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I understand that a lot of people on this site have adopted the paleo lifestyle in order lose weight, and that it is generally accepted that getting into ketosis via high fat, low carb is a great way to drop some lbs. However, no one acknowledges that you can get into ketosis simply by restricting calories. This is why anorexics who are not eating high fat diets have ketotic breath- it is a simple consequence of restricting calories enough. So, why risk the health damages of doing high fat paleo to lose weight when you could just restrict calories enough and still eat small, balanced meals just in sufficiently reduced quantities. For example, eating up too 800 calories a day like the VLC (very low calorie diet) and burn ketones, improve insulin sensitivity, and experience a number of other benefits as well (just so long as you don't restrict long enough to become severely underweight and anorexic). I also think that insisting on doing high fat is why so many fail to reach their body composition goals, and others reach plateaus before they've reached their ideal weight. Ketones are burned if you restrict calories enough. High fat is not necessary for ketosis!

Just want to see how much flack I get for this and hope I learn something in the process b/c after all the studying and experimenting i've done, i still just don't understand the high fat diet (especially when so much controversy surrounds which fats are healthy, benign, and unhealthy and in what ratios- it would suck to go wrong and be eating over 50% of your cals from something that's ruining your health).

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What are the "health damages" of eating a high fat diet? I'm not sure I understand where you're coming from here. How do you expect to feel satiated on 800 calories a day? I eat high fat, don't restrict my calories, and have no problems. Could you clarify what your fear is of eating fat? – CoachCanadan Apr 17 2012 at 0:07
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"Why eat high fat when you could be borderline anorexic instead?" As a heads up, this is how what you wrote reads. – JeJ Apr 17 2012 at 0:10
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Just because you weight more than the DSVM, doesn't mean the behavior of severe caloric restriction is healthy. – JeJ Apr 17 2012 at 0:21
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Eating lots of fats to achieve Ketosis wont matter if you eat to much fat and your calories are too high. Your body wont create ketones if they arent being used (once you have become ketone adapted). You will begin storing the fat instead of converting to ketones. You still have to watch your calories even during ketosis. Look in the wild for example. Bears eat only the fatty eggs and guts during the fall during salmon runs. They get FAT and they are burning ketones and fattening up. So if weight loss is goal. Hit ketosis and restrict calories. Eat spoonful of coconut oil for a snack. – Doug Apr 17 2012 at 0:25
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"I think people trying to lose weight would feel better eating carbs and decreasing fat, and eating less calories too." Just being critical, I enjoy your curiosity. But what do you mean by "feel better eating carbs"? My n=1 (and from what I've read a lot of other PH'ers feel the same) as far as enjoyment goes, I enjoy fatty foods 10x more then carby foods. As far a physical feeling, I felt better eating fat than carbs. – Celton Apr 17 2012 at 1:28
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21 Answers

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As I wrote in the comments to that question, I'm not sure if I fully understand why you are proposing eating 800 calories a day as a method of going into ketosis. From the numerous books and studies that I've read, saturated fat is hardly the culprit for insulin resistance, nor are n~3 or n~6 fats. The whole concept of this way of eating is getting back to natural foods, and meats have a lot of saturated fat in them.
As far as I know, insulin resistance happens when the insulin receptors in your muscle cells basically turn off because of too much glucose. When your liver glycogen and muscle glycogen is all full up, your blood-glucose levels rise, and you release more insulin to deal with the extra glucose. Now, because your glycogen store are all full up, your muscles turn off the insulin receptors, leaving only adipose tissue open to store the excess glucose. This is why we gain weight and lose muscle when insulin resistance sets in. Now, the more carbs you eat, the more likely this is to happen. This is not the way your body metabolizes fat, however.
If you want to get the scoop on saturated fats, google Chris Masterjohn, he's making his name as the saturated fat myth buster, basically. He knows his stuff. Fats are healthy. I know that for me, since I began incorporating way more cholesterol and saturated fat into my diet, all of my biomarkers have improved. Glucose, triglycerides, HDL, LDL, LDL particle size, all that good stuff. I'd say that I get around 55% of my daily calories from fat. 30-35% from protein, and 10-15% from carbs. Been this way for 18+ months now, and I've never felt better. So I suppose if you want to do a semi-starvation diet and it works for you, then do it. But I would say that it's not the most ideal way to lose weight, nor is it the healthiest.

