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What percentage of a cholesterol decrease can be attributed to statins ?

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General fitness, health and nutrition
Published
4 October 2003
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2 November 2003
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Joe Smigiel
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  1. On Mon, 6 Oct 2003 22:29:21 -0500, "Julianne" <[email hidden]>

    Quoted message said:

    One thing to consider is that Atkins
    has been around for over 30 years. Why has there not been more data in 30
    years?

    Atkins refused to participate in any data collections and any studies
    of his patient population.

    Lift well, Eat less, Walk fast, Live long.

  2. A fairly new study showed that a high protein diet is bad for those
    with kidney problems. For those with healthy kidneys the jury is
    still out. Re: fats - Mel has it right, but for more details see
    http://www.hsph.harvard.edu/nutritionsource/fats.html If your high
    protein diet was from eating seafood it might be ok - but from eating
    fatty red meat, no. How many grams of protein are you consuming per
    day?

    Thorsten Schier <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:

    Brad Sheppard schrieb:

    Quoted message said:


    Lowering carbs may or may not be a good thing. Lowering refined carbs
    is very likely good. Before overdosing on protein, I urge you to read
    the Harvard School of Public Health's opinion of too much protein - in
    a nutshell, getting over 1 gram of protein per kilo of bodyweight may
    be dangerous http://www.hsph.harvard.edu/nutritionsource/protein.html
    Lowering carbs may make sense if you are increasing "good" fats.

    Thank you for this interesting link. However, if I didn't overlook
    something important, they are not so negative about much protein. The
    worst likely problem seems to be that a high protein diet may weaken the
    bones. Taking a calcium supplement might prevent this problem. On the
    positive side:

    " In the Nurses' Health Study, women who ate the most protein (about 110
    grams per day) were 25 percent less likely to have had a heart attack or
    to have died of heart disease than the women who ate the least protein
    (about 68 grams per day) over a 14-year period."

    I notice that they don't mention that a high protein diet might be a
    strain on the kidneys, something you can sometimes hear.

    So basically you have the choice between a higher risk of broken bones
    and a higher risk of heart attack. I think I'm going for the broken
    bones.

    Eating good fats is certainly a goog idea, that is, if you can tell me
    what the good fats are. There seems to be a considerable amount of
    uncertainty about this. The authors of the article you cited seem to
    think that saturated fat is somehow unhealthy. I would like to see a
    study that this is really true.

    Thorsten

  3. Blue Mu_n said:

    On Mon, 6 Oct 2003 22:29:21 -0500, "Julianne" <[email hidden]>
    wrote:

    One thing to consider is that Atkins

    Quoted message said:

    has been around for over 30 years. Why has there not been more data in 30
    years?

    Atkins refused to participate in any data collections and any studies
    of his patient population.

    Strikingly similar to the 2PoundDiet protagonists' behavior.

    Pastorio

  4. "Blue Mu_n" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    On Mon, 6 Oct 2003 22:29:21 -0500, "Julianne" <[email hidden]>

    Quoted message said:

    One thing to consider is that Atkins
    has been around for over 30 years. Why has there not been more data in


    30

    Quoted message said:
    Quoted message said:

    years?

    Atkins refused to participate in any data collections and any studies
    of his patient population.

    Care to cite references?

  5. "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Julianne said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Thorsten Schier wrote:

    > "Dr. Andrew B. Chung, MD/PhD" schrieb:
    > >
    > > Joe Smigiel wrote:
    > >
    > [...]
    > > > and helped prevent some weight loss. I could do fewer
    > > > carbs...)
    > >
    > > Carbs don't cause obesity.
    >
    > A growing number of scientists will disagree with you on that.

    If that were true, it should be easy for you to cite research studies
    describing carbohydrates causing obesity.

    Please don't cite Dr. Atkins:

    (1) He's dead.

    (2) He wasn't a scientist. Being a diet guru was not the same.

    Being dead doesn't neccessarily negate the value of one's message.


    Don't

    Quoted message said:
    Quoted message said:

    you frequently quote the gospel?

    Yes. Jesus is risen, therefore He is not dead.

    Yeah, but some of the apostles are decidedly napping for a while until the
    second coming.

    Quoted message said:


    Quoted message said:


    But, you are correct - there is nothing scientific about Atkins. He is


    not

    Quoted message said:
    Quoted message said:

    gospel!

    Nor was he a scientist.

