It seems in the Paleo community people are starting to come around and not demonize any specific macronutrient, but is low carb still the best way to go for the more metabolically deranged?
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initially, yes. that has been my experience and observation. if for no other reason, it lets people slip into ketosis which naturally curbs the appetite which is key for obese people who need metabolic healing. |
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Those people you speak of will still tell you that low carb can be and probably is the best way to lose weight for most people and most assuredly for someone who is "metabolically deranged" (I HATE that term!) The new claim is that carbs don't make you fat but once you are cutting them to next to nothing will undoubtedly help you lose the fat. I don't buy that argument but that's their claim. Either way for some of us this particular macronutrient must remain a demon. |
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There have been many controlled experiments of fat people trying to lose weight by following different diets. The results show that a lowish-carb diet is better than the mainstream low-fat/low-calorie approach. See the review paper by Hession et al. published in 2008 in Obesity Reviews, entitled "Systematic review of randomized controlled trials of low-carbohydrate vs. low-fat/low-calorie diets in the management of obesity and its comorbidities". However, the results do not show that the lowish-carb diets were all that great. They were moderately effective for fat people to lose weight. A typical obese person on a low-fat/low-cal diet will lose around 10 or 15 pounds in the first six months and then regain some of it in the next six months, ending up only a few pounds lighter at the end of twelve months than they started. A typical obese person on the lowish-carb diets in these experiments followed a similar pattern but a little better, losing maybe 20 pounds in the first six months, but then regaining some of it so they ended up merely a couple of pounds lighter than their friends on the low-fat/low-cal diet. Disappointing! So according to these results, while you shouldn't get your hopes up too much about following a lowish-carb diet, you should be even less enthusiastic about following a low-fat/low-cal diet. These results also show something interesting: the lowish-carbers consistently lost more excess body fat than the low-fat/low-cal'ers, even though they were (in most cases) allowed to eat as many calories as they liked. The lowish-carbers also generally had better improvements in their blood lipid profiles, which is consistent with everything we think in paleo and/or low-carb theory and inconsistent with what they think in the (rapidly fading) mainstream theory. Now here is where I depart from the hard experimental evidence and give you my own guesses and intuition. I suspect that there were a host of issues which undermined the lowish-carb dieters in these experiments. If, when embarking on your own personal journey, you avoid these problems, I suspect you will have much better results than the average test subject did.
Okay, that's my answer. I suspect that most fat people can experience wonderful improvements on a diet which is very low in carb, and is also healthy in other ways, and which you intend to monitor and adapt, but also to remain committed for the long term, and which you approach with an attitude of anticipation and joy. If you re-read this answer, notice the break between what I know from hard evidence—repeated experiment—and what I believe from various other kinds of evidence. |
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Paleo adherants are being more friendly to higher carb because we're all no longer glucose addicted, and are instead ACTIVE and FIT, so we can reintroduce more carbs into our diet without issue. But in order to get to this point, we all needed to start off as low carb! Paleo is definitely low carb and should always remain that way. |
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During the period of my metabolic derangement (8 A1C and 200 fasting blood glucose) I restricted all carbs. I eliminated the high glycemics completely - white rice and the dry breakfast cereals of any kind were the worst. The ultimate solution to recovering insulin sensitivity was getting my weight down, but that took months. Eliminating high GI carbs got blood glucose down in less than a week. |
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