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Reading Guyenet's latest post rebutting the carbohydrate hypothesis it looks like every high carb culture he mentions tends to get fatter with the introduction of more fat in the diet.

If this is so, could we say that high fat and high carb aren't compatible (I'm assuming one isn't overeating and that the amount of calories consumed would be roughly the same)? Could it be that the culprit is combining high fat and high carb and that our bodies are mostly adapted to a diet either high in fat ou high in carbohydrate?

Also, when discussing low carb/high carb the only thing mentioned is weight loss. Couldn't there be other benefits when eating low carb (or high carb, for that matter) besides weight?

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paleohacks.com/questions/50542/… – Ambimorph Aug 12 2011 at 16:34
@Ambimorph, oops, didn't realize that question was around. @ROB says in his question "If they ate tubers daily I can assure you they didn't drown them in fat" - that does make sense. – Dinis Correia Aug 12 2011 at 16:47
i love your hypothesis! i think you can go higher carb with low fat, or high fat/protein, with low carb. the two are not compatible, regardless of the quality of either. awesome point, man. – delete me Aug 12 2011 at 17:04
That's okay, it's slightly different, and the recent debate makes it relevant again. I just thought it might also have some good answers. – Ambimorph Aug 12 2011 at 18:03

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in the comments, kurt harris makes the point to distinguish that when carbs or fat were introduced in those diet, it was usually introduced in the form of a toxic neolithic agent of disease- "carbs" usually means wheat and "fat" usually meant omega 6 seed oils. i have been trying to and i think the conversation looks a lot different when you stop thinking in terms of strict macronutrients and think of food quality.

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Great point! Food quality is really overlooked in so many studies. – sherpamelissa Aug 12 2011 at 13:18
I would definitely agree that food quality needs to be controlled for in studies. In Taube's example of the Pima Indians, they had processed flour and sugar products given to them by our government. Of course they got fat! – Heather Aug 12 2011 at 13:36
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I agree the quality of fat matters. But what about the more Atkins-style diet where a lot of weight is lost but lots of frankenfoods/oils are still used? – xue Aug 12 2011 at 14:48
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that you can chalk up to basic drop in 2 of the other bad things- wheat and sugar. taking those out will reduce some of the inflammatation and reduce the "sugar hunger" – luckybastard Aug 12 2011 at 15:17
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There are definitely other benefits to eating lower carb. I retain water BADLY when I eat too many wheat based carbs. (This does not happen with fruit/vegetable carbs.) I am talking 5/10 lbs over just a few days if I go on a high carb binge.

Generally, I eat moderate carb, my goal is 75 grams or less per day, but no gluten based carbs and that is enough to keep my water retention at bay.

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it's funny, i would think of 75 or less per day as low carb! – delete me Aug 12 2011 at 17:04
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I think based on my 1200/1400 calories per day that 75 grams is pretty moderate. If I ate 2000+ it would definitely be low. – sherpamelissa Aug 12 2011 at 17:13
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I am working on a post on them, but the Ache are a tribe in the Amazon that eat high fat and plenty of carbs too. Based on bone depositions, it's possible that this is similar to the diet of peoples in the Middle Paleolithic. So no, I don't think there is much evidence that humans either have to eat low-fat or low-carb. What seems to make people all over the world fat, at different rates depending on genetic variation, is industrial food.

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Guess I don't need to worry about that steak and coconut oil roasted sweet potato on the plate then :) – Dinis Correia Aug 12 2011 at 15:41
Can't wait for your post Melissa. I get most of my calories from carbs, about 500 grams, and about 150 grams from fat, and I tend to keep protein low. – ROB Aug 12 2011 at 20:20
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when discussing low carb/high carb the only thing mentioned is weight loss. Couldn't there be other benefits when eating low carb (or high carb, for that matter) besides weight?

This is a good question. Low carb diets definitely have some benefits for people who are obese or have certain pathological disorders.

