Will LCHF work long-term? Say, after four years?


Does LCHF work long-term? The answer is usually yes – assuming, of course, you really do eat accordingly long-term. Should you return to your previous food habits, you’ll also eventually return to your previous weight – just like with any other diet.

One man who’s kept to a very strict low-carbohydrate diet non-stop for four years is Tommy Runesson. Above is his amazing weight graph. It shows a steep decline of around 200 lbs for 1.5 years, and then a smoother stabilization period approaching normal weight. Today, his weight has been stable for around 2.5 years.

An LCHF diet won’t normally make you underweight, as long as you eat your fill. Instead, it helps most people (but not all) lose their excess weight.

Here is Tommy Runesson’s update after four years: 4 years and -200lbs (Google translated from Swedish)

Does LCHF work long-term for you?


LCHF for beginners / Weight Loss Stories

Weight Loss Tips

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  1. FrankG
    "12 oz of protein is not pure protein." -- perhaps this is your problem. If you meant meat or fish then why not say that?

    And pre-cooked bacon? I'm not sure you really have embraced the spirit of real, whole food...

    People try to help and offer support but all you do is criticize and belly-ache in response.

    Why are you posting here?

  2. FrankG
    @sten -- I know Newcastle also made headlines (last year?) with their 600 calories per day shakes only, for a few weeks and claiming a "cure" for diabetes. I am leery of starving the body to reduce excess fat mass (visceral or otherwise)... I think you risk long term metabolic issues which are negated by eating LCHF to satiety instead.

    The body is very resilient and can bounce back from many challenges but at some point I think the damage become permanent (like scar tissue) and no intervention will reverse it. LCHF early may slow, stop or even reverse the problems with Metabolic Disorder and I guess it depends how early you take steps and how far along a person is to determine the success rate.

    Reply: #56
  3. Buzz
    FrankG--you are very defensive. I'm here because I'm truly trying to embrace LCHF. I'm having a hard time getting it to work for me and I'm looking for help. All you seem to do is act as if it's a personal attack against you if anyone isn't 100% praise of LCHF because it worked for you and you don't want to hear different. (You even stated this.)

    Pre-cooked bacon is the same as regular bacon except I don't have the mess. If you look at the ingredients they are exactly the same as regular bacon--only mine doesn't come with any chemicals, preservatives, nitrates or nitrites.

    In regard to protein, I would think people would understand it meant a protein portion.But I'm sorry I didn't explain it completely for you. Others seemed to understand.

    When lowcarb_zealot gave his calculations, I pointed out some errors. How is that bellyaching? How is that complaining?

    Gee, I guess this is not a place for people who are trying to embrace LCHF and are looking for help. It's only for those who come here to sing its praises. Otherwise people like you will feel attacked. (Is that similar to the way people in cults react?)

    BTW--did I ever say I was promoting the SAD diet? Or anything else? I'm upset because I try to follow the program, it's not working, I reach out in frustration for help and people like you just put me down.

    Thanks FrankG for being so undestanding.

  4. FrankG
    Where am I being defensive and cultish Buzz? Have you READ any of my comments here on this post? I feel no threat from you I have tried to help you several times now.

    Despite this you still complain and come out on the attack... claiming you will be treated like a pariah.

    Get over it. Most responses to you I see as supportive. Sorry if we are not living down to your expectations. Haters gotta hate I guess. And yes now I am getting frustrated with your attitude... NOT your lack of success with LCHF.

    Once again I will suggest as I have done previously -- for an adult man, even moderately active: "1800-2000 calories" per day is probably TOO LITTLE. You may be keeping your body in starvation mode and as such it will do everything it can to HOLD ON to Fat stores. But no doubt you have a ready response to dismiss that idea as well?

  5. Buzz
    Look at post #45: you wrote:

    "I guess I am a little sensitive to what seems like negativity towards an LCHF approach"

    I'm not negative. I'm frustrated. I'm confused. I need this to work. I'm 100 pounds overweight if not more, I have Type 2 diabetes, I have high blood sugar. I have high blood pressure. I can't go on a higher carb diet because it will raise my blood sugar even further.

    LCHF is not working for me and I'm trying to find out why. .

    I've done more than 2000 calories a day and I don't lose weight. I did 2500 for a month--gained weight. I did 3000 for a month--gained weight.

    I'm sorry if you see me telling my history as being dismissive and a ready response. Remember, just because your way worked for you doesn't mean that's how it works for everyone.

    I also lived on 20g of carbs/day for months yet never went into ketosis (using a blood meter.)

    But I now realize this is not the place to come for help. This is the place only to come to praise the LCHF lifestyle.

    Excuse me for bothering you and hoping those who were successful might be willing to help rather than put me down because I'm not successful as well.