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yeah, man. HIIT is key, and exercise in general. That's why I am like, why not just eat some carbs so you can do that HIIT, as opposed to eat no carbs and not have energy for it. If I don't eat starch or fruit for more than a week, my performance goes way down. – foreveryoung Apr 17 2012 at 0:49
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But how can people do exercise if you suggest they only eat 800 kcal per day? – JeJ Apr 17 2012 at 1:28
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"Insulin resistance happens when the insulin receptors in your muscle cells basically turn off because of too much glucose" I'm unaware of much evidence supporting such a statement. – Mscott Apr 17 2012 at 3:42
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when three of those hook up, you get a triglyceride. Your body then stores this as fat in adipose tissue. Since your body can only do this so fast, glucose begins to stack up in your blood stream, so your body produces more insulin. But since your body doesn't WANT any more glucose in the muscle cells (because it's trying to actually have LESS that it currently has), it begins to decrease the number of insulin receptors on the muscle cell, but the insulin receptors on your adipose cells stay intact. This is the beginning of insulin resistance. As far as I believe, anyway. Am I off here? – CoachCanadan Apr 17 2012 at 12:26
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@CoachCanadan-Thanks for clarifying what you meant. It seemed like you were suggesting that it was only excess glucose that causes insulin resistance, which is what I was questioning; I think the evidence shows glucose is only one of numerous factors involved in the pathology of IR. – Mscott Apr 18 2012 at 3:39
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Sorry about the rambling, I'm kinda sleepy today... and I'm so very sick and tired that people nowadays don't know how to eat and are scared of food (note, I myself fell into this trap and became unhealthy after I moved to USA)

By restricting calories, you are also restricting intake of nutrients. Not good!!
Anorexics aren't simply unhealthy because they restrict calories, they also have many nutrient deficiencies. This is not something you should sacrifice to lose weight.

I'm sure some people would consider losing weight on Paleo via heavy calorie restriction, for example, if they are facing a bad financial situation, then I guess they could have an excuse to get by with less food. But why someone would do this for more than a week is beyond me. (Yes, I read the low-calorie wiki thing you linked to)
I can see myself doing that if I had one week to fit into a.. umm.. wedding dress or some such; but I wouldn't do it more than one week.

A lot of people found Paleo after doing lots of low calorie dieting which obviously didn't work for them. It's not sustainable, after you stop the low calorie diet, you regain the weight. Plus other people have to deal with a grumpy you. Grr!!

You seem to have the impression that fat is unhealthy. It's not. Fat is very good for you.
There's plenty of information on fat on MarksDailyApple, Weston A. Price Foundation, and other places. Go to your library and ask for help finding very old fashioned cookbooks from cultures outside the USA. I stress they must be very old books, because now most of the world subscribes to the USA low-fat dogma.

Or read Nourishing Traditions book, it has old fashioned recipes, and explains about nutrients and fat, etc.

I was fortunate to grow up in a tiny island in the middle of nowhere. I'm only 24 years old but I grew up in a place where most people did not own TVs and did not own cars at all. I grew up eating home made meals the old fashioned way. We raised and butchered our own animals, made our own sausages, grew our own vegetables and fruits, and so did every family in that place. Our meals were naturally high fat, simply because that's how things are!

I mean, my mom cooked meat and vegetables, with plenty of animal fats, I mean, what was she supposed to do, travel to the future to get non-stick spray? Or throw chicken thighs and pig belly in the trash because they're "too high fat"? NO WAY! We ate what we killed or got from the garden, no more no less.

I grew up knowing that fat was very good for our health, everyone always talked about how it was so important.
Ask any grandma from old-fashioned times, she will tell you that to lose weight you should eat less bread, less potatoes, less rice, not fat!

I feel very sorry that you didn't grow up naturally like I did, if you did you wouldn't be so scared of fat.

