Tips & tricks for starting (or restarting) low-carb Pt I

 

As anyone who has done it knows, getting started on a low-carb diet can be a little rough.  Not for everyone, but for some.  All too often these little front-end bumps in the road–coupled with the spirit of the times in which the well-intentioned but ignorant friends and relatives of low-carb dieters tell them their diet is going to croak their kidneys, clog their arteries and weaken their bones–can be enough to make many people abandon the most sincere efforts.  Drawing on my almost 30 years of experience treating patients using the low-carb diet, I can give some tips and tricks for dealing with these difficult early days.

Listen to your body?

 

The surest road to failure in the first few days of low-carb dieting is to listen to your body.  The whole notion of listening to your body is one of my major pet peeves.  In fact, just hearing those words makes me want to puke.  In my experience, they are usually uttered by females with moist, dreamy looks in their eyes, but not always.  I just read a ton of comments in recent Paleo blog post in which vastly more males than females actually wrote this drivel.

Listening to your body is giving the elephant free rein. If you’re three days into your stop-smoking program, and you listen to your body, you’re screwed.  If you’re in drug rehab, and you listen to your body, you’re screwed.  If you’re trying to give up booze, and you listen to your body, you’re screwed.  And if you’re a week into your low-carb diet, and you listen to your body, you’re screwed.  Actually, it’s okay to listen to it, I suppose, just don’t do what it’s telling you to do because if you do, you’re screwed.

Okay, end of rant.  I just had to get it out of my system.  You just can’t imagine how many times people who have tried low-carb diets then abandoned them early on have said those words to me.  Wait.  I’m about to get started again. Stop!

Low-carbohydrate adaptation

 

Probably the best explanation of low-carb adaptation (also called keto adaptation) was written by a Lt. Frederick Schwatka (pictured above left) over a hundred years ago.

When first thrown wholly upon a diet of reindeer meat, it seems inadequate to properly nourish the system and there is an apparent weakness and inability to perform severe exertive, fatiguing journeys. But this soon passes away in the course of two or three weeks.

Lt. Schwatka was a doctor, a lawyer, and an explorer of the Arctic, the Great Plains and northern Mexico.  The above quote comes from his book on the unfruitful search for the Franklin party in 1878.  (For all his experience and gifts, and understanding of low-carb adaptation, the good doctor listened to his own body a little too much and did himself in with an overdose of morphine at age 42.) You can read more about Lt Schwatka, low-carb adaptation, and his time with the Inuit in a post I wrote a few years ago.

The period of low-carb adaptation is that time between starting a low-carb diet and feeling great on a low-carb diet.  It can take anywhere from just a day or so to two or three weeks.  During this adaptation period people tend to fatigue easily, experience a slight lack of mental clarity and be tormented off and on by the unbidden lust for carbs that seems to rise up out of nowhere.  Why does this happen early on with a diet that ultimately works so well to increase exercise capacity, mental clarity, and feelings of satiation?

It happens because both your body and brain are going through a profound change in the way they get their energy.  You can’t run your car designed to burn gasoline on biodeisel…unless you install a converter.  Then you can.  We humans have the design for our carb to fat converters coded in our DNA – the low-carb adaptation period is simply the time it takes for the converter to be built and installed.

Our bodies are simply giant piles of chemicals heaped together in a human-shaped form.  Most of the chemicals will react with one another, but only extremely slowly.  If we didn’t have something to help these reactions along, life wouldn’t exist.  The helpers are called enzymes.  These enzymes – which are large folded proteins – catalyze all the chemical reactions that allow us to function.  Mix a couple of body chemicals together and you might have to wait twenty years or more for them to interact or combine in some way to form another body chemical product.  Throw the correct enzyme into the mixture, and you get a reaction in a fraction of a second.

