Wednesday, November 20, 2013

Really, it's not dietary fat that's the issue...

One of the most common things people say to explain being overweight is that it's "hormonal." Well, they're right! But most often they do not know why they're right.

Hormone levels do influence weight gain and loss. In fact, there is one hormone in particular that primarily controls weight and how much fat you put into or take out of fat cells.  That hormone is INSULIN.  Insulin is released when you eat, particularly when you eat carbohydrates.  Here's a simple breakdown of what happens when you eat a carbohydrate:

1. Eat a carbohydrate
2. Glucose (sugar) is released into the blood
3. Insulin is released from the pancreas
4. Insulin transports sugar into cells

At this point, three things can happen:

1. The sugar is burned for energy, or
2. The sugar is stored as glycogen, or,
3. The sugar is stored as FAT.

Once sugar is stored as fat, it must be burned as fat.  It will not be converted back to sugar.  And it's the stored fat we want to lose!

Simply put:  When insulin levels are high, (because of excessive carb intake) you will NOT burn fat.  If your insulin levels are low, stored fat is released into the bloodstream and burned for energy, causing you to LOSE WEIGHT.  In a nutshell:

Low carb = low insulin = fat burning weight loss

Objections to Low Carb/Atkins weight loss programs

The most common objection I hear from people regarding the low carb/Atkins approach to weight loss is that eating fat is bad for your health. Well, this is not entirely true.  While trans fats (those fats that result from processing otherwise healthy fats and oils, i.e. margarine) are horrible for you, mono-unsaturated, polyunsaturated, and even saturated fats are not unhealthy as a general rule.  The crux of this objection or fear is the belief that fat elevates your cholesterol levels thereby making you more susceptible to heart disease and stroke.  If you believe this, then let's take a little quiz:

1. What macronutrient (these are the energy sources in food: fat, carbohydrate, and protein) raises your blood levels of saturated fat and triglycerides?

2. Which of these three lowers your HDL ('good' cholesterol) levels?

The answer is CARBOHYDRATES!

Other objections focus on the belief that eating carbohydrates is part of a balanced, healthy eating plan and Atkins doesn't allow that.

First, Atkins does allow you to eat carbohydrates, however, the focus is on those sources of carbohydrate that are more slowly digested and have minimal impact on blood sugar (and therefore insulin) levels in the blood.  

The program recommends foundation vegetables as the primary source of carbohydrate during the initial stages.  These vegetables provide vital nutrients and fiber while having minimal impact on your blood sugar.  As you progress through the phases, you can add more carbohydrate to your tolerance.  Atkins suggests selecting nutrient dense sources, such as nuts, seeds, and low sugar fruits.

If you are overweight and want to lose fat pounds, a diet focused on "low fat" will not work over the long term, because low fat foods are high in carbohydrate and often substitute empty calories from sugar or processed white flour.  These foodstuffs will cause you to have high circulating levels of insulin and you will store all those carbs as fat.

Another retort I hear about low carb approaches is that they are not heart healthy.  Well, we already talked about carbs and how they negatively affect saturated fat and cholesterol, so we won't repeat that again.  Rather, think of this point:  Excess weight/obesity is typically synonymous with poor health, and particularly poor cardiovascular health, so how can a diet (low carb) that makes you lose weight be unhealthy?

Our next installment will cover counting carbs and the best way to start a low carb diet!

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Monday, November 18, 2013

Going Down! Weight loss hits home...

As any of you that know me, whether friend, patient, or both, you know that I'm not the slimmest guy around and that I could stand to lose some weight.  Like it has for many people, weight loss has been a nearly life long struggle for me (pictures from when I was around 7 or 8 show a pretty slim kid, but after that...)

Over my life, I've been to the doctor, who put me on severe calorie restricted diets (600 cal/day for a growing adolescent?), tried various chocolate shake diets (you know that's really what they are), and the list goes on.

If you've ever struggled with weight loss, you know the frustration and self-loathing that goes along with the lack of progress and ultimate failure of any attempt at weight loss.  I have shared that frustration for some time.

Two years ago I read a book by Gary Taubes entitled, "Good Calories, Bad Calories: Fats, Carbs, and the Controversial Science of Diet and Health." This book both enlightened and enraged me.  Basically, I came to understand that we as a society have been led down an erroneous path to for the past 60+ years.  It is not dietary fat that is our problem, rather it is the fact that the Standard American Diet (SAD) is based on carbohydrate intake, chiefly from grains such as corn and wheat, sugar, and high fructose corn syrup.  Over the past few decades Americans have, in fact, been very good at following orders to decrease fat intake, which would make you think that the problem of obesity would be improving. Nothing could be further from the truth, rates of obesity and diabetes have skyrocketed to epidemic levels in this country.

I can sum up "Good Calories, Bad Calories," for you in three words:  Atkins was right.

Yes, the low carb route is the way to go if you want to lose weight and keep it off.  I started on November 4 and to date I have lost 9 pounds and I'm a notch tighter on my belt.

If you think that a low carb diet is the "bacon and eggs" diet, or if you think that it's unhealthy for your cholesterol levels or your heart, then you must...

TUNE IN TOMORROW FOR MORE!