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> When people follow the standard guidelines (which are beginning, slowly, to change) to avoid fat and reduce calories they end up feeling hungry all the time,
by wdewind 11y ago
> When people follow the standard guidelines (which are beginning, slowly, to change) to avoid fat and reduce calories they end up feeling hungry all the time, and have to white knuckle their way through. This is not a state that people can maintain long-term.
I don't think there is anyone recommending reducing fats and calories as the only thing. Both of those are positive things to do to your diet, but if taken while ignoring the rest of the actual "standard guidelines" (which include eating more fiber and fruits and veggies), then yes, you are basically simply reducing calories (which is good) and increasing glycemic index (which is bad, for some).
> In short, when people become overweight, which is a progressive condition of insulin resistance that grows slowly over time, or in other words and emergent hormonal dysfunction because of diet, they cannot "eat less and move more."
I don't believe this is true but would be interested in seeing a study.
> To that extent it is not self-inflicted especially since millions of Americans are doing exactly that as told by their doctors and it is having no effect...The only way to really change body composition long-term, is to change diet in a way that is at odds with what doctors learned twenty years ago in the two days they studied nutrition in medical school, which, as it turns out, is wrong.
People have success with every kind of diet program, and it's a bit of a strawman to argue that the medical profession is advocating a diet that is only low in fat, but still high in sugar (which is what produces the results you're talking about). In fact, millions of Americans are following only a small portion of their doctors' advice (ie: lowering fats) which has the effect of lowering satiety, increasing overall glycemic index of their consumption (while ignoring the advice that they should eat more fiber and less sugar). There is no doctor out there recommending that as long as you eliminate bacon you can drink all the gatorade you want.
- spinlock 11y agoIt's not a straw-man. Look at the adoption of the low fat/high carb diet by medical professionals in america. Now compare that to the prevalence of obesity and type 2 diabetes.
- wdewind 11y agoNo offense but you literally just ignored everything I wrote and restated the original argument, which I see all the time, which is "medical professionals don't understand diet and don't recommend the right thing," which is, frankly, bullshit. Let me repeat: There are zero (0) medical professionals advocating for a high sugar diet. The "high carb" part of the recommended diet is meant to come from vegetables and whole grains (which contain a fair amount of fiber). There isn't any evidence I'm aware of showing people eating a calorically balanced, low fat, high carb, low sugar, moderate fiber, micronutritionally balanced diet and having diabetes. I understand that's more complex that saying "low fat/high carb" but again, there aren't doctors out there recommending cutting out fats and subsisting on sugar. So yes, it's a complete and total straw man, but when you only consider large macronutrient groups and ignore the rest of nutrition it's easy to see why that seems ignorable.
- buzzcut 11y ago> "there aren't doctors out there recommending cutting out fats and subsisting on sugar" That's true as far as it goes, but the internal fight inside the medical research community was whether it was fat or sugar that was the culprit in a host of physical problems. Fat won in a slam dunk, even though it turns out to be wrong. Doctors are largely not researchers, and they are taught what was the conventional wisdom. There is no suggestion of malice, just bad (or at least overturned, but it was actually bad in this case) research that has been promulgated in the medical community. A lot of doctors think fat is bad and pay less attention to sugar. The Guardian recently wrote about this: http://www.theguardian.com/society/2016/apr/07/the-sugar-conspiracy-robert-lustig-john-yudkin http://www.theguardian.com/society/2016/apr/07/the-sugar-con... So, it's not bullshit to say a lot of doctors don't understand the nutrition. OK, later! :)