When you’ve been on the standard American high-carb diet, you’re loaded with enzymes ready to convert those carbs to energy.  You’ve got some enzymes laying in the weeds waiting to deal with the fat, but mainly dealing with it by storing it, not necessarily burning it.  All the pathways to deal with carbs and their resultant blood glucose are well-oiled and operating smoothly.  Then you start a low-carb diet.  Suddenly, you’ve idled most of the enzyme force you have built to process the carbs in your diet while at the same time you don’t have a ready supply of the enzymes in the quantities needed to deal with your new diet.  It would be like a Ford automobile factory changing in one day into a plant that made iPads.  All the autoworkers would show up and be clueless as how to make an iPad.  It would take a while – not to mention a lot of chaos – to get rid of the autoworkers and replace them with iPad workers.  In a way, that’s kind of what’s happening during the low-carb adaptation period.

Over the first few days to few weeks of low-carb adaptation, your body is laying off the carbohydrate worker enzymes and building new fat worker enzymes.  Once the workforce in your body is changed out, you start functioning properly on your new low-carb, higher-fat diet.  The carbs you used to burn for energy are now replaced to a great extent by ketones (which is why this time is also called the keto-adaptation period) and fat.  Your brain begins to use ketones to replace the glucose it used to use pretty much exclusively, so your thinking clears up.  And the fatigue you used to feel at the start of the diet goes away as ketones and fat (and the army of enzymes required to use them efficiently) take over as the primary sources of energy.  Suddenly you seem to go from not being able to walk out to get the morning paper without puffing and panting to having an abundance of energy.  Because of this low-carb adaptation period, we never, ever counsel our patients to start an exercise program when they start their low-carb diets because a) we know they’ll be too fatigued to do it, and b) we know that in a short time they will start exercising spontaneously to burn off the excess fat on their bodies once the skids are greased, so to speak.

Anyone with good sense contemplating a low-carb diet would ask the question, How can I make this low-carb adaptation period as short as possible?  Good question.  Why would anyone want to prolong the agony?

The secret to making it shorter is in the second part of what Lt. Schwatka wrote about low-carb adaptation.  Immediately after the above quoted sentences, he follows with:

At first the white man takes to the new diet in too homeopathic a manner, especially if it be raw. However, seal meat which is far more disagreeable with its fishy odor, and bear meat with its strong flavor, seems to have no such temporary debilitating effect upon the economy.

In other words, the white man, used to flour, sugar, boiled meat and all the other staples of the mid 19th century American diet, balked at the consumption of raw meat, especially raw and malodorous seal and bear meat.  And so took it in tiny portions (in a  “homeopathic manner”) instead of going face down in it.  Compared to reindeer meat, both seal and bear meat are loaded with fat, which is why the consumption of those fattier meats didn’t produce the “temporary debilitating effect.”  In those who did eat the fattier meats, the low-carb adaptation period was very short or even non-existent.

Eat more fat

 

If you want to reduce the time you spend in low-carb adaptation, crank up the fat.  If you go on a high-protein, moderate-fat diet (Schwatka’s reindeer diet), your body will convert the protein to glucose via gluconeogenesis, so you’ll still have glucose to keep the glucose worker enzymes busy and will prolong the conversion to fat and ketones as your primary energy source.

So Rule Number One to reduce the time spent in low-carb adaptation purgatory is: Don’t be a wuss when you start your low-carb way of eating.  Keep the carbs cut to the minimum and load up on the fat. Eat fatty cuts of meat, cooked in butter or lard if you want, and force your body over to using the fats and ketones for energy as nature intended. I mean, don’t try to be noble by eating boneless, skinless chicken breasts – instead insert some pats of butter under the skin of a chicken leg and thigh before cooking, and wolf them with your fingers while the fat drips down your arms.  Do not trim the fat from your steaks – eat them from the fat side in.  If you leave anything on your plate, make sure it’s the meat and not the fat.  If you don’t already, learn to love bacon, and don’t cook it ‘til the fat is all gone: eat it wobbly.  Wallow in Mangalitsa lardo.  And whatever you do, for God’s sake, don’t listen to your body during this adaptation period or you’ll never cross the chasm between fat and miserable on your high-carb diet and slim, happy, energetic and low-carb adapted on the other side.

