my lifestyle.  Permanently.

You cannot "diet", lose weight and keep it off without making those permanent changes.  I allow myself a 3# variation in my weight.  When I hit that higher number, it's back to being strict again.  No ifs, ands, or buts.

I will never be fat again.  I worked in ICU and OR.  I will never forget being handed a foot or leg from a diabetic on the table.  Bag it and send it down to the lab.  I learned to numb myself to the feeling of holding someone's leg in my arms.  Dozens of times.  Every single one was obese and diabetic.  And the alcoholics with liver failure.  What suffering they endured.  I quit drinking even though I was a moderate drinker.  The treatments we gave those poor people were torcher.  I retired.  Couldn't stand it anymore.

Nope, not me.  It sneaks up on you and then WHAM!  I feel for everyone who fights this war.  Each has to find their own way.  But I will NOT be the one whose leg is bagged by a stranger holding their breath because it smells so bad from the rot.  Nope, not me.
 
yes you can get rid of fat cells with a procedure called liposuction there are also other medical methods that target fat cells to destroy them such as lasers, heat and sound waves. However it is expensive for all such treatments and liposuction comes with the same risk as any surgical procedure.
 
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