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	<title>Comments on: Why is low-carb is harder the second time around, part II</title>
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	<link>http://www.proteinpower.com/drmike/lipid-hypothesis/why-is-low-carb-is-harder-the-second-time-around-part-ii/</link>
	<description>A critical look at nutritional science and anything else that strikes my fancy.</description>
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		<title>By: 2009 Bestseller list &#124; The Blog of Michael R. Eades, M.D.</title>
		<link>http://www.proteinpower.com/drmike/lipid-hypothesis/why-is-low-carb-is-harder-the-second-time-around-part-ii/#comment-243621</link>
		<dc:creator>2009 Bestseller list &#124; The Blog of Michael R. Eades, M.D.</dc:creator>
		<pubDate>Thu, 18 Mar 2010 17:41:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike/?p=2358#comment-243621</guid>
		<description>[...] #5 Control Theory by William Glasser My review here. [...]</description>
		<content:encoded><![CDATA[<p>[...] #5 Control Theory by William Glasser My review here. [...]</p>
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		<title>By: ChabrellIgan</title>
		<link>http://www.proteinpower.com/drmike/lipid-hypothesis/why-is-low-carb-is-harder-the-second-time-around-part-ii/#comment-210003</link>
		<dc:creator>ChabrellIgan</dc:creator>
		<pubDate>Sat, 18 Apr 2009 03:36:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike/?p=2358#comment-210003</guid>
		<description>God dag! Kan jag ladda ner en bild fran din blogg. Av sak med hanvisning till din webbplats!

&lt;em&gt;Yes&lt;/em&gt;.</description>
		<content:encoded><![CDATA[<p>God dag! Kan jag ladda ner en bild fran din blogg. Av sak med hanvisning till din webbplats!</p>
<p><em>Yes</em>.</p>
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		<title>By: Roxann Higuera</title>
		<link>http://www.proteinpower.com/drmike/lipid-hypothesis/why-is-low-carb-is-harder-the-second-time-around-part-ii/#comment-208529</link>
		<dc:creator>Roxann Higuera</dc:creator>
		<pubDate>Tue, 07 Apr 2009 20:16:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike/?p=2358#comment-208529</guid>
		<description>I can understand where the person who had to put mom in the hospital is coming from.  Chances are, she was away from home and her kitchen a lot while all this was going on.  She had to make due with what she could find where she was.  The elephant for those of us doing low-carb are all those habits we have built up over all these years about what to eat and where to find it.  It takes time and attention to retrain the mind to think in terms of low-carb.  When other things come up that grab time and attention, it is just easier to let some things go on &quot;auto-pilot&quot; or turn them over to the elephant, so to speak.  The best way to prepare for such things is to have a plan.  What do you do when time is short and you&#039;re really hungry?  What do you do when you&#039;re nowhere near your kitchen and it&#039;s dinner time?  What do you reach for and where will you find it?  These decisions need to be made ahead of time and rehearsed in the mind over and over again.  Hypnosis can help with the rehearsal part and make those plans feel natural.</description>
		<content:encoded><![CDATA[<p>I can understand where the person who had to put mom in the hospital is coming from.  Chances are, she was away from home and her kitchen a lot while all this was going on.  She had to make due with what she could find where she was.  The elephant for those of us doing low-carb are all those habits we have built up over all these years about what to eat and where to find it.  It takes time and attention to retrain the mind to think in terms of low-carb.  When other things come up that grab time and attention, it is just easier to let some things go on &#8220;auto-pilot&#8221; or turn them over to the elephant, so to speak.  The best way to prepare for such things is to have a plan.  What do you do when time is short and you&#8217;re really hungry?  What do you do when you&#8217;re nowhere near your kitchen and it&#8217;s dinner time?  What do you reach for and where will you find it?  These decisions need to be made ahead of time and rehearsed in the mind over and over again.  Hypnosis can help with the rehearsal part and make those plans feel natural.</p>
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		<title>By: Anna</title>
		<link>http://www.proteinpower.com/drmike/lipid-hypothesis/why-is-low-carb-is-harder-the-second-time-around-part-ii/#comment-204459</link>
		<dc:creator>Anna</dc:creator>
		<pubDate>Mon, 16 Feb 2009 04:09:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike/?p=2358#comment-204459</guid>
		<description>&quot;Ok, I was with you until this part. Now you seem to be advocating arming Doctors with guns to force us to lose weight?&quot;

According to today&#039;s Parade magazine supplement in my local newspaper, governments are already finding ways to influence peoples&#039; weight and waistline - gun-toting doctors probably won&#039;t be needed just yet, because government knows what&#039;s good for its citizens, right?  