I'm not saying that is what you should do, but maybe it helps you understand "fat ratios" since I come from a culture who knew how to feed themselves (unlike most people today):
I eat now the way I ate when I was growing up on that little remote island, and when I track stuff on fitday it comes to about 65% fat, mostly from meat and fish, lard and tallow, marrow, and eggs.
I don't do anything fancy, just heat some fat in a pan, throw in my piece of meat, throw in some vegetables. I don't understand what's so unhealthy about this :-)

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Hey. First off. I am not scared of fat. I eat fat and keep it around 30 percent of calories. Second, off, I love your answer. – foreveryoung Apr 17 2012 at 1:52
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I think 30% fat is the standard (American diet) recommended percentage?, but I can't find a source anywhere. It's not high fat at all. Based on your comments do you seem scared of fat (that it's unhealthy if you have "too much"). I've noticed so many people are soooo scared of fat that if you put ONE tablespoon of heavy cream in your coffee people think you're a PIG (I mean, you should be using skim milk ;P) If you want you can go alot higher than 30%, it's good for you. But it's up to you! – a mesmerizing trickster Apr 17 2012 at 3:05
Eat real food. Don't stress about it. I like you! :) – Liz Apr 17 2012 at 3:27
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Exactly! That low carb thing is so 1997 and yeah we all know all that fat just cannot be good for you. I mean come on people! Don't you read People Magazine!? And calorie restriction well that's for wusses. What all the fat people need to do is this but they're all too stupid and lazy and gluttonous that they probably can't push themselves away from the dinner table to get it installed. Stupid fatties. Losing weight is not that hard. They just need to stop eating so damn much! Honestly I don't think they even try.

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This makes me laugh really loud, then cry a little. You're the best. – JeJ Apr 17 2012 at 1:30
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OMG, Where did you find that horrible article? That is so sad that people are willing to do that to themselves and pay so much money in the process! – Heidi Apr 17 2012 at 1:58
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Lol! Shari, you are so awesome. :) – January Apr 17 2012 at 3:38
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But...omg...what a horrible article. – January Apr 17 2012 at 3:40
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LOL - but really disturbing - but also sad! – Lady_Arwen Jul 27 at 23:22
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I started Paleo as a 35 year old woman at 5'4" weighing 167 pounds with 28% bodyfat almost one year ago. I currently weigh 160 pounds and just got my bodyfat retested. I am now at 16%!! I did this eating very high fat Paleo, never restricting my calories. My resting metabolic rate is 1821 calories. So the concept that anyone can do ANYTHING healthy for their bodies at 800 cal/day is beyond ridiculous!

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How did you go about getting tested? – Eli Ali Apr 18 2012 at 3:35
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In a dunk tank. The most accurate way of testing bodyfat as far as I know. Check it out: BodyFatTest.com – Patti F. Apr 18 2012 at 22:56
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This is an untrue assumption

So, why risk the health damages of doing high fat paleo

Ain't nothing wrong with fat. Just don't get caught up in the pissing contests where people brag about how much fat they eat; that's not healthy either.

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I spent 8 years (2000-2008) trying to lose a middle age gut, following all the 'right advice': low fat, lots of jogging, even a marathon in 2004.

I gave up for 6 months, got heavier, ran more, got heavier.....April 2008 I started a 25 year old, medically researched, commercial ketogenic low fat VLCD, 610-800 kcal/day. I lost 50 pounds in 4 months, wasn't hungry after the 3rd day. (no exercise for 4 months)

Then back to low fat, calorie counting, jogging. Weight started coming on again. Went online, Started reading.......

Taubes, Sisson, Briffa, Eades, Wolf, Leangains, Lean Saloon, PHD, Kresser. Guyenet, Harris, Masterjohn, FTA. LLVLC and many more. (Despite being a lapsed 1974 biology post grad I'd heard nothing of epigenetics. I got very excited about that in feb 2009) I forgot the low fat mantra (took a year not to feel guilty from the CW brainwashing) Did quite a lot of Dolson (low carb) to help break away from bread/cake/pasta shaped food.

Lost the belly again, lifted a little bit, ran a little bit, cold showers for 2 year. Settled into paleo+butter/hwc, for 3 years so far. Feel good!

Point of all this rambling is that it was the commercial ketogenic VLCD that finally introduced me to the fact that i could quickly, simply and easily influence my body to 'burn fat' by how i ate, and I am very grateful for that.

