Is the Keto Diet Right for You?

The Atkins diet introduced back in the 80’s by Robert Atkins was the first ketogenic eating plan intended as a weight loss diet. It was essentially a meat and fat diet broken ever so slightly by a few green leafy carbohydrate vegetables. It pretty much guaranteed weight loss and the absence of hunger.

Atkins ideas were before their time and he was heavily criticized. In recent years, however, much of the value in his diet premise has become quite mainstream. It was the absence of hunger that made it initially successful. However, it was boring and frequently abandoned once the desired weight was achieved – the problem with weight loss diets.

Here is how it worked. You cut your carbohydrate levels to almost nothing. Then when you lost most of the weight you wanted, you started adding back more carbs until weight loss stopped and then you were supposed to stop and eat that forever. This is where the trouble starts. We humans tend to add back in the wrong carbs.

The word “Keto” comes from the liver process that converts body fat into “ketone bodies.” The ketones are then used by the body for energy in lieu of the carbohydrate sugar that isn’t allowed.  When fasting (as in while sleeping or other long periods of not eating) body fat is converted to ketones for energy.  A steady maintenance of low carbohydrate over longer periods of time allows a person to achieve an ongoing production of ketones and weight loss.

The lower the carbs in the diet, the higher the fat in the diet. The calories from fat are supposed to be adjusted downward (lower) as the carbs are allowed to go higher. What frequently happened with Atkins diet folks is they added carbohydrates back into their diet but didn’t change the higher fat consumption.  Oops!

The pattern of percentages allocated to carbs, protein, and fat is referred to by Keto geeks as macros.

From the voice of experience I suggest that counting macros is every bit as hard as counting calories. And in fact you really can’t calculate your macros without first determining how many calories you should be eating. Lots of counting going on.

An intense Ketogenic diet frequently has body composition and health treatment applications beyond any issues of weight loss. At its most intense, the diet usually includes a very small number of vegetable carbohydrates, like maybe 20-30 carbs per day, and LOTS of fat. There will be no fruit, no potatoes, no grains (processed or otherwise.), no beans.

At the grand level, the differences between Paleo and Keto are minor and those differences tend to be “intent” oriented. Paleo intends to prescribe what you can eat based solely on what the paleolithic folks ate. Keto prescribes what you can eat based on the amount of insulin the diet requires for energy digestion and storage.

The minimization of insulin creates the opportunity for body fat to burn and ketones to be created.  Paleo also minimizes insulin but usually doesn’t talk about it. If you need to understand this insulin thing better, read an earlier blog of mine,  The Human Body Design is Magical – Plan B, providing a pretty simple explanation.

Thus Paleo does not do cheese but does allow fruit. Keto is fine for cheese but would really restrict fruit. Otherwise both limit and allow the same foods, just for different reasons. For example, both instruct avoiding commercial grain oils and focusing on olive oil, avocado oil, and coconut oil.

It is important to remember that an intense ketogenic diet can be very nutrient deficient due to the very low levels of vegetables. Managing those deficiencies needs to be met with supplements. The trick is knowing which supplements. For this reason, the best idea is eating a lot of non-starchy vegetables and eliminating processed foods which are contributing minimal nutrition.

In its simplest form most people can have great Keto success without worrying about macros, calories, fat or nutrient deficiency. I have had conversations with eight people in the last week that simply eliminated sugar and processed food and starches including pasta, bread, all things sweet, minimizing starchy foods like potatoes and rice and eating lots of vegetables.  They report that the weight just seems to melt away with essentially no effort.

A friend just said yesterday that he had figured out that the pasta he had formerly eaten as a base for a shrimp stir-fry was just filler. The part that tastes fabulous is the stir-fry.

Pasta, rice, and potatoes have essentially no flavor of their own. Cauliflower can become faux mashed potatoes or rice. Zucchini can become “zoodles” for zoodles and meatballs or sauce. A tad of creativity can work a miracle. In other words, use whole food vegetables in your diet instead of processed foods. It is within those vegetables that nutrient density resides.

Several things happen with this simple Keto change. The weight starts to come off in a reasonable, paced way. The goal is not quick loss; the goal is losing slowly but surely. Symptoms (aches, bloating, joint pain, etc.) start to disappear. Energy is restored.

Diet change will be easier if you can recruit somebody else to join in the effort. Between the two of you a lot of good recipes can be created and enjoyed. Everyone else will be pretty convinced that life cannot go on without chips, pasta, and French fries.

When your body reaches the right body fat threshold for YOU, you simply stop losing weight. Your body is really pretty smart. You don’t have to think about it. You don’t adjust your diet. Just continue eating a healthy, nutritious diet for the rest of your life.

