What do you do if your cholesterol doesn’t improve on a
low-carb diet? What do you do if it gets worse? Many low carbers will tell you
that you don’t really have to worry about high numbers. But is that true?
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| Low-Carb Bacon and Eggs Breakfast |
- Should you just ignore your high cholesterol tests?
- What does Dr. Atkins say about elevated cholesterol levels?
Insurance Companies Keep Track of Your Cholesterol Numbers
For many of us, ignoring our cholesterol tests is no longer possible because health insurance companies are beginning to tie health insurance rates, as well as eligibility of insurability, to your cholesterol levels, smoking habits, and other health markers. In my own situation, we have to take a yearly physical that includes cholesterol tests, and input that information at Cigna’s website. If we choose not to do that, at the present time, our insurance rates will increase by 20 percent. If you smoke, they will add an additional 10.
Although this was the first year that participating in
Cigna’s Health Survey was mandatory by my husband’s company, Cigna takes those
figures, compares them to previous data, and gives you recommended goals that
meet “their” standards. The movement in this country towards socialized
medicine isn’t likely to allow low-carb dieters to continue ignoring their
cholesterol numbers forever.
Standards are bound to get tighter as we move forward into
Obama Care, so thinking about the health implications of what’s going on right
now is important for long-term health, as well as weight-loss success. Despite current thought, Dr. Atkins never took the viewpoint that I hear so
often within the low-carb community. In fact, most people’s attitudes and
rationalizations about elevated cholesterol levels are downright frightening
because many newcomers are listening to the distorted, twisted advice.
Dr. Atkins View on High Cholesterol
Although Dr. Atkins is best known for bringing very low-carb
diets and graduated low-carb diets into the spotlight, his life’s work also
included nutritional research and vita-nutrient therapy. As a cardiologist, he
didn’t simply slough off elevated levels of blood fats in an effort to defend
his diet blindly, but clearly stated that “cholesterol and triglycerides are
one of the most widespread causes of heart attacks, strokes, and clogging of
the arteries in general.”
What he reminded us of was that high cholesterol levels
themselves are not disease. They are blood lipid abnormalities that serve as
“predictive factors for a hardening of the arteries.” If you treat the symptoms
without figuring out what’s causing the elevated cholesterol, there’s no
guarantee that you will stop or even regress the disease process.
But Dr. Atkins also believed that by bringing your
cholesterol numbers in line with the current medical view, you can at least
keep yourself off of statins and help avoid their awful side effects. In
addition, “high triglycerides and low HDL levels are the two lipid
abnormalities that are clearly and unequivocally linked both to insulin
resistance and to the intake of carbohydrates.”
Apparently, LDL cholesterol is
not.
Those with insulin resistance need to avoid excess
carbohydrates at even moderate levels, because your body’s chemistry “turns the
carbohydrates into triglycerides.” Triglycerides often interfere with the
production of HDL, the good cholesterol that helps transport LDL molecules to
the liver to be recycled or eliminated from the body. “The Atkins Center
experience [was] that people whose triglyceride levels are more than double
their HDL levels (in mg/ml) do better on carbohydrate restriction.” But that
doesn’t hold true for everyone.
“Some people get the best results by restricting saturated
fats, while others do better if they eliminate all sugar from their diet and
reduce consumption of carbohydrates. You must learn which works best for you.”
No two individuals will react the same way to dietary and
nutritional changes. However, Dr. Atkins also believed that elevated
cholesterol was a symptom of “dysnutrition,” and that if you “correct the
dysnutrition, you will control your blood cholesterol.”
What You Can Do to Lower Your Cholesterol Levels
It’s overly simplistic to say a low-carb diet will automatically
improve cholesterol levels. That depends on how you implement what you learn.
“Occasionally, a major elevation in blood cholesterol does occur in patients on
a low-carbohydrate diet.” But occasionally was Dr. Atkins findings pre-1981. Today, a
typical low-carb diet doesn’t even fit Dr. Atkins profile of what a low-carb
diet for lowering cholesterol should look like.
Although he has
always stated that avoiding eggs and saturated fats are a last resort, his
sample menus as late as 2002 had dieters eating ham, ground turkey, round
steak, salmon, and mozzarella cheese. His cornbread recipe even contained real,
whole-grain cornmeal along with a soy-based bake mix, and that was specifically
for his ongoing weight-loss phase. So we’ve traveled pretty far out in left
field from what Dr. Atkins believed.
