Long-term effects of a ketogenic diet in obese patients

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GaleHawkins
GaleHawkins Posts: 8,159 Member
ncbi.nlm.nih.gov/pmc/articles/PMC2716748/

Source: Exp Clin Cardiol. 2004 Fall; 9(3): 200–205. PMCID: PMC2716748
Clinical Cardiology

I read this 11 year old research for the first time today. It supported nutritional ketosis for weight loss. I do not understand the resistance to keto yet today. This is not a quack publication.
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  • GaleHawkins
    GaleHawkins Posts: 8,159 Member
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    lisamiddleton.com.au/thoughts-entries/2014/11/24/effect-of-lchf-on-blood-tests

    A summary of a presentation.

    the trends observed in blood parameter changes with LCHF from the studies presented are something along the lines of this:

    - Increase in Total Cholesterol

    - Increase in LDL cholesterol (‘bad’ cholesterol)

    - Increase in HDL cholesterol (‘good’ cholesterol)

    - Decrease in small dense LDL (‘bad’ cholesterol)

    - Decrease in triglycerides

    - Decrease in HbA1C
  • GaleHawkins
    GaleHawkins Posts: 8,159 Member
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    https://youtube.com/watch?v=MXkE8_NdAyQ

    LCHF conference in AU with Ken Sikari covers why population may be harmed by LCHF diet.
  • Ringbearer2
    Ringbearer2 Posts: 592 Member
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    That's really interesting! Thanks for the information. I particularly enjoyed the Sikari presentation.
  • KittensMaster
    KittensMaster Posts: 748 Member
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    I struggle with studies and all that

    I have two years of six month blood tests and wot with my internal medicine specialist

    I know how Low Carb with even fat and protein works on me.

    It may seem uncaring, but I really do not care about convincing someone else to try it

    They would have to have been diabetic and then exercise at a level most people just won't do.

    It does work. It seems low carb and exercise fixed blood pressure, cholesterol, resting heart rate, excess fat, adding muscle, circulatory health, VO2 Max

    In the words of my doctor. You get 5 years younger at every annual physical.

    Low Carb does work. I think if you are like me and doing body recomposition you need to up the protein. But the core of low carb is the key for metabolic changes

    Maybe it is just too simple?

  • GaleHawkins
    GaleHawkins Posts: 8,159 Member
    edited August 2015
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    I struggle with studies and all that

    I have two years of six month blood tests and wot with my internal medicine specialist

    I know how Low Carb with even fat and protein works on me.

    It may seem uncaring, but I really do not care about convincing someone else to try it

    They would have to have been diabetic and then exercise at a level most people just won't do.

    It does work. It seems low carb and exercise fixed blood pressure, cholesterol, resting heart rate, excess fat, adding muscle, circulatory health, VO2 Max

    In the words of my doctor. You get 5 years younger at every annual physical.

    Low Carb does work. I think if you are like me and doing body recomposition you need to up the protein. But the core of low carb is the key for metabolic changes

    Maybe it is just too simple?

    I think we are all in agreement with what you say.

    My issue is my doctor's nurse sent me a letter that wanting me to retest because:

    - Increase in Total Cholesterol

    - Increase in LDL cholesterol (‘bad’ cholesterol)

    - Increase in HDL cholesterol (‘good’ cholesterol)

    - Decrease in triglycerides

    She states these results are unusual and the doctor wants you to retest and you may have to cut the fats in your diet and does want you to cut your fats before the retest.

    My guess the decrease in triglycerides and increase in HDL was not expected by them with the increase in total cholesterol. There are pockets in the VA that knows LCHF and I will try to reach them before my 11th Sep retest. I did not see the mail until late last night and did a lot of researching.

    I am working to learn how to teach. :)



  • FIT_Goat
    FIT_Goat Posts: 4,224 Member
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    I tend to be on the same page as @KittensMaster when it comes to convincing others. Part of it comes from realizing that few will really commit to it and do it completely with enough vigor to see the same results. Then they will blame the diet and me for their lack of progress. So, I just live my live and don't hide what I am doing.