I'm 60. 5ft 8in. I weigh 155lb. (My father and brother, both 5ft 8in, died age 63 and 71. both 240lb+)

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Because you got a lot of backlash on this question, I thought I'd put together a comment just explaining why it put me off right at the start. I flinch hard with questions like this, I didn't mean that link as aimed personally at you, but at the whole concept of "overweight people, why aren't you just eating less". I think it resonates emotionally with a lot of people here, which is why you're going to get some defensive backlash when discussing anything like this. Comes with the territory. Also, when you are discussing caloric restriction as a weight loss method, comparing it favorably to anorexia is pretty offensive for anyone that has experienced or been around someone experiencing anorexia. Saying that it is not anorexia just because the person isn't small enough puts a standard that you can't have a serious eating disorder until you reach "X" amount, which as many people will attest to, is not the case. You can be severely eating disordered and weigh any amount, healthy or unhealthy. Encouraging extreme caloric restriction and methods that encourage weight loss at essentially "any cost" (including satiation and happiness) is an encouragement of disordered eating a lifelong stressful relationship with food. I already put the stat up, but if you had a kid today that child would be 229 times more likely to develop an eating disorder than type two diabetes during childhood years. Yo-yo dieting, binging, anorexia, bulimia and many more can be the result of this behavior, all of which will cause enormous strain on your body. Even if you are just restricting calories and have all the psychosocial aspects under control, the saying is "the easiest way to gain 25 lbs is to lose 20" because most quick weight loss will be gained back plus some change.

Most people here didn't try paleo/primal/ancestral eating as their first kick at the weight loss can- I would challenge you to find one person who has lost a significant amount of weight that DIDN'T try some sort of low-fat caloric restricted diet. And yet, we are still all here, some people with some pretty amazing stories of improved healthy, well being, and, yes, weight.

It takes some experience to have a conversation like this. I'm younger than you, but I've walked the stepping stones enough to find out what is and is not appropriate to say (for the most part). It's good that you are working that out now, I mean you aren't going to learn if you don't try it! But I wouldn't be surprised if you get some negative responses when talking about weight loss if you haven't been around the conversation for very long. The most important thing is to listen in your position, to the other people in this conversation,.

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You hit the nail on the head, Jenny. Thank you for expressing the anger that welled up inside of me when I read this question. – MathGirl72 May 24 at 22:51
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800 calories is well below the basal metabolic rate for even the smallest people. I've never seen a recommendation below 1200 calories, and that's pushing the bottom limit. Personally, I attempted low-calorie, low-fat, and low-carb all at the same time (based on flawed CW and absolutely no research/prior knowledge), ate 1800 calories a day, and felt terrible. I dropped about 20-25lb, but I felt tired walking up too many flights of stairs, and I looked no better than I do now (probably worse, actually), consuming 3500-4000 calories.

You might induce ketosis by restricting calories, but you're also causing your body to break down muscle tissue, preserve fat tissue, slow your metabolism, and basically revolt against you, physically and emotionally. The weight loss benefits of ketosis are IMHO cancelled completely by the negative effects of extreme calorie restriction.

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WIKI very low calorie diet. there are proven health benefits to acute caloric restriction in obese individuals in need of losing weight. – foreveryoung Apr 17 2012 at 0:23
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"Obese individuals in need of losing weight" is a pretty wide field; I'm sure that most people would not be advised to undergo this unless there were severe problems associated with the weight. Even including the entirety of the "obese" category, it's still a niche population, and the wiki article makes no mention of effectiveness or practicality of the diet for others in normal or non-hazardous weight ranges. – Corbab Apr 17 2012 at 1:08
And don't forget the yoyo thing. You restrict, lose the weight, fine, but it almost always comes back from restriction, if I understand correctly. You can't count on being the 1 in 1,000 who manages to keep it off. – gydle Apr 17 2012 at 11:23
The saying is "the easiest way to gain 25 lbs is to lose 20 lbs". And doctors, dietitians, nutritionist, nurses will attest to seeing this ALL the time. – JeJ Apr 17 2012 at 18:53
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I think you are failing to realize that the "high fat" content of the paleo diet is coming primarily from mono-unsaturated fats from nuts, avacados, lean fish and meat. This should not be a detriment to ones health, nut rather an improvement. I technically have not lost weight on my 2 month paleo lifestyle adjustment, but my body has flourished. My stomach, hips, thighs, butt and all other fat storing regions have reduced in size dramatically. In regards to exercise, I have more endurance, stamina, and lung capacity than ever before, and I never feel hungry. The thought of eating a typical carb filled diet seems agonizing to me, and the taste of cheese, bread, and pasta generally repulses me at this point. Also, if you were to calorie restrict to the point of ketosis you would additionally deprive yourself of important vitamins and minerals, which a paleo diet amply provides. Yes, why the fear of fat? I suppose if your idea of paleo is eating nothing but fatty hamburger covered in bacon, you could be scared, however if that is the case, you have not researched paleo to any point of understanding, and have no grounds to judge it.

