Submission to the Academy of Medical Royal Colleges on the causes the recent rise in obesity.
Tag Archives: LCHF
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Low-carbohydrate
high-fat (LCHF) diets are at least as effective as other dietary
strategies for reducing body weight, with the additional advantage of
increased satiety and spontaneous reduction in energy intake.
LCHF
diets are an effective dietary strategy to improve glycaemic control
and reduce hyperinsulinaemia in type 2 diabetes mellitus and in
otherwise healthy patients with insulin resistance.
LCHF
diets have unique effects on blood lipid concentrations and
cardiovascular risk factors, characterised by decreased blood TG, ApoB
and saturated fat concentrations, reduced small LDL particle numbers and
increased HDL-C concentrations. The effect on LDL-C concentrations is
variable.
Cell Walls – Essential Role of Fats & Cholesterol
The outer and inner membranes protect and define the cells in the tissues of our bodies. They give them shape and strength. These membranes organise, support and protect the proteins (enzymes) that give function and purpose to the tissues and organs of our bodies.
Cell Membranes are made of fat (lipids) and cholesterol. To work and protect the cell there has to be at least 1 cholesterol molecule for every 4 fat molecules. Less cholesterol causes the membrane to become weak and leaky.
The maintenance of organs and tissues relies on a regular supply of fats and fat soluble nutrients. This supply comes from the large LDL lipid droplets which are recognised and absorbed by the LDL receptors on the cells. The recycling waste involves the return of smaller HDL lipid droplets to the liver via the blood stream.

As we age ours cells LDL receptors can become damaged by sugar leading to poor maintenance of the membranes. The cell has a shortage of lipids (fats) and cholesterol. Cell walls becomes leaky and prone to fail. LDL lipids are left unused in the blood stream. HDL lipids are not being returned.
As we age what we we required is a reduction in damage caused by excess blood sugars (glucose and fructose) together with an adequate supply of fats and cholesterol.
This is the basis of the success of the Low-Carbohydrate High-Fat diets in addressing the modern dietary health issues.
Published research on cell membranes and lipids is at complete odds with modern medical practices and much dietary guidance. Statins and low fat diets are misguided attempts to prevent fatty nutrients from entering the blood stream by blocking the production of mevalonate. Mevalonate is used to make steroids hormones, cholesterol, signalling molecules, dolichols and co-enzyme Q10 etc – a whole series of vital health promoting substances.
The Statin-Damage Triad is a modern health crisis progressively brought on by a combination of 3 lifestyle factors: Excess Blood Sugar, Low Dietary Fat intake and statin medications.
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The inability of current recommendations to control the epidemic of diabetes, the specific failure of the prevailing low-fat diets to improve obesity, cardiovascular risk or general health and the persistent reports of some serious side effects of commonly prescribed diabetic medications, in combination with the continued success of low-carbohydrate diets in the treatment of diabetes and metabolic syndrome without significant side effects, point to the need for a reappraisal of dietary guidelines.
•They present major evidence for low-carbohydrate diets as first approach for diabetes.•Such diets reliably reduce high blood glucose, the most salient feature of diabetes.•Benefits do not require weight loss although nothing is better for weight reduction.•Carbohydrate-restricted diets reduce or eliminate medication.
•There are no side effects comparable to those seen in intensive treatment with drugs.
Feinman RD, Pogozelski WK, Astrup A, Bernstein RK, Fine EJ, Westman EC, Accurso A, Frasetto L, McFarlane S, Nielsen JV, Krarup T, Gower BA, Saslow L, Roth KS, Vernon MC, Volek JS, Wilshire GB, Dahlqvist A, Sundberg R, Childers A, Morrison K, Manninen AH, Dashti H, Wood RJ, Wortman J, Worm N, Dietary Carbohydrate restriction as the first approach in diabetes management. Critical review and evidence base, Nutrition (2014), doi: 10.1016/j.nut.2014.06.011.
You can’t get funding very easily for lifestyle trials because there is no profit to be made. Or is there? Medical Insurance and NHS costs would be reduced dramatically – so there is a cost reduction motive for funding!
Dietary Carbohydrate restriction as the first approach in diabetes management
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Sweden has become the first Western nation to develop national dietary guidelines that reject the popular low-fat diet dogma in favor of low-carb high-fat nutrition advice.
Some quotes from Prof. Nyström translated into English from Dr. Eenfeldt:
Butter, olive oil, heavy cream, and bacon are not harmful foods. Quite the opposite. Fat is the best thing for those who want to lose weight. And there are no connections between a high fat intake and cardiovascular disease.
On Monday, SBU, the Swedish Council on Health Technology Assessment, dropped a bombshell. After a two-year long inquiry, reviewing 16,000 studies, the report “Dietary Treatment for Obesity” upends the conventional dietary guidelines for obese or diabetic people.
For a long time, the health care system has given the public advice to avoid fat, saturated fat in particular, and calories. A low-carb diet (LCHF – Low Carb High Fat, is actually a Swedish “invention”) has been dismissed as harmful, a humbug and as being a fad diet lacking any scientific basis.
Instead, the health care system has urged diabetics to eat a lot of fruit (=sugar) and low-fat products with considerable amounts of sugar or artificial sweeteners, the latter a dangerous trigger for the sugar-addicted person.
This report turns the current concepts upside down and advocates a low-carbohydrate, high-fat diet, as the most effective weapon against obesity.
The expert committee consisted of ten physicians, and several of them were skeptics to low-carbohydrate diets at the beginning of the investigation.
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Zoe Harcombe et al. brilliantly expose the erroneous basis of much official dietary advice.
PDF (Size:82KB) PP. 240-244 DOI: 10.4236/fns.2013.43032
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Thank you Björn Hammarskjöld for the link.
Paper from Sanjay Basu, Paula Yoffe, Nancy Hills, Robert H. Lustig

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How to make a scare out of very little with statistics:
Enjoy the bacon with eggs – as with all traditional foods.
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The Academy of Medical Royal Colleges Obesity Initiative was launched at a parliamentary reception. At this reception I was able to confirm with several members of the Steering Group that the submissions of evidence (Appendix B in their report) clearly identified Dietary Sugar as a major contributor to this epidemic of Obesity which has steadily increased since around 1980.
This was the time when we were ill-advised to eat less fat and eat more sugar generating carbohydrate foods (McGovern & COMA). Ironically it was also the time when the food industry gave us low fat options by replacing healthy fats with cheap unhealthy sugars. A 35 year obesity epidemic has ensued.
There were many notable contributors and I commend the following evidence submission (click on names for links)
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A note to Dr Briffa from a T2 diabetic
“No, you MUST eat some carbohydrates” he said.
“I do, I told you, I eat plenty of vegetables.” I said.
“No, no, starchy carbohydrates, you NEED them”
“For energy, your body needs carbohydrates for energy” came his concerned reply.
He had no reply other than to repeat to me that I MUST eat carbohydrates for energy.
Diabetic transforms his health with a low-carb diet, BUT his doctor urges him to eat more carbs