    Replies: #58, #59, #98, #108
  6. sten
    Frank, that's the one I mean! It is not what they ate that makes sense. It is the clear cut relation between visceral fat and reduced blood sugar control that is the real take home from Newcastle, I for one think !

    See the pictures in article down on first page. Visceral fat is in red.

    As I stated before I landed after 1.5 years LCHF on a plateau where weight tended to go up rather than down. Also high morning blood sugar, unless I had minimum 30 minutes exercise day before or took 2 glasses of wine night before. This to me indicated faulty pancreas providing glucagon when not required! I have never been diagnosed diabetic or near, but I have had diagnosed heart disease that I lost with strict LCHF!

    Instead of the 600 kcal/day I am eating one good LCHF-meal with plenty of fat every day to make sure stores are replenished and that I get all fatsoluble vitamins etc.. My energy levels have doubled in 12 days (after a little dip day 5), and my energy levels were high before I started out !
    The 23 hours fast seems to be enough to trigger good fat burning, and we know visceral fat goes first. When I can, I finish a day with some (interval) exercise an hour before the days meal.

    Reply: #62
  7. Alan
    @Buzz You have my sympathy. I know the feeling - frustration when nothing seems to work & you're left wondering what the hell to do next.
  8. FrankG
    "I guess I am a little sensitive to what seems like negativity towards an LCHF approach

    Look to the complete context of the quote you pointed out for me. It was not even directed at your comments and it is no way "states" that "it worked for [me] and [I] don't want to hear different".

    Now look at your opening comment in this post. Talking about cults, Complaining about Dr Andreas posts. People using this and that diet to make money off poor unsuspecting idiots etc.. etc... is that how you ask for help? Are you really surprised that folks might react negatively to your attitude? Frankly I'm surprised at the patient level of support that you have still been offered despite yourself.

    "LCHF is not working for me and I'm trying to find out why. ."

    Seems like you have tried EVERYTHING before it is even suggested here and have an answer to every suggestion so what exactly do you expect to come from this? I've no idea why it is not working for you. I really don't know. Bottom line tho' is it seems that you are doing better health-wise on this diet than any other. Or am I wrong again?

  9. sten
    Buzz, you have my sympathy too. LCHF alone is not the whole solution!
    The prime purposes of blood sugar meter and ketone meter is to adjust the diet. Too high blood sugar (>6) one hour after meal usually means hidden carbs in the meals, Dr watson.
    No ketone readings usually mean too much proteins in food or too little exercise, ....

    But when DB-2 is advanced both insulin and glucagon dispensing is haywire and seemingly only removing visceral fat can sort this out. Check my posts above about how to.
    I have been there done what you have done and been frustrated and it seems I have found a way out that works for me!
    I have lost 4 kgs (9 lbs) in 12 days and my waist has gone from 108 to 102 cm in the same time!
    All had stagnated on only LCHF!

  10. Buzz
    FrankG--if you can't help me, why are you attacking and arguing with me. Why waste your time on me. There seems to be others here who are sympathetic.

    Alan...thanks, I appreciate the support. Luckily there are some here who want to help and those who don't want to hear it.

    STen--thanks for the suggestions.

    I think LCHF guidelines are a good start and then each of us has to tweak it to make it work for us. I've seen people here who watch calories and those who don't. I see people here who exercise and those who don't. What one person eats may be fine for them yet another can be stalled by the same food.

    It's not one size fits all and I'm learning I'm basically on my own trying to figure it out.

    Thanks to those who have given me support and suggestions.

    Replies: #63, #78, #111
  11. Alan
    I'm going to start watching the calories to see if that helps kick start things. I haven't needed to do this in the past, but I guess that was then and this is now.
  12. FrankG
    I guess the key there sten, may be that your body is not in starvation mode.

    I think the visceral fat is more significant than the subcutaneous variety but I'm not sure if it is causal or just another symptom.

    Evidently this is not a straightforward issue but I still see LCHF as the basis for helping a great many people to some extent or other.

    I guess it is all relative and may depend on how you personally determine your health.

    As above I am no way close to 100% back to my full health but I am so much better than I was say 10 years ago. If I've bought myself a few extra healthy years to run around after Grandchildren than I'll take it!

    Reply: #71
  13. FrankG
    "It's not one size fits all and I'm learning I'm basically on my own trying to figure it out."

    I don't know how many times I have written that in one way or another just in recent comments on this post, let alone at other times!

    YOU are the one who has been saying things like "I try to follow the program" as if you rely on others to tell you what to do.

    Get over yourself and get on with it. Take personal responsibility instead of looking for scapegoats to blame.

  14. Margaret
    I wonder if anyone from Diet Dr. actually reads these threads. There are a number of really interesting comments on THIS thread from people who have learned through experimentation that you have to make food eliminations and monitor calories, fats, carbs, proteins etc. etc. to problem solve various dietary glitches.

