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Dr Nick Fuller works for the University of Sydney and has received external funding for projects relating to the treatment of overweight and obesity. He is the author and founder of the Interval Weight Loss program.

When people decide it’s time to lose weight, they’re usually keen to see quick results. Maybe they have an event coming up or want relief from health problems and discomfort.

But expert guidelines typically recommend slower weight loss for the treatment of obesity. This tallies with a widely held opinion that fast weight loss is more quickly regained. Slow weight loss is generally perceived as better for your health and more sustainable. Many programs offering “the fastest way to lose weight” are considered fad diets that severely restrict calories or eliminate some foods.

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Governing bodies typically recommend a weight loss of 0.5 to 1 kilogram each week, which would be defined as slow weight loss.

So fast weight loss – also termed “rapid weight loss” – is losing more than 1 kilo a week over several weeks.

One study of 200 people randomly assigned them to fast or slow weight loss – 12 weeks versus 36 weeks – aimed at a 15% reduction in weight.

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The fast weight loss group was put on a very low energy diet using meal replacements, including shakes, bars and soups, three times per day. The slow weight loss group was advised on the Australian Guide to Healthy Eating with the goal to eat 500 calories less than they used for energy (creating a calorie deficit) each day. They also used one to two meal replacements daily.

Some 50% of the slow weight loss group and 81% of the fast weight loss group achieved 12.5% or more weight loss during this time.

After this initial phase, those who had lost 12.5% or more were then placed on a weight maintenance diet for approximately 2.75 years.

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By the three-year mark, 76% of those in the slow weight loss and the same percentage of those in the fast weight loss group had regained their lost weight.

However, another study on 101 postmenopausal women found fast weight loss resulted in better outcomes than a slow weight loss group at the three-year mark.

But there are other factors to consider, aside from weight loss, when it comes to the differing ways of losing weight – such as changes in body composition and bone mineral density.

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This is best highlighted by a large meta-analysis. These type of studies combine the results of all previous well-conducted studies on the topic.

While this analysis found the magnitude of weight loss was similar for both approaches, slow weight loss resulted in better outcomes than fast weight loss with respect to metabolism or how many calories we burn at rest.

There were no differences in the amount of fat-free mass or muscle mass lost between the slow and fast weight loss groups. But slow weight loss resulted in greater reductions in fat mass and therefore a better fat-to-muscle ratio.

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Slow weight loss also seems better for bone density, because rapid weight loss results in a twice as much bone loss and puts a person at increased risk of brittle bones or osteoporosis.

Research shows it doesn’t matter what type of macronutrient diet you follow – moderate or high-protein diet, low or high-carbodyrate diet, low or high-fat diet. All diet approaches achieve similar weight loss outcomes.

The same can be said for fashionable ways of cutting calories from the diet, such as intermittent fasting. Research has shown such diets don’t result in any better weight loss results than any of its predecessors. This is because our body is extremely good at protecting against weight loss.

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Your metabolism When you lose large amounts of weight, your resting metabolic rate – the energy you burn at rest – will lower. Keeping your resting metabolic rate high is essential for keeping the weight off. Unfortunately, once it slows down, your resting metabolic rate doesn’t recover to the level it was pre-dieting even after you regain weight.

However, research has confirmed slow weight loss preserves your resting metabolic rate compared with rapid weight loss. As does a weight loss program that includes exercise rather than one that focuses on diet alone.

Side effects While restrictive diets can achieve rapid results, studies suggest they can come with adverse effects. This includes a higher risk of gallstones and deficiencies that can result in poor immune function, fatigue and a decrease in bone density. Such restrictive diets can make it challenging to meet your nutritional needs.

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Sustainability Many fast weight loss diets restrict or exclude foods required for long-term health. Carbohydrates are often banned, yet wholegrain carbohydrates are an essential source of nutrition, helping with weight loss and prevention of disease. Including meal replacements as part of a restrictive diet is also not sustainable for long.

Regardless of how you lose the weight, it’s very difficult to maintain losses. Our bodies work to keep our weight around a set point by adjusting our biological systems and imposing a series of physiological changes within the body to ensure we regain weight we lose. This stems from our hunter-gatherer ancestors, whose bodies developed this survival response to adapt to periods of deprivation when food was scarce.

3. making gradual changes to your lifestyle – diet, exercise and sleep – to ensure you form health habits that last a lifetime.

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At the Boden Group, Charles Perkins Centre, we are studying the science of obesity and running clinical trials for weight loss. You can register for free here to express your interest.Bringing your weight into a healthy range is about much more than how you look. Research shows that maintaining a healthy weight can be key for preventing many illnesses. Those include type 2 diabetes, heart disease, high blood pressure, arthritis and at least 13 different types of cancers.

That’s a powerful motivation to start a weight-loss effort. But many people struggle to make meaningful changes to their bodies. And it can be difficult to keep the weight off for a long time.

Looking at what habits are or are not working for you is a necessary step in the process. Jacki Howard, a health coach for , weighs in on seven common habits that tend to be problematic and offers some smart swaps.

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Get our best tips for living your healthiest life delivered straight to your inbox. Sign up for our newsletter today. 1. Only focusing on calories

The “calories in, calories out” theory of losing weight is a bit misguided. Many weight-loss plans put calories at the center of their program. But Howard says not all calories are created equal. The 2, 000 calories from a balanced meal are different from the 2, 000 calories that come from snack food.

A balanced meal is lower in sugar and higher in protein and fiber. It won’t spike your blood sugar in the way snack food will. The fiber in the meal will help keep you fuller for longer. Plus, the meal has disease-fighting nutrients that boost health.

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In one study, people who ate less sugar, refined carbohydrates and highly processed foods lost more weight than those who counted calories. They filled up on more vegetables and whole foods. And they never even monitored their calorie intake.

Your weight is actively regulated by your brain. It processes all kinds of signals to tell you when and how much to eat. Some of the most important signals to the brain are chemicals that change in response to food.

Eating more protein increases the levels of appetite-reducing chemicals. At the same time, it reduces the level of a hunger chemical called ghrelin. When you replace carbs and fat with protein, the hunger chemical is reduced. And several satiety chemicals get boosted. This leads to less hunger, which is the main reason protein helps you lose weight. It makes you eat fewer calories.

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Research also suggests that eating the recommended amount of protein helps you lose weight. And it helps your body composition by decreasing how much fat you have.

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Some types of fat, such as trans fat and saturated fat, are considered unhealthy. That’s because they raise the level of bad cholesterol in the body. Cholesterol is a type of blood fat. But you shouldn’t stay away from fat altogether. Our body needs it to act properly, Howard says.

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Fats are the last to leave the digestive tract. That means fats can help us feel fuller longer. They keep us from overeating or snacking too much.

Healthy fats are called monounsaturated and polyunsaturated. Your body needs them to work properly. For example, some vitamins are fat soluble. That means if you don’t have enough fat in your meals, you can’t soak up as many nutrients. Look for healthy fats in foods such as olive oil, avocado, fish, whole eggs and nuts.

When you’re trying to lose weight, many people look at the calories per serving on food labels. But Howard says you shouldn’t stop there. Some packaged foods can have surprisingly high

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