    No, he sold books and was very successful.

    Quoted message said:


    Quoted message said:
    Quoted message said:


    > However
    > that may be, cutting out most carbs will cause a vast majority of


    obese

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > people to lose weight.

    Cutting out anything will cause weight loss. Problem is that research
    studies indicate that such "dieting" has dismal long-term success


    rates..

    Quoted message said:
    Quoted message said:


    I am not a scientist either but I think everyone's argument in this


    thread,

    Quoted message said:
    Quoted message said:

    thus far, has merit. Atkins is very good for short term weight loss.
    Sometimes, the initial success encourages people to go further. I do


    think

    Quoted message said:
    Quoted message said:

    it is boring, though. I have read preliminary studies on Atkins but


    there

    Quoted message said:
    Quoted message said:

    is not enough data to satisfy me, yet. One thing to consider is that


    Atkins

    Quoted message said:
    Quoted message said:

    has been around for over 30 years. Why has there not been more data in


    30

    Quoted message said:
    Quoted message said:

    years?

    You have to wonder.

    Not really🙂

    Quoted message said:


    Quoted message said:


    I have also read intensely on insulin resistance, Syndrome X, etc.,


    whatever

    Quoted message said:
    Quoted message said:

    it is called these days. Most studies state that between 20 and 25


    percent

    Quoted message said:
    Quoted message said:

    of US citizens are insulin resistant. For the insulin resistant, severe
    restriction of refined carbs is a good thing. (Note, I did not say
    elimination!) But, that also means that 75 to 80 percent of us will not
    have insatiable rebound hunger from an occasional side of rice or


    potatoes

    Quoted message said:
    Quoted message said:

    eaten in moderation with a meal. I am the poster child of insulin
    resistance - very small with long skinny legs, no butt but all my weight


    is

    Quoted message said:
    Quoted message said:

    carried in the middle. I remember going to the store to pick up cat


    food

    Quoted message said:
    Quoted message said:

    knowing that in spite of my best intentions, I would walk out with a


    soda.

    Quoted message said:
    Quoted message said:

    It wasn't until I seriously dealt with my eating that I was able to pass


    the

    Quoted message said:
    Quoted message said:

    soda and candy bars up without regret.

    There is a magic bullet for insulin resistance, though. It is so simple
    that I could be the hostess of an infomercial. Instead of expensive


    shakes

    Quoted message said:
    Quoted message said:

    and radical diets, all one really has to do is exercise. Studies show


    that

    Quoted message said:
    Quoted message said:

    the body can use insulin much more efficiently for 24 to 48 hours after


    an

    Quoted message said:
    Quoted message said:

    hour of moderate exercise. Also, resistance training improves


    sensitivity

    Quoted message said:
    Quoted message said:

    to the muscles used in the resistance training. Keeping this in mind, I


    try

    Quoted message said:
    Quoted message said:

    to exercise for an hour each day. Instead of running flat out for 20 or


    30

    Quoted message said:
    Quoted message said:

    minutes, I walk briskly for 45 minutes or an hour and follow up with
    resistance training. It doesn't take much. I am not graceful. I have


    a

    Quoted message said:
    Quoted message said:

    bench and a few free weights and I just do it!

    There is also research that shows that metformin can improve insulin
    resistance. I am reluctant to try this as long as I can exercise and


    eat an

    Quoted message said:
    Quoted message said:

    appropriate diet. If I couldn't exercise or if my food choices were
    severely restricted, I would try this.

    Quoted message said:


    > In addition, it offers a whole host of other
    > health benefits like reduced bloodpressure

    That happens from losing weight.

    It also happens with Atkins as diuresis is quite dramatic in the first
    weeks;

    Yes.

    Quoted message said:

    moreso than on a reduced calorie diet. This is one reason why I do
    not like to see heart patients on Atkins. Along with the fluid, goes
    potassium and many heart patients have rhythm problems or are maintained


    on

    Quoted message said:
    Quoted message said:

    lasix. I have been challenged numerous times from low carb proponents


    who

    Quoted message said:
    Quoted message said:

    state that OTC K+ supplements are harmless. I am of the rather narrow
    opinion that potassium supplementation should never be self supervised
    without lab work, etc. I have attended far too many codes for patients


    with

    Quoted message said:
    Quoted message said:

    medically supervised potassium supplementation to believe that one


    should

    Quoted message said:
    Quoted message said:

    try this on their own.

