Dietary Articles of Faith

This is the last post on the Low Carb Wisdom blog. But I will be continuing my blogging at a new blog, Real Food Wisdom (more on the new blog below). I am abandoning this blog as I no longer consider myself to be following a low carb way of eating. I am grateful for the introduction to the low carb lifestyle, as it opened my previously closed eyes to the realities of eating nutrient dense foods. But I no longer believe the central, low carb article of faith: the Taubesian hypothesis that carbohydrates elevate insulin levels, which in turn drives fat storage. I also reject the belief that you must only count carbs, not calories and I reject the belief that exercise does not help with weight loss. These three ideas are elaborated on at length in Gary Taubes' book, Why We Get Fat.

This means I do believe there are good carbs (e.g., potatoes, white rice) and bad carbs (e.g., refined wheat or sugar), just as there are good proteins (e.g., meat) and bad proteins (e.g., gluten) and good fats (e.g., butter or lard) and bad fats (e.g., soybean or corn oil). I am also put off by all the low carb dogma out there, where you are a "sinner" if you eat a potato or white rice. Also, there is a growing recognition that the low carb way of eating is not a magic bullet, that low carb can cause problems (and abandoning low carb may actually cure those problems), and that some carbs may actually help with weight loss.

So what do I believe? How will I be eating in the future? I now consider myself to be following a version of the Paleo diet and briefly considered creating a blog called "Paleo Wisdom" (the name is available), but I didn't want to lock myself into another diet mode (repeating the "Low Carb" mistake by linking my way of eating to a specific, named dietary approach). The version of the Paleo diet that I follow most closely is the Jaminets' Perfect Health Diet, which is controversial in the Paleo community, because it doesn't shun potatoes, rice, and dairy. But I reserve the right to change my mind in the future about what I eat, as new evidence comes along.

So what do I believe? And how will it affect my future diet?

I believe that natural, real, whole foods are best, foods with very little or no processing. This means I am open to some non-Paleo belief systems, such as the Weston A. Price view of nutrition. It also means that things like potatoes and bananas are fine to eat, in moderation, and perhaps even correctly prepared, ancestral wheat.

I believe that eating animal products is essential to good health.

I believe that correctly rendered lard, butter, egg yolks, meat, coconut and olive oils, tree nuts and other high fat items are healthy for you and won't give you a heart attack. I am grateful to Good Calories, Bad Calories by Gary Taubes for opening my eyes on this point.

I believe that calories count, that this is the biggest determinant of weight loss and maintenance. I also believe that calorie restriction is necessary for maintaining appropriate blood glucose levels. It is not all about eliminating carbs, it is also about limiting calories. Adding in potatoes and rice, while watching calories, actually helped me stabilize my blood glucose levels.

I believe in eating vegetables. Lots of vegetables. And some fruit.

I now believe that food reward and palatability are crucial concepts to understand in losing and maintaining weight. I believe that simple foods are best, for most occasions. Thank you, Stephan Guyenet.

I believe in exercise. Both resistance training and cardio vascular. Just not to excess.

I believe that eating nutrient dense, whole, real foods is a high fat, moderate protein, and low carb approach to eating. Therefore, it is not necessary to add fat just to be more healthy. It is already high fat.

I believe in (this may surprise you) the Weight Watchers approach to losing weight. Not their low fat mantra nor their fat phobia, but their psychological perspective on weight loss, the weekly accountability of weighing in and the community support one gets from interacting with others on a similar weight loss journey. One of my most gratifying experiences in life was when I was a leader at Weight Watchers. I have written about this before and I am now actively considering re-joining Weight Watchers, but on my own terms. Calories count, but counting calories is a bummer. Counting points is easier. I can eat Paleo using their point system to track calories and I will lose weight. Plus I will gain the support of the people in the weekly meetings and perhaps influence some of their attitudes about eating real food.

So if you have enjoyed what I have written on Low Carb Wisdom, consider following me as I transition to Real Food Wisdom. The first post will be up shortly, probably tomorrow.

