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Dr Sarah Hallburg: Calories in vs calories out pet peeve
Replies
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EvgeniZyntx wrote: »I don't think she has anything to sell. I am curious as to what if she does.
lololol.
http://fitteru.us/about/
She is a very successful doctor with a blog about her specialty and why her method (LCHF) is so successful with her patients.... What is she selling?
I would guess a quarter of the people around here have blogs on something or other.
She sells the plan mentioned is what it appears. I'm sure it also includes feedback and counseling that is more in-depth than the bullet points presented in this thread. It is still selling something.
I can't speak for EvgenZyntx (heck I can't spell it without looking) but I think part of the laugh might be how much people have defended her not selling anything, or simply that a lot of pure researchers in the field don't sell programs, they tend to do just research. It could even be that she's an osteopath - I know a lot of skeptics tend to dislike osteopaths as it seems quacks tend to gravitate towards it more than MD, though I've personally had osteopathic doctors I've respected.
I generally try to avoid debating about if someone is selling something. Heck, some of the cherished fitness experts that get bandied about in this sub-forum make a living selling coaching services - more so for elite level athletes than say the person who is looking to lose 10 pounds of fat when they're actually 30 pounds into the overweight category, and wants to gain muscle tone but not bulky muscles, but still selling coaching services.0 -
Ah. I'm up in Canada. I forget that some clinics require paying for down there. Up here, most medical services have a wait list even when they don't charge. Boo.
I tend to get my back up over the "what are they selling" argument. It seems that many doctors and researchers have found information that makes sense and the feel passionate about. They want to share it, being the primary motivation. I know this is not true of all, but most believe it what they are selling for a reason - it worked for them and / or others.0 -
Expatmommy79 wrote: »I have started watching a few of Dr Sarah Hallburgs LCHF videos.
As far as LCHF goes in regards to controlling diabetes type 2, and insulin resistance, I understand the metabolic advantages as it relates to controlling blood glucose.
What I don't understand is her saying that Insulin resistance makes us fat and that it's a pet peeve of hers when she hears calories in vs calories out. She says CI vs CO is another way to call people gluttons and sloths.
My question is this: if you eat at or below maintenance and are insulin resistant, how do you still get fat?
My issue with her is as follows:
She says insulin resistance (70% of Americans she says) and a high carb diet forces the body to convert carbs into fat. And the spikes cause hunger which cause you to eat more... So is that not just another way to say you are taking in too many calories? She isn't specific if the same happens when eating at a deficit.
She also says your macro breakdown should be 70-80% fat and 20-50g of carbs...but she doesn't want people to count calories. In order to track those two macros, isn't that another way to count calories?
For women, she says we should have about 80g of protein, making up 15% of our diet. And 70%-80% fat and 20-35g carbs. Which is about 1600 calories. So how is her formula not calorie counting?!
She says if you follow the macro ratios you will loose weight. But purposefully glosses over actual calories and energy output.
My question for discussion is this: in her logic, is she trying to say, regardless of the deficit, people with IR will put on weight with a higher carb diet?
And to another point, the essential fatty acids and essential amino acids arguments made by LCHF followers... She says the same thing, that there is no "essential" carb because the body can make its own glucose. But if the body can make its own glucose, doesn't that just prove how essential it is that we have created a mechanism for creating glucose ourselves in the absence of any new raw material?
What is the real truth about weight gain and insulin resistance?
I was pcos/IR. My dr told me if I lost 10% of my body weight it would reverse. He was right. I did it with calorie counting and a balanced diet. Am I a special snowflake?
@Expatmommy79 congraduations on reversing pcos/IR. Any way of eating that brings better health can be the right way. Dieting is a big money business. Currently LCHF is popular to that is a good niche market to be selling into. LCHF works well by permitting me to manage my joint and muscle pain without any Medical Rx.
You picked up the 'essential' carb point. While carbs are not essential to be healthy but at least some level of glucose is 'essential' for life to go on. I have to stay medium protein since about half of protein gets converted to glucose by the body.
Healthy people do not become obese almost without fail the best I can tell. Insulin Resistance people are not healthy and often tend to get fat because of failing health.