    Quoted message said:


    > and lower triglcerides.

    This also happens largely from losing weight.

    Without carbohydrates, there will be hyperketonemia. This is not a


    good

    Quoted message said:
    Quoted message said:
    Quoted message said:

    thing physiologically.

    It is especially dangerous for heart patients and being that this is a
    cardiology group, I thought I might make a note of that.

    Correct.

    Quoted message said:


    Quoted message said:

    > If
    > you are interested in how this works, I'd recommend the book


    "Protein

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > Power" by Michael and Mary Eades to you.

    I've read the book - found it fascinating. It makes many good points


    and is

    Quoted message said:
    Quoted message said:

    not as strict as Atkins. It is also very hard to follow though in real
    life. I also like the Zone diet plan but being mathematically


    challenged,

    Quoted message said:
    Quoted message said:

    it is hard for me to figure out all the ratios. Why can't someone put
    together a plan that just says eat carbs with protien and watch calories


    and

    Quoted message said:
    Quoted message said:

    exercise? Is it too simple?

    See http://www.heartmdphd.com/wtloss.asp

    Read that, too🙂 Aren't I the well read one? Good points made but I find,
    that for me personally, it's almost too simple. Plus, some things I like to
    eat are decidedly heavy such as apples and fat free yogurt. That alone
    would kill 1/4 of my food each day. And I am not one to weight sauces, etc.

    Quoted message said:
    Quoted message said:

    I do believe in the merits of eating a lower carb diet, especially one


    that

    Quoted message said:
    Quoted message said:

    focuses on vegetables as the main source of carbs. No one ever became
    healthier from eating white sugar, candy bars and soft drinks.


    Furthermore,

    Quoted message said:
    Quoted message said:

    in order to eat lower carb, something must be increased to provide


    calories.

    Quoted message said:
    Quoted message said:

    Usually this is lean protien. This shouldn't be a problem in moderation


    for

    Quoted message said:
    Quoted message said:

    most people (as long as plenty of water is consumed).

    I pay close attention to the glycemic index when choosing foods. It is


    far

    Quoted message said:
    Quoted message said:

    more complicated than simply eating protien and fat to the exclusion of
    carbs but it makes sense. In Australia, many foods are labeled with


    their

    Quoted message said:
    Quoted message said:

    glycemic index or glycemic load. I would kill for that to be on our


    food

    Quoted message said:
    Quoted message said:

    labels. It isn't the end all of nutritional data (french fries have a


    lower

    Quoted message said:
    Quoted message said:

    index than baked potatoes without butter) but it is a start and when
    considered along with fats, calories, etc., it makes sense for just


    about

    Quoted message said:
    Quoted message said:

    everyone.

    Quoted message said:

    >

    I prefer peer-reviewed journal article to books like "Protein Power."

    Quoted message said:


    The latter sounds too much like "White Power."

    And when I think of white powder, my mind automatically turns to white
    powder which is another no-no for heart patients🙂

    j

    Thank you for your comments :-)

    You're welcome. Thanks for your comments.

    Quoted message said:


    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  6. In article <[email hidden]>,

    (Brad Sheppard) said:

    If your high
    protein diet was from eating seafood it might be ok - but from eating
    fatty red meat, no.

    (I realize you said "fatty" red meat.) Most folks have really cut back
    on _all_ beef consumption because of the "limit red meat" medical mantra
    of the last 25 years. According to an article in today's Oregonian
    Business section on the beef market, the avg. US consumption has dropped
    from about 94 lubs in 1976 to 67 lubs in 2002.

    Tyson makes a tasty and tender frozen steak, "Beef Flat Iron Griller"
    that has the following nutritional breakdown:

    Portion size: 177g (roughly $1.75/portion)
    Fat: 2 g
    Sat. Fat: .5g
    Chol: 90mg
    Sod: 340mg
    Carb: 0g
    Prot: 31g

    Compare to Bumble Bee, Solid White Albacore in water:

    Portion: 140g (roughly $1.70/portion > I eat the entire drained contents
    as one portion)
    Fat: 2.5g
    Sat Fat: 0g
    Chol: 62.5mg
    Sod: 625mg
    Carb: 0g
    Protein: 37.5g

    Very comparable all around ('cept the salt). Just wanted to point out
    the equally healthy nutritional value of a good beef item for folks who
    may have read "all" into your "fatty" comment - or the advice folks hear
    from their docs.

