Wednesday, April 25, 2012

What I Learned From Diet Breaks, Free Meals and Refeeds

What I Learned From Diet Breaks, Free Meals and Refeeds


(This is part 7 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 so far. If you didn’t read part 1, you can do so by clicking on the how-to link. Part 1 also includes links to the rest of the series.)

My diet break obviously refilled my glycogen stores, since I was eating more carbohydrates, but that wasn’t a surprise. I was okay with the eight-pound weight regain because everything happened exactly as Lyle McDonald said it would. Although each of us have the potential to hold different amounts of glycogen in our liver and muscles, there was no reason to believe those eight pounds were fat.

I was used to inputting everything I ate into Fitday, and that didn’t stop during my break, so it was easy to keep tabs on my daily calorie count. That helped to keep me zeroed into maintenance. Overall, my complete diet break went well, except that I took my husband’s suggestion and enjoyed a full month off from dieting that December rather than the two weeks I had originally planned.

What I learned during that time was that as long as I didn’t go over my maintenance level of calories – about 2300 calories per day to maintain 180 pounds – once my glycogen stores refilled, my weight stayed stable. I did not gain back my weight, even though I was not following a low carb protocol. Granted, this was only for a short period, one month, but I saw no reason why a lengthier diet break would have made a difference as far as weight regain. I was learning quickly that the bodybuilding community knew what they were talking about.

However, I was hesitant when it came to consistent free meals and refeeds. That went totally against low carb theory, but I wasn’t the only one at Low Carb Friends who was doing the Rapid Fat Loss Diet. There were several of us experimenting with those principles. I found that particularly helpful because as we each weighed ourselves daily and posted those numbers, we could see the water weight fluctuations that occurred from free meals and refeeds and how those fluctuations affected us similarly.

The diet was pretty much what I had done before: very lean meats, protein shakes and veggies. It did have some major differences though. Protein intake depended on the amount of lean body mass you have and the type of activity (aerobic vs weight lifting) you planned to do. Generally, for the average non-bodybuilder low carber, protein needs are about 1 gram per pound of lean body mass. That would place my protein consumption at around 100 grams of protein per day.

Bodybuilders generally use 1-1/2 grams of protein per pound of lean muscle mass. I was doing a small amount of weight lifting around that time, in addition to about 20 minutes of aerobics, and wanted to error on the side of caution – so I upped my protein to 120 grams. I took six extra-strength fish oil capsules per day for essential fatty acids and ate two servings of low-fat cottage cheese. One in my protein shake, and one just before going to bed.

I was also eating more calories and carbohydrates during this period than I was on my modified Kimkins plan, and more than most of the other women at Low Carb Friends were eating. I ate around 1200 calories and 35 grams of carbohydrates, mostly in the form of fibrous vegetables. I did use a little soy sauce, some sugar-free maple syrup, and fresh ginger for marinades to keep my chicken breast tolerable and I used sugar free catsup or mustard to top my burgers.

In addition, Lyle has a strict policy regarding how long you can stay on the plan. This was one of the most important aspects I learned about crash dieting. Taking a maintenance break was opposite to the way Kimmer did things, but my experience with that complete diet break taught me it was best.

I was still quite heavy for my five-foot frame, so I could stay on the program for as long as 12 weeks before I had to take a mandatory two-week diet break. However, about three or four weeks into the diet, I started having what appeared to be severe hypoglycemia attacks. Since I didn’t know what to do about them, I moved to maintenance sooner than I hoped and stayed there for several weeks – allowing my body to recover from whatever was going on.

I tried to return to a low carb diet several times, but my metabolism started crashing much quicker than before. My body wasn’t handling ketosis very well anymore, and I started to experience a reoccurrence of some intestinal issues and nerve inflammation I’d had before I first started the Atkins’ Diet in 2007. In addition, I started having heart palpitations and pain. Now, the easy explanation for all of this was increased insulin due to the refeeds, which many well-meaning low carbers threw at me, but that’s not what it turned out to be. Refeeds do not cause explosive diarrhea and intestinal inflammation.

