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Dr. Atkins' Dietetic Revolution: Mu Critique?
1. Very fat people die earlier than people of normal weight because hypertension, diabetes and coronary disease are more frequent among the markedly obese. Most obese subjects, however, are only slightly overweight and their mortality is not significantly elevated. Reasons for dieting are more often psychological than somatic. 2. Reducing diets are ineffective because the obese rarely follow them. Total fasting and intestinal bypass may provide better results, but are more dangerous. 3. Atkins' diet eliminates carbohydrates from food without restricting protein and fat intake. Deprived of carbohydrates, the body uses fat for fuel. A small part of metabolized fat is eliminated in the urine as ketone bodies, and this is why such diets are called "ketogenic". They have been known at least since 1863. 4. Caloric loss due to ketonuria does not exceed 100 Cal/day in the non-diabetic. It is maximal during total fasting and cannot be increased by a ketogenic diet. 5. In the short run, such diets produce rapid weight loss due to polyuria. On the other hand, refeeding carbohydrates causes water retention and weight gain. 6. The diet decreases appetite: some patients eat less without feeling severe hunger and without measuring their food intake. 7. Orthostatic hypotension, fatigue, and nausea are frequent, despite what Dr. ATKINS claims. 8. The diet increases plasma cholesterol and uric acid. It may be dangerous in diabetes (anorexia, acidosis) and in heart or kidney failure (hypokalemia). 9. The diet, though far from good, is better than the book. ATKINS' theories are at best half-truths, and the results he claims lack credibility. The obese subject's disappointment with traditional reducing diets and the book's hard-sell style account for ATKINS' success. |
#2
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MU wrote:
|| 1. Very fat people die earlier than people of normal weight because || hypertension, diabetes and coronary disease are more frequent among || the markedly obese. || Most obese subjects, however, are only slightly || overweight and their mortality is not significantly elevated. || Reasons for dieting are more often psychological than somatic. || What? || 2. Reducing diets are ineffective because the obese rarely follow || them. Total fasting and intestinal bypass may provide better || results, but are more dangerous. So the 2pd is not a reducing diet? || || 3. Atkins' diet eliminates carbohydrates from food without || restricting protein and fat intake. Deprived of carbohydrates, the || body uses fat for fuel. A small part of metabolized fat is || eliminated in the urine as ketone bodies, and this is why such diets || are called "ketogenic". They have been known at least since 1863. So? || || 4. Caloric loss due to ketonuria does not exceed 100 Cal/day in the || non-diabetic. It is maximal during total fasting and cannot be || increased by a ketogenic diet. So? || || 5. In the short run, such diets produce rapid weight loss due to || polyuria. On the other hand, refeeding carbohydrates causes water || retention and weight gain. So? || || 6. The diet decreases appetite: some patients eat less without || feeling severe hunger and without measuring their food intake. || || 7. Orthostatic hypotension, fatigue, and nausea are frequent, || despite what Dr. ATKINS claims. That sounds just like propaganda. || || 8. The diet increases plasma cholesterol and uric acid. It may be || dangerous in diabetes (anorexia, acidosis) and in heart or kidney || failure (hypokalemia). Really? Not according to my diabetic body. || || 9. The diet, though far from good, is better than the book. ATKINS' || theories are at best half-truths, and the results he claims lack || credibility. The obese subject's disappointment with traditional || reducing diets and the book's hard-sell style account for ATKINS' || success. You're such a moron, Mu. |
#3
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MU wrote:
1. Very fat people die earlier than people of normal weight because hypertension, diabetes and coronary disease are more frequent among the markedly obese. Most obese subjects, however, are only slightly overweight and their mortality is not significantly elevated. Reasons for dieting are more often psychological than somatic. There are many who develop metabolic syndrome (MetS) with just being mild to moderately overweight. This number is growing and is now estimated to be 40-60 million Americans at higher risk for cardiovascular events. 2. Reducing diets are ineffective because the obese rarely follow them. Ime, they are ineffective because they miss the boat by failing to educate people to "watch *how much* they are eating" and instead have people "watch what they are eating." The "see food diet" simply does not work. Total fasting and intestinal bypass may provide better results, but are more dangerous. Fasting is not sustainable. Bariatic surgery still fails when folks do not show they can watch how much they are eating. 