LCHF is nothing magic while it can seem that way because when it addresses the cravings for carbs our CI part of the CICO factor typically greatly decreases. This is why CO is not a requirement to typically lose weight because the CI is automatically reduced like in a healthy person is how I view it.0 -
Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?0
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Christine_72 wrote: »Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?
That is the question that no one has definitively answered, to my knowledge.0 -
Christine_72 wrote: »Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?
How would IR "cause" obesity in your eyes?0 -
stevencloser wrote: »Christine_72 wrote: »Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?
How would IR "cause" obesity in your eyes?
Can one even have obese eyes?
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Christine_72 wrote: »Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?
I'd say both and neither.
Obesity definitely raises the risk of insulin resistance, but just like there are people that smoke and don't get lung cancer, there are going to be some people that fall on the Bell Curve of genetics such that they'll almost never end up insulin resistant.
Insulin resistance itself won't put calories into a person. It does make it harder to utilize glucose as fuel and can cause lethargy. It might alter the appetite some. Of course sitting on a couch also makes one utilize less glucose, but we don't say couches cause obesity.
So it is just easiest to say they're both correlated with each other. People tend to be getting better or worse in terms of both at the same time, though there are interesting rare cases of them going in opposite directions.0 -
It sounds like you can see through the smoke and mirrors that she's trying to use.
She's playing into the currently popular LCHF model in order to earn a portion of the huge diet industry money pie.
^^^^This. I wonder if Dr. Oz has had her on his program yet. She seems like his type.I was pcos/IR. My dr told me if I lost 10% of my body weight it would reverse. He was right. I did it with calorie counting and a balanced diet. Am I a special snowflake?
You're not. You're doctor seems to be correct.
"In conclusion, insulin resistance in obese women with PCOS was reduced by weight loss to similar levels as BMI-matched control subjects, suggesting that insulin resistance in PCOS is not a feature of PCOS per se. - See more at: http://press.endocrine.org/doi/abs/10.1210/jcem.80.9.7673399#sthash.NkgjFgk4.dpuf"
http://press.endocrine.org/doi/abs/10.1210/jcem.80.9.7673399
Some other peer-reviewed articles on the same subject:
http://press.endocrine.org/doi/full/10.1210/jc.2005-1490
http://www.eje-online.org/content/138/3/269.full.pdf
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EvgeniZyntx wrote: »I don't think she has anything to sell. I am curious as to what if she does.
lololol.
http://fitteru.us/about/
She is a very successful doctor with a blog about her specialty and why her method (LCHF) is so successful with her patients.... What is she selling?
I would guess a quarter of the people around here have blogs on something or other.
She sells the plan mentioned is what it appears. I'm sure it also includes feedback and counseling that is more in-depth than the bullet points presented in this thread. It is still selling something.
I can't speak for EvgenZyntx (heck I can't spell it without looking) but I think part of the laugh might be how much people have defended her not selling anything, or simply that a lot of pure researchers in the field don't sell programs, they tend to do just research. It could even be that she's an osteopath - I know a lot of skeptics tend to dislike osteopaths as it seems quacks tend to gravitate towards it more than MD, though I've personally had osteopathic doctors I've respected.
I generally try to avoid debating about if someone is selling something. Heck, some of the cherished fitness experts that get bandied about in this sub-forum make a living selling coaching services - more so for elite level athletes than say the person who is looking to lose 10 pounds of fat when they're actually 30 pounds into the overweight category, and wants to gain muscle tone but not bulky muscles, but still selling coaching services.
Sorry about the name.
The laugh is exactly that. People seem to present her as an altruist but she's a doctor that started as an osteopath and moved onto the lucrative dietary path with her own clinic that it a business for which she promotes:
"The program has a waiting list for new patients; people often wait weeks or months for their first consultation.
The program includes a variety of nutrition plans, behavioural strategies, exercise recommendations, and counselling on cognitive restructuring, stimulus control, and associated medical issues."
It's a big paying business, for god's sake.
I have no issue with self promotion and profit from it BUT when someone literally says "I don't think she has anything to sell" it really means you couldn't do a two second google search on the person or are purposely obtuse about why they are promoting themselves and their services.
