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Add pounds the healthy way with extra protein and healthy fats, not junk food
It’s common to hear about the health risks of having obesity and overweight, but being underweight can cause health problems, too. Underweight means you have a body mass index (BMI) below 18.5, and it can lead to infertility, a weakened immune system and sleep issues.
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It can also be a vicious cycle: Certain medical conditions like cancer, Type 1 diabetes and hyperthyroidism can cause you to burn more calories than you consume, which leads to weight loss. But then, being underweight is a risk factor for additional health concerns.
Some lifestyle habits and circumstances can lead you to need high-calorie snack ideas as well, like if you lost weight during a long hospital stay, or if you burn a lot of active calories at your job or through frequent workouts. And sometimes, it’s just genetics: Some people were born with a high metabolism rate.
“Whatever the case, if your healthcare provider is concerned that you’re underweight, they may recommend a high-calorie, high-protein diet to help you add extra pounds,” says registered dietitian Julia Zumpano, RD, LD.
Let’s start off by talking about what not to do when you’re trying to gain weight. Namely, don’t turn to a bunch of junk food. Eating chips, sugary sodas, donuts and candy will add pounds, but it won’t be the source of a healthy weight gain.
“This weight will mostly end up around your belly, which puts you at a higher risk for diabetes and heart disease,” Zumpano warns. “Instead, eat protein-rich foods that build muscle.”
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The main concept of gaining weight is that you have to eat more calories than the amount your body burns.
“It’s better for your body to gain weight slowly than to put on weight quickly,” Zumpano notes, “so to gain weight slowly, eat an extra 300 to 500 calories per day.” She also recommends eating small meals every three to five hours and snacks throughout the day to help you consume more without feeling overly full.
But what exactly should you be snacking on? Let’s take a look at some of the foods that can help you gain weight.
Nuts are high in protein and healthy vitamins and minerals, among other health benefits. Two major health studies found that people who ate 5 ounces or more of nuts each week lowered their risk of heart disease by as much as 50%.
The monounsaturated fat in nuts is the “good” kind that can help you manage your cholesterol, and a 1-ounce serving alone has about 160 to 200 calories. This makes nuts — including almonds, pistachios and walnuts — a good (and tasty) choice when you’re trying to gain weight, whether you snack on nuts alone, add them to a salad or combine them with dried fruit into a trail mix.
“To make sure you’re not increasing your intake of extra sugar and sodium, stick to plain, unsalted nuts, or make your own spice blend for them,” Zumpano suggests.
Recipes to try:
Don’t forget about nut butters! They have many of the same health benefits as nuts themselves, but they’re a super-versatile ingredient in a variety of dishes and snacks.
“Just be on the lookout for added sugars and oils,” Zumpano warns. “All you need in a nut or seed butter is the nuts or seeds themselves.”
One of the quickest, easiest snacks in the book is to add spread 2 tablespoons of natural peanut butter (or other nut butter) atop a sliced apple or banana. Yum! And an English muffin with a tablespoon of your choice of natural nut butter will typically add around 250 calories to your diet.
Recipes to try:
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Greek yogurt is strained to create a rich, creamy texture. It has about twice as much protein as traditional yogurt, and far more calories. It’s also a great source of calcium (for strong bones) and probiotics (for a healthy gut).
“Greek yogurt makes for a great base, especially when you’re trying to gain weight,” Zumpano says. “Be sure to use whole-milk Greek yogurt for extra calories and fat.”
Recipes to try:
One egg gives you 78 calories and 6 grams of protein. They’re also relatively inexpensive and accessible. “Eggs can be a great source of high-quality protein and a variety of nutrients,” Zumpano says.
Egg whites are safe to eat as often as you’d like, but when eaten in excess, eggs yolks can raise your LDL (“bad”) cholesterol levels. If you have cardiovascular disease or high cholesterol, it’s best to limit your egg yolk consumption to just four per week. Check with a healthcare provider to see what’s best for you.
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Recipes to try:
“Protein powder doesn’t offer the same kind of nutritional value that whole foods do, but it can help boost your protein intake and add extra calories,” Zumpano states.
Whey, hemp, rice or pea are all good protein powder options. Just be sure to look for a version that isn’t loaded with artificial sweeteners and other additives.
Recipes to try:
Cottage cheese has a mild flavor and serious health benefits. It’s high in protein and calcium, which is great for your bones, and it’s an extremely versatile food: Use it as a dip, put some on top of toast or bake it into pancakes and muffins to make them extra fluffy.
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Cottage cheese comes in nonfat, low fat (1% or 2%) or whole fat varieties, and full-fat cottage has 1.5 grams more of saturated fat than 2% cottage cheese does.
“For people trying to lose weight, a lower-fat cottage cheese is a great choice, but when you’re trying to gain weight, aim for whole-fat cottage cheese,” Zumpano advises.
Recipes to try:
Guac is definitely extra — extra healthy fats, that is! About three-quarters of the calories in avocados are from monounsaturated fats, and they’re full of vitamins and nutrients.
This fruit (did you know that avocadoes aren’t vegetables?!) is so versatile that it can easily be incorporated in everything from snacks and salads to smoothies and sweets.
“You can use avocado to replace other fats, you can enjoy the flavor and nutrients and also cut down on saturated fats,” Zumpano says.
Recipes to try:
Looking for an easy way to add calories to your meals? “Add condiments that are high in healthy fats,” Zumpano suggests. Examples include:
You can also add natural sweeteners like dried fruit, honey or maple syrup. Just be careful not to veer into ultra-processed territory, adding condiments that are loaded with additives like colorings and preservatives.
“They add calories, yes, but they can also cause inflammation in the body,” Zumpano cautions. “If weight gain is your goal, give each meal and snack a boost by adding an ‘extra’ to the meal.” You can:
Zumpano shares some additional snack and diet tips for when you’re trying you put on weight the healthy way:
Healthcare providers typically advise scaling back on foods that are high in fats, so if you’ve ever tried to lose weight in the past, some of these tips will feel counterintuitive. But remember that you won’t be following them forever — just while you’re trying to get to a healthy weight.
“From there, your doctor or dietitian can help you modify your diet again to something that’s healthy and sustainable for the long-term,” Zumpano says.
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