“I was constantly fatigued and eating”

Before and after

Before and after

I received an email with Paul’s story about how he was tired and overweight. Here’s what happened when he found LCHF:

The Email


I started with LCHF on April 4 of 2012, so it’s been 2 years and 10 days. What can I say, besides I had a huge stomach and a difficult time going up flights of stairs. I had serious gout attacks, high blood pressure, high cholesterol and skyrocketing triglycerides. I was constantly fatigued and eating.

I went to a physician and was given 7 different kinds of medicine to take. Of course, I instinctively knew that taking meds wasn’t going to cure me; I knew I needed to change what I was eating- but I didn’t know what to eat. I didn’t want to weigh food, count calories; play that game. So, I started researching and found “The Food Evolution” online as well as “The Bitter Truth”, Dr. Lustig. It became absolutely clear to me that carbs were the problem.

I planned one day; eggs, cream, bacon, cheese, salads, steak… I wasn’t hungry. I got more help with meals from Maria Emmerich. I went from a size 40 pant down to a 32. My younger look returned to me. Whenever I consider going back to carbs I take a 2-second look in the mirror and grab a slice of bacon… No pills, my cholesterol/triglycerides went down, blood pressure is great; my entire body corrected itself. More energy, more clarity in my thinking, my skin is perfect – no acne or pimples ever. Others that watched me lose also went on LCHF with the same results.


Congratulations on your health and weight improvements! Great that others were inspired by your results!


LCHF for Beginners

How to Lose Weight

More health and weight stories

More on the metabolic syndrome

Share your story

Do you have a success story you want to share? Send your information, plus before and after photos, to success@dietdoctor.com. It would also be greatly appreciated if you shared what you eat in a typical day, whether you fast etc. More information:

Share your story!


  1. Dillon
    Nice transformation. Good for you for having the motivation to get started and dedication to stick with it. My heaviest weight is 219 (currently 183), but I am, and always will eat a keto diet.
  2. Misko
    Your story will encourage a loved one of mine who is struggling with obesity and has just started LCHF. Thanks!
  3. Vicente
    Congratulations for your success!

    "Others that watched me lose also went on LCHF with the same results.". The same here: a couple of friends (one of them a T2D) and my wife saw my radical change with lchf and they made lchf their way of eating. At least now they know there is a solution.

  4. PatrickP
    Good job, Paul! You look great!
  5. robert
    I'm very glad you're better again! A stunning difference.

    I wish the very first question doctors asked patients were: "What do you eat and drink?". The standard seems to be to pull out the prescription block and send the patient off with yet another pill to suppress symptom X, Y or Z, even if the patient is open to lifestyle changes and would've accepted sound advice gladly. Maybe this is driven by a perceived demand for quick fixes, but I have yet to come across a doctor that openly discusses nutrition first and then, only if things don't improve after giving things sufficient time to adapt, suggests to use pharmaceuticals. Some of them even openly deny that nutrition has "anything to do with it". And in one case I got such an answer so quickly, that the doc (an endocrinologist, who really should have known better) had absolutely no time to think about it. It was an automatic reply it seems. Suffice to say that my respect for that person dropped instantly.

  6. Tyrannocaster
    Paul, I have to echo everybody else's congratulations on your changes. It's remarkable how getting rid of what are, effectively, poisons for some of us, can turn the situation around. I was always "skinny fat", meaning that my weight was normal (to a doctor, at least) but I had very little muscle mass, meaning that an awful lot the weight was fat. And the resulting inflammation gave me all sorts of problems, including severe fatigue (I mean can't-get-out-of-bed fatigue, not just a little lassitude), joint pains, and skin problems, as well as blood work that showed metabolic syndrome. Most of that changed *immediately* when I stopped eating wheat, and within 30 days my tryglicerides (anybody else have trouble typing that darn word?) went down by 170. So you aren't alone in this. You've done a great job, and good luck to you!

    Robert, your remark about doctors asking their patients what they eat is right on the mark. None of the conventional physicians I spoke with had a clue about looking into nutritional causes. Not one.

