(This is part 9 and the final installment of a multi-part
series on How to Tweak a Low Carb Diet. It explains the path I have traveled in
my weight loss journey. If you arrived here without reading part 1, you can do
so by clicking on the how-to link. Part 1 also contains links to the other
posts in this series.)
When you begin to restrict carbohydrates to less than about 100
carbs per day, the body is forced to draw upon its liver glycogen to keep your
blood glucose levels steady. That’s according to Dr. Michael Eades. I can also
tell you from experience, that during those first few days, the brain doesn’t
get the proper amount of fuel to function correctly. Or at least, I don’t. I
know that because I start having severe vertigo attacks. Other people have
talked about being tired or having brain fog.
Now, the way it’s supposed to work is that the liver
converts the protein you don’t need for immediate repair purposes to glucose to
feed the brain. The brain can partially run on ketones, but some brain
functions can only use glucose. Dr. Eades talks about that too. In The
Ketogenic Diet by Lyle McDonald, his recommendation is that for the first three
weeks, biologically, you need a minimum of 150 grams of protein per day to keep
everything functioning correctly. That gives the liver plenty of amino acids to
work with, so the brain doesn’t suffer from any deficiencies.
After three weeks, the brain is supposed to be keto adapted.
That means it has switched from using 100 percent glucose to using ketones for
whatever portion of its functions it doesn’t need glucose for. The
muscles and other organs that can run on fatty acids for fuel begin donating
their ketones to the brain. This muscle adaption takes about another three
weeks. At which point, the muscles will use fatty acids or glucose if it’s
available. A low carb diet is not generally glucose free, because vegetables
and other foods with carbohydrates do turn into glucose when eaten.
So if you’re within that initial six week time frame, it’s
silly to try to tweak anything because you don’t know how proficient your body
is going to end up being in converting fatty acids and ketones into fuel. You
don’t know if your body is furiously trying to protect its fat stores by
stuffing them with water. That happens quite often, in fact, right after Induction because the dehydration that Induction produces when liver glycogen
is emptied scares the body. It can take up to six or eight weeks for the body
to release that stored water. And it doesn’t just do that right after Induction. It can do that any time along the way that it feels threatened.
Once you pass that marker, then you pretty much know where
your current metabolism stands. Dr. Atkins used to call that “how metabolic
resistant you are.” But too many people use that terminology incorrectly. If
they aren’t losing weight every few days, they freak out and start thinking
they’ve gone into starvation mode or have suddenly become metabolic resistant.
It doesn’t work that way.
Now, if you’ve been on a low carb diet for a while, and are
no longer making progress, then whatever you are currently doing is
maintenance. That’s the bottom line. The body has adapted to your current diet.
Accept it.
To fix the problem varies from individual to individual,
which is why it’s so difficult to give advice on how to break a stall to
someone else. There are many factors involved.
Food sensitivities and allergies is a BIG ISSUE that most
people refuse to look at. I see that every time someone talks about how they
went off plan and what the result was. Carbohydrates become the demon because
low carbers would rather blame the carbohydrates for feeling bloated and making
them feel ill when they eat something that is not on plan rather than the wheat
and/or milk that is in the bread or cake. But you know what? What these people
describe is exactly the symptoms you look for when adding a new food to a
strict elimination diet in search of food sensitivities!
To look at food sensitivities as being a real entity might
mean giving up some of your treasured low carb foods: cheese, nuts, sugar
substitutes, or low carb tortillas. Whatever it is you think you can’t live
without, that is what you are most likely sensitive too. That is the food item
that is most likely standing in your way of reaching goal weight. Food
sensitivities cause intestinal inflammation, and inflammation interferes with
the way your body handles food. When the intestines are inflamed, you do not
absorb dietary fats properly. If you can’t absorb them, you can’t use them for
fuel. So in that case, a low carb diet can very well make you feel ill.
I happen to be one of those. I have never had an energy
burst from doing low carb. I’ve never lost my appetite from eating that way; in
fact, eating a low carb diet makes me extremely hungry. If I eat to appetite, I
gain weight. Part of that is a body defense mechanism because I've lost so much weight, and part of that is due
to food sensitivities, which drive up your hunger hormones. I don’t convert
fats to fuel very easily, so the body tries to get me to eat things it can turn
into glucose. Plus, when you eat something you are sensitive too (and it only
takes a little bit), it makes you hungry for more. I also fight against my body wanting to take me back up to over 250 pounds. It's a daily struggle!
So here’s the thing. Originally, Dr. Atkins’ low carb diet
was an elimination diet. He took almost everything away from you, except for
what you body needed to survive. He did that because many of his patients had
gastrointestinal problems. He didn’t want them eating fiber. That’s why his
diet was so strict back then. He had many patients who were allergic to wheat.