    Those comments ring totally true for me. They are realistic reflections from people whose bodies are of the type that do not give up pounds easily. Their experiences are very meaningful, should be reviewed with great care, and should be used to educate the good doctor and company.

    Sweeping statements about how easy LCHF is need to chopped form this web site. Anything that is "cultist" in tone needs to be pruned away. What should be left is good science, a careful use of actual experience, and a deep respect for what so many of us are trying to deal with.

    So many of us hoped that LCHF was the "magic bullet". And so many of us have discovered that this approach might be more helpful than others in some body types, the main magic has been our willingness to devote ourselves thoroughly to making changes in relationship to food.

    I still hope for that magic bullet, make no mistake!

    But let's not get nuts and think that LCHF is that bullet. That is so horribly disrespectful of the struggling people out there. Let's all understand that the "cure" has not yet been found, and we're still trying to understand the obesity mechanism. I hope it comes sooner than later.

  15. J. B. Rainsberger
    I don't know whether 27 months qualifies as "long term", but I've gone from approximately 140 kg to the low 80s in 26 months, then maintained my weight around 82 kg for the past month. I've gone from wearing size-44-to-46 pants (US/Canada sizing) to 32-to-34 (depending on the brand). I now wear medium-size T-shirts, not double-XL.

    After this length of time, I firmly believe that I can do this indefinitely, although having a supply of top-quality locally-raised meat and locally-grown vegetables really helps. I no longer worry about eating 100-150 g of carbohydrates in a single day, as long as it comes from real food sources (potatoes, carrots, other roots), but I typically cook only meat, fat and green vegetables. My "high-carb" days tend to come when I need to eat outside the home, for example when going through airports.

    I still want to lose more belly fat, but I don't mind if that takes another couple of years. It will come.

  16. Eric Anderson
    Each step towards better compliance with LCHF yields more results. One key foe me wast o measure my blood glucose and ketone levels. This helped me find a few things I thought were ok like diet rootbeer with aspertame raised my blood sugar and lowed ketone levels. An internet search showed about 40 percent of people can have a raise in blood sugar due to zero calorie aspertame. I found the same thing with splenda/sucrolose so I try to stick to liquid stevia.

    Second I found Lowdose Naltrexone 4.5 mg at 9 pm was effective at warding off a binge of carbs in case one is exposed. (Research it yourself) and taking glucophage to lower blood glucose below 83 mg/DL (4.5 mm) range is optimal for increasing fat burn and decrease or reverse fat accumulation. Each quintile above thelowest for blood sugar and ketones increases major ills and decreases average lifespan. Eric

  17. Eric Anderson
    ANd yes I aim for less than 40 grams or 160 calories from carbs
    and 80 grams from protein (320 calories)

    (Very much like a diabetic on Doctor Richard K Bersteins diet or someone on a ketogenic diet.

    Let us see the reults of the NuSi study of an 80 percent fat, 5 percent carb and 15% protein diet VS the SAD diet of 50% carbohydrates.

    The rest is fat.
    I do not even count the fat.

  18. Sabine
    I became diabetic,sick and fat on a high carbohydrate-low fat almost vegetarian diet.
    Thankfully, the high-fat/low-carb diet was able to cope with the fallout, make me lose weight, feel healthier and normalize blood sugars.
    I am on my lowest weight EVER.
    I have been doing LCHF for more than 6 years now ( fell off the wagon briefly during 2 Christmases and one holiday, but getting back on the diet within one -2 months, which taught me that all ailments come back with a vengeance).
    I am doing well on LCHF and plan to continue with this for the rest of my life (no more trying carbs!).
  19. NS
    To Buzz and Alan,

    I'm glad to have the opportunity to address you. Please listen to me. I understand your struggles. I understanding how frustrating it is. I understand because I'm going through the same thing. There are many things I have to say but am not sure I can do it all on one post. Please allow me to be concise.

    1) There are many, many non-lifestyle-related factors that directly and profoundly increase one's insulin resistance and consequently weight gain. One example of this is gut health. There have already been experiments proving the CAUSAL relationship between one's (good) gut bacteria and weight gain/weight loss. Fortunately, there is something you can do about this. Take the highest quality probiotics you can, if you can afford it, take VSL#3 (its by far the best on the market but very expensive), eat a ton of fermented foods, preferably vegetables, i.e. sauerkraut, kimchi, natto, etc...