I am a big believer that nothing happens by accident. Our journey takes us where we need to be at that moment. That’s why I have a more laid back attitude in regards to the whole Kimkins thing. Somewhere around this time, someone discovered that the photos Kimmer had posted of herself at Low Carb Friends and at her website were fake. They were not pictures of her at all. She had never used her own diet plan to lose any weight.

This was a big deal for many low carbers, and they felt angry about her deception, but since many of her dieting principles had saved me from a life of obesity and pain, I took a backseat approach to it all. Mostly, because her size and deception didn’t invalidate what I had learned about myself.

The other thing I was introduced to during this period was wheat intolerance. There were a handful of women doing refeeds at the Beyond Low Carb forum, who had to use carb sources other than wheat. Instead of loading up on breads and cereals, they ate brown rice and sweet potatoes because when they ate wheat, they became inflamed, sick and unable to lose weight. That really struck home with me, and I began investigating the potential for food intolerances and allergies to affect weight.

One of the first things I did was to begin checking my blood glucose levels myself, such as Dr. Bernstein recommends, because I’d been diagnosed with pre-diabetes many years ago. My glucose readings were not at diabetic levels, but high enough to cause Neuropathy. That pointed to metabolic problems, but the solution wasn’t as easy as most low carbers would think because even simple vegetables like zucchini or a meal with absolutely no carbohydrate content were sending my glucose levels high enough to cause nerve damage. Even a two-week return to the Atkins Induction Diet sent my blood sugar soaring.

For me, the problem turned out to be gluten, not carbohydrates, and strangely enough, I owe that discovery to Kimmer and my modified Kimkins Diet. That’s another reason why I’ve remained neutral throughout all of the Kimkins controversy. If I had not gone on that modified Kimkins Diet, I would never have figured out my health problems. I would still weigh over 200 pounds, and I would still be in pain and sick.

On the Kimkins plan, I was eating gluten and dairy free. I felt good. I experienced no hunger. I had no blood glucose issues. So I took that realization and implemented it into my maintenance diet. Surprisingly, when I eliminated all forms of gluten, my blood glucose levels corrected themselves provided I kept within a particular carbohydrate margin. That margin (when compared to low carb dieting) was high: 20 to 40 grams of carbohydrates per meal always resulted in normal blood glucose control.

Later on, that margin widened considerably when I also removed dairy. In fact, as long as I was eating absolutely no gluten or dairy (a GFCF Diet) I could even eat a piece of gluten free chocolate cake and see no rise in blood sugar levels above 95 mg/dl. So my experiences with low carb eating, diet breaks and refeeds have differed from the norm.

I don’t know how my body would respond to refeeds now that I’ve eliminated all of my food intolerances including corn. The refeeds were not what I was focused on then. While many low carbers turned to refeeds because it gave them an opportunity to eat many of the foods they had been missing, my focus has always been on my health and what works for me. However, I still had one more major lesson to learn about weight loss, low carb diets and sustainability.

Part 8: Weight Loss, Low Carb Diets and Sustainability


Tuesday, April 24, 2012

The K-E Diet: Latest Fad Diet Casts Shadow on Low Carb Diets

The K-E Diet: Latest Fad Diet Casts Shadow on Low Carb Diets

Tracy Rose, the Topic Editor at Suite101 for the Weight Loss Section, posted a link on Facebook this morning to her latest diet article. This article deals with the latest trend being marketed to brides: the K-E Diet.

Now, we know that low carb diets in general are not new, and we know that when followed correctly, protein-sparing modified fasts are not dangerous. In fact, if you’re relatively free from additional food sensitivities, allergies and health issues, low carb programs are easy to implement and many varieties offer a luxurious living style.

The latest fad diet (the K-E method) casts a dark shadow over low carb and PSMF diets. It involves inserting a feeding tube through your nose and into your stomach. This feeding tube delivers a protein solution that totals about 800 calories per day, so in essence, this diet scheme is a low carbohydrate protein sparing modified fast. You don’t eat. You just take in this solution of protein and fat for 10 days and magically shed 20 pounds before the big day.

So why don’t dieters just drink the solution?

