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Kidney Disease
I am sure I read in the new edition of Dr. Atkins Diet Revolution (it was
and updated version of the new one put out in the early 90's) that Dr. Atkins said his diet was safe to go on if your creatinine level was 3.5 or lower and that if it was higher than that a special high-fat version of the diet could be constructed. Does anybody know where I could get more information on that particular subject? Thanks, John |
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Kidney Disease
"Mason" wrote:
I am sure I read in the new edition of Dr. Atkins Diet Revolution (it was and updated version of the new one put out in the early 90's) that Dr. Atkins said his diet was safe to go on if your creatinine level was 3.5 or lower ... Safe as long as there's no previous existing kidney disease. There's never been a single case of kidney damage from going on Atkins the way it is written in the book (and claims of new kidney damage are a way of figuring out that a person is so clueless about diet they can't tell a banana from a roast chicken). But that doesn't address folks who have existing kidney damage. and that if it was higher than that a special high-fat version of the diet could be constructed. I recall in the book saying you need special extra medical supervision to go on Atkins. That said I think you should consider other low carb plans that aren't ketotic. South Beach Diet or Carbohydrate Addicts Diet perhaps. Since Atkins already is high fat as it is written in the book if you eat the foods suggested and follow the directions and then do your counts, I think you mean low protein. Does anybody know where I could get more information on that particular subject? There's at least one regular poster Dawe A, who reversed kidney damage with low carbing. That says it's possible but no way I'll suggest you do it on your own. Have very careful medical supervision. On the high fat version, the numbers aren't hard to work out. Look up a good minimum protein (Protein Power by Drs Eades has a chapter on that) and try to stay at that minimum. Use the Atkins 4 phases to determine CCLL and CCLM and use those as carb targets. Fill the rest of with fat. My target weight as listed in insurance charts is 170 therefore my ideal weight in reality is 180. Using a common calorie guideline I should target 1800 calories per day. My Atkins CCLL is a very common 50 to lose, 100 to maintain. In round numbers 100 grams of protein is good for me. So let's do the arthmetic - 1800 calories total - (100 grams carb * 4) carb calories = 1400 1400 calories except carbs - (100 grams protein * 4) = 1000 1000 calories of fat / 9 = 111 grams of fat. That's how the arithmetic works out without even going low protein and anyone with a history of doing low fat dieting will think that's high fat. For the same total calories, more fat and less protein works better for loss so I could trade another 400 calories of protein (going to 200 grams, 800 calories) for 400 calories of fat (going to 78 grams, 600 calories) keeping my total calories the same. That starts to push low fat ranges. Somewhere in between those two sets of numbers it's easy to do so that's what my maintenance food looks like when I'm doing well. But the exact same arithmetic works if you get perscribed a low protein plan by your doctor. Do the arithmatic - Look up a total calorie value, subtract out the calories from your desired protein, subtract out the calories from your desired carbs, and the result is the calories from fat you'll need. Not difficult to figure. Going that low protein and that high fat isn't going to be natural in the foods you eat so it will take a lot of getting used to. Make absolutely certain you work these issues out with your doctor first. *No* roll your own plans that are based on Atkins for someone with existing kidney damage. |
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