At the grand level, the differences between Paleo and Keto are minor. Paleo does not allow cheese, Keto does. Paleo allows fruit, Keto doesn’t. Like the Paleo diet, a good case can be made for the Keto diet if you have digestive issues or autoimmune disease(s). Read more about autoimmune disease here.

The high carbohydrate (and calorie) processed foods that generate hunger (a primary cause of overeating) and a source of autoimmune reaction are absent in the Keto diet.The foods included are nutrient dense. One could comfortably eat a simple Keto diet for the rest of their life.

My next column will be around the Mediterranean diet.

Pat Smith is the author of “It’s All about the Food,” a book that guides nutritious food choices as the way to avoid illness and maintain a healthy weight. Pat is a resident of Montgomery County, AR, president of Ouachita Village, Inc. board of directors (Montgomery County Food Pantry); chairman of the Tasty Acre project; and member of the Mount Ida Area Chamber of Commerce board of directors. Her Facebook page is www.facebook.com/patsmithbooks.  Her website is http://allaboutthefood.org/

Is the Paleo Diet for You?

The Paleo diet created by Loren Cordain is designed on the premise that we should only be eating foods that our Paleolithic ancestors could hunt and gather from nature. It isn’t entirely clear that we humans really know what the cavemen ate; after all we weren’t there at the time. But there is general and reasonable consensus that they ate animal meat and plants they could find in the area where they lived.

There has been much hybridization and genetic modification in animals and plants over recent years. It is unlikely we could actually match the diet of the cavemen. For example, the fruit we eat today did not exist in its current form 10,000 years ago. Modifications have made the fruit much sweeter (and much more attractive) than nature apparently intended.

In its strictest form, the Paleo diet includes meat/fish/eggs, non-starchy vegetables, fruit, and healthy fats like avocado, olive, and coconut. Most fruit has minimal fat but note that these fats are extracted from fruit.

Absent in this strict version are dairy, all grain, legumes (beans) and commercial oils made from grain (such as corn, canola, soybean, etc). Our Paleolithic forbearers didn’t have cows to milk, cookbooks to read, someone to somehow extract/process grain into oil. They got all the fat they needed in the meat. Also excluded are all processed foods, sugar, and artificial sweeteners.

The foods excluded in a strict Paleo diet tend to be those that many folks have difficulty digesting and cause autoimmune or allergic reactions.  In the typical autoimmune “elimination” diet, these are definitely the foods on the first elimination list.You can read about autoimmunity on my website, www.allaboutthefood.org.

The Paleo diet can be and frequently is modified although Loren Cordain will not approve. For example, if dairy is not a digestive issue for you, then some will add in dairy. Legumes contain anti-nutrients that impact digestion and reduce the availability of minerals. However, there are ways to prepare beans to minimize those issues. My book has a chapter, “What the Heck is Phytic Acid”, that describes the way to prepare legumes.

A good case can be made for a Paleo diet, particularly if you have digestive issues or autoimmune disease(s). Absent are the high carbohydrate (and by extension, calorie) processed foods that generate hunger and are a primary cause of overeating.

While information you read on the Paleo diet doesn’t mention “ketones,” the mark of a Ketogenic diet, the elimination of processed foods is absolutely going to result in the burning of body fat. That “burning” creates the ketones you will read about in the discussion of a Ketogenic diet.

Following the Paleo diet with reasonable care eliminates a need to count calories. Foods can be made to look and taste good. Whole foods included are nutrient dense. Paleo is touted as a healthy diet but it will inevitably be a weight loss diet if you are carrying extra weight. Weight can be be lost and kept off because adherence to the diet is easy. One can comfortably eat a Paleo diet long term.

Next week we will examine the Keto diet.

What Diet Will Allow You to Lose Weight and Keep It Off?

More and more often I talk to folks who are on a certain “diet.” The big question for them is, how can you keep the weight off permanently? Anyone who has ever done some serious calorie cutting or Weight Watchers knows, weight can be lost and then regained with great ease.

Over the next few weeks my blogs will focus on the currently popular “diets” like Paleo, Keto, and Mediterranean. I will describe each one, highlight the pro’s and con’s, and clarify how this diet might be particularly helpful for some.

My primary purpose is to help you decide which diet will allow you to lose the weight AND keep it off.

Today the discussion is the standard American diet (SAD), the default diet of the vast majority of Americans today. This diet is both high in carbohydrate and fat. This is not a planned diet; nobody goes down a list and purposely selects a SAD diet. It just happens because we have eaten it all our lives and our taste buds like it a lot.

So here’s the deal. Carbohydrate (sugar) and fat are the primary sources of energy in your food. Vegetables don’t have much sugar. Starches have TONS. The amount of total energy you eat BEYOND what is required for your body to keep going will result in lots of body fat and eventually illness.  So with that in mind —

The typical SAD diet is heavy with starchy commercially processed food, stuff like pasta, bread (bread and more bread), chips of every possible combination (double row aisle at the grocery), cereals, sweet any-and-everything, fried any-and-everything.