3. Atkins' diet eliminates carbohydrates from food without restricting protein and fat intake. Deprived of carbohydrates, the body uses fat for fuel. The initially burns fat very efficiently until it runs out of body carbs (glycogen). A small part of metabolized fat is eliminated in the urine as ketone bodies, and this is why such diets are called "ketogenic". They have been known at least since 1863. This starts happening when glycogen stores are used up. 4. Caloric loss due to ketonuria does not exceed 100 Cal/day in the non-diabetic. It is maximal during total fasting and cannot be increased by a ketogenic diet. The ketonuria is comparable to what occurs during fasting. For this reason, many will say that Atkin's simulates the appetite suppression that occurs with prolonged fasting. 5. In the short run, such diets produce rapid weight loss due to polyuria. There is a diuresis. Also, the glycogen stored up in liver and muscle can weigh up to 10-15 lbs. This glycogen has a high water content (like play dough) and is used up within a few days resulting in a rapid 10-15 lb weight loss. On the other hand, refeeding carbohydrates causes water retention and weight gain. 10-15 lbs of glycogen coming back (imagine expanding overcooked pasta). 6. The diet decreases appetite: some patients eat less without feeling severe hunger and without measuring their food intake. Ironically, better health leads to healthier (ie bigger) appetites. 7. Orthostatic hypotension, fatigue, and nausea are frequent, despite what Dr. ATKINS claims. 8. The diet increases plasma cholesterol and uric acid. It may be dangerous in diabetes (anorexia, acidosis) and in heart or kidney failure (hypokalemia). Hyperketonemia leading to higher rates of lipid peroxidation would be the most pressing cardiovascular concern. When there is weight loss with the Atkin's diet, cholesterol should still decrease though there may be a higher amount of oxidized LDL which may lead to more atherogenic potential. Hyperuricemia is a problem primarily for those predisposed to gout. 9. The diet, though far from good, is better than the book. ATKINS' theories are at best half-truths, and the results he claims lack credibility. The obese subject's disappointment with traditional reducing diets and the book's hard-sell style account for ATKINS' success. The rapid 10-15 lb glycogen weight loss hooks a lot of people during induction. Servant to the humblest person in the universe, Andrew -- Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867 |
#4
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MU wrote:
1. Very fat people die earlier than people of normal weight because hypertension, diabetes and coronary disease are more frequent among the markedly obese. Most obese subjects, however, are only slightly overweight and their mortality is not significantly elevated. Reasons for dieting are more often psychological than somatic. There are many who develop metabolic syndrome (MetS) with just being mild to moderately overweight. This number is growing and is now estimated to be 40-60 million Americans at higher risk for cardiovascular events. 2. Reducing diets are ineffective because the obese rarely follow them. Ime, they are ineffective because they miss the boat by failing to educate people to "watch *how much* they are eating" and instead have people "watch what they are eating." The "see food diet" simply does not work. Total fasting and intestinal bypass may provide better results, but are more dangerous. Fasting is not sustainable. Bariatic surgery still fails when folks do not show they can watch how much they are eating. 3. Atkins' diet eliminates carbohydrates from food without restricting protein and fat intake. Deprived of carbohydrates, the body uses fat for fuel. The initially burns fat very efficiently until it runs out of body carbs (glycogen). A small part of metabolized fat is eliminated in the urine as ketone bodies, and this is why such diets are called "ketogenic". They have been known at least since 1863. This starts happening when glycogen stores are used up. 4. Caloric loss due to ketonuria does not exceed 100 Cal/day in the non-diabetic. It is maximal during total fasting and cannot be increased by a ketogenic diet. The ketonuria is comparable to what occurs during fasting. For this reason, many will say that Atkin's simulates the appetite suppression that occurs with prolonged fasting. 5. In the short run, such diets produce rapid weight loss due to polyuria. There is a diuresis. Also, the glycogen stored up in liver and muscle can weigh up to 10-15 lbs. This glycogen has a high water content (like play dough) and is used up within a few days resulting in a rapid 10-15 lb weight loss. On the other hand, refeeding carbohydrates causes water retention and weight gain. 10-15 lbs of glycogen coming back (imagine expanding overcooked pasta). 6. The diet decreases appetite: some patients eat less without feeling severe hunger and without measuring their food intake. Ironically, better health leads to healthier (ie bigger) appetites. 7. Orthostatic hypotension, fatigue, and nausea are frequent, despite what Dr. ATKINS claims. 8. The diet increases plasma cholesterol and uric acid. It may be dangerous in diabetes (anorexia, acidosis) and in heart or kidney failure (hypokalemia). Hyperketonemia leading to higher rates of lipid peroxidation would be the most pressing cardiovascular concern. When there is weight loss with the Atkin's diet, cholesterol should still decrease though there may be a higher amount of oxidized LDL which may lead to more atherogenic potential. Hyperuricemia is a problem primarily for those predisposed to gout. 9. The diet, though far from good, is better than the book. ATKINS' theories are at best half-truths, and the results he claims lack credibility. The obese subject's disappointment with traditional reducing diets and the book's hard-sell style account for ATKINS' success. The rapid 10-15 lb glycogen weight loss hooks a lot of people during induction. Servant to the humblest person in the universe, Andrew -- Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867 |