    2) Another example, a far more depressing one, is the existence and spread of stealth bacterial and viral infections which are not at all recognized by doctors at present and which basically we are helpless against. I have posted links on this blog multiple times before on pubmed articles showing the huge association between viruses and obesity, AD-36, being the most well-studied. But there are tons and tons more out there. Perhaps as many as 25% of the human population is already suffering from some form of chronic viral syndrome. This condition will only get far worse in the future before it gets better, if that is at all a possibility. Infections, whatever the nature of the pathogen, are defended by the body's white blood cell system. The problem is when the body cannot rid itself of these, it becomes chronically inflamed, and one of the lovely causes of that inflammation is extreme weight gain and insulin resistance. The link between inflammation and obesity is very well established. In the future, it will be realized, in the same way as the link with gut bacteria is only now being realized, that obesity is in many cases, if not most, a symptoms of an INFECTIOUS DISEASE. You can in fact "catch" obesity. And once you're infected, it's for life. You can try natural, herbal anti-viral supplements but none that I have tried have worked.

    2) It would be best therefore to follow a highly anti-inflammatory diet. Based on my research, I would define this as one extremely high in organic green vegetables, the more the better, moderate amounts of high antioxidant low sugar fruits, fish oil, limited amounts of protein and fat, lots and lots of water and green tea, and a complete elimination of anything processed including ALL dairy foods. Willful calorie restriction and intermittent fasting, despite what the good doctor says or any of the simpleton ideologue followers here, is in fact very useful as well. Remember that Swedish Tommy usually only eats once a day! Here is his blog: http://www.eatlowcarbhighfat.com. That in itself is highly anti-insulinogenic and anti-inflammatory.

    3) Supplement with high doses of Inositol, 10-15 grams, daily. This is very safe and has been shown to be VERY effective at combating insulin resistance and PCOS in women. PCOS is essentially a blood sugar/metabolic disorder. And, to the degree possible, look into Metformin and Byetta for weight loss, although the latter can have side effects so be careful.

    continued below

  20. NS
    4) Visit helpful blogs whose creators are intelligent and open minded. Kindke is wonderful. So is Woo. Stay away from Jimmy Moore. He is the unthinking man's unthinking man, besides being an outright liar on so many occasions. Like his religious beliefs, he does not have the capacity for critical thinking in other areas of life, i.e. diet. I think you could even benefit from carbsane, although I really dislike her style. And I've had great moments of learning from Go Kaleo.

    5) To the extent possible, exercise as much as you can and as often and hard as you can. Because of my lack of health, I couldn't walk almost 5 years ago. Today, I jog, albeit slowly. Jack Lalane was right. The only way you can hurt your body is by not using it. In the last year, I have lost about 35 pounds, about 3 per month. Excruciatingly slow....but I've done it through the recommendations I'm making to you. I still have a long way to go but I BELIEVE I will reach my goal because I have listened to OWN reason and inner voice, not other people's uncritical positions. There are many charlatans in this business. Be careful. For the record, I believe that Dr. E is one of the good guys and is genuinely helping a lot of people but I think he sometimes goes too far. I guess what I'm trying to say is try to implement your own, open-minded, flexible, intelligent, form of low carb and add in healthy and regular exercise. This will work best in the long term and is far better for your health and sanity than bacon and butter all day. (Incidentally, sugar and starch are highly inflammatory. Stay away from them.)

    6) Most important, you have to think for yourself. This can be difficult for people who aren't used to it. But it is the only way out of ideological hell and into freedom, for your mind and body.

    Good luck and god bless.

  21. sten
    Frank, no correlation between subcutaneous fat and metabolic syndrom = insulin resistance has been found. But reduction in visceral fats in studies have reduced insulin resistance= metabolic syndrome. Insulin resistance is key cause of lack of weight loss for instance. I agree it is a "catch 22", and ONE way out is what I suggested above, intermittent fast in short but sufficient bursts.
    Will look for intervention studies on the subject when I have time.
    My 5 cents is that visceral fat is the cause of insulin resistance, to be proven in more than one
    clinical trial than the Newcastle one. The Newcastle intervention is quite unconventional and is opposite to pharma companies interest, so don't expect much more publicity about it, hope I am wrong.
    Reply: #72
  22. FrankG
    Remember that correlation does not show causation... just because visceral fat and IR etc.. go together does not show which (if either) causes the other.

    If increased visceral fat does cause the disease then what causes the increased visceral fat?

    Another possibility is that these two feed into each other: with increased visceral fat leading to increased IR which in turn leads to visceral fat and so on.

    The difficulty comes in trying to pin down the initial step that starts the whole ball rolling.

    Despite being a simpleton ideologue my money is still on the western industrial diet high in sugar and refined starches :-) It may well be that gut microbes and virus have some part to play (also epigenetics such as the famines in China may be effecting the current generations) but clearly the elephant in the room is the biggest environmental change in how and what people eat worldwide.

    But we should ALL heed NS's sage advice to do exactly as I say and think for yourself! :-P

    Reply: #75
  23. bill
    NS said:

    "...limited amounts of protein and fat..."

