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I lost 85 pounds eating a ketogenic diet. Ask me anything.
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Post Rodney Mullins
Just a warning about the Low Carb Diets...

diverticulitis

It almost took my life and ended me in ICU for 7 days. The Doctors told me it was a direct result of the Low Carb Diet.

After getting off the low carb diet I have never had another issue. If it is healthy and works for you that is great but for some people the need for carbs is life saving.

Not trying to be a party pooper...
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9/17/13 10:37 am


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Post shaunbwilson
Rodney Mullins wrote:
Just a warning about the Low Carb Diets...

diverticulitis

It almost took my life and ended me in ICU for 7 days. The Doctors told me it was a direct result of the Low Carb Diet.

After getting off the low carb diet I have never had another issue. If it is healthy and works for you that is great but for some people the need for carbs is life saving.

Not trying to be a party pooper...


Actually, "Doctors aren't sure what causes diverticula in the colon (diverticulosis). But they think that a low-fiber diet may play a role. Without fiber to add bulk to the stool, the colon has to work harder than normal to push the stool forward. The pressure from this may cause pouches to form in weak spots along the colon.

Diverticulitis happens when feces get trapped in the pouches (diverticula). This allows bacteria to grow in the pouches. This can lead to inflammation or infection." (Source.)

What this article doesn't mention is that if you're getting enough fat, it's questionable whether or not you even need fiber at all. (Here's a good article on the role of fiber in diverticulitis.)

If you're getting diverticulitis on a low carb diet it's most likely that it's because you either aren't eating enough fiber or fat. Both of these things keep stuff flowing. In the absence of carbohydrates and fat, the only thing left to eat is protein. Eating a low carb, high protein diet is not a ketogenic diet. A ketogenic diet is low carb, moderate protein, and high fat.

As far as I know, there just isn't enough research to show what the actual cause of the infection diverticulitis is. I'd be more than pleased to look at meta studies that show otherwise if anyone can provide them.

Meanwhile, I'd like to say thank you for the genuine concern that you've expressed to the board and stay healthy, my friend.
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9/17/13 12:11 pm


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Post John Jett
Low-fiber is one of the biggest concerns my wife and I had about this diet. In fact, when I did it previously I would eat nearly no fiber most of the time. Dr. Atkins stressed using fiber supplements which I never did because of the taste, etc.. This time around with the abundance of high-fiber, low-carb meal/flour out there, I am getting at least as much if not more fiber than I was getting before starting the diet. Golf Cart Mafia Capo Famiglia
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9/18/13 8:56 am


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Post shaunbwilson
John: Here are a few links for some... bathroom reading. Very Happy Enjoy.

Stopping or reducing dietary fiber intake reduces constipation and its associated symptoms (study posted to US National Library of Medicine, an official US government website.)
PULP FICTION: The Truth about Fiber (An article on a blog sighting a meta review of 17 studies on fiber)
Excerpts on fiber from Gary Taube's Good Calories, Bad Calories, which kicked off the exposure of some of the medical field's biggest persistent mistruths and wrong "best guesses"
Observations from Chris Kresser, a doctor who touts Paleo
An incredible round up of a couple of the above links as well as some others posted to Reddit's "keto" community

There are tons more links in the links above. Tons of study on fiber and whether it has a good, bad, or neutral effect on our bodies.

I think Atkins was wrong in some of his earliest research, including his advice on fiber (which I believe was advice given from the perspective of the best studies on fiber at the time). In fact, he knew low carb diets worked, but didn't know why they worked. We have that science now and I think we've improved on some of his other thoughts like fiber intake as well.

In case you're wondering, I typically have <10g of fiber per day, all from food.

I'm not saying you're doing it the wrong way—it would take real scientific testing including colonoscopies, biopsies, and well trained, up-to-date specialists to be able to determine that. And I'd encourage you to do whatever you believe is healthy for you, including taking fiber. However, I also wanted to do my part to make sure you're aware of an alternative theory out there.