He had many patients who had blood glucose problems. Back then, he talked
mostly about hypoglycemia, which is a sign of exhausted adrenals from food
sensitivities and intolerances or autoimmune problems such as celiac disease or
gluten intolerance.
So if he took almost everything away for that first week,
what did he allow?
- Meat, including bacon (but NO sausage, hot dogs,
store-bought meatballs or lunch meat)
- Poultry
- Fish (but no oysters, mussels, scallops or pickled fish)
- Eggs without limit
- Cheese, hard and aged, 4 ounces daily (but NO cream cheese or
cheese spreads)
- Heavy cream, 4 teaspoons per day
- Butter, margarine, oils, shortening, lard, mayonnaise
- Lemon or lime juice, one fresh squeezed per day
- Salad, 2 small per day, each less than one loosely packed
cup: leafy greens and celery or cucumbers and radishes.
- Salad Dressings: oil and vinegar only, but you could use
herbs and spices, some of your grated cheese allowance, crumbled bacon, or chopped eggs.
- If you grew tired of salad, you could have one sour pickle
instead. Plus, a few green olives.
- Condiments: salt, pepper, mustard, horseradish, vinegar,
extracts, spices that contained no sugar, and artificial sweetener (which at
that time was Sweet n Low)
- Dessert: sugar-free gelatin, which you could top with some
of your heavy cream allowance if you didn’t put it in your coffee
- Drinks: water, mineral water, club soda, beef or chicken
broth/bouillon, diet soda, coffee, tea
*His restriction on caffeine at that time was 6 cups per day
due to its tendency to contribute to hypoglycemia. If you knew you had
hypoglycemia issues, then the limit was 3.
Now, that’s what you got for the first week. It is a
completely different diet than what low carbers call Induction today. It works
extremely well to clean out all allergens except for cow’s dairy and corn
derivatives if you don’t know where to find them. It’s designed to clean out
wheat and other grains because those are the problems that most of his patients
had. Back then, corn would not have been found in oils, meat processing
techniques, and dairy products, but it would have been in the vinegar,
mayonnaise, and green olives.
From there, you were basically on your own. There was no
carbohydrate ladder to dictate what you add back next. In fact, Dr. Atkins’
instructions were to add back what you miss the most. I don’t know if that’s a
good idea today though. What you miss the most is a sign that you might be
sensitive to it, and if so, you’d be better off waiting a few weeks before you
attempt to add it back in.
The way food sensitivities work is that once you go off of
them and clean yourself out of the allergens, when you reintroduce them, your
body will have an exaggerated reaction to it. This is due to the hormone
cortisol which sends the body into fight or flight mode. Your exaggerated
reaction alerts you to that particular food being a problem food for you. It is
the only way to date that even physicians have to diagnose food sensitivities
and intolerances. They produce a different immune system response than
traditional allergy does.
Keep in mind that it might take 2 or 3 times
eating a new food before the reaction appears, depending on how long it’s been
since you ate it last. So Dr. Atkins’ caution in 1972 was to add foods back one
at a time, and slowly. Five grams per day, per week is slow; but we’re talking
about returning individual foods one at a time – not a complete food group such
as many low carbers do today. Returning an entire food group at one time doesn’t
teach you anything about yourself.
And that’s the purpose of an elimination diet. To learn what’s
true for you.
What Dr. Atkins’ original diet does is it helps you
personalize your plan. It gets rid of most of the potential allergens. It gets
rid of the junk that is clogging your vision. It allows you to see what effect
the basics of a low carb diet have on you. Without the junk in the way, you can
more accurately tell if you are eating too much fat because if you still aren’t
losing weight after a month or so, you can begin experimenting by lowering or
raising your fat levels. The same for calories or individual foods.
The bottom line is that I cannot tell you what to eat. I can
describe what worked for me, and what I went through to figure that out. I can
share the many different methods that others have used that worked for them.
But tweaking a low carb diet takes individual experimentation. It takes work on
your part. Whether you feel it is worth the effort and the initial deprivation is
a whole other matter.
I suppose the real question is WHY do you want
to lose the weight? WHY is being thin important to you? It’s been over 5 years
now since I restarted this journey, and I’m not so sure that the answers to
those questions for me are even the same anymore.
I am not who I was then. My
viewpoint on life has changed. My viewpoint on what’s important in life has
changed, and I don’t think that vanity is a part of that equation any more.
Maybe that’s why I’ve lost my motivation. Maybe that’s why I no longer feel
driven to find an answer to my weight loss problem. Maybe that’s why I currently feel like giving up and
accepting myself as I am.