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"Normal" healthy people who undergo caloric restriction show symptoms of disordered eating and mental illness post starvation. You can start perfectly fine, but imposed with severe calorie restriction, psychological and physical consequences can occur. With a high-fat diet, you can still go into ketosis without subjecting your body to that kind of physical and psychological torment.

There is a well-known study conducted around WWII in the 40s to stimulate severe famine. Subjects (all men) in the starvation group lost about a quarter of their body weight in a about half a year through induced starvation. It offers light on how eating disorders can develop from simple dieting or severe restriction. Calorie restriction can have pretty significant consequences. You might lose weight, but be prepared to lose your mind...

During the starvation period, the men experienced severe depression, decreased sex drive, social withdrawal, preoccupation with food and body dissatisfaction. Keep in mind, these men were healthy before being subjected to starvation. If you think you are tough enough to avoid the psychological consequences, there were physical consequences as well. Metabolism (BMR) dropped and body temperature dropped.

Also, during this starvation period, the men became obsessed with food..collecting recipes from magazines, one stole food from the garbage and another ended up having to drop out because he had to be in a psych ward. In the next phase of the study, during rehabilitation, many started to binge-eat. This is very common people who may start their eating disorder with typical anorexic behaviors. The mind is a powerful thing, and the body can sometimes be overridden...and then the out of control binging begins. And by binging, some people REALLY binge, as in 10,000 in one sitting because your body doesn't know when you will try to restrict again. The men eventually "normalized" their eating but it took like half a year.

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Ah, I forgot the name of it and had to look it up...for more info, check out the Minnesota Starvation Experiment. – Sunny Beaches Apr 17 2012 at 2:13
Hahaha yes!! I think this is exactly the experiment Ferris references in the link I posted below this! – Sean14 Apr 17 2012 at 2:20
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So... You are suggesting an overall calorie deprivation to attain weightloss instead of an adequate-calorie approach?

And this is better why?

Many of us did calorie restriction and failed. The physical stressors of starving yourself isn't ultimately successful, aggrivates eating disorders, and is less-effective, in many cases.

Your only qualm is he oft-unproven concepts that eating adequate, and surplus calories from fat, are in fact detrimental.

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thanks for the answer, Jush. This helps me understand it more. So it's not that you haven't tried a very low calorie diet, it's that you have and it hasn't worked out? However, I can't get passed the idea that high fat diets are healthy. I was under the impression that hunter-gatherers ate a combination of meat, roots, and fruit for calories in different ratios depending on their proximity to the poles. The poles ate a high fish oil diet and closer to the equator at lean meats. Or, is the idea that H-Gs ate lean protein false? Isn't fatty grass fed meat in temperate climates scarce? – foreveryoung Apr 17 2012 at 13:35
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If you can't get past an adequate or high fat diet is healthy, there isn't much I can do to convince you otherwise. I can give you empirical evidence (lowering my total blood lipids almost 25 points, raising my good cholesterol, losing 110lbs of body fat, etc...) but these are individual results. I would advise you to read Good Calories, Bad Calories and see what actually motivated the Western diet standards of a low-fat, high carb diet... it is far from an objective book, but it does point out some of the flaws in the common wisdom out there. – Joshua Apr 18 2012 at 15:06
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What makes you think starvation-induced ketosis is healthier, short or long term, than high fat (define high) paleo?

EDIT: why even bother with ketosis, not necessary to lose weight?