    Note: I had someone call me up totally excited because they were ready to do what I was doing so they could finally lose weight. They were going to go zero-carb! Except, they were going to have fruit and vegetables (including potatoes and bananas) to help them stick to it. Oh, and they were going to have pasta every Sunday. That's tradition at their house and they couldn't imagine stopping it. I didn't even have the energy to explain how badly they were going to fail. They didn't even last a month before complaining that it didn't work and they hadn't lost any weight.
  • KittensMaster
    KittensMaster Posts: 748 Member
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    FIT_Goat wrote: »
    I tend to be on the same page as @KittensMaster when it comes to convincing others. Part of it comes from realizing that few will really commit to it and do it completely with enough vigor to see the same results. Then they will blame the diet and me for their lack of progress. So, I just live my live and don't hide what I am doing.

    Note: I had someone call me up totally excited because they were ready to do what I was doing so they could finally lose weight. They were going to go zero-carb! Except, they were going to have fruit and vegetables (including potatoes and bananas) to help them stick to it. Oh, and they were going to have pasta every Sunday. That's tradition at their house and they couldn't imagine stopping it. I didn't even have the energy to explain how badly they were going to fail. They didn't even last a month before complaining that it didn't work and they hadn't lost any weight.

    Ha!

    I'm gonna be just like you!

    Except everything will be different

    Ha!


  • ki4eld
    ki4eld Posts: 1,215 Member
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    FIT_Goat wrote: »
    I tend to be on the same page as @KittensMaster when it comes to convincing others. Part of it comes from realizing that few will really commit to it and do it completely with enough vigor to see the same results. Then they will blame the diet and me for their lack of progress. So, I just live my live and don't hide what I am doing.

    Note: I had someone call me up totally excited because they were ready to do what I was doing so they could finally lose weight. They were going to go zero-carb! Except, they were going to have fruit and vegetables (including potatoes and bananas) to help them stick to it. Oh, and they were going to have pasta every Sunday. That's tradition at their house and they couldn't imagine stopping it. I didn't even have the energy to explain how badly they were going to fail. They didn't even last a month before complaining that it didn't work and they hadn't lost any weight.

    Yep. I usually just give them a "bless your heart" and move on.
  • minties82
    minties82 Posts: 907 Member
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    I never try and convince others how to eat, and don't really give a flying #$%@ what they eat anyway. No one cares that I do keto but were all delighted that I had shrunk so much since the last time they saw me, at a family gathering this weekend. No one hassled me to eat the muffins that were baked, and I didn't hassle anyone to gobble meat and butter, and we were all happy as Larry :-)

    I lost weight just as well NOT doing keto, I just had issues binging on bread so gave keto a try.
  • wabmester
    wabmester Posts: 2,748 Member
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    My issue is my doctor's nurse sent me a letter that wanting me to retest because:

    - Increase in Total Cholesterol

    - Increase in LDL cholesterol (‘bad’ cholesterol)

    - Increase in HDL cholesterol (‘good’ cholesterol)

    - Decrease in triglycerides

    She states these results are unusual and the doctor wants you to retest and you may have to cut the fats in your diet and does want you to cut your fats before the retest.

    My guess the decrease in triglycerides and increase in HDL was not expected by them with the increase in total cholesterol. There are pockets in the VA that knows LCHF and I will try to reach them before my 11th Sep retest. I did not see the mail until late last night and did a lot of researching.

    These are the most common results of a low-carb diet. Request a VAP or NMR, and it'll break down the LDL for the doc.

    What you SHOULD find is that the LDL CONCENTRATION increased because they are loaded up with more fat (i.e., the large fluffy type), but the LDL PARTICLE COUNT ideally went down or didn't change. The COUNT, not the CONCENTRATION is the risk factor!
  • GaleHawkins
    GaleHawkins Posts: 8,159 Member
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    @wabmester I want to see the breakdown anyway. I was told the VA does not do the particle size/count so I will see. Hopefully I will find the hospital that has done some LCHF research. Ken Sikari's presentation got me off to a good start to be able to talk doctor to doctor hopefully.
  • KETOGENICGURL
    KETOGENICGURL Posts: 687 Member
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    Gale..good luck with the VA…I just talked with a nephrologist who wants me to one back to the VA and retest my kidney function… the last two medical staff wanted me to add carbs, and this and that… I have resisted completely <I am Borg>