If you start with pasta (high starch) and then make it taste good with the addition of butter, cream, cheese, you have a high carb starch/high fat food. It is essentially impossible to make a sweet anything without both flour (high carb starch), sugar (high carb) and fat in the crust (high fat); you have a high carb/high fat food. Ice cream is carbohydrate (sugar) and fat.

Fried food inevitably seems to need a batter, flour or cornmeal, (high carb starch) and then fry it up in oil. The oil gets absorbed and voila’, high fat. Bread (including corn bread) is just high carb starch, period. It’s the volume along with the fat you spread on it (butter) or dip it into (olive oil) or ladle over it (gravy which is both flour {high carb starch} and fat {high fat}. And then there are pancakes with butter and syrup.

So you can see how it sneaks up on you. A diet that is a combination of high carb (starch or plain old sugar) and high fat is going to be a major overload of energy and just guaranteed to put on and keep putting on the weight.

Sugar in any form digests quickly in your body, gets delivered to your cells quickly, and your brain suggests (firmly) that you have used up available energy in your blood and should eat again. This is called “hunger.” It’s so hard to ignore your brain.

You don’t get hungry based on the number of calories eaten. You get hungry because the energy consumed from sugar has been used up and appetite rears its ugly head.

The SAD diet often consists of three meals plus innumerable snacks (or perpetual snacking all day.)  The inevitable excess energy consumed (both in sugar and fat) will be stored somewhere in body fat, over and over again.

Whole vegetables and fruits are natural sources of small amounts of carbohydrates, minimal fat, and a plethora of vitamins, minerals, and other nutrients you can’t do without. On the other hand, processed foods that are made primarily of starch (wheat, corn, soy, and other grains as well as root vegetables like potatoes) are extremely high in carbohydrates (sugar), tasteless on their own until they are augmented with fat or even more sugar, and nutrient deficient.

Plus plain old sugar and grain based starches are most often the primary causes of autoimmune dysfunctions like arthritis, lupus, etc. Everything likely to spark an autoimmune response is common in this diet. Read more about autoimmune diseases here.

In other words, overfed, undernourished, and sick. This isn’t the best option for good health.

Weight can be lost and managed on the SAD diet by tightly controlling calories. But this is difficult to do (particularly long term) because, regardless of calories, hunger soon returns. Hunger is impossible to ignore. You might exercise enough will power to get past it part of the time but you won’t ignore it.

Counting calories and exercising will-power every day for the rest of your life is an almost overwhelming idea that just takes the joy out of eating. The only pro I can find in the SAD diet is it is convenient. Everything else is a con.

Next week we will take a look at the Paleo diet. Perhaps that will work better.

 

Stop the assault on your body

In a recent post, Every Bite You Eat Is Either Fighting Disease or Feeding It, I said that “hundred or so years ago most of the chronic diseases so common today were rare or had never been heard of. There is a message here. These days we are feeding disease”

Read here an earlier post describing three real people with autoimmune diseases who reversed their conditions with dietary changes. These are people who stopped feeding their disease.

Those folks and the rest of us are all different. Our genetics are not all the same. How our bodies react to certain foods or chemicals is not the same.  You cannot presume that because John can’t eat grain, dairy, or oranges doesn’t mean that you can’t. Nor does it necessarily mean you can.  So anyone (including the government) that suggests there is a perfect diet for everyone is, frankly, smoking something.

What matters is whether certain foods make you sick. Your challenge is determine what diet is right for YOU. So let me help you figure that out.

Start here. A chronic disease is a condition that persists ongoing. Anything that can’t be “cured” with a medication is chronic. Cured means it goes away and doesn’t come back. A “treatment” points at symptoms but doesn’t cure a condition.

Chronic diseases come with degrees of severity and consequences.

The worst will be those most affecting the brain, worsening at varying speeds, and ultimately robbing you of your very self.  Examples are MS, ALS, Parkinson’s, a variety of dementia including the scariest, Alzheimer’s. There are no truly effective treatments or cures for these.  And the chances of a cure discovery don’t seem to be good.  Pfizer Drug recently halted research on Alzheimer’s and Parkinson’s.

Next would be autoimmune diseases.

The job of the immune system is to recognize and eliminate stuff that is harmful to you. Under persistent circumstances (like the immune trigger happens a lot) the immune system can get confused and attacks some protein in your body (like maybe your knees), misreading your knees as something pathogenic and needing elimination. You can treat these by medically turning down the immune system (which actually creates a whole new set of problems) but there are no medications that will cure them.

Then there are conditions like cardiovascular disease and heart failure, diabetes, obesity, etc. You can treat these with medication but there are no medications that will cure them.