The article lists a number of countries that already have programs in place, or plan to institute programs soon.  For instance, health officials in Japan check the waistlines of those over 40 yoa, and diet counseling is the reward for too much &quot;tape&quot;.   Restrictions are in place against fat people immigrating to NZ.  Some UK cities are recruiting people to wear electronic tracking tags to monitor movement and calories burned, with store coupons and days off work as rewards for exercising.  NHS already pays for 30,000+ people to take weight loss classes.  

Germany is going all out, spending $47 million on &quot;healthy&quot; eating and sports programs; enacting &quot;tougher&quot; school lunch standards (my guess is they&#039;ll probably emphasize low fat - there goes whatever good traditional German cuisine remained in kid&#039;s lunches);  the German gov&#039;t is also requesting candy makers to not target young children (guess parents have no role anymore) and they want software companies to make games that force players to move (I can see it now, Aerobic PacMan).  

At the end, Parade Magazine asks readers, &quot;Does the US need a government-backed effort to end obesity&quot;.  Vote at parade.com/intel.

My vote will be no, the US government has done enough damage already, thank you very much.</description>
		<content:encoded><![CDATA[<p>&#8220;Ok, I was with you until this part. Now you seem to be advocating arming Doctors with guns to force us to lose weight?&#8221;</p>
<p>According to today&#8217;s Parade magazine supplement in my local newspaper, governments are already finding ways to influence peoples&#8217; weight and waistline &#8211; gun-toting doctors probably won&#8217;t be needed just yet, because government knows what&#8217;s good for its citizens, right?  </p>
<p>The article lists a number of countries that already have programs in place, or plan to institute programs soon.  For instance, health officials in Japan check the waistlines of those over 40 yoa, and diet counseling is the reward for too much &#8220;tape&#8221;.   Restrictions are in place against fat people immigrating to NZ.  Some UK cities are recruiting people to wear electronic tracking tags to monitor movement and calories burned, with store coupons and days off work as rewards for exercising.  NHS already pays for 30,000+ people to take weight loss classes.  </p>
<p>Germany is going all out, spending $47 million on &#8220;healthy&#8221; eating and sports programs; enacting &#8220;tougher&#8221; school lunch standards (my guess is they&#8217;ll probably emphasize low fat &#8211; there goes whatever good traditional German cuisine remained in kid&#8217;s lunches);  the German gov&#8217;t is also requesting candy makers to not target young children (guess parents have no role anymore) and they want software companies to make games that force players to move (I can see it now, Aerobic PacMan).  </p>
<p>At the end, Parade Magazine asks readers, &#8220;Does the US need a government-backed effort to end obesity&#8221;.  Vote at parade.com/intel.</p>
<p>My vote will be no, the US government has done enough damage already, thank you very much.</p>
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		<title>By: Cody</title>
		<link>http://www.proteinpower.com/drmike/lipid-hypothesis/why-is-low-carb-is-harder-the-second-time-around-part-ii/#comment-204436</link>
		<dc:creator>Cody</dc:creator>
		<pubDate>Sun, 15 Feb 2009 21:58:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike/?p=2358#comment-204436</guid>
		<description>&quot; If someone had told you they were going to shoot you if you ate one of the donuts, you wouldn’t have eaten it.&quot;

Ok, I was with you until this part. Now you seem to be advocating arming Doctors with guns to force us to lose weight?

The rebellious part of me is saying &quot;Eat some tacos&quot; and the emotional self is saying &quot;eat some cake&quot; and the trusting part of me (who is feeling very betrayed right now) is saying &quot;Eat some cake tacos and wash it down with a 2 liter of Pepsi&quot;.