    I even told her I am NOT going to eat more carbs and all the RD's do is PUSH 60% carbs..so what is the point? She assured me we will "tweak my diet"….I am high in potassium, without eating any foods that are high…so I will do what I can to support a failing kidney,

    She talked about my " recovering from a very poor function"…well that DID NOT happen by itself… I switched to a plant based LCHF which reduced oxidative stress of meat waste…dropped meds, and focused on keeping carbs very low.kq8diczg6sc5.jpg
  • KittensMaster
    KittensMaster Posts: 748 Member
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    The Borg....

    The best super enemy ever!!!!
  • DietPrada
    DietPrada Posts: 1,171 Member
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    My last blood test showed elevated cholesterol. My doctor wanted to put me on medication, but I asked her to leave it for now and retest in 6 months. I don't know how to explain to her that it's normal for LCHF and not an issue.
  • carom
    carom Posts: 188 Member
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    ncbi.nlm.nih.gov/pmc/articles/PMC2716748/

    Source: Exp Clin Cardiol. 2004 Fall; 9(3): 200–205. PMCID: PMC2716748
    Clinical Cardiology

    I read this 11 year old research for the first time today. It supported nutritional ketosis for weight loss. I do not understand the resistance to keto yet today. This is not a quack publication.

    Thanks GaleHawkins, that is very interesting, I am particularly interested in the fact that sugar feeds cancer tumours, that is a major priority (just below the weight loss aspect) that keeps me sticking to Keto. Most of my family have had or do have cancers, so I am very aware of anything that will keep it at bay.
  • KarlaYP
    KarlaYP Posts: 4,439 Member
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    Doctors, nurses, dieticians/nutritionists...can recommend treatment for different things. It's your choice to follow (or not) their recommendations. We all must do what is best for us. That's what matters.
  • KittensMaster
    KittensMaster Posts: 748 Member
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    Karlottap wrote: »
    Doctors, nurses, dieticians/nutritionists...can recommend treatment for different things. It's your choice to follow (or not) their recommendations. We all must do what is best for us. That's what matters.

    There you go

    Personal responsibility is always there

  • GaleHawkins
    GaleHawkins Posts: 8,159 Member
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    When I told them to keep their Enbrel for those who could not manage their pain by diet it did not make them happy but holding an OD degree they understand I drive my own healthcare choices. As long as they can write what they offer in my folder and that the patient refused they know their peers can not come after their license.

    If possible I would like to help pave the way for others who may not be so bold about patient rights. The taxpayers are spending a lot of $$$. LCHF can save us a lot of money potentially.I think I read last night were like 15% of patients in the system have a BMI of 40 or >. I was at 35. Actually the nurse it I saw for my annual is open to what I am doing. Once they understand my decisions are on me and not own them it will be helpful I think. I have not a reverse gear. :) I have more research to do.

    It does bug me Australia and South Africa is carrying the LCHF research ball for the world.

  • KarlaYP
    KarlaYP Posts: 4,439 Member
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    I believe the U.S. will eventually get on board @GaleHawkins! At least I hope. It can't be denied forever! Yes, patient rights are just that, rights to choose what we feel works best for us. The medical community can't deny the results once they see them. The doctors recommendations are just that, recommendations based on their limited knowledge. We always have the right to choose as long as it's reasonable, not detrimental
  • GaleHawkins
    GaleHawkins Posts: 8,159 Member
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    Karlottap wrote: »
    I believe the U.S. will eventually get on board @GaleHawkins! At least I hope. It can't be denied forever! Yes, patient rights are just that, rights to choose what we feel works best for us. The medical community can't deny the results once they see them. The doctors recommendations are just that, recommendations based on their limited knowledge. We always have the right to choose as long as it's reasonable, not detrimental

    You were on a roll until the last four words. :) In the USA there can be no forced treatment of an adult. Well if the government is paying for the services there may be exceptions. It has been done as in sterilization of some groups of people in the past.