#5
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In article ,
MU wrote: 1. Very fat people die earlier than people of normal weight because hypertension, diabetes and coronary disease are more frequent among the markedly obese. Most obese subjects, however, are only slightly overweight and their mortality is not significantly elevated. huh? I thought obesity was defined as being at least 30% above a healthy weight. How is that only "slightly overweight?" Reasons for dieting are more often psychological than somatic. 2. Reducing diets are ineffective because the obese rarely follow them. A diet is ineffective because people don't follow it? That's like saying brushing my teeth every day doesn't help prevent tooth decay because I don't brush every day. Changing my oil every 3000 miles is ineffective because I only change it every 5000 miles. Heh. Try this post again, but with some logic. -- Michelle Levin http://www.mindspring.com/~lunachick I have only 3 flaws. My first flaw is thinking that I only have 3 flaws. |
#6
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In article 1102559455.8118204e37d1abc3b1e64c1493df232f@teran ews,
"Dr. Andrew B. Chung, MD/PhD" wrote: 10-15 lbs of glycogen coming back (imagine expanding overcooked pasta). Sorry, but pasta's not on the menu. -- "Sure we'll have fascism in America, but it'll come disguised as 100% Americanism." -- Huey P. Long |
#7
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Luna wrote:
|| In article , || MU wrote: || ||| 1. Very fat people die earlier than people of normal weight because ||| hypertension, diabetes and coronary disease are more frequent among ||| the markedly obese. Most obese subjects, however, are only slightly ||| overweight and their mortality is not significantly elevated. || || huh? I thought obesity was defined as being at least 30% above a || healthy weight. How is that only "slightly overweight?" || || ||| Reasons for dieting are ||| more often psychological than somatic. ||| ||| 2. Reducing diets are ineffective because the obese rarely follow ||| them. || || A diet is ineffective because people don't follow it? That's like || saying brushing my teeth every day doesn't help prevent tooth decay || because I don't brush every day. Changing my oil every 3000 miles || is ineffective because I only change it every 5000 miles. Heh. || || Try this post again, but with some logic. Not possible. |
#8
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Owen Lowe wrote:
In article 1102559455.8118204e37d1abc3b1e64c1493df232f@teran ews, "Dr. Andrew B. Chung, MD/PhD" wrote: 10-15 lbs of glycogen coming back (imagine expanding overcooked pasta). Sorry, but pasta's not on the menu. Now you know why there is rapid weight gain when "cheating" on a low-carb diet so that you won't be as concerned about it. Fwiw, glycogen stores cause no harm. Servant to the humblest person in the universe, Andrew -- Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867 |
#9
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Dr. Andrew B. Chung, MD/PhD wrote:
|| Owen Lowe wrote: || ||| In article 1102559455.8118204e37d1abc3b1e64c1493df232f@teran ews, ||| "Dr. Andrew B. Chung, MD/PhD" wrote: ||| |||| 10-15 lbs of glycogen coming back (imagine expanding overcooked |||| pasta). ||| ||| Sorry, but pasta's not on the menu. ||| || || Now you know why there is rapid weight gain when "cheating" on a || low-carb diet so that you won't be as concerned about it. Fwiw, || glycogen stores cause no harm. || Well known here before you and mucus came along. || || Servant to the humblest person in the universe, || || Andrew || || -- || Dr. Andrew B. Chung, MD/PhD || Board-Certified Cardiologist || http://www.heartmdphd.com/ || || ** || Who is the humblest person in the universe? || http://makeashorterlink.com/?L26062048 || || What is all this about? || http://makeashorterlink.com/?R20632B48 || || Is this spam? || http://makeashorterlink.com/?N69721867 |
#10
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Dr. Andrew B. Chung, MD/PhD wrote:
|| Owen Lowe wrote: || ||| In article 1102559455.8118204e37d1abc3b1e64c1493df232f@teran ews, ||| "Dr. Andrew B. Chung, MD/PhD" wrote: ||| |||| 10-15 lbs of glycogen coming back (imagine expanding overcooked |||| pasta). ||| ||| Sorry, but pasta's not on the menu. ||| || || Now you know why there is rapid weight gain when "cheating" on a || low-carb diet so that you won't be as concerned about it. Fwiw, || glycogen stores cause no harm. || Well known here before you and mucus came along. || || Servant to the humblest person in the universe, || || Andrew || || -- || Dr. Andrew B. Chung, MD/PhD || Board-Certified Cardiologist || http://www.heartmdphd.com/ || || ** || Who is the humblest person in the universe? || http://makeashorterlink.com/?L26062048 || || What is all this about? || http://makeashorterlink.com/?R20632B48 || || Is this spam? || http://makeashorterlink.com/?N69721867 |
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