1:03

In this segment Dr. Sarah Berry explains why strict calorie counting often fails. She first describes the body's evolutionary defenses against famine: when calorie intake is deliberately reduced, the body increases hunger signals and lowers metabolic rate, making weight loss harder. She then highlights that not all foods with identical ingredient lists deliver the same usable calories because the food matrix influences digestion and absorption. Using almonds as an example, she notes that whole almonds versus finely ground almonds can differ by about 30% in the calories actually absorbed, illustrating how food structure can dramatically affect caloric impact.

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