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1. Because acute, short term caloric restriction has many health benefits (wiki very low calorie diet). 2. if you include some carbs in your diet you will be able to replenish some muscle glycogen to engage in high intensity exercise and improve body comp and insulin sensitivity. 3. carbs release serotonin and make you feel better. 4. how do you know which fat to choose when eating high fat (in virtually all experiments high fat decreases blood flow, reduces insulin sensitivity, and thereby increases the risk of heart disease and diabetes). – foreveryoung Apr 17 2012 at 0:27
1) Depends on what you call acute. IF is acute caloric restriction. Inducing ketosis is not something that can be acheived by skipping breakfast, or fasting for just 24 hours. 2) But if you're in starvation-induced ketosis, you don't have enough carbs to acheive this. 3) Again, you're proposing ketosis, you're gonna feel like shit because you're inducing it via starvation. 4) Only high fat paired with high energy intake. If you're proposing a high-fat diet for weight loss (via ketosis), there's essentially no difference between diets. – Matt Apr 17 2012 at 11:40
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I think the difference comes from the peace of mind that you get with actually being satiated. 800 calories a day and likely you will spend hours on end thinking about the food you are NOT eating.

A high fat/high protein diet will leave you feeling satisfied and allow you to be free to carry on your daily activities without obsessing over your hunger.

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Well, I've done low calorie diets in the past and it wasn't healthy because I was still eating processed foods. I started paleo in October. I weighed 210, and now I'm down to 164 and still losing weight. I have so much energy and my body just feels healthy. I don't get food cravings anymore. I'm losing fat where I had issues losing fat on a calorie restricted diet. I'm not doing paleo to just lose weight. This is a lifestyle change for me and my family. No more processed foods, sugar, dyes, etc.. I don't do as high of fats as some do. I don't use butter. Just not a big fan of it. I have some large family members that do calorie restrictivediets, and it gets them nowhere. They will lose weight and then gain it right back.

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Congrats, Ashley! – Heidi Apr 17 2012 at 2:02
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You asked "why risk the health damages of doing high fat paleo"

I could easily turn that around and ask "why risk the health damages of calorie restriction".

Overweight individuals could severely cut calories and lose weight, I'm sure. However, many may find that their metabolism and energy levels decrease as a compensatory adaptation to this diet. This is certainly counterproductive to their goals, and may be in addition to other health risks associated with a low calorie diet, like increased bone and muscle loss.

A high fat diet may allow people to eat ad libitum, while still eating less calories than they burn, resulting in weight loss. This seems like a better weight loss strategy to me. Or, don't eat high fat (I agree with you in saying "I also think that insisting on doing high fat is why so many fail to reach their body composition goals"). I have lost weight easily eating as much potatoes, bananas, and rice as I want. But forcing yourself to eat less is not, in my opinion, the best strategy for weight loss.

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biomedgerontology.oxfordjournals.org/content/54/1/… ---“We conclude that the process of preventing obesity by long term caloric restriction causes a significant and sustained long-term reduction in energy expenditure, even when corrected for lean body mass” – Mscott Apr 18 2012 at 1:02
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ajcn.org/content/49/1/93.full.pdf ---“(Resting Metabolic Rate) values during the modified fast and during the maintenance diet at stable reduced weight were not different and all were significantly lower than the prediet RMR” – Mscott Apr 18 2012 at 1:03
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jn.nutrition.org/content/123/1/90.full.pdf ---“The average and basal metabolic rates obtained by direct calorimetry in our experiments demonstrated that the energy-restricted animals had lower metabolic rates than the ad libitum diet animals” – Mscott Apr 18 2012 at 1:03
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ncbi.nlm.nih.gov/pubmed/17990972 ---“The pattern of hyperphagic response suggested that signals coding body mass drive hunger during restriction, and because body mass under restriction remains depressed, this suggests that hunger would never disappear, making restriction to prolong lifespan in humans difficult to accomplish” – Mscott Apr 18 2012 at 1:03
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ncbi.nlm.nih.gov/pubmed/16222057?dopt=Abstract ---“The control group increased in both fat and fat free mass; however, although the restricted group increased fat to the same extent as the controls, fat free mass increased to a lesser extent. The contributions of the different components of the expended energy to compensate for the reduced energy intake were energy deposition, 2.2%; resting metabolic rate, 22.3%; and activity, 75.5%” – Mscott Apr 18 2012 at 1:04
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This is wrong by the way. The only way you can get into ketosis is by carbohydrate restriction (or total starvation). The process is governed only by your carbohydrate intake (and to a certain extent your protein intake), the number of fat calories is incidental.

