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Can an extreme low carb diet be used as medicine?

sciencenorway.no

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Re: Can an extreme low carb diet be used as medicine?

#81
post #51
post #34

I am 58, on a (mostly) strict ketogenic diet since 2013. It has worked wonders for me and I expect to eat this way the rest of my life. I eat a lot of meat and eggs as I have found that combination (1) is something I enjoy very much, and (2) makes me feel the best. I didn’t have much weight to lose but I went from 175 to 160 (high school weight) and under 15% body fat. My energy level is consistently very good. Diet…

> reversed his T2 diabetes and lost quite a bit of weight doing keto. His doctor had advised meds to “manage” the disease. My assumption there is that compliance for meds is probably better than compliance for huge lifestyle changes (such as diet). And that most people that the doctor sees in your BILs situation wouldn't stick to a ketogenic diet, and would need to go onto meds at some point in the future anyway. Asi…

> My assumption there is that compliance for meds is probably better than compliance for huge lifestyle changes (such as diet).

This is probably true, but I'd like to see statistics. Compliance with med schedules is pretty terrible, too; that's why all of your antibiotics have a label telling you to actually finish your course.

Re: Can an extreme low carb diet be used as medicine?

#82
post #62
post #34

I am 58, on a (mostly) strict ketogenic diet since 2013. It has worked wonders for me and I expect to eat this way the rest of my life. I eat a lot of meat and eggs as I have found that combination (1) is something I enjoy very much, and (2) makes me feel the best. I didn’t have much weight to lose but I went from 175 to 160 (high school weight) and under 15% body fat. My energy level is consistently very good. Diet…

Weight loss comes from having a calorie deficit, not from keto. You can gain weight on keto if you eat more calories. You can achieve the same weight loss by just eating fewer total calories, without cutting carbs as well.

Yes yes calorie in calorie out blah blah. Most people can't maintain a caloric deficit for an extended duration. Countless studies have shown that.

The point is people who are overweight tend to lose weight when eating ad libitum on a ketogenic diet, whereas people on a standard diet generally gain weight (see western populations).

Re: Can an extreme low carb diet be used as medicine?

#83
post #5

Yes. And it has been used to cure some things you wouldn't believe. Here is the shortlist of the more serious illness that the PaleoMedicina group in Hungary have shown to effectively treat using their low-carb PKD protocol https://justmeat.co/wiki/pkd/ https://www.paleomedicina.com/en/paleolithic_ketogenic_diet_... Here are testimonies of even more people healing their serious diseases on a purely carnivore and zero…

I also think the medical aspect of the ketogenic diet is somewhat promising, but I'm very sceptical of the work put out by the PaleoMedicina group. Mainly for 3 reasons: 1. They have a vested interest in presenting their therapy in an overly positive manner, as they sell it for hundreds of dollars per day at their clinic. 2. I've read a study published by them which contained some hyperbole that I can only attribute…

While I'm on almost exactly the same diet they're promoting, I have to agree.

I considered going to them, when I was first starting this diet, but their prices are absurd: three times what I'm paying for consultation to an already very expensive private doctor.

It's very sad that there doesn't seem to be a player in this field (nutrition) who's impartial and not motivated by monetary gain, that you can trust.

Re: Can an extreme low carb diet be used as medicine?

#84
post #5

Yes. And it has been used to cure some things you wouldn't believe. Here is the shortlist of the more serious illness that the PaleoMedicina group in Hungary have shown to effectively treat using their low-carb PKD protocol https://justmeat.co/wiki/pkd/ https://www.paleomedicina.com/en/paleolithic_ketogenic_diet_... Here are testimonies of even more people healing their serious diseases on a purely carnivore and zero…

With URLs like that, it makes me wonder if they are telling the whole story. I don't understand why people make science "pointed"? Do people get extra credit for not being the status quo? Heck all I want in Nutrition is some objective data. Someone be that scientist.

Nutrition studies come in two forms: these results apply to those confined to a hospital bed (or prison cell) and probably do not generalize to the normal population ; and despite our best efforts we were unable to get the subjects to adhere to their assigned diet.

Things aren't quite that bad, but it is close.

It doesn't help that many people have a bias and look for ways to bias their study. Studies that don't control for smoking find vegetarian diets are a lot healthier than those that do.

Re: Can an extreme low carb diet be used as medicine?

#85
post #62
post #34

I am 58, on a (mostly) strict ketogenic diet since 2013. It has worked wonders for me and I expect to eat this way the rest of my life. I eat a lot of meat and eggs as I have found that combination (1) is something I enjoy very much, and (2) makes me feel the best. I didn’t have much weight to lose but I went from 175 to 160 (high school weight) and under 15% body fat. My energy level is consistently very good. Diet…

Weight loss comes from having a calorie deficit, not from keto. You can gain weight on keto if you eat more calories. You can achieve the same weight loss by just eating fewer total calories, without cutting carbs as well.