When Atkins speaks of using a low-carb diet to control your
cholesterol levels, he means that you need “to avoid sugar in all of its forms,
even fruit and fruit juices, and you should keep your intake of starches to a
minimum.” That’s because “diets low in total carbohydrates and alcohol usually
lower triglycerides dramatically.”
According to Dr. Atkins, simple sugars elevate triglycerides
more dramatically than complex, unrefined carbohydrates. While medical
professionals don’t always agree on which is worse, triglycerides or total
cholesterol, Atkins believed that “both contribute equally to heart disease
potential.”
Dr. Atkins cholesterol recommendations require strict
attention to the ingredient lists on the products and spices you buy, and
avoiding any product that contains:
- alcohol
- sugar
- corn syrup
- honey
- fructose
- dextrin
- high-fructose corn syrup
- maltodextrin
- or any of the sugar alcohols
That
eliminates almost all sugar substitutes and puts you on a regimen that
mostly consists of whole foods. It also means you should eliminate all products that contain
any amount of starches or flour. While that sounds like a no-brainer,
store-brand cream cheese, most brands of mayonnaise, bacon, sausage, extracts
made with an alcohol base, and many other typical low-carb foods would not fit
that profile.
In addition, the amount of carbohydrates you eat per day
needs to be fine-tuned to fit your blood cholesterol levels, rather than just
for weight loss.
Vita-Nutrient Therapy
For many people, a strict low-carb diet may still not be
enough. While triglycerides can drop dramatically and HDL increase with a standard low-carb diet, LDL cholesterol levels can be far more stubborn. Although
cutting down on saturated fat is the typical treatment for elevated LDL
cholesterol levels, Dr. Atkins always preferred to take a nutritional approach
to the problem first. Supplements such as:
- niacin
- pantethine
- inositol
- chromium
- Vitamin C
- essential fatty acids
- fiber supplements
- lecithin granules
- garlic
were always included in his treatment program for elevated
cholesterol levels. His view on health was never low-carb tunnel vision. Even
from the beginning, it was completely nutritionally based.
Dietary Fats
Most medical recommendations lean toward substituting
saturated fats with polyunsaturated or monounsaturated oils. While scientific
tests have shown the positive results on cholesterol levels when making such
changes, Dr. Atkins cautions that an increase in polyunsaturated oils increases
your need for Vitamin E
In addition, He also used to insist that vegetables oils be
cold-pressed, rather than chemically extracted. That insistence was softened a
bit to “best” in 2002, but his reasons are still valid. Supermarket oils are
treated with “gasoline, benzene, carbon disulfide, and/or lye.” They’re also
overheated and treated with antioxidants and corn-based defoamers.
Cholesterol and Thyroid
According to Dr. Atkins, another thing to look at if you
have elevated cholesterol levels is your thyroid. In his professional opinion,
elevated cholesterol can be a symptom of a sluggish thyroid. However, he never
relied on thyroid tests to check thyroid function. He preferred to use your
basal body temperature because what he was interested in was how your thyroid
was functioning, not the amount of thyroid that was circulating in your blood.
For a sluggish thyroid, Dr. Atkins often used kelp
supplements “because kelp contains iodine, the element upon which thyroid
function depends.” However, most cases of thyroid deficiency are not due to
iodine deficiency, although a fear of salt does seem to be common among low
carbers. You can see that in the number of people who continue to believe that
the Atkins Flu is inevitable.
Even so, Dr. Atkins saw nothing wrong with giving kelp a
try, claiming it was a “relatively safe nutritional technique for cholesterol
lowering” when thyroid was suspect. In fact, in Dr. Atkins clinical experience,
metabolic resistance to weight loss in obese individuals was almost always due
to thyroid deficiency.
Sources:
Atkins, Robert C., M.D., Dr. Atkins’ Diet Revolution: The
famous Vogue superdiet explained in full, Bantam Books, New York, 1972.
Atkins, Robert C., M.D., Dr. Atkins’ Nutrition Breakthrough:
How to Treat Your Medical Condition Without Drugs, Bantam Books, New York,
1981.
Atkins, Robert C., M.D., Dr. Atkins’ Vita-Nutrient Solution:
Nature’s Answer to Drugs, Simon & Schuster, New York, 1998.
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