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The Biggest Loser: Second Chances included a one-mile foot race in its first week, an event that led to the hospitalization of two of its contestants; Rob Huizenga, the show's medical consultant, when asked about the foot race said that "If we had it to do over, we wouldn’t [have done] it" and noted that in response, the show's producers have "changed a lot of the way [they] do things" (including the close monitoring of contestants’ body temperatures during exercise).Because the show is a contest that involves eliminations from it, some contestants are encouraged to take risks that endanger their health. Benson, the winner of the program’s first season, publicly admitted that "he dropped some of the weight by fasting and dehydrating himself to the point that he was urinating blood".
Other health writers take it even further, suggesting that everything from the shows dietary guidelines to workout routines are completely flawed. Barry Sears sums up the wellness paradox: "First, eating less can cause stress to the system causing more hunger.The reason viewers see their muscles emerging as the show goes on is because as the layer of fat surrounding the muscles is lost, muscles become more visible.Those muscles were always there but covered by a mass of fat tissue.However, the contestants are individually responsible for implementing the principles taught.During an episode, various challenges and temptations (see below) are featured.This is true even though that weight-loss rate originates from an examination of the database from the National Weight Control Registry, where members have lost a minimum of 30 pounds and maintained that weight loss for a minimum of a year.
So while researchers did find a correlation between that rate, on average, with members of the Registry, all this correlation can mean—if there is any causal correlation at all (there is no control group) -- is that it is more likely, on average, for someone to be successful at losing a large amount of weight, and more successful at maintaining that weight loss.Despite this claim of supervision, however, all contestants are required to sign a waiver that states: "no warranty, representation or guarantee has been made as to the qualifications or credentials of the medical professionals who examine me or perform any procedures on me in connection with my participation in the series, or their ability to diagnose medical conditions that may affect my fitness to participate in the series".The weight-loss regimen used in the show—severe caloric restriction combined with up to six hours a day of strenuous exercise—involves risks including a weakening of the heart muscle, irregular heartbeat and dangerous reductions in potassium and electrolytes.It takes an overly extreme course of action on an important, but far less effective and achievable way to attain good form and better health." "Risks aside, weight-loss experts say that the biggest problem with the Biggest Loser is that extreme methods of dropping pounds are less likely to work in the long run.Several former Biggest Loser contestants have regained some or all of the weight." Contestants on the show lose upwards of 10 pounds per week (in the very first week, some contestants have lost 20–30 pounds in that one week alone), whereas the established medical guidelines for safe weight loss are between 1 and 2 pounds per week.Those sent home early compete for a smaller prize while those on the show compete for a larger prize and the title of "The Biggest Loser". Some episodes have been aired in a shortened one-hour format to accommodate adjacent network programming such as The Voice "I’m waiting for the first person to have a heart attack.