I think the keto part is operative. You can lose weight on calorie restricted diets but a) to do so is pure suffering and b) the hormonal explanation of body fat accumulation (ie insulin/glucagon cycle) seems to have a lot more predictive power than the calorie accounting theory, which just seems total bunk to me.

Re: Can an extreme low carb diet be used as medicine?

#86
post #24

Earlier quoted context omitted.

With URLs like that, it makes me wonder if they are telling the whole story. I don't understand why people make science "pointed"? Do people get extra credit for not being the status quo? Heck all I want in Nutrition is some objective data. Someone be that scientist.

Unfortunately almost no human nutrition studies meet evidence-based medicine standards. And in fairness to the scientists, the constraints imposed by funding and ethics make it impossible to do really meaningful research. All we get are observational studies which show some correlation, often mixed up with multiple uncontrolled confounding factors. So if you want to try a different diet like extreme low carb or whate…

> In the worst case it probably won't kill you

Unfortunately, that is also not necessarily true:

https://pubmed.ncbi.nlm.nih.gov/19027591/

https://pubmed.ncbi.nlm.nih.gov/15679508/

https://pubmed.ncbi.nlm.nih.gov/15329077/

https://pubmed.ncbi.nlm.nih.gov/11575609/

Re: Can an extreme low carb diet be used as medicine?

#87
post #69
post #51

Earlier quoted context omitted.

> reversed his T2 diabetes and lost quite a bit of weight doing keto. His doctor had advised meds to “manage” the disease. My assumption there is that compliance for meds is probably better than compliance for huge lifestyle changes (such as diet). And that most people that the doctor sees in your BILs situation wouldn't stick to a ketogenic diet, and would need to go onto meds at some point in the future anyway. Asi…

You've also got to look at how doctors are being incentivized. Medicine funnels more money into the medical system- and kickbacks or 'rewards' programs from pharmaceutical companies are common. Outside of that- people like their doctors to do things. Everybody knows that they could use a better diet and more exercise- a doctor who says that and nothing else may not make people feel like they're getting their money's…

I am not even sure the incentives matter, compliance rates from patients are horrendous in medicine.

Incentives or not, suggesting a lifestyle change (go from SAD to extreme low carb) might be the best course of action but how many patients will follow through? does medicine even know how to handle this transition? Of course they don't. Advising this lifestyle change might work for 1% but what about the other 99%?

Re: Can an extreme low carb diet be used as medicine?

#88
post #29
post #5

Yes. And it has been used to cure some things you wouldn't believe. Here is the shortlist of the more serious illness that the PaleoMedicina group in Hungary have shown to effectively treat using their low-carb PKD protocol https://justmeat.co/wiki/pkd/ https://www.paleomedicina.com/en/paleolithic_ketogenic_diet_... Here are testimonies of even more people healing their serious diseases on a purely carnivore and zero…

'Paleo medicine' sounds like living a long, healthy life and dying an old man at 30.

exactly. The diet is one big Appeal to Nature fallacy

Re: Can an extreme low carb diet be used as medicine?

#89
post #69
post #51

Earlier quoted context omitted.

> reversed his T2 diabetes and lost quite a bit of weight doing keto. His doctor had advised meds to “manage” the disease. My assumption there is that compliance for meds is probably better than compliance for huge lifestyle changes (such as diet). And that most people that the doctor sees in your BILs situation wouldn't stick to a ketogenic diet, and would need to go onto meds at some point in the future anyway. Asi…

You've also got to look at how doctors are being incentivized. Medicine funnels more money into the medical system- and kickbacks or 'rewards' programs from pharmaceutical companies are common. Outside of that- people like their doctors to do things. Everybody knows that they could use a better diet and more exercise- a doctor who says that and nothing else may not make people feel like they're getting their money's…

Dr's are also incredibly uninformed about Keto, Carnivore, low carb in general.

The response I've received from my Dr friends regarding nutritional intervention vs drugs, is that "diets don't work".

They have no clue as to recent research being done. Changes to medical "best" practice are generational and take a long time.

Re: Can an extreme low carb diet be used as medicine?

#90

One thing many overlook with low carb is that you can still enjoy your favorites sauces and similar, you will be amazed how far a tablespoon of one will go. This can apply to mixing in what otherwise are considered carb no nos like bread crumbs. A little goes a long way and the carb impact can be minimized if the base is large. Plus there is so much variety in the produce department that fits the diet that many overl…

YMMV but my favourite sauces were not compatible with Keto. Brown sauce for example - and no one is making a sugar free version of it AFAIK
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