    "...and starch are highly inflammatory. Stay away from them."

    So, if you're to stay away from protein, fat, and starch (carbs),
    what can you eat? NS may be a little unclear on the concept.

    Then NS disparaged Jimmy Moore with:

    "Jimmy Moore. .. an outright liar ... Like his religious beliefs..."

    ...and ended with:

    "...god bless."

    This is just so wrong on so many levels.

  24. Alex
    Get the book "Wheat Belly" by Dr Davis who is a cardiologist. I've been wheat free now for 7 months and the weight is coming off, inflammation is down, dropping sometimes more than an inch a month off my waist, I'm not hungry all the time. Some days I don't eat because I'm not hungry. It has been life changing. And my blood work is now normal.
  25. sten
    Frank , you wrote: "...If increased visceral fat does cause the disease then what causes the increased visceral fat?"

    Every time blood sugar is excessive due to either too much carbs in one go (the way I used to eat: skip lunch and have a huge potato-dominated dinner) , or blood sugar regulation already is poor, the liver absorbs excess blood glucose and produces triglycerides (=fat in solution) of it to normalize the high blood sugar.
    The triglycerides are stored as fat and I do not know what goes into subcutaneous and into visceral. But when the liver produces triglycerides (fat), the liver becomes more and more fatty which makes its function deteriorate. Maybe liver deterioration i.e. fatty liver is the cause of further dysfunction and more(?) visceral fat ?
    Need to research this further!
    There is no evidence that low carb eating produces triglycerides or fatty liver or metabolic syndrom, only the opposite..

    Reply: #76
  26. FrankG
    I would tend to agree with that scenario sten, although of course we then get into the tedious debate about the role of insulin and how that relates to the raised blood sugar, fat storage and increased hunger (at the cellular level) for more of the same high blood sugar inducing carbs etc...

    ...with the same chicken vs. egg argument ad nauseam... does gluttonous overfeeding start this scenario, or is it the macronutrient makeup of the food that leads off?

    Some argue that we just plain eat too much. Why? Why now? Why in so many places around the World at the same time?

    I still maintain that it is the macronutrient quality and quantity which is the prime mover in this problem....

    Western industrial foods (SAD) high in sugar and refined starches tend to raise blood sugars which tend to raise insulin, which leads to IR and visceral fat which leads to even higher levels of insulin to counteract the IR in the presence of still more blood sugar, more visceral fat + subcutaneous fat + hunger for rapid energy foods... and so on and so forth until the pancreas is burnt out and we get finally get diagnosed (too late for many) with Type 2 Diabetes and/or Metabolic Syndrome

    My point you quoted before was that a focus on earlier detection (an OGTT might be enough to show an overwhelmed system) could catch folks before the long-term damage is permanent. I like to use the analogy of how much easier it is to shore up a dam and lower the water pressure BEFORE it bursts. Worthy of note: the American Diabetes Association in recent years dropped (or tried to drop) the OGTT as a diagnostic test for Type 2 Diabetes ((roll eyes)).*

    In either case the solution seems obvious: cut out (or reduce to a manageable level) the carbs -- especially the sugar and refined starches... the LCHF approach in effect. Some of the damage by this stage may well be irreversible.. the extra fat cells we have grown may be extra greedy to store energy and may tend to hold onto their stores even more fiercely. Sad to say but at least LCHF is somewhere to start in improving your health. Sorry if I gave the impression it has been a breeze for me and I now look like a teenage Adonis, without any effort on my part but that just ain't true! :-P

    I am much healthier tho'. To me that is probably more important than fixating on that last 30 lbs or whatever the BMI chart recommends. This is where my words get twisted by the haters to show that I am indeed anther failure with LCHF. Hah! Like I said before, if the ONLY thing I have won is a few extra years of health to run around after Grandchildren, then it is worth it... needless to say I have hopes for a great deal more than that :-)

    This is also why I encourage my 20-something son (training to be an MD) to prepare his own food from scratch (he loves cooking for himself and his friends) and to be aware of sugars and refined starches... not paranoid about them, but he clearly shares my genes and I'd rather he avoid the same health issues that I face.

    *If you wish to read further, Jenny Ruhl at Blood Sugar 101 has an article here relating to how the ADA consciously decided to make Type 2 D diagnosis as LATE as possible... http://www.phlaunt.com/diabetes/14046782.php

    Reply: #77
  27. sten
    Frank I agree in most of that. The overfeeding from easy carbs probably goes back into our genes as been said many times before: Those that could pack on a few lbs extra every autumn had a much better probability to survive the following winter.
    The overshoot of blood sugar and insulin can hence be argued to be an evolutionary feature,
    Today same feature has become a life-shortening feature due to the abundancy of cheap junk around the year. Before food shortage in winters virtually guaranteed that all fat - bad and good, was gone after the winter. Another argument for intermittent fasting.