In my next post, I’ll give you the rest of the tips and tricks to get through low-carb adaptation that MD and I have learned in our combined 50 plus years of taking care of patients on low-carb diet. And I’ll include a recipe worthy of killing for that you can prepare to help you get through.

552 Responses to “Tips & tricks for starting (or restarting) low-carb Pt I”

  1. The keto flu: symptoms and relief, January 26, 2012 at 8:02 am

    [...] full of enzymes that are waiting to deal with the carbs you eat (and probably store them as fat) reference. But now the body needs to make new enzymes that burn fat for fuel instead of carbs, and the [...]

  2. Martie B, January 26, 2012 at 12:46 pm

    I’m a 37 year old male and am very active. I play basketball 4-5 times a week so my activity is more cardio than weight lifting etc. I’ve been taking the HGH Spray from the Dr. Max Powers brand for about 5 months now and am very happy with the results. It has helped out with both my endurance and recovery. I’m just not as sore in the mornings anymore and I have a lot more energy when I’m out on the court. It has helped me regain some of the quickness/explosiveness all men lose in their late 30′s. I’ve been playing hoops like this for years, so it isn’t like I wasn’t in shape all ready. This stuff is just giving me that extra boost to help hold off father-time.

    I’ve also lost a few pounds since I’ve been taking it, which may be a benefit of the Dr Max HGH Spray itself or the fact that I’m running harder and for longer now and burning more calories that way. It’s likely a combination of the two, which is great.

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    • Mya S, January 27, 2012 at 10:37 am

      Call me suspicious but this sure looks like spam…

  3. Joanie Livermore, January 27, 2012 at 10:35 am

    (Wow, over 500 comments on this blog post.) I JUST FOUND A GLIMMER OF HOPE that the outside world might be waking up to what Dr. Eades has been saying for years, LOOK:

    http://tinyurl.com/88jne84

    Hey, it’s a start!! I think I’ll write to Harvard and congratulate them, or something.

  4. Edith Bice, January 27, 2012 at 10:52 am

    @Martie B. Don’t quite get how this relates to starting and restarting low carb…seems to me it is pushing a product!!!!! Just sayin

  5. [...] the first of which is full of fine fat feasting, paleo recipes & healthy eating –  Tips & tricks for starting (or restarting) low-carb Pt I (not so many paleo recipes) “As anyone who has done it knows, getting started on a low-carb [...]

  6. brandon trahan, February 11, 2012 at 11:10 am

    Low carb sample menu please? Anyone? I really need to know….

    • Ken R, February 12, 2012 at 3:32 pm

      There are a lot of books with low carb recipes. The Eades have written some. Just check on Amazon.

      I think most people who post on this site do low carb eating better than I do. For me things have to be simple. It’s too complicated to follow recipe books.

      I don’t eat anything that is made from or contains sugar, flour or grains, starch or alcohol. No breads, cereals, pasta, candy, cakes, cookies, sweets, pies, crackers, soda pop, ice cream, potatoes, rice, squash, beans, fruits… And no chips of any kind. And no fruit juice.

      I eat as much as I want of pretty much anything else: beef, pork, poultry, fish, eggs, bacon, cheese, salad, avocados, olives, vegetables (but no potatoes, corn, or squash). I drink moderate amounts of diet Dr Pepper; I put heavy cream in coffee, and sometimes a little coconut oil; drink lots of water. Most nuts are OK, and berries. I don’t worry about calories or fat – except when I’m eating nuts; with nuts, you can put away 1,000 calories before you know it; so I do watch it with nuts.

      I look at the nutrition labels on everything that comes in a package or container, and avoid carbohydrates as if they’re poison – because for me they are. I think most people can tolerate a little; if you keep the total below 30 grams a day you’ll probably do well.

      There are a lot of good tasting sugar-free candies and snacks you can buy, but they’re sweetened with sugar alcohols, which are highly flatulogenic – so keep that in mind if you’re going to be around people you want to like you.