And by now, between a keto diet and not believing that fiber's as beneficial for you as everyone's been told all of their lives, everyone's convinced I'm a total kook. Smile Anyway... Stay healthy, my friend!
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9/18/13 10:00 pm


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Post John Jett
I have another observation/question. I've been going for 6 weeks and I'm starting to notice certain patterns. If I eat lower fat all day (chicken, flaxseed muffiins, green veggies ONLY) I seem to have a headache and don't lose weight when I get on the scales (though I'm clearly still in ketosis). The days I feel the best are the days I have the most weight-loss. Consequently they are the days that I eat much more fat along with the veggies/etc... I only had a muffin and bullet-proof coffee for breakfast, and only found chicken breasts in the freezer for lunch. So, this time when I ate the chicken, I poured ALL of the butter/oil broth on the chicken and ate it. Traditionally (and if my wife were watching), there is no way I would have eaten all of that fat, but I have to say I feel really good right now. Lots of energy and no sign of sluggishness or hunger. I'll be interested to see the scales tomorrow. Is that what you'd expect? I don't think it can be a coincidence, I've marked this pattern several times in the last few weeks. Golf Cart Mafia Capo Famiglia
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9/20/13 1:14 pm


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Post shaunbwilson
John Jett wrote:
Is that what you'd expect? I don't think it can be a coincidence, I've marked this pattern several times in the last few weeks.


Yes. This is exactly what would be predicted. A ketogenic diet is a low carb, moderate protein high fat diet. Moderate protein means between 75g and 150g for most people. Most people will claim you need to keep protein intake to 0.6 to 1 grams per pound lean body mass to keep from losing muscle (protein too low so your body catabolizes muscle to use the amino acids) or gaining weight (too much protein causes an insulin spike and kicks you out of ketosis). This is very "common knowledge" among ketoers. Guess what... I don't believe it. Very Happy (You're probably very surprised.)

When Jimmy Moore (Livin' La Vida Low Carb blog) said that he cut his protein calories to like 12% of his total Caloric intake and, using a DEXA scan for measurement, proved that he was able to INCREASE muscle mass at a protein deficit greater than what I showed above, I started questioning this "requirement". Although I try to fit some protein into my diet these days, it's not this high. I haven't done a DEXA scan (see previous posts on my doing keto on a budget), but appear to have also been able to put on some muscle doing body core exercises, even in the absence of "enough" protein. This is anecdotal based on two people; this could be different for every person, or the studies that show that you need a minimum amount of protein could have been done exclusively on people eating a Standard American Diet with no studies on those using a ketogenic diet. (I don't know—I haven't looked.)

We do know that fat is necessary for proper hormone synthesis in the body. Increased fat helps to regulate hormones. Fat also keeps you satiated longer with Bulletproof coffee usually giving you the longest satiation due to the mix of short, medium, and long chain triglycerides, which take varying lengths to digest and use by your body.

I've noticed in myself that I need to eat protein with roughly a minimum of an equal number of fat grams to protein grams or else I get hungry again very quickly. If I eat the same or more fat than protein, I stay full longer.

Here's a pretty typical day for me lately (keeping in mind that I go through phases of what I feel like eating, so a month from now I might be eating practically none of this stuff):

Breakfast:
Bulletproof coffee with 500ml coffee, 35g (about 2.5 Tablespoons) grass-fed butter, and 2 Tablespoons MCT oil

Lunch:
Sometimes I skip it, other times I'll have
A) an ounce or two of raw nuts (Archer Farm's from Target), or
B) I might have a can of tuna with some potassium and sea salt. I might add some spinach or an avocado to the tuna.

Dinner:
A) A protein shake made with raw pastured eggs, grass-fed butter, sucralose (usually Torani Sugar-Free French Vanilla Syrup), protein powder, and water. Sometimes I add some more MCT oil.
B) Or I might have soft boiled pastured eggs over grass-fed hamburger with spinach sauteed in grass-fed butter and sea salt.
C) Or maybe some "tuna casserole" with broccoli, cauliflower, spinach, onions, and cream cheese for some creaminess.
D) If I'm lucky, my wife will make some bacon and eggs for dinner.

Snack:
A) Usually a couple of tablespoons of raw almond butter
B) But sometimes it's something like the protein shake I mentioned above

(Keep in mind that raw, grass-fed, and pastured are things I do in addition to keto, and are not necessary to eat a proper ketogenic diet.)

All in all, I'd guess my average to be around 1,600-2,000 Calories per day. Although it fluctuates every day, my logs show that I get between 120 and 150g of fat, 50 to 75g of protein, anywhere from 0-20g of carbs, and 0-12g of fiber per day. I understand that this is a lower calorie diet than most would recommend a 148 pound man eat, but I eat when I'm hungry and eat as much as I want. I'm not into forcing more food down my gullet.

TL;DR - Yes, these are the results you would expect and, honestly, the most important macronutrient that you're likely putting into your body is saturated fat from animals. You should expect to feel better and lose more when you eat more of it (specifically since you are on a low carb diet that controls your insulin). You should also expect it to raise your HDL ("good" cholesterol) and decrease your risk for heart disease. Eat more animal fat, eat more butter, get healthier.
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9/20/13 3:34 pm


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