  7. francois

    I have to say you are right. Thirty years ago, when I went through Medical school, we covered nutrition in one single afternoon:"get rid of the darn thing and move on to more important stuff". I would have hoped things would have gotten better with passing years. They have not. Nutrition (even "useless" main stream nutrition) is paid lip service in medical school. And it is not only medical education: there is a strong feeling among my colleagues that nutrition is a waste of time. I am just finishing a course in tropical medicine and the grain-based diet of many third world countries affects very negatively many diseases because of the massive lack of nutrients of these diets. We were given an excellent lecture about that very subject. It was very badly received and most of the 110 people in the class (I was, as far as I can see, the only exception) bitterly complained about this "useless" course.

    We have a long ways to go before mainstream medicine truly opens to nutrition and even more before LCHF becomes the reference diet. This being said, websites like this one are essential. it is going to be a bumpy road, but the trip is worth it. The science is there. We who have had success with this way of eating must share this success with others, until we hit a critical mass.

  8. Tyrannocaster
    François, as long as there are at least some doctors like you I won't lose hope entirely. On a besoin de bons toubibs partout, hein? :-)

    Paul, perhaps you lost the weight because you shaved off your beard and mustache! (LOL)

  9. Tyrannocaster
    Also, François, would you mind if I used your comment as the basis for one of my own blog posts? This is a subject that has had me thinking for some time and I think I'd like to write about it. Your comment is a very good distillation of the problem. My blog can be found easily by Googling Tyrannocaster and WTF (which is the name of the blog) if you want to check it out first.
    Reply: #13
  10. Dee
    i tried going low carb earlier this year and was so hungry i was almost fainting off. i have always eaten 4 meals a day. any less and i am in trouble.in various ways. i have IBS so have to be very careful about diet changes, and what i eat. even something like changing the bread i eat ( i normally eat only weight watchers white for sandwiches, or thick wholemeal or grained for breakfast toast.have eaten this for the past 7 years. but lately i am finding that local supermarkets either arent stocking it or are running out by mid afternoon.so have to buy hovis or some other normal small loaf.invariably it affects my IBS.... FRUIT... I CAN GO SO LONG EATING A LITTLE.HALF A BANANA, OR 6/7 STRAWBERRIES ETC. then it starts to affect me again and i have to stop eating it (as now). more than 1 slow release metformin tablet a day affects my IBS badly. so with me its a constant battle of what to eat at any given time. and nothing stays the same for long.on top of this i have acid reflux and bad circulation. plus a long ongoing thing about whether i did or did not have a heart attack 7 years ago. at the time i was told i didnt..was a warning only...now being told i did cos letters from that time say i did, in spite of my GP reasuring me and my daughter at the time that i hadnt.soooooo what do i do? if low carbs are the way forward... in view of all this???im 72 yrs old in 4 days time. non smoker of (again)7yrs. with multiple medical conditions totaling 39 minor to major.plus cataracts (which run in my family..not due to diabetes)
    Reply: #15
  11. debrakadabra
    In my book - bacon cures everything!!! You look miserable on the left, and totally FAB on the right. Soooo inspiring. Thank you.
  12. Eunice
    Congrats Paul! I saw the headlines from the corner of my eyes, as I was in the kitchen getting ready to make breakfast and was instantly inspired to make a Spanish omelette (with slices of sweet potato instead of white potato, of course) slice of avocado and a sprinkling of chia seeds. Yummm. So thank you for inspiring us with your story.
    I have gone on and off on low carb, but have not taken seriously until now. I gave birth to my 3rd child a year ago, and my fasting blood sugar is on the pre-diabetic level, my weight is closed to my full term pregnancy weight even though I am not pregnant!! I have read every main book on low carb, high fat nutrition and fully understand its benefits and I know unequivocally this is what I must do to gain my health and be here for my children a little longer. I'm on day 5 and I can tell you the first thing I notice on low carb, high fat is clear thinking! in fact, I've come up with some brilliant ideas at time while on low LCHF. I'm getting this clarity back. I know I need to respect myself and my body and that is the basis of continuing on my journey to better health. Funny thing, as I get older, it becomes more about health than weight, but I know LCHF is the key to both. All the best to all of us who get up everyday and take one more step forward.
    Dee, what a scary episode of almost fainting! I wonder were you having high fat when you went low carb? I recommend reading the dos and don't on this wonderful page and perhaps Dr. Andreas could chime in from a medical perspective as to your fainting feelings on Low carb and other medical issues. I do think Wheat and fruit are very bad when trying to heal your body and I am sure Metformin is not so good for IBS either as it also hard on your liver. So I would say no to fruit and any kind of wheat and certainly Yes to High quality fats (see doctor's page on what to have) All the best and I know it is never too late to make changes. Big hug to everyone! to you health!
  13. François

