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Originally Posted by fred42
In this video, Dr. Attia talks a lot about energy balance and implies the only reason Keto would work is that you are cutting back on certain food groups which he interprets as eating fewer calories. That is, any diet would work that limits certain food groups.
Isn’t there evidence that carbohydrates spike insulin thereby promoting fat storage, and preventing fat burning? Wouldn’t this be one of the accepted "biochemistry phenomenons" he is trying to teach us?
https://www.youtube.com/watch?v=b_d-drdcfJo&t=446s
(I have the link advanced to the relevant part) |
He didn’t say that, but listed three ways diets could work, including limiting what you eat (carbs). The carbs you eat are a small portion of insulin in your body…understanding Personal Fat Threshold was key for me.
When will both diet camps agree that the "carbohydrate - insulin hypothesis" and the "energy balance hypothesis" are just that … models that give an indication how obesity might occur. Neither is "accepted". The Carbohydrate-Insulin hypothesis has too many "black swans" to be a viable theory though some parts of it work in the beginning. Longer term, the Energy Balance model has more studies to support it, and now incorporates some of CIM, so Dr Attia followed the science to focus on Nutrients and Satiety, minimizing both LCHF and Fasting.
If you’re already low carb, you need to address the 70-80% of your body’s insulin production that is simply related to how much fat you’re carrying. Simply minimising carbs, while an important step, is missing the main game! Marty Kendall has these 3 good articles explaining Insulin, more on his blog and in The Big Fat Keto Lies book.
Insulin is not making you fat.
https://optimisingnutrition.com/doe...n-make-you-fat/
What Is Insulin Resistance (and How to Reverse It)?
https://optimisingnutrition.com/wha...lin-resistance/
The Personal Fat Threshold Model of Insulin Resistance, Diabetes & Obesity
https://optimisingnutrition.com/personal-fat-threshold/
Dr Naiman also was ahead of Dr Attia incorporating the Energy Balance model in his advice.
"Diet Doctor contributor Dr. Ted Naiman tweeted “Eating less refined carbs improves outcomes due to higher satiety per calorie — not the internal starvation of the ‘carbohydrate-Insulin’ model [CIM], which I declared dead years ago.”
When asked for a comment, Dr. Naiman clarified that carbs and insulin still play a role in obesity, but the concept of “internal starvation” from high insulin doesn’t make sense to him when blood levels of glucose and triglycerides are elevated.
Additionally, Dr. Naiman is clear that carbs and insulin can drive food choices, and that is an important concern for people wanting to lose weight.
Focusing on nutrients and satiety per calorie, and worrying less about CIM, is likely the best path to healthy weight loss."
https://www.dietdoctor.com/carbs-in...l-dead-or-alive
My success story here and on DietDoctor shows how using both hypotheses can lead to weight loss after years being stalled on LCHF well above my ideal weight. Satiety Per Calorie.