Why Eating a Low-Fat Diet Doesn’t Lead to Weight Loss
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After you eat a high-carbohydrate meal, your insulin spikes and your blood sugar plummets -- making you very hungry. That is why you crave more carbs, more sugar and eat more the whole day.Pioneering research by Harvard Medical School's David Ludwig reveals the reason that low-fat diets do not work -- and identifies the true cause of obesity for most Americans. Dr. Ludwig's research explains the real reasons 70 percent of Americans are overweight. In the 1980's not one state had an obesity rate over 20 percent. In 2010, ONLY one state has an obesity rate UNDER 20 percent. This is not a genetic problem. What The Research Tells Us About Dietary Fat In a study published in the Journal of the American Medical Association (i) Dr. Ludwig correctly points out that careful review of all the studies on dietary fat and body fat -- such as those done by Dr. Walter Willett of the Harvard School of Public Health -- have shown that dietary fat is not a major determinant of body fat. Let me repeat that. Dietary fat is not a major determinant of body fat. The Women's Health Initiative, which is the largest clinical trial of diet and body weight, found that 50,000 women on low-fat diets had no significant weight loss. Yet another study looked at people who followed four different diets for 12 months -- and found no dramatic differences between those who followed low-fat, low-carb, and very- low-carb diets. The question then is, why aren't we seeing any significant effects or differences from these various diets? The main reason, Dr. Ludwig suggests, is that we are looking for answers in the wrong place. The future of treating obesity and weight is in personalizing our approach. This is the approach I wrote about in my book UltraMetabolism. It's called nutrigenomics. It is the science of how we can use food to influence our genes and personalize our approach to health, and it is the science my practice is based on. Let me share how I diagnose and treat obesity. A Better Way To Diagnose And Treat Obesity Over the last 15 years, I have tested almost every one of my patients using a test that most doctors never use. In fact, it is even harder to find in the research, except in this pioneering work by Dr. Ludwig. This test is cheap, easy to do and it is probably the most important test for determining your overall health, the causes for obesity, and your risk of diabetes, heart disease, cancer, Alzheimer's, and premature aging. Yet it is a test your healthcare provider probably does not perform, does not know how to interpret and often thinks is useless. Thankfully, Dr. Ludwig's research brings this critical method of diagnosing the cause of obesity and disease to the forefront. You see, in two recent studies, he found that the main factor that determines changes in body weight and waist circumference (also known as belly fat) is how your body responds to any type of sugar, carbohydrate, or glucose load. The most important test to determine this doesn't measure your blood sugar or cholesterol. It tests your insulin level. You have to check it after drinking a sugary beverage that contains 75 grams of glucose. This test has shown me more about my patients than any other test. It helps me personalize and customize a nutritional approach for them. And its usefulness is now being borne out in this research by Dr. Ludwig and his colleagues. In one study, for example, Dr. Ludwig and his colleagues followed 276 people for six years.(ii) They performed a glucose tolerance test at the beginning of the study and looked at insulin concentrations 30 minutes after the people consumed a sugary drink. This gave the researchers a rough estimate of whether they were high or low insulin secretors. During the course of the study, they looked at the people's body weight and waist circumference or belly fat. They found that those who were the highest insulin secretors had the biggest change in weight and belly fat compared to the low insulin secretors. And people who were high insulin secretors and ate low-fat diets did even worse. This makes perfect sense -- because insulin does two things:
- It stimulates hunger
- It is a fat storage hormone, which makes you store belly fat
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