The creators of the K-E plan believe that a continuous infusion of the solution throughout the day will prevent the hunger you would have were you to take the feeding orally. They also believe that tube feedings will cause the body to break down more fat stores and protect more muscle tissue. They claim that their diet plan has been shown to be more effective than a liquid PSMF Diet, and because the solution contains no carbohydrates, it works faster than Atkins or South Beach.

Okay – so it’s a high-priced crash dieting scheme to help these women fit into a smaller wedding dress that must be overseen by a physician. They know that going in. They know this is a temporary fix because they have to take their feeding tube with them everywhere they go throughout those 10 days. They know their eating habits haven’t changed, so they might realistically regain that excess body fat.

So what’s the problem? It puts these women into ketosis, it allows them to drop some excess body fat and it gives them peace of mind that they will be able to fit into their wedding dress. The program only lasts for 10 days, and since we know that ketosis isn’t dangerous, what’s the harm?

Oddly enough, it isn’t the diet itself that’s casting a shadow over low carb programs, although it certainly is a drastic way to go. The problem for low carb diet plans is those who oppose the K-E diet. They are playing to the myths surrounding dietary ketosis that the low carb communities have been trying to correct since Dr. Atkins first published his low carb diet book back in the early 70s.

Those who oppose this K-E dieting style are justifying their position by claiming that ketosis is unhealthy and dangerous. Most of these opponents are pointing to potential kidney and liver problems, potential side effects and secondary conditions that can come from wearing a feeding tube, the dangers of losing weight too quickly and are even going so far as to call ketosis starvation mode.

Ketosis isn’t starvation and it doesn’t create kidney or liver problems unless you already have kidney or liver issues before you go onto a low carb diet plan. Ketosis is an alternative metabolic pathway to glucose metabolism, and it occurs naturally as a life survival mechanism. It keeps blood glucose levels steady. The body turns to its stored body fat for fuel even on standard low calorie diets whenever glucose or calories are in short supply.

But as the warnings against this latest diet fad grows, and we know they will, so will the misconceptions surrounding standard or slightly tweaked low carb diets. Everything we have fought so hard to overcome will be reversed. I can’t help but wonder how far back this is going to push us now.

So, what do you think?

Thursday, April 19, 2012

Lyle McDonald’s Rapid Fat Loss Diet – Taking a Full Diet Break

Lyle McDonald’s Rapid Fat Loss Diet – Taking a Full Diet Break

(This is part 6 of a multi-part series on How to Tweak a Low Carb Diet. It discusses my weight loss journey so far. If you didn’t read part 1, you can do so by clicking on the how-to link. Part 1 also includes links to the rest of this series.)

At one time or another, most dieters get caught up in the desire of wanting to lose weight fast. That actually worked to my advantage because Lyle McDonald originally created his Rapid Fat Loss Plan (a whole foods PSMF Diet) to deal with crash diets safely. While McDonald’s focus is on bodybuilding, muscle retention, and metabolism, maintaining muscle mass during dieting is to everyone’s benefit – quick weight loss or not.

The Kimkins fiasco brought the protein content of a low carb diet into the limelight. Dr. Eades’ did have recommendations for low carbers to shoot for. He talked about large, medium, and small servings of protein (five, four or three ounces) at each meal depending upon how much you currently weigh, getting 35 grams of carbohydrates per day, and keeping your fat intake under control until you reached goal weight – which most people ignored.

Contrary to all of the controversy going on about protein intake, Lyle McDonald uses a more individualized approach. His diet bases protein content on the amount of lean muscle mass you have, plus the amount of activity you plan to do during the diet phase of the program, as well as the type of activity. Weight lifters needed more protein than those doing just aerobics, and both of those categories need more protein than those not exercising at all.

This made much more sense to me, rather than a blanket type of protein intake that was set according to your current body weight because even though I’m only five feet tall, I have a large build. That means I’m carrying around at least 10 to 15 pounds more muscle and bone than the average person. So McDonald’s diet interested me for its individuality as well as its unique angle.

Now, if you just looked at the diet itself, it is very similar to Kimkins. Very lean meat and poultry, fibrous vegetables and little else. However, Lyle McDonald built safety precautions into the diet to keep adequate protein and essential fatty acids in front of each person. The more muscle mass you have, the more very lean protein you eat. The more lean meat you eat, the more calories your diet will have. There is no set calorie limit for Lyle’s plan.