In all seriousness, this reminds me of the Big Mind Big Heart process a bit. We are made up of  many selves all with their own jobs. Maybe we also need to make piece with the self whose job it is to get us to eat lots of food?</description>
		<content:encoded><![CDATA[<p>&#8221; If someone had told you they were going to shoot you if you ate one of the donuts, you wouldn’t have eaten it.&#8221;</p>
<p>Ok, I was with you until this part. Now you seem to be advocating arming Doctors with guns to force us to lose weight?</p>
<p>The rebellious part of me is saying &#8220;Eat some tacos&#8221; and the emotional self is saying &#8220;eat some cake&#8221; and the trusting part of me (who is feeling very betrayed right now) is saying &#8220;Eat some cake tacos and wash it down with a 2 liter of Pepsi&#8221;.</p>
<p>In all seriousness, this reminds me of the Big Mind Big Heart process a bit. We are made up of  many selves all with their own jobs. Maybe we also need to make piece with the self whose job it is to get us to eat lots of food?</p>
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		<title>By: Lyn P</title>
		<link>http://www.proteinpower.com/drmike/lipid-hypothesis/why-is-low-carb-is-harder-the-second-time-around-part-ii/#comment-203175</link>
		<dc:creator>Lyn P</dc:creator>
		<pubDate>Thu, 05 Feb 2009 23:31:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike/?p=2358#comment-203175</guid>
		<description>OK, too much fat...will stick to the lower fat cheeses &amp; cut amts of nuts.  My BGs are improving daily, only one &gt;140 in the past 4 days -- hurrah.  This cutting carbs to &lt;8 per meal/snack is working...oh, exercise helps *G*!  Dropped Januvia from horrible side effects (BGs went up as expected, 3 wks &amp; a whole bunch fewer carbs later back down), nearly over the asthmatic bronchitis (rescue inhaler down to once/wk or so in the &#039;artic&#039; chill...we Southerners don&#039;t like y&#039;all&#039;s cold, Northerners, take it back, please please please), dropped Cozaar to half dose and BP remains stable.  Will tackle eating less fat and see if that stops the lose-gain-lose cycle, so I can just lose and get off the rest of the Rxs.

Powered Splenda tested at 140...as I wrote before, yikes!

Spenda with Fiber (sucralose + soluble corn fiber) tests at 43.  Bulkier than Splenda, no discernible taste or texture.

Organic Zero (erythitol fermented from organic sugar cane juice) tests at &#039;lo&#039;.  This has only 70% of the sweetening power of sugar, but it looks exactly like sugar (I&#039;ll never put it in a container, I might forget *G*).  Yes, it&#039;s an -itol but it&#039;s metabolized differently so that it is pretty much gone before it hits the part of the gut typically results in the &#039;trots&#039;...no problem for me and I&#039;m pretty sensitive to -itols.  At one pkg, I can&#039;t discern a texture or taste but I did with 2 (in my hot cocoa) so I use the Splenda w Fiber in my hot cocoa.  Oh, it&#039;s expensive.  Cargil used to market  their eythitol as &quot;Eridex.&quot;  Other mfg market it too.