  7. Owen Lowe said:

    In article <[email hidden]>,

    (Brad Sheppard) said:

    If your high
    protein diet was from eating seafood it might be ok - but from eating
    fatty red meat, no.

    (I realize you said "fatty" red meat.) Most folks have really cut back
    on _all_ beef consumption because of the "limit red meat" medical mantra
    of the last 25 years. According to an article in today's Oregonian
    Business section on the beef market, the avg. US consumption has dropped
    from about 94 lubs in 1976 to 67 lubs in 2002.

    Tyson makes a tasty and tender frozen steak, "Beef Flat Iron Griller"
    that has the following nutritional breakdown:

    Portion size: 177g (roughly $1.75/portion)
    Fat: 2 g
    Sat. Fat: .5g
    Chol: 90mg
    Sod: 340mg
    Carb: 0g
    Prot: 31g

    Compare to Bumble Bee, Solid White Albacore in water:

    Portion: 140g (roughly $1.70/portion > I eat the entire drained contents
    as one portion)
    Fat: 2.5g
    Sat Fat: 0g
    Chol: 62.5mg
    Sod: 625mg
    Carb: 0g
    Protein: 37.5g

    Very comparable all around ('cept the salt). Just wanted to point out
    the equally healthy nutritional value of a good beef item for folks who
    may have read "all" into your "fatty" comment - or the advice folks hear
    from their docs.

    Would you like to tell us about the hormones used in Tyson's nutritional
    beef? Or how about the irridation? No irridation? What else are they doing?
    Antibiotics?

    C'mon now, comparing fish to red meat? Red meat healthier?

    Calling Dr. Chung. :-)

    Mel, does not eat any red meat.

  8. Julianne said:

    snip<

    Quoted message said:
    Quoted message said:

    Yes. Jesus is risen, therefore He is not dead.

    Yeah, but some of the apostles are decidedly napping for a while until the
    second coming.

    Listen, if you were waiting over 2000 years for someone to come, you'd also
    fall asleep.

    Mel

    Quoted message said:
    Quoted message said:


    Quoted message said:


    But, you are correct - there is nothing scientific about Atkins. He is


    not

    Quoted message said:
    Quoted message said:

    gospel!

    Nor was he a scientist.

    No, he sold books and was very successful.

    Quoted message said:


    Quoted message said:

    >
    > > However
    > > that may be, cutting out most carbs will cause a vast majority of


    obese

    Quoted message said:
    Quoted message said:

    > > people to lose weight.
    >
    > Cutting out anything will cause weight loss. Problem is that research
    > studies indicate that such "dieting" has dismal long-term success


    rates..

    Quoted message said:
    Quoted message said:


    I am not a scientist either but I think everyone's argument in this


    thread,

    Quoted message said:
    Quoted message said:

    thus far, has merit. Atkins is very good for short term weight loss.
    Sometimes, the initial success encourages people to go further. I do


    think

    Quoted message said:
    Quoted message said:

    it is boring, though. I have read preliminary studies on Atkins but


    there

    Quoted message said:
    Quoted message said:

    is not enough data to satisfy me, yet. One thing to consider is that


    Atkins

    Quoted message said:
    Quoted message said:

    has been around for over 30 years. Why has there not been more data in


    30

    Quoted message said:
    Quoted message said:

    years?

    You have to wonder.

    Not really🙂

    Quoted message said:


    Quoted message said:


    I have also read intensely on insulin resistance, Syndrome X, etc.,


    whatever

    Quoted message said:
    Quoted message said:

    it is called these days. Most studies state that between 20 and 25


    percent

    Quoted message said:
    Quoted message said:

    of US citizens are insulin resistant. For the insulin resistant, severe
    restriction of refined carbs is a good thing. (Note, I did not say
    elimination!) But, that also means that 75 to 80 percent of us will not
    have insatiable rebound hunger from an occasional side of rice or


    potatoes

    Quoted message said:
    Quoted message said:

    eaten in moderation with a meal. I am the poster child of insulin
    resistance - very small with long skinny legs, no butt but all my weight


    is

    Quoted message said:
    Quoted message said:

    carried in the middle. I remember going to the store to pick up cat


    food

    Quoted message said:
    Quoted message said:

    knowing that in spite of my best intentions, I would walk out with a


    soda.