    Thanks for asking, though I wrote my text in a public forum. I took a look at your blog. I stand by what I said. My colleagues know very well my opinion. I'd appreciate, though, if you would maybe avoid some of the rather crude pictures you sometimes include (not that I'm prude, but I'd pass on a few very graphic pictures)...


  14. Tyrannocaster
    François, all I can say is thanks and LOL. :-) I was not planning to use your comment in a snarky post - there are actually several on the blog which do not go in that direction. I know you wrote your comment in a public forum but I still like to get permission when I use people's quotes in a context like this one. So thank you. The whole question of physicians' education in nutrition is a fascinating and troubling one to me as I look around as see the results of an approach which is plainly not working. So I have to wonder why this is the approach.
  15. Lori Miller
    Dee, I used to have acid reflux, too. I can't tolerate much fruit, either (think one strawberry a day) and do better on smaller, more frequent meals. All of this is compatible with low-carb.

    The only bread I eat is coconut flax seed bread that I make myself from a recipe in The Fat Fast Cookbook by Dana Carpender.

    Low-carb is a no-hunger diet--just snack on meat, a bit of hard cheese, carb-free gelatin or pork rinds when you're hungry.

    May I suggest The New Atkins for a New You for detailed info and, if you don't mind bathroom humor, The Meat Fix: How a Lifetime of Healthy Eating Nearly Killed Me by John Nicholson, former IBS sufferer.

  16. Yossi
    I honestly don't think the problem is that doctors don't ask about your diet. The problem is that most of them have little idea of what constitutes a good diet. Last time I visited my doctor she asked me what I ate and when I mentioned that I consumed a lot of saturated fat she told me that I was in danger and should immediately stop, and start taking statins.
    Replies: #17, #18
  17. robert
    Well, you have had a tiny bit more luck than me it seems. At least you were asked about diet, even if the interpretation was quite outdated. For every issue I've had so far that could have been improved with diet, I always ended up with another pill within 10 minutes or so.

    "XYZ is not good, take this pill and come back in 4 weeks if it doesn't get any better."

    Sound familiar?

  18. Bill UK

    Did you continue the conversation with your doctor in anyway? It would appear Big Pharma really have the establishment tied up good and tight.

  19. francois
    @Yossi, @Robert, @ Bill UK

    Gents, please also remember that - at least here in the US - many (I mean, many, many) physicians have to follow guidelines, including those for cholesterol and statin prescription even if they absolutely make no sense whatsoever for their income will be slashed if they do not. When their income is in jeopardy, many do not hesitate and go with the flow. There are few Malcolm Kendrick and John Briffa in the world. Unfortunately.

    Reply: #20
  20. murray
    Francois, there is also concern about malpractice liability. If the patient suffers a heart event and the physician failed to prescribe statins according to guidelines there could be a negligence lawsuit based on failing to meet the standard of care. Even if the physician were to prevail in the end, it would be trial by ordeal for at least a couple of years. So there is a lot at stake in setting the guidelines and commentators have noted that members of the guideline committees have numerous financial ties to the pharmaceutical industry.
    Reply: #21
  21. robert
    There may be guidelines. But that doesn't absolve doctors from forwarding up-to-date information to the patient - to the best of their knowledge and ideally unbiased.