On the other hand high carb diets generally have higher nutrient density and allow the storage of a significant amount of energy(high carb, high calorie diets increase glycogen stores to ~1000g). HC VLF diets also have therapeutic uses in treating heart disease, arthritis, obesity and even diabetes. HC diets also tend to be a lot cheaper and maybe more sustainable overall with the right agriculture choices?

I generally lean towards the opinion that higher carb diets are better overall unless the person has severely deranged glucose metabolism or can't tolerate carbs for whatever reason. I could be wrong though, I would love to hear some more benefits of a VLC diet because I personally don't have a lot of experience with it and haven't done a whole lot of research on the subject.

In regards to your main question there are some studies that allude to a problem mixing carbs/fats in the same meal but I think this is based on the assumption that the fat and carbs enter the bloodstream at the same time. I don't know if that's necessarily true under normal physiological circumstances though.

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Interesting. By the way, if we exclude grains and legumes, we're kind of limited to root vegetables - for me, that would be harder to maintain than eating higher in fat (I haven' really counted, but I'd guess I'm on the low carb end of the spectrum - I do eat lots of veggies, mostly leafy greens, tomatoes and peppers and the occasional zucchini/squash - I probably have a sweet potato once a month). – Dinis Correia Aug 12 2011 at 14:02
Tubers, fruit and squash are all paleo options. Fermented grains/beans and white rice are also another option that aren't necessarily paleo but can still be tolerated by most. I personally find a tuber based diet extremely easy to eat and extremely satisfying. – cliff Aug 12 2011 at 14:11
@cliff, just out of curiosity, could you post what you typically eat in a day? You still include meat and fish, right? – Dinis Correia Aug 12 2011 at 14:20
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Again, my biggest concern right now is "mixing" carbs and fat - trying not to worry or feel guilty because I'm having a baked sweet potato, some side salad and a burger patty for dinner. – Dinis Correia Aug 12 2011 at 14:27
@Dinis I wonder about the same thing – xue Aug 12 2011 at 14:46
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If you're running close to your minimum weight, a switch in either direction would cause a weight gain out of all proportion to the amount of food eaten. Going from high fat to high carb, there's a water/glycogen gain. Going high carb to high fat there's a food retention gain (due to slowed digestion - I'm still living with the effect of a big piece of prime rib I ate a week ago). Either of these can result in a five pound overnight weight gain.

Neither of these events results in fatness, and the gain goes away in a few days. Real fat gain takes more time - months to years of steady overeating on any diet. Post Atkins regain comes to mind as an example on one side, "meat and potatoes" on the other.

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last month i tried adding more carbs back into my diet via sweet potatoes, bananas and apples. i went from less than 50g/24 hours to about 100-125g/24 hours and gained 1 inch around my waist in 2 weeks. – sage_ Aug 12 2011 at 14:35
sage, bananas have always done that to me! My body processes the sugar from bananas different than any other food I eat. They always make me gain weight. How weird! – sherpamelissa Aug 12 2011 at 16:41
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I add carbs and fat together, I gain weight, I add meat and fats together and I lose weight. I think fat works better with certain food groups and badly with other food groups.

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I go only on my own experience here, but in addition to weight loss, I experience a reduction in inflammation both when on a HCLF diet and also on a LCHF diet. And while I have been on a lower-carb diet for about a year, I can almost time the breakouts as a function of the amount of carbs I had the previous day, especially if wheat was involved and, yes, to a certain extent, fruit and tubers. But what I look for is that if one eats a true whole-foods diet, that is, regular foods and not food that has been trimmed, skinned, degermed, expeller-pressed, etc., it is much easier to do the LCHF version instead of a HCLF version. The protein that I really need enough of is usually coupled with the fat. Carbs and fat aren't coupled together in real foods, only in our culinary combinations.

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Don't forget Durian and milk – cliff Aug 12 2011 at 17:21
And coconut and avocado... – EJH Sep 19 at 21:28

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