On a regular diet your brain burns about 100g of glucose a day. If you eat much less than 100g of carbs then it uses ketones as an alternative energy source (ketones are a bi-product of the breakdown of fatty acids). If you ate zero carbs, your brain would get 75% of its energy from ketones, and the other 25g from glucose generated from gluconeogenesis (from breaking down protein and a little fat).

If you get into ketosis on a 800kcal diet, its only because you've restricted your carbohydrate intake significantly below 100g.

If you 800kcal diet consisted of 200g of pure glucose, you wouldn't get anywhere near ketosis.

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Hey thanks, fergie. But you wrote "diet your brain burns about 100g of glucose a day. If you eat much less than 100g of carbs then it uses ketones as an alternative energy source"---------- Everyone's brain burns approx 100g of glucose? where do you get that from? what if one person watches movies all day while another goes to and from class? Doesn't stretching your brain with complicated material require more energy, just as walking 5 miles requires less than running 5? Also, You say your brain burns 100g glucose, but you say absolutely nothing about your muscles and liver. – foreveryoung Jun 15 at 11:39
But your answer is still informative, nonetheless. Thanks. If you can, could you explain the answers to my questions? Would appreciate it b/c you're pretty much a keto authority! – foreveryoung Jun 15 at 11:41
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Yes. In some places it's quoted as 100g in others it's 120g, but if you are a glucose eater that's pretty much constant, independent of how hard you think It also represents the bulk of your glucose use (unless you are an athlete), Jaminet reckons you only use about 12.5g per hour to fuel your muscles during running for example. – borofergie Jun 15 at 12:19
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You can get the 100-120g number from Volek and Phinney, Jaminet, and Lyle MacDonald's books - I'm not sure where the research comes from. Here is what Paul Jaminet has to say in "the Perfect Health Diet": "Normal glucose-as-a-fuel consumption is dominated by neurons. The brain and nerves require about 20 calories per hour, waking of sleeping. These 480 daily calories can be provided by either glucose alone, or by a mix of glucose and ketone bodies (which are derived from fats or protein). So the daily glucose consumption of the brain will be between 150 to 480 kcal (32g to 120g of glucose) – borofergie Jun 15 at 12:21
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In order to get to the next level, you have to understand that saturated fat (and cholesterol) are straight up good for you. Butter is a health food.

800 calories a day is a recipe for disaster. Most can't actually discipline themselves that well, and those that managed to would suffer terrible nutrient deficiencies. I lost plenty with a 1500 cal restriction- with about 70% of that coming from fat.

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Thank you for an honest and helpful answer. I know that saturated fat and cholesterol are healthy, however I do think there is a point at which further increases in consumption result in diminishing and even negative returns to health. Good work on the weight loss! – foreveryoung Apr 17 2012 at 20:07
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Starvation!???? Any person with an abundance of fat stores has a looooong way to go until they are "Starving". That pathetic wimper of hunger 3-4 hrs after eating is more thirst mixed with psychological triggers than it is hunger, that HUNGRY! feeling after 3 DAYS without food is real hunger and as far as starvation goes? 99.9% of people in America have no clue.

To put it another way, unless your <5%BF, its IMPOSSIBLE to 'starve'.