      I lost 40 pound easily, without any suffering, hunger or food craving. I can do this forever. I’m still 15 pounds overweight; I seem to have reached a plateau where I’m not going any lower. That’s a little disappointing, but 15 pounds overweight feels a whole lot better than 55 pounds overweight felt. I might lose more if I was a little more physically active.

    • Elenor, February 14, 2012 at 6:39 pm

      Geez come on Brandon! There are hundreds of them out on the web — why are you asking someone to write (yet another) one down for you? Pick up nearly ANY low carb book (I can highly recommend the “Protein Power Life Plan” — by the Drs Eades, yah know?!) If you “really need to know” — do a little research! (Heck, search this blog for Dr Mike’s week-long photo blog of what he ate every single meal!!)

      • brandon trahan, February 14, 2012 at 10:40 pm

        Ok you don’t have to be rude:)

      • Brandon, February 14, 2012 at 10:55 pm

        I don’t see that blog anywhere.

  7. Ramona Mills, February 12, 2012 at 2:39 pm

    Dr. Eades,

    I just re-started low-carbing after a failed attempt at the high carb, low fat thing. I have fibromyalgia and CMP and notice that I feel really awful (I am two weeks into low carbing). I am adding lots of healthy saturated fats, including coconut oil, etc. along with more salt and potassium. But, I have read that fibromyalgia can also be symptoms of yeast overgrowth. Could what I’m experiencing also be part of yeast die off? I never seem to lose weight, but gain whenever I begin low-carbing for at least 2-4 weeks. But, if I am faithful to stick with it, I end up feeling great in the end, and also lose weight. At first, I am very hungry, but after time it seems my appetite just checks itself, and diminishes by itself. My symptoms seem consistent with yeast and am wondering your thoughts on this? Thanks in advance!

  8. Ellenor, February 12, 2012 at 3:45 pm

    I have been coaching my brother, who started at 474 lbs 6 months ago, and using this diet. He has lost 100 lbs. We have 1/4 cup of berries every morning, followed by eggs and bacon or turkey sausage. For lunch, grilled chicken salad or tuna salad with celery & no carb mayo. Dinner, grilled fish or lean beef, with steamed broccoli or other steamed veggie (green). As snacks we have cheese & olives & raw almonds. I also created a 5 carb cheesecake that I make every time he loses 10 lbs. I did not start that until after the first three weeks, but it still would have been okay. We have stuck to 30 carbs, 5 per meal, 5 per snack for the entire time. It’s that simple. These are just a couple of sample menus. We simply cut out everything made with flour or sugar basically & eat meat, fish, chicken, turkey with green veggies and all of the healthy fats. Hope this helps.

  9. Is Michael Eades a respected doc? - Page 2, February 18, 2012 at 6:52 pm

    [...] low fat/low calorie diets, etc. Is it the optimal process? Debatable. But more and more studies, even Dr. Eades himself portrays the virtues of "higher fat", are showing that it's really the level of fat you consume, not necessarily protein, which leads to [...]

  10. [...] couple of weeks. Check out these two posts by Dr. Michael Eades to help make the transition easierTips for Starting Low Carb Part I and Tips for Starting Low Carb Part II ] We’ll be addressing some specifics that can help [...]

  11. [...] of my major pet peeves. In fact, just hearing those words makes me want to puke. Read more here: The Blog of Michael R. Eades, M.D. » Tips & tricks for starting (or restarting) low-carb Pt I Female, 5'3", 47, Starting weight: 160lbs. Current weight: 136lbs. Read this: The [...]

  12. [...] your body is guaranteed to be going through some changes. Excellent article by Micheal Eads here: The Blog of Michael R. Eades, M.D. » Tips & tricks for starting (or restarting) low-carb Pt I When you’ve been on the standard American high-carb diet, you’re loaded with [...]

  13. [...] increasing your fat intake also helps with the carb flu Dr Michael Eades has a great article on it The Blog of Michael R. Eades, M.D. » Tips & tricks for starting (or restarting) low-carb Pt I Reply With [...]

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