    When wild geese are fed unlimited quantities of figs and other sugary fruits they can hardly stop eating. A Spanish very successful farmer produces one of the worlds best Fois Gras this way. No force feeding! Interestingly enough the common force feeding to create the fatty livers take place with grains, wheat I guess.... (Dr Daives has contributed a lot more than the book Wheat Belly. Check his site Trackyourplaque!)

  28. Paul
    take 1.0 g/day supplement of L-Carnitine, you may go up to 2.0 g
    all the best
  29. Murray
    People vary metabolically. In Fine's pilot study on LCHF and terminal cancer patients, they all had the same diet and some went into remission, others did not. That correlated closely to those who went into ketosis and those who did not and the extent of ketosis. The point is they varied in metabolic response to the same basic diet.

    Similarly, Phinney and Volek report that people varied in amount of carbohydrate consumed before a sharp rise in the curve of liponeogenesis, varying from 20% carbs to 60% carbs. Plainly tolerances for carbs varies.

    On a personal level, the lowest weight I ever got as an adult was on a two week trip to Italy with my daughter during which I ate loads of cheese, trying every cheese shoppe we could find to discover new cheeses. We ate at lots of restaurants, too, but no pasta, obviously. I did lots of walking, but nothing strenuous. I thought I must have gained weight as we were always feeling full but I came back at 148 pounds, which I had not weighed since I was 14 years old. I was at something like 5% body fat. So not everyone gets inflammation and weight gain from dairy. People vary.

    So if and when people hit a wall, your metabolism for whatever reason may be affected by some other factor, requiring even more extreme carb restriction, for example, or perhaps additional carb restriction would not work because there is some other hurdle, such as a burned out thyroid.

    Reply: #80
  30. sten
    Yes, or reason for not working could be pancreas and/or other organs wrapped in visceral fat distorting both responses and reception.

    Is visceral fat primarily formed from excess of the carbohydrate fructose or maybe from fructose whenever high blood sugar cause liver to produce triglycerides. Or is it formed whenever there is a large excess of triglycerides, anyone knows?

    Reply: #109
  31. NS
    Most recent evidence proving a causal link between gut dysbiosis and obesity:


    Reply: #82
  32. FrankG
    Correlation does not show causation :-)

    You seem to be trying to draw a direct line of causality from microbes to obesity.

    Are you sure that gut microbia are not affected by what we eat (I think they are)? That the quality of what we eat does not influence which bacteria (etc) flourish or die in the intestines?

    Do you discount the possibility that these microbes have been around since forever and are only affecting us now due to the change in what we are eating?

    Or perhaps that what we eat inflames the intestines and increase "gut-permeability" which might make otherwise benign microbes into something harmful?

    So perhaps if we change the quality of what we eat it can reverse these effects?

    Just offering possibilities here. Not jumping to conclusions. You know... just thinking for myself :-P

    Reply: #83
  33. Paul
    Absolutely. I recall we went through this notions on the pages of this blog before. Bugs are 100% influenced by what we eat, however there is a trend to make gut microbes an easy scape-goat for all maladies. New patents, new grant money et cetera any one?. What I find fascinating (sadly) that if one reads research papers (done mostly on rodents) on gut bugs/metabolic syndrome/what have you, one finds that they are designed in such a way that dietary fat is a bad guy, which makes bad bugs to grow and good bugs to disappear. Without going into details composition of those diet are designed with end result in mind. The status quo remains the same.
    Reply: #84
  34. nostent4me
    Agree with Frank and you totally. Even Pasteur who during all is life argued that the enemies universal soldier the bacteria should be our only focus of attack despaired on his death bed and is to have said something like " It is the milieau. the milieau is everything , the bacteria is nothing."

    The food we eat definitely set up the intestinal environment.

    Regarding bad fat diets, transfats are often used undeclared to make saturated fats bad and "chows" with high fat but not reduced sugar is also used to prove that the fat under test is bad..
    It will be long before we get out of this djungle of deception mixed with honest researchers that
    "studies" have become.

    Reply: #85
  35. Paul
    "..."chows" with high fat but not reduced sugar is also used to prove that the fat under test is bad..". Exactly.

    I am yet to see rodent studies showing the perils of so called high fat diet, where carbohydrate energy content is lower than 40% and as you say those chows are manufactured with the cheapest ingredients possible, but 'research' are published in Nature and many a person made (and make) successful careers feeding mice transfats and concluding that animal saturated fat is bad for us. I say that good, real medical science finished as WWII started, after that it is all money, peoples health does not enters equation.

  36. Nan
    That's great for Tommy, and more power to him. The more Tommys we see, the more people will accept that hflc is the way we were meant to eat.