Taubes on Low Carb Stalls

Low carb diets stall if you need to lose more than 17-19% of your body weight. That's the dirty little secret about low carb diets, one that I wish I had known. Weight Watchers took me all the way to goal, but low carb stalls. This has left me about 25-30 pounds short of my goal.

The good news is that I am weight stable; the bad news is that I am no longer going down. This is also very common.

Gary Taubes slickly warned us all of this phenomenon in his book, Why We Get Fat. So I can't say I wasn't warned, but he sugar coats the reality. The following quote is from pp. 204-205 of the 2010 hardback edition of his book:

"The fewer carbohydrates we consume, the leaner we will be. This is clear. But there's no guarantee that the leanest we can be will ever be as lean as we'd like. This is a reality to be faced... [I]f you are not actively losing fat and yet want to be leaner still, the only viable option (short of surgery or the prospect that the pharmaceutical industry will come through with a safe and effective anti-obesity pill) is to eat still fewer carbohydrates, identify and avoid other foods that might stimulate significant insulin secretion--diet sodas, dairy products (cream, for instance), coffee, and nots, among others--and have more patience." (The bold and italicized emphasis is mine).

Why is this aspect of the low carb experience not given more exposure? I had to learn about it by reading the What They Don't Tell You About Low Carb Diets web site (a very good web site, which I highly recommend). And is patience the only way to get to goal? Carbsane has stalled, but been weight stable, for over three years now. How much more patience is needed? Lots of suggestions for busting through stalls, such as drinking more water, intermittent fasting (Taubes on p. 205 of the book referenced above), counting calories, etc.

Or perhaps low carb is not the answer, or at least, not the entire answer, to losing weight. I do not want to remain obese, even if other health markers are good (e.g., normal blood pressure, stabilized blood glucose levels). That is not a good strategy.

So over the next few months, I am going to explore other options. I remain committed to the Perfect Health Diet way of eating, but I am going to aggressively monitor calories and experiment with various foods that may or may not be causing me to stall. I have a goal in mind: I will be taking a group of students on a study abroad trip to Europe this summer (gratuitous link to my study abroad blog) and I want to be thin enough to go paragliding in Interlaken, Switzerland. The upper limit is 220 pounds, so that is my goal. I should be able to lose another 25 pounds in the next six months or so and be ready for the paragliding activity.

More Fairy Tale Advice

Want a current example of a low carb fairy tale?  A so-called, self-proclaimed "diet doctor" sends this message: eat as much "real food" as you like this holiday season, "because counting calories isn't necessary when eating real food." *

While this message might work for someone who is not/has never been obese, it is absolutely the wrong message to send to an obese, or formerly obese, person struggling to lose weight. You simply do not tell a person with eating issues that they can eat as much as they like and still lose weight. Even if it is grass-fed beef, pastured butter and raw, pastured cream, if you eat too much of it, you will gain weight.

Many thoughtful low carb luminaries recommend calorie counting (e.g., Jenny Ruhl, Stargazey, and, most prominently of all, Drs. Volek and Phinney in their book, The Art and Science of Low Carb Living). Carbohydrate restriction and calorie counting is the key to weight loss success. Eating moderately, as Volek and Phinney point out, is also the key to maintaining that weight loss. This is especially important for people who are obese or formerly obese.

If you restrict your carbs and pay attention to calories, you will lose weight. If you consume too many calories, you will gain weight. Even if those calories come from the "real food" you are eating.

A parting comment:  Kurt Harris, M.D., has some hard hitting advice about eating too much low carb/Paleo foods and yet remaining obese, despite improved markers of health. His take in a nutshell: become lean.  Eating junk and being thin is preferable to eating clean low carb/Paleo and being fat.

*Note: I actually agree with much (but not all; I would never eat canola oil, for example) of the Diet Doctor's prescription for weight loss, as long as one is brutally honest about this point: "Eat when you are hungry until you are satisfied" (from his list of approved foods). It's just that the obese and formerly obese need to be very honest about both hunger and satisfaction. All too often, the"until you are satisfied" part is lost behind the "Eat when you are hungry" advice. And all too often, the justification for overeating is, "Don't count calories, count carbs." Eating a cup of cream a day will sabotage your weight loss strategy, even if there aren't very many carbs in that cream.