Then there are the sometimes uncomfortable symptomatic reactions that are clues that something may be leading to the conditions above.  These would be stuff like weight gain, stomach ache, acid reflux, bloating, pain, constipation, rashes, headaches, mental confusion, anxiety, high blood sugar, etc. etc. In many if not most cases, persistent uncomfortable symptomatic reactions will eventually become debilitating.

I spend my time researching the prevalence, causes, and fixes of chronic diseases. And here is what I know.

Everything I listed above is the result of an assault on the body. That assault could be chemicals arriving in the environment (air, water, anything around you that isn’t you). But the biggest and most common assault has to do with the food you put in your mouth. The effect of the assault can be made worse by your genetic makeup but, in most cases, eliminating the assault makes genetics less important.

Maybe you have been convinced that you will always be sick when you are old. And indeed your chances are greater because you have a lifetime of continuous assault that your body hasn’t been able to overcome. Today is the day to stop the assault.

You can accomplish that by paying really close attention to symptoms. For clarity, if you can say you feel good and are able to attack each day with gusto, you have no symptoms. On the other hand, if there are days when this is not true, then you do have symptoms attached to something.

Don’t be tempted first to take up the perfect diet you just read or heard about. Paleo, keto, LCHF (low carb/high fat), Mediterranean, South Beach, Weight Watchers, vegetarian, vegan, some supplemental drink, carnivorous (all meat), there are so many. First you must ask yourself some questions.

Can I easily connect my symptoms to something I ate or did? Like “every time I eat xxx I get heartburn.”  “Anytime I do xxx I don’t sleep well and I get a headache.” “Every trip to my mother-in-law‘s makes me sick.”  You may be surprised how good your instincts are when you don’t ignore them.

When I don’t eat/do/expose myself to that “something” do my symptoms go away? Is my diet dependent on commercially processed and fast food? These are the foods that are calorie dense (lots of them), chemically dense (in the processing and ingredients), and nutritionally empty (the nutrients so important to your body are largely missing.)

I spent some time with a friend yesterday who was deathly ill for months. Persistently she figured out the causes which were sugar, gluten, and acid foods. She sticks religiously to her diet which unavoidably includes no commercially processed food; she feels and looks wonderful.

You too can eliminate those symptoms by simple avoiding that “something.” Stocking up on Nexium, Ambien, and Tylenol is not the right answer. In other words, your symptoms are giving you clues about how to make your diet and lifestyle appropriate for YOU. It may take some work on your part but it is certainly doable.

The more “symptoms” you have, the more they will interfere with your life and the greater the chances that you health will escalate to the more chronic and debilitating conditions common with age. Today would be a good day to stop the assault.

 Pat Smith is the author of “It’s All about the Food,” a book that guides nutritious food choices as the way to avoid illness and maintain a healthy weight. Pat is a resident of Montgomery County, AR, president of Ouachita Village, Inc. board of directors (Montgomery County Food Pantry); chairman of the Tasty Acre project; and member of the Mount Ida Area Chamber of Commerce board of directors. Her website is http://allaboutthefood.org/

 

So – What about Inflammation

Inflammation is a hot health topic but I often wonder if folks understand what that means to them personally. Really important for those with diabetes, heart and various autoimmune diseases. These are people with extreme inflammation. From a dietary perspective, grain and legumes (beans) are particular contributors. Here is why.

Continue reading

My personal story with autoimmune disease

I am not a doctor and thank my lucky stars that I am not. The pressure must be intense. Instead I am among a much smaller group of scientists, doctors, and laymen who care more about preventing illness than treating it. None the less, some of us reach a point  when doctors get full credit for saving our lives. We reach a point where prevention is no longer an option.

Here is my story, some of which was garnered in conversation with doctors, family, and friends. Because I was in la-la land. Continue reading

I am so sick of being sick!

I had lunch with a new acquaintance, Martha, a couple months ago. Our acquaintance began when all the tables in the restaurant were full and she graciously invited me to join her. She was a lovely and friendly lady and we liked each other right away. Conversations can get interesting when two people like each other and this conversation certainly did. She told me how sick she was of being sick.

Continue reading

Your genes and your health

We always feel sorry for anyone who is sick and in pain. But aren’t you especially sorry when that someone is YOU and it goes on forever.

In the beginning, whenever that was, it was just an aggravation. Then, slowly but surely, it got worse and worse until the ugly diagnosis by the doctor. “You have ****, an autoimmune disease, and here is your prescription.” Medications don’t usually heal a condition; they just attempt to slow down the destruction and mask the symptoms. Continue reading

Peter, Miriam, and Jack Autoimmune Recoveries

In these two posts, Autoimmune  and What to do about Arthritis, I tried to bring you up to speed on autoimmune disease. In another post I shared three autoimmune recovery stories and promised to post more. True to my word, here are three more. As before, the names are fictitious but the stories are true. Continue reading