Last week several of my patients returned to the office for follow up after starting LCHF diets. Its really fun to engage with a person who is making a real effort to improve their own health. I love celebrating victories on the scale/ with the tape measure or with their labs. When the gains are not as much as can be desired I have to put on my CSI detective coat to figure out the problem.
A big problem is with fake food and "diet" food. I have people tell me they are using Slimfast shakes or Cliff Bars or Isagenix meal replacements with low carb. It usually doesn't go well. These things do nothing to suppress insulin and fat storage continues. I see the wisdom of Dr. Westman. Dr. Eric Westman, a leading low carb researcher and practitioner at Duke University has a mantra he repeats to his patients. "If it's not on page four, don't eat it." This refers to his diet instruction packet he provides to his patients. The list of approved food appears on page four. The people who came back struggling are likely to feel that the diet doesn't work if they don't see much results in the first month. I tell them to not pass judgement until the diet is given a proper try and that means staying in the boundaries of the diet. Here's the link to Dr. Westman's instructions: THE NO SUGAR, NO STARCH DIET
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Eric Sodicoff MDMember: Obesity medince Association Archives
September 2020
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