    And to avoid the liability issues, the doctor must tell his patient that according to the guidelines he is supposed to prescribe medication X for condition Y, even if it is clear that other courses of action are as effective or even better (e.g. LCHF vs. compensating carbs with insulin shots). Then the well-informed patient is asked to make up his own mind and sign a disclaimer (possibly + signature of 1 or 2 witnesses) in case he rejected the drug-only treatment. Once that malpractice / guideline issue is out of the way, the doc should be free to support the patient as best as he can.

    Nowadays I see docs as paid-for consultants, whom I "hire" to restore / improve my health. I'm the captain of the ship and ask for evidence-based advice, not some proven-to-be-wrong dogma that was cooked up by a committee 50 years ago.

  22. Steven Shoulberg
    Exactly so:

    For those interested in informed consent and pertinently in the context of a low carb medical practice please consider this:


    It's a talk I did with a low carb physician, Robert Su, MD which he posted as a podcast. (Su tacked on Carlson's comments at the end of our talk; that was Su's idea.)

  23. François
    @ Robert
    @ Steven Shoulberg

    I side with Murray in that medical professional Colleges have strictly no sense of humor and tend to rely heavily on the opinions of "experts", many of whom are paid by the industry. Not long ago, a dietitian complained to the physician's professional college in Sweden about one of the most prominent LCHF physicians in that country (sorry, I forgot her name) for her use of the LCHF diet. In the end, after a good review of the scientific data, it was concluded that the physician had practiced according to the highest medical standards. She was nevertheless brought to a professional court. It will take a few of these unfortunate events before LCHF becomes mainstream and is accepted.

    I still believe LCHF is the way to go and I have recommended LCHF to many patients (mainly diabetes, pre-diabetes, metabolic syndrome and obesity) with great success. I have not had a complaint yet and since I keep a thick file of up to date references, I am ready to back up my recommendations with serious up-to-date science... But I feel the pain of many colleagues who hesitate to do so.

    This is where sites like this one and others (authoritynutrition.com for example) are useful for patients so they can educate their physicians. I like the way Robert puts it: "I see docs as paid-for consultants, whom I "hire" to restore / improve my health. I'm the captain of the ship and ask for evidence-based advice, not some proven-to-be-wrong dogma that was cooked up by a committee 50 years ago."

    But please do remember that what is regurgitated as "evidence-based" oftentimes is only based on "expert" interpretation of biaised studies and most physicians do not have the biostatistical knowledge to find out what is true evidence and what is not.

    So please do your homework and read for yourself. Bring this evidence to your doctor (he's your consultant after all) and discuss. If he is honest and open-minded, you should have a very ineresting and intelligent discussion. If he closes the door to any intelligent discussion and gives you the painful "I'm the doctor, how dare you question my professional advice", I suggest you look for someone else. Once a moron, always a moron.

  24. Corey
    Paul, you look excellent. You my friend are an inspiration to tens of thousands of people who want to get their health and life on track and just for that you should be proud.
  25. Nate
    Congratulations Paul, my battle is with GOUT ATTACKS while on LCHF. How did you get through that?
    Reply: #26
  26. Chris
    Amazing! Gout is an issue for my husband and I am interested in feedback on this too.
  27. Line
    Me too, I'd like to hear more about gout while on lchf.
  28. Paul R Vogt
    My experience was this: if I was not lower than 10 grams of carbs in a day, gout still would hit me. Typically, I would eat carbs on my birthday, the next day I would invariably have a gout attack. Sad, but true.
    Reply: #29
  29. Crystal Pullen Team Diet Doctor

    My experience was this: if I was not lower than 10 grams of carbs in a day, gout still would hit me. Typically, I would eat carbs on my birthday, the next day I would invariably have a gout attack. Sad, but true.

    Here is an article for you and others to check out about gout and low carb: https://www.dietdoctor.com/low-carb/side-effects/gout

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