    Here's an impressive time lapse of girl who went on a ketogenic (lchf) paleo diet and lost 88 pounds in a year: http://www.ksl.com/?nid=1010&sid=26734370


  37. Jon
  38. spareld
    I hope to lose fat on this new lifestyle change I make 23 days ago. you see i use to be vegan (2 1/2 years) and I was never fat but have this skinny fat problem. So far I don't see a change in my body but am trying not to give up hope. Hopefully this diet works for me like it did him and countless of others or I'm going back vegan because that's all I know.
  39. binaryf0rg
    Greg Pomerantz on Trying a High Carbohydrate Diet : http://vimeo.com/73435170
    He switched from Low carb to High carb, he say that human being can thrive in various diets, and that is not much difference between the two diets.

    I am not overweight, I have a low body fat, and I just want to have a general high level of energy and focus during my work hours (desk job).

    Reply: #90
  40. FrankG
    Who is Greg Pomerantz, and why should we care? What exactly was he eating? Is he recommending a diet high in sugar and refined starches? Is that what he ate?

    And no I didn't watch it all the way through. His delivery was annoying and he didn't even introduce himself or explain why I should listen to him. Was that plate of rice and salmon supposed to be his low carb diet?

    Eat what works for you and best of luck with it.

    Reply: #91
  41. Paul
    FrankG, my guess is that there is one or several trolls using different names every time, making up stories thinking that they can disturb our conscious. No genuine person would act the way he/she/they do.
  42. binaryf0rg
    The Quantified Self is a movement to incorporate technology into data acquisition on aspects of a person's daily life in terms of inputs (e.g. food consumed), states (e.g. mood, blood oxygen levels), and performance (mental and physical).

    I am not a troller, just someone how want to make a better choice, and I do not need to lose weight, just to increase my energy level and capacity to focus on mentally demanding tasks,

    I avoid sugar and refined carb; I am just asking if it is necessary to go further and cut fruits and whole grains (there are the staple in my country), because it is currently very inconvenient for me to eat LCHF (social situation, living with my parent, …)

    And sorry for my poor English.

    Reply: #95
  43. Glen
    Greg Pomerantz is a blogger - I don't know if he has any health credentials - he doesn't state anywhere I've seen...

    He does, however, encourage n=1 studies (like what he did on himself) for everybody. He's been featured on bulletproof_executive and other websites with similar studies on himself.

    People shouldn't take his n=1 study as a rebuttal to low-carb eating for several reasons:

    1. He clearly states for himself that when he went to a higher carb diet his allergies returned, and he's going to likely stay low-carb in the allergy season.

    2. It's an n=1 study - which only tells how HE did with a change to higher carb, not how others do.

    3. He encourages all of us to do our own studies to determine what's healthiest for each of us. What he's showing is for HIM, the higher carb diet had little change in lipid profile and blood glucose - but his allergies (which haven't affected him for years) returned...

    4. His "high carb" diet did not include processed foods with the exception of Basmati rice, which is the lowest-glycemic rice available from what I can recall.

    His n=1 study actually confirms what many of us that have adopted LCHF have known for years - that we should eat in accordance with our own metabolic requirements.

    Greg's also smart enough to realize that if his metabolic response to a higher-carbohydrate diet were to change (ie: his OGTT results show an increased spike or longer time to normalize, lipid profile worsens, whatever) he'd ADJUST it accordingly.

    We all have different nutritional/metabolic requirements. Greg basically demonstrates this. Myself - As a Type-II diabetic who produces little-to-no insulin, I personally "eat to my meter" and rarely go above 75g of carbohydrate in a day, even if doing heavy exercise. Someone without my issues can certainly eat more natural, (ie: un-refined) carbohydrate likely with no health issues - especially if they are active.

    It's always interesting when people post something as a rebuttal that's 1) not scientific; 2) contains no evidence refuting the claim, and 3) actually strengthens the argument of the first party.

  44. Kevin Cohen
    Buzz, checkout http://www.bulletproofexecutive.com, I think this approach will work for you
  45. Glen
    "...I avoid sugar and refined carb; I am just asking if it is necessary to go further and cut fruits and whole grains (there are the staple in my country), because it is currently very inconvenient for me to eat LCHF..."

    Avoiding refined/processed sugars/carbs is one of the single-best health-conscious decisions a person can make.

    The ONLY reason one would cut moderate servings of whole fruit from their diet is if they react poorly to it from a glycemic standpoint. Nobody should drink juice - the fact that a single "serving" of juice has the same sugar content as 5-6 servings of fruit is testament to that.