Diabetes educator called after seeing my emailed BG log &amp; notes re dropping Januvia and gave me the lecture that my monitor is not intended to &#039;read&#039; these &#039;sugars&#039;...yeah yeah yeah (the tech guys haven&#039;t replied yet), well if my monitor gives me a number and it&#039;s higher than what my BGs should be as I told her &amp; it causes a rise in my BG, then it&#039;s not going in my mouth.  Let somebody with better glucose control eat it *G*.</description>
		<content:encoded><![CDATA[<p>OK, too much fat&#8230;will stick to the lower fat cheeses &amp; cut amts of nuts.  My BGs are improving daily, only one &gt;140 in the past 4 days &#8212; hurrah.  This cutting carbs to &lt;8 per meal/snack is working&#8230;oh, exercise helps *G*!  Dropped Januvia from horrible side effects (BGs went up as expected, 3 wks &amp; a whole bunch fewer carbs later back down), nearly over the asthmatic bronchitis (rescue inhaler down to once/wk or so in the &#8216;artic&#8217; chill&#8230;we Southerners don&#8217;t like y&#8217;all&#8217;s cold, Northerners, take it back, please please please), dropped Cozaar to half dose and BP remains stable.  Will tackle eating less fat and see if that stops the lose-gain-lose cycle, so I can just lose and get off the rest of the Rxs.</p>
<p>Powered Splenda tested at 140&#8230;as I wrote before, yikes!</p>
<p>Spenda with Fiber (sucralose + soluble corn fiber) tests at 43.  Bulkier than Splenda, no discernible taste or texture.</p>
<p>Organic Zero (erythitol fermented from organic sugar cane juice) tests at &#8216;lo&#8217;.  This has only 70% of the sweetening power of sugar, but it looks exactly like sugar (I&#8217;ll never put it in a container, I might forget *G*).  Yes, it&#8217;s an -itol but it&#8217;s metabolized differently so that it is pretty much gone before it hits the part of the gut typically results in the &#8216;trots&#8217;&#8230;no problem for me and I&#8217;m pretty sensitive to -itols.  At one pkg, I can&#8217;t discern a texture or taste but I did with 2 (in my hot cocoa) so I use the Splenda w Fiber in my hot cocoa.  Oh, it&#8217;s expensive.  Cargil used to market  their eythitol as &#8220;Eridex.&#8221;  Other mfg market it too.</p>
<p>Diabetes educator called after seeing my emailed BG log &amp; notes re dropping Januvia and gave me the lecture that my monitor is not intended to &#8216;read&#8217; these &#8217;sugars&#8217;&#8230;yeah yeah yeah (the tech guys haven&#8217;t replied yet), well if my monitor gives me a number and it&#8217;s higher than what my BGs should be as I told her &amp; it causes a rise in my BG, then it&#8217;s not going in my mouth.  Let somebody with better glucose control eat it *G*.</p>
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		<title>By: Trinkwasser</title>
		<link>http://www.proteinpower.com/drmike/lipid-hypothesis/why-is-low-carb-is-harder-the-second-time-around-part-ii/#comment-203129</link>
		<dc:creator>Trinkwasser</dc:creator>
		<pubDate>Thu, 05 Feb 2009 13:29:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike/?p=2358#comment-203129</guid>
		<description>I get the exact opposite, low carbing removes the cravings and hunger pangs, which is the commoner reaction.

See if you can get a hold of a BG meter, the symptoms may be associated with BG lows or rapid drops, and checking for ketones at the time may also be a plan. In my case it was the rapid BG drops following on from excess carbs causing postprandial spikes which set off the gnawing hungers

Otherwise it is possible something in your diet is affecting you in a different way, eg. IBS or GERD, which is not being triggered by the high carb diet (no-one said you are only allowed one illness at a time!)</description>
		<content:encoded><![CDATA[<p>I get the exact opposite, low carbing removes the cravings and hunger pangs, which is the commoner reaction.</p>
<p>See if you can get a hold of a BG meter, the symptoms may be associated with BG lows or rapid drops, and checking for ketones at the time may also be a plan. In my case it was the rapid BG drops following on from excess carbs causing postprandial spikes which set off the gnawing hungers</p>
<p>Otherwise it is possible something in your diet is affecting you in a different way, eg. IBS or GERD, which is not being triggered by the high carb diet (no-one said you are only allowed one illness at a time!)</p>
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		<title>By: y2tim</title>
		<link>http://www.proteinpower.com/drmike/lipid-hypothesis/why-is-low-carb-is-harder-the-second-time-around-part-ii/#comment-203010</link>
		<dc:creator>y2tim</dc:creator>
		<pubDate>Mon, 02 Feb 2009 21:00:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike/?p=2358#comment-203010</guid>
		<description>What about actual physical discomfort? I tried Atkins several years ago and lost about 50 lbs in 6 months. Once I stopped being strict the weight came back on until now I am 15 lbs heavier than when I started.

Whenever I try to go back on a low carb diet it is not cravings that get me, but I begin to feel increasingly uncomfortable until I start to feel physical pain in my stomach. I also have increasingly powerfull hunger pains that meat and vegtables don&#039;t put a dent in.

Do I just need to hang in there for weeks before that will go away? I am not sure I can do that.

