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Weight Loss: A Patient and Physician’s Perspective

wabmester
Posts: 2,748 Member
Weight Loss: A Patient and Physician’s Perspective
Patient: In 6.5 years since implementing a very low sugar/very low starch approach (from November 2009 to current, May 2016), I have lost over 200 lbs. and kept it off. Thanks to Dr. Westman, I have learned to eat a well-formulated very low sugar/very low starch diet. I enjoy beautiful, fresh foods every day—eating right at or under 20 g total carbs a day, comprised of optimal protein (chicken, beef, poultry, pork, seafood), good fats (olive oil, coconut oil), full-fat dairy (butter, heavy whipping cream, cheeses), eggs (yolks and whites), very low sugar fruits (blueberries, blackberries, strawberries, raspberries), and non-starchy vegetables (lettuce, kale, spinach, onion, tomatoes, green beans, squash, zucchini, broccoli, bell peppers).
Dr. Westman: I think that the history of difficulty losing weight on typical advice using the high-carbohydrate, low-calorie diets is now understood as a mismatch between the high-carbohydrate approach and the insulin resistance (IR) metabolism of many individuals. While high-carbohydrate, low-calorie diets can work for those who are insulin sensitive, low-carbohydrate diets seem to be more effective for individuals with IR.
Patient: In 6.5 years since implementing a very low sugar/very low starch approach (from November 2009 to current, May 2016), I have lost over 200 lbs. and kept it off. Thanks to Dr. Westman, I have learned to eat a well-formulated very low sugar/very low starch diet. I enjoy beautiful, fresh foods every day—eating right at or under 20 g total carbs a day, comprised of optimal protein (chicken, beef, poultry, pork, seafood), good fats (olive oil, coconut oil), full-fat dairy (butter, heavy whipping cream, cheeses), eggs (yolks and whites), very low sugar fruits (blueberries, blackberries, strawberries, raspberries), and non-starchy vegetables (lettuce, kale, spinach, onion, tomatoes, green beans, squash, zucchini, broccoli, bell peppers).
Dr. Westman: I think that the history of difficulty losing weight on typical advice using the high-carbohydrate, low-calorie diets is now understood as a mismatch between the high-carbohydrate approach and the insulin resistance (IR) metabolism of many individuals. While high-carbohydrate, low-calorie diets can work for those who are insulin sensitive, low-carbohydrate diets seem to be more effective for individuals with IR.
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Very good read.
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@wabmester - I don't know why, but as I was reading the actual link, it occurred to me that I was feeling oddly hopeful again - it took her 6.5 years to lose her weight. I'm in a similar position to where she started and all of that, but mine is slow going. Sometimes I forget that it helps, even if I don't see all the improvements... Thanks, as I really needed that reminder.7
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^^^Agree! Very encouraging, especially for those of us who have tried for decades to lose weight, and now that we know about LCHF are in such a big hurry to get 'er done, but the going is slow! Thank you for posting it, @wabmester.2
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Trying to think of Ketogenic as a lifestyle change...not a diet. No cravings, no cheats so far. Praying to continue ...one day at a time.
Down 17 lbs and a couple sizes. Feels good!3 -
Another good article published by an obesity doc today:
I'm an obesity doctor. I've seen long-term weight loss work. Here's how.
The key to your success is actually liking the life and diet you're living with while you're losing weight6
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