He also drastically cut carbohydrates, allowing only vegetable carbs. Limiting yourself to just vegetable carbs keeps the diet as low in calories as is save for each individual because added fats were also not allowed. Essential fatty acids come from 10 grams of fish oil capsules per day. In addition, two servings of non-fat or low-fat dairy for calcium content is also recommended. We were also cautioned to heavily use what’s known as light salt due to low carb’s tendency towards dehydration. That’s a potassium and salt combination to season your food; but, herbs and spices are also okay. Some people step over the line a little bit and use things like soy sauce as well.

At that time, I still didn’t know I was a celiac. So I was still eating gluten, dairy and corn. That fact is important to the results because Lyle’s diet also incorporates free meals and refeeds. For my size, I wasn’t supposed to do refeeds. I was still too fat. I was supposed to do two free meals a week instead, but I’d been on a low carb diet for so long and was struggling with extreme hunger and mental issues in regards to food, that I KNEW my Leptin levels had crashed.

After reading everything on Lyle’s forum, and three of his books several times, I decided to take the plunge. However, looking back now, I can see that was a mistake. Initially, I totally missed the part about crashed Leptin and HOW to fix it.

I was coming to this new table from a low carb diet point of view – the point of view that believes a diet is a lifestyle – and that totally skewed my thought process and understanding of the principles behind dieting. I hate to say that, but it’s true. We low carbers have a particular mindset when it comes to dieting and switching gears is difficult.

So it took two weeks of following The Rapid Fat Loss Diet before I accepted defeat. Now, I don’t mean defeat in terms of giving up on dieting. What I mean is that by going from Atkins 92 to The Protein Power Lifeplan, to Atkins 72, to Kimkins, to Atkins 2002, to Dr. Eades' liquid protein shake diet, to Lyle’s Rapid Fat Loss program with no diet break in between any of that, I was setting myself up to fail. Why? Because a low carb diet lowers thyroid output for many individuals. A low carb diet can lower your metabolism. A low carb diet can also cause your Leptin levels to crash.

A low carb diet can essentially stop working if you don’t take a break from dieting long enough to reset your hormone levels. That’s the truth that few low carb dieters are willing to face. What hardly anyone ever sees is that Dr. Atkins himself KNEW that. He would personally place his patients on thyroid medication temporarily to get them the rest of the way to goal. Since we don't have that luxury, we have to tweak our low carb diets to make them continue working for us.

I admit, that before I started that two-week diet session, I did take a weekend off from low carb dieting, and I indulged in a weekend-long refeed. I went out for pizza. I ate brownies and homemade bread. I ate things I’d been missing over the prior two years. I did that because I wanted to test Lyle McDonald’s theories. They were different from what I’m been hearing within the low carb community because the low carb folks believe carbohydrates is ALL that matters. Lyle believes calories are all that matters.

Even though Lyle’s ideas sounded logical to me (low carb was failing me, afterall), I didn’t know if what Lyle and his friends believed would hold true for me. So I dove into the deep end of the refeed pool, and I suddenly discovered I could swim -- easily, in fact. So easily, that water weight gain from returning to carbohydrates didn’t even show up on the scale until Monday morning. Plus, I actually felt good for the first time in months!

My downfall was moving from that single weekend refeed into the Rapid Fat Loss Diet on Monday morning because my body had not had enough time to reset my hormone levels. Leptin needs a minimum of a two-week diet break to reset. That means two weeks and sometimes more of eating over 100 carbohydrates per day. During those first two weeks, eating one free meal and refeeding for a five hour period on the weekends, I lost a total of four additional pounds (not counting the water weight I gained from that weekend refeed, which came back off quickly).

So it was enough to know that the diet worked. It was enough to know that something was wrong with a typical low carb diet as written. It was enough to convince me that I needed to take a two-week diet break before returning to the Rapid Fat Loss Plan. So that is what I did. I returned carbohydrates to my diet all at once and ate anything I wanted for a two-week period.

Part 7: What I Learned from Diet Breaks, Free Meals, and Refeeds