    As for "whole grains" ... I choose to avoid (but not completely eliminate) them because they don't work with my metabolism. Personally, I can tolerate 1/2 of one slice of sprouted-grain bread if eaten with a high-fat meal without issue. However I usually have no more than two slices total in an entire week - and I only eat sprouted-grain bread - which is made with NO flour whatsoever. But that's me - we are all somewhat different.

    Even for those that aren't dealing with insulin-resistance or diabetes, there's enough evidence to suggest modern wheat is NOT good for us (look into "Wheat Belly" by Dr. William Davis for more information), but there are many people who tolerate whole grain in moderation. Remember though, "whole wheat" is NOT the same as "whole grain". (Most "whole wheat" bread is highly-refined/processed carbohydrate).

  46. frank
    I have owned many bathroom scales, but never found one yet that measures in "tenths" of a pound. Is it is also perhaps possible, that even if the fellow in the advertisement did have a laboratory precision scale in his bathroom (doubt it), that just a few sips of water could make up either way for 1/10th of a pound. Might he be satisfied enough to declare weight as just plain 184, vs "183.9" no? Pride commeth before a fall.
    Reply: #97
  47. FrankG
    What point are you trying to make? Just looking for something negative to say about this?

    Stop and think for a minute... look at his surname... heck even look at the original story if you've a mind to.

    My guess would be that his weight was actually recorded in kilograms and that what we see here is the converted figures. Presumably provided (thoughtfully) and as accurately as possible, for the larger USA audience here; who for some arcane reason insist on using a non-international standard measuring system :-P

    Look before you leap?

  48. Jan C
    Buzz, and others who may be having problems with LCHF: I can feel your frustration and despair. Although many people do well on LCHF I don’t think it suits everybody. I lost weight on a low-GL diet and have maintained that weight since 2008, although I didn’t have much to lose. I have also tried LCHF, with no starchy carbs or fruit, for a while to see if I could lose a few more pounds, but I think I had reached a sensible weight for me and didn’t get any lower. I did find, however, that it made me too carb sensitive, so that if I had anything carby my weight hopped up a bit and stayed there for a week.

    According to Chris Kresser, and Paul and Shou-Ching Jaminet, a very low-carb diet can cause thyroid problems. They recommend some starchy carbs in the form of tubers, such as potatoes and taro, etc. But as a diabetic you would have to keep those lower than someone who wasn’t diabetic. Their diets are both based on Paleo with some adaptations, and their decisions are based on scientific studies. They also emphasise the importance of eating the right foods for a healthy gut, such as lots of unstarchy vegetables and fermented foods.

    It might be worth looking at their websites (http://perfecthealthdiet.com/ and http://chriskresser.com/). The Jaminets also have a forum, so you might get an answer there to your problem. Kresser writes a blog and there is lots of information on his website. Both diets are aimed at health first but weight loss usually follows, or you can follow a slightly different version for weight loss. The Jaminets’ book is called The Perfect Health Diet and Chris Kresser’s book, which is due out in December, is called Your Personal Paleo Code (in the US) and Your Personal Paleo Diet (in the UK). I recommend both books.

    Could you be intolerant to some food I wonder?

    Also, it’s important to get enough sleep and to move around as much as possible during the day. I wear a pedometer sometimes - it certainly focuses the mind. At weekends it’s very easy to get to 10,000 steps (which is just a figure ‘they’ have plucked out of the air), but weekdays, when most of the day is spent sitting, can be more difficult, even with a few activities and a walk always built into the day. Doing exercise you like is good for your wellbeing too, which is very important.

    I think you just need to find that magic something that will trigger weight loss for you. I do hope you succeed. I do believe that a low/moderate-carb diet is the best one, but whether a very high-fat diet is best for weight loss in all cases I’m not so sure, even though people do lose weight eating lots of fat. Perhaps it’s not best for everyone. I’m not suggesting low-fat though.

    The other thing to try is a fasting diet. I know a couple of people who are losing weight on the Michael Mosley Fast Diet, and someone else who is losing weight on the Patrick Holford Burn Fat Fast diet, which is based on low-GL. Obviously, the fasting diet should be part of a healthy eating plan such as LCHF or the other low/moderate-carb diets mentioned above.

    I hope you will find success.

    Best wishes Jan C

  49. Peggy Holloway
    Eeks! I can't believe I typed that we throw out the egg yolks - we only eat the yolks and toss the whites. Hope every one knew that I had erred in what I wrote!
  50. melanie
    Hey Buzz!
    I think you might be under-eating, calorie-wise, thus spawning metabolism down-regulation.

    this may not be a popular suggestion since many believe that calories don't matter....but your intake seems alarmingly low. As a female, around 160, I keep my intake around 2200 (a deficit from what my body actually burns in a day), and lift heavy weights 3-4 times a week-----and I am recomp'ing my body... (albeit, slowly).

    Just a thought. I hope you land on the issue & get some resolution

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