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Okay, but seriously, can you only measure disordered eating based on BMI? Why is it safe and healthy (heck encouraged!) that one person of a certain size can eat a certain way, but someone smaller that would be considered dangerous and unhealthy? I've seen severely obese males on really calorie constricted diets on my internship, and they are ready to weep for food- they feel grumpy and angry and most of all SO HUNGRY for months sometimes, they never ever feel full. – JeJ Apr 17 2012 at 0:46
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I find this a relatively abrasive, and almost insulting. My mom comes from below poverty line, so she knows the feeling of hunger and what it's like to be in a huge family and not have any food and be homeless, yet as a nurse the patients she has the hardest time with is the severely obese on these really calorie restricted diets because she KNOWS how they feel and she KNOWS how terrible it is to never get enough. It's not like someone who is obese just "can't get over a twinge of hunger"- we are talking about LONG periods of time NEVER feeling full. Honestly, how would you feel? – JeJ Apr 17 2012 at 0:48
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Yes. I think it breeds unhealthy lifelong relationships with food and eating, and it is so RARELY successful that it can't be counted as a necessary evil. If you had a kid today, it would still be 229 times more likely that they'd develop an eating disorder than childhood diabetes; you can't brush that under the rug. – JeJ Apr 17 2012 at 1:09
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@Jenny, I wish knew you in real life. I think we'd be able to strike up hours of conversation!! – Sunny Beaches Apr 17 2012 at 1:46
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Starvation is not an end-point, it is a process. Eating below nutritional requirements is starvation. Weight loss diets are essentially just controlled starvation. – Matt Apr 17 2012 at 14:34
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I have been keto adapted for 4 months now. Fasting for 18-24 hours is nothing. Calorie restriction is no problem either. Once your body looks for fat as fuel it finds plenty stored all over your body and its not starving. If its burning is fat its happy. Just make sure your not kicking it out of "FAT" mode with a plate of carbs. Your body isnt starving if its burning fat, it usually has plenty stored all over. Its starving if fat is too low and your using your muscle for energy. Make sure you eat proteins and fats. Your liver will convert some the proteins into usable "sugars-glycogen" to feed the organs that need glycogen. So make sure you have enough protein for maintenance and conversion for those organs that need it. As far as energy though even being keto adapted your not going to get much energy in long intense exercise.

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Hey, Doug. Thanks for your input, but i'm confused by that last sentence. would you mind mind spelling it out for me another way? – foreveryoung Apr 17 2012 at 0:55
So your high intensity output will suffer after about 10 minutes of work. low intensity is great. Dont expect to PR any of your times on any workouts. Lifting isnt affected as long as your resting between sets. for example if you did as many push ups as possible for 10 sets the sets after 3 or so will suffer. if you eat carbs the day before it will not. Your muscles will fill with glycogen and perform better the day after eating carbs – Doug Apr 17 2012 at 2:29
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Lifting wont be affected AFTER your keto adapted. Unitl you are keto adapted it will suffer big time. Give yourself 6 weeks for your body to fully adapt to keto. Then a stick of cheese sounds better than a piece of bread. – Doug Apr 17 2012 at 2:33
omg I crave cheese ... no bread...could smash a whole block! – mzrdnan Apr 17 2012 at 11:03
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You're also missing that fat is more "filling" per calorie than carbohydrates are. You can actually eat fewer calories and still feel full by restricting your carbohydrate intake and increasing fats. It's one of the ways that standard nutritionists tried to explain away the Atkins diet as being a calorie restriction diet in disguise.

Tim Ferris talks a little about it... http://www.fourhourworkweek.com/blog/2008/02/25/the-science-of-fat-loss-why-a-calorie-isnt-always-a-calorie/

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yeah I know fat are more satiating than carbs, and proteins more than either. thanks for the link. – foreveryoung Apr 17 2012 at 2:29
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Sean, I used to think that fat was more filling. Turns out a search on pubmed will prove that wrong! - paleohacks.com/questions/101891/… – peter Apr 17 2012 at 10:33
Carbs are way more filling in my opinion. – ROB Apr 18 2012 at 0:53
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I imagine a lot of folks who have turned to VLC paleo were significantly overweight or obese. That is very different from someone at a healthy weight trying to improve body composition (i.e., for aesthetic or athletic reasons).

For someone overweight or obese, they can likely lose fat without the need for glycogen stores to get peak performance during workouts and often without even having to worry too much about calorie restriction (e.g., just by eating real food to satiety). This may also be easier as it doesn't require counting calories, counting macros, super high intensity workouts, etc.

For someone at a relatively healthy weight, trying to lean out, the above approach may not work (hence the plateau). In those cases, I imagine workout intensity matters a lot more, thinking more about calories may become necessary (especially if pushing below a theoretical healthy body fat % or setpoint or whatever). In that situation, adding in carbs and removing fat, may be necessary. You also might have to take it further and think about macro ratios and/or carb cycling/etc.

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