&lt;em&gt;I&#039;ve never had this question presented to me.  I don&#039;t know what to tell you. Maybne other readers have suggestions.&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>What about actual physical discomfort? I tried Atkins several years ago and lost about 50 lbs in 6 months. Once I stopped being strict the weight came back on until now I am 15 lbs heavier than when I started.</p>
<p>Whenever I try to go back on a low carb diet it is not cravings that get me, but I begin to feel increasingly uncomfortable until I start to feel physical pain in my stomach. I also have increasingly powerfull hunger pains that meat and vegtables don&#8217;t put a dent in.</p>
<p>Do I just need to hang in there for weeks before that will go away? I am not sure I can do that.</p>
<p><em>I&#8217;ve never had this question presented to me.  I don&#8217;t know what to tell you. Maybne other readers have suggestions.</em></p>
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		<title>By: Trinkwasser</title>
		<link>http://www.proteinpower.com/drmike/lipid-hypothesis/why-is-low-carb-is-harder-the-second-time-around-part-ii/#comment-202949</link>
		<dc:creator>Trinkwasser</dc:creator>
		<pubDate>Sat, 31 Jan 2009 22:57:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike/?p=2358#comment-202949</guid>
		<description>I wouldn’t worry about it all that much. The data you describe all originates from observational studies, and, as a consequence, can’t be used to prove causality. The increased rates of stomach cancer in these various countries may or may not have anything whatsoever to do with fish consumption. The Japanese have the greatest longevity of all the societies studied, so you could equally make the case that fish consumption leads to longevity.

Heh, good point! Maybe the fish stops you dying of cardiovascular disease so since you have to die of something (believe it or not) it lines you up for cancer instead . . .</description>
		<content:encoded><![CDATA[<p>I wouldn’t worry about it all that much. The data you describe all originates from observational studies, and, as a consequence, can’t be used to prove causality. The increased rates of stomach cancer in these various countries may or may not have anything whatsoever to do with fish consumption. The Japanese have the greatest longevity of all the societies studied, so you could equally make the case that fish consumption leads to longevity.</p>
<p>Heh, good point! Maybe the fish stops you dying of cardiovascular disease so since you have to die of something (believe it or not) it lines you up for cancer instead . . .</p>
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		<title>By: Trinkwasser</title>
		<link>http://www.proteinpower.com/drmike/lipid-hypothesis/why-is-low-carb-is-harder-the-second-time-around-part-ii/#comment-202948</link>
		<dc:creator>Trinkwasser</dc:creator>
		<pubDate>Sat, 31 Jan 2009 22:46:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike/?p=2358#comment-202948</guid>
		<description>One of the supplements I always give my diabetic patients is alpha lipoic acid. I usually start them on 300 mg per day and work down to 100 mg per day after several months.

Just curious, in newsgroups and forums there appear to be responders and non-responders, do you see that in practice and is it related to other meds they may also be taking? I have a suspicion that if you&#039;re already taking metformin it doesn&#039;t have any extra benefit. Either that or it only affects certain individuals&#039; IR and not others and most of the ones it doesn&#039;t affect are already on met or a TZD?

&lt;em&gt;Another one that got caught in the spam filter.  ALA performs a multitude of beneficial duties.  It helps with carb metabolism, it is an water and fat soluble anti-oxidant, it stabilizes one of the main inflammatory factors, it chelates heavy metals, it reverses diabetic neuropathy and it helps get glucose into the cells.  It is only this last activity that might also be performed by metformin.  I&#039;ve seen pretty good results with ALA, and although metformin is my drug of choice if I have to give a drug for blood sugar elevation, I&#039;ve had such good luch resolving blood sugar problems with diet, that I haven&#039;t had a lot of patients on both metformin and ALA.&lt;/em&gt;&lt;em&gt;</description>
		<content:encoded><![CDATA[<p>One of the supplements I always give my diabetic patients is alpha lipoic acid. I usually start them on 300 mg per day and work down to 100 mg per day after several months.</p>
<p>Just curious, in newsgroups and forums there appear to be responders and non-responders, do you see that in practice and is it related to other meds they may also be taking? I have a suspicion that if you&#8217;re already taking metformin it doesn&#8217;t have any extra benefit. Either that or it only affects certain individuals&#8217; IR and not others and most of the ones it doesn&#8217;t affect are already on met or a TZD?</p>
<p><em>Another one that got caught in the spam filter.  ALA performs a multitude of beneficial duties.  It helps with carb metabolism, it is an water and fat soluble anti-oxidant, it stabilizes one of the main inflammatory factors, it chelates heavy metals, it reverses diabetic neuropathy and it helps get glucose into the cells.  It is only this last activity that might also be performed by metformin.  I&#8217;ve seen pretty good results with ALA, and although metformin is my drug of choice if I have to give a drug for blood sugar elevation, I&#8217;ve had such good luch resolving blood sugar problems with diet, that I haven&#8217;t had a lot of patients on both metformin and ALA.</em><em></em></p>
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