Again, I'm fine with the selling-health-for-profit approach but let's not blindly consider she's being altruistic about this. She's actually changed medical careers to sell diet weight loss.0 -
EvgeniZyntx wrote: »EvgeniZyntx wrote: »I don't think she has anything to sell. I am curious as to what if she does.
lololol.
http://fitteru.us/about/
She is a very successful doctor with a blog about her specialty and why her method (LCHF) is so successful with her patients.... What is she selling?
I would guess a quarter of the people around here have blogs on something or other.
She sells the plan mentioned is what it appears. I'm sure it also includes feedback and counseling that is more in-depth than the bullet points presented in this thread. It is still selling something.
I can't speak for EvgenZyntx (heck I can't spell it without looking) but I think part of the laugh might be how much people have defended her not selling anything, or simply that a lot of pure researchers in the field don't sell programs, they tend to do just research. It could even be that she's an osteopath - I know a lot of skeptics tend to dislike osteopaths as it seems quacks tend to gravitate towards it more than MD, though I've personally had osteopathic doctors I've respected.
I generally try to avoid debating about if someone is selling something. Heck, some of the cherished fitness experts that get bandied about in this sub-forum make a living selling coaching services - more so for elite level athletes than say the person who is looking to lose 10 pounds of fat when they're actually 30 pounds into the overweight category, and wants to gain muscle tone but not bulky muscles, but still selling coaching services.
Sorry about the name.
The laugh is exactly that. People seem to present her as an altruist but she's a doctor that started as an osteopath and moved onto the lucrative dietary path with her own clinic that it a business for which she promotes:
"The program has a waiting list for new patients; people often wait weeks or months for their first consultation.
The program includes a variety of nutrition plans, behavioural strategies, exercise recommendations, and counselling on cognitive restructuring, stimulus control, and associated medical issues."
It's a big paying business, for god's sake.
I have no issue with self promotion and profit from it BUT when someone literally says "I don't think she has anything to sell" it really means you couldn't do a two second google search on the person or are purposely obtuse about why they are promoting themselves and their services.
[/b]Again, I'm fine with the selling-health-for-profit approach but let's not blindly consider she's being altruistic about this. She's actually changed medical careers to sell diet weight loss.[/b]
I understand what you are saying, but we don't know why she switched career paths either. It could have been a case of "there is money to be made from promoting a specific diet" or it could have come from "people need help and I know how to help them".
I do resent being called obtuse. Perhaps a bit naive, but that's better that than cynical, IMO. Not everyone is just out to make a buck.
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Christine_72 wrote: »Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?
That's a good one, do let us know :-)
You go a step back and say does hyperinsulinemia cause insulin resistance and obesity.0 -
I was pcos/IR. My dr told me if I lost 10% of my body weight it would reverse. He was right. I did it with calorie counting and a balanced diet. Am I a special snowflake?
You're not. You're doctor seems to be correct.
"In conclusion, insulin resistance in obese women with PCOS was reduced by weight loss to similar levels as BMI-matched control subjects, suggesting that insulin resistance in PCOS is not a feature of PCOS per se. - See more at: http://press.endocrine.org/doi/abs/10.1210/jcem.80.9.7673399#sthash.NkgjFgk4.dpuf"
http://press.endocrine.org/doi/abs/10.1210/jcem.80.9.7673399
Some other peer-reviewed articles on the same subject:
http://press.endocrine.org/doi/full/10.1210/jc.2005-1490
http://www.eje-online.org/content/138/3/269.full.pdf
[/quote]
Thanks for that!
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stevencloser wrote: »Christine_72 wrote: »Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?
How would IR "cause" obesity in your eyes?
I know people with insulin resistance and PCOS have a tad more trouble losing weight than a person without these conditions. Does IR change the CO equation perhaps? Do they have to eat less than the next person to lose weight, which as we all know is hard.
Arrgghh what I'm trying to say is do they get overweight because IR makes it too hard to stay in a calorie deficit, for lack of a better phrase.
(Completely lost my train of thought.. My husband who hates this site and the time I spend on it, just loves to talk my ear off when I'm typing something
) 0 -
Christine_72 wrote: »stevencloser wrote: »Christine_72 wrote: »Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?
How would IR "cause" obesity in your eyes?
I know people with insulin resistance and PCOS have a tad more trouble losing weight than a person without these conditions. Does IR change the CO equation perhaps? Do they have to eat less than the next person to lose weight, which as we all know is hard.
Arrgghh what I'm trying to say is do they get overweight because IR makes it too hard to stay in a calorie deficit, for lack of a better phrase.
(Completely lost my train of thought.. My husband who hates this site and the time I spend on it, just loves to talk my ear off when I'm typing something )
Some research indicates IR could reduce BMR, and that it could alter TEF effects for some foods, both related to CO.
You might find this useful: http://www.bodyrecomposition.com/fat-loss/insulin-resistance-fat-loss.html/0 -
Christine_72 wrote: »stevencloser wrote: »Christine_72 wrote: »Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?
How would IR "cause" obesity in your eyes?
I know people with insulin resistance and PCOS have a tad more trouble losing weight than a person without these conditions. Does IR change the CO equation perhaps? Do they have to eat less than the next person to lose weight, which as we all know is hard.
Arrgghh what I'm trying to say is do they get overweight because IR makes it too hard to stay in a calorie deficit, for lack of a better phrase.
(Completely lost my train of thought.. My husband who hates this site and the time I spend on it, just loves to talk my ear off when I'm typing something )
The lowered basal metabolic rate among women with PCOS is a function of the disease itself not of insulin resistance. Women with PCOS are more likely to have hypothyroidism and those who don't, are in the lower bracket of normal. In fact, non-PCOS insulin resistance is weirdly associated with increased resting metabolic rate.0 -
Christine_72 wrote: »stevencloser wrote: »Christine_72 wrote: »Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?
How would IR "cause" obesity in your eyes?
I know people with insulin resistance and PCOS have a tad more trouble losing weight than a person without these conditions. Does IR change the CO equation perhaps? Do they have to eat less than the next person to lose weight, which as we all know is hard.
Arrgghh what I'm trying to say is do they get overweight because IR makes it too hard to stay in a calorie deficit, for lack of a better phrase.
(Completely lost my train of thought.. My husband who hates this site and the time I spend on it, just loves to talk my ear off when I'm typing something )
Some research indicates IR could reduce BMR, and that it could alter TEF effects for some foods, both related to CO.
You might find this useful: http://www.bodyrecomposition.com/fat-loss/insulin-resistance-fat-loss.html/
Thanks @senecarr , and I promise I will read it
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Nothing? Really?!?stevencloser wrote: »Christine_72 wrote: »Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?
How would IR "cause" obesity in your eyes?
Can one even have obese eyes?
C'mon guys. That was funny. 'Obesity in your eyes'
You guys obviously are not ready to recognize superior humor.
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I think the jokes on you
Nothing? Really?!?stevencloser wrote: »Christine_72 wrote: »Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?
How would IR "cause" obesity in your eyes?
Can one even have obese eyes?
C'mon guys. That was funny. 'Obesity in your eyes'
You guys obviously are not ready to recognize superior humor.0 -
Nothing? Really?!?stevencloser wrote: »Christine_72 wrote: »Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?
How would IR "cause" obesity in your eyes?
Can one even have obese eyes?
C'mon guys. That was funny. 'Obesity in your eyes'
You guys obviously are not ready to recognize superior humor.
I've heard of having a fat head, but obese eyes?
Nope, eyes are lite, heat, even if they hold the doorways of a thousand churches.0 -
Nothing? Really?!?stevencloser wrote: »Christine_72 wrote: »Here's a question.. Does obesity cause insulin resistance or does insulin resistance cause obesity?
How would IR "cause" obesity in your eyes?
Can one even have obese eyes?
C'mon guys. That was funny. 'Obesity in your eyes'
You guys obviously are not ready to recognize superior humor.
I've heard of having a fat head, but obese eyes?
Nope, eyes are lite, heat, even if they hold the doorways of a thousand churches.
"Fat Eyes Make Opossum a Star"
http://www.huffingtonpost.com/david-mizejewski/crossedeyed-opossum-becom_b_809151.html0
This discussion has been closed.
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