    Quoted message said:
    Quoted message said:

    It wasn't until I seriously dealt with my eating that I was able to pass


    the

    Quoted message said:
    Quoted message said:

    soda and candy bars up without regret.

    There is a magic bullet for insulin resistance, though. It is so simple
    that I could be the hostess of an infomercial. Instead of expensive


    shakes

    Quoted message said:
    Quoted message said:

    and radical diets, all one really has to do is exercise. Studies show


    that

    Quoted message said:
    Quoted message said:

    the body can use insulin much more efficiently for 24 to 48 hours after


    an

    Quoted message said:
    Quoted message said:

    hour of moderate exercise. Also, resistance training improves


    sensitivity

    Quoted message said:
    Quoted message said:

    to the muscles used in the resistance training. Keeping this in mind, I


    try

    Quoted message said:
    Quoted message said:

    to exercise for an hour each day. Instead of running flat out for 20 or


    30

    Quoted message said:
    Quoted message said:

    minutes, I walk briskly for 45 minutes or an hour and follow up with
    resistance training. It doesn't take much. I am not graceful. I have


    a

    Quoted message said:
    Quoted message said:

    bench and a few free weights and I just do it!

    There is also research that shows that metformin can improve insulin
    resistance. I am reluctant to try this as long as I can exercise and


    eat an

    Quoted message said:
    Quoted message said:

    appropriate diet. If I couldn't exercise or if my food choices were
    severely restricted, I would try this.
    >
    > > In addition, it offers a whole host of other
    > > health benefits like reduced bloodpressure
    >
    > That happens from losing weight.

    It also happens with Atkins as diuresis is quite dramatic in the first
    weeks;

    Yes.

    Quoted message said:

    moreso than on a reduced calorie diet. This is one reason why I do
    not like to see heart patients on Atkins. Along with the fluid, goes
    potassium and many heart patients have rhythm problems or are maintained


    on

    Quoted message said:
    Quoted message said:

    lasix. I have been challenged numerous times from low carb proponents


    who

    Quoted message said:
    Quoted message said:

    state that OTC K+ supplements are harmless. I am of the rather narrow
    opinion that potassium supplementation should never be self supervised
    without lab work, etc. I have attended far too many codes for patients


    with

    Quoted message said:
    Quoted message said:

    medically supervised potassium supplementation to believe that one


    should

    Quoted message said:
    Quoted message said:

    try this on their own.
    >
    > > and lower triglcerides.
    >
    > This also happens largely from losing weight.
    >
    > Without carbohydrates, there will be hyperketonemia. This is not a


    good

    Quoted message said:
    Quoted message said:

    > thing physiologically.

    It is especially dangerous for heart patients and being that this is a
    cardiology group, I thought I might make a note of that.

    Correct.

    Quoted message said:


    > > If
    > > you are interested in how this works, I'd recommend the book


    "Protein

    Quoted message said:
    Quoted message said:

    > > Power" by Michael and Mary Eades to you.

    I've read the book - found it fascinating. It makes many good points


    and is

    Quoted message said:
    Quoted message said:

    not as strict as Atkins. It is also very hard to follow though in real
    life. I also like the Zone diet plan but being mathematically


    challenged,

    Quoted message said:
    Quoted message said:

    it is hard for me to figure out all the ratios. Why can't someone put
    together a plan that just says eat carbs with protien and watch calories


    and

    Quoted message said:
    Quoted message said:

    exercise? Is it too simple?

    See http://www.heartmdphd.com/wtloss.asp

    Read that, too🙂 Aren't I the well read one? Good points made but I find,
    that for me personally, it's almost too simple. Plus, some things I like to
    eat are decidedly heavy such as apples and fat free yogurt. That alone
    would kill 1/4 of my food each day. And I am not one to weight sauces, etc.

    Quoted message said:
    Quoted message said:

    I do believe in the merits of eating a lower carb diet, especially one


    that

    Quoted message said:
    Quoted message said:

    focuses on vegetables as the main source of carbs. No one ever became
    healthier from eating white sugar, candy bars and soft drinks.


    Furthermore,

    Quoted message said:
    Quoted message said:

    in order to eat lower carb, something must be increased to provide


    calories.

    Quoted message said:
    Quoted message said:

    Usually this is lean protien. This shouldn't be a problem in moderation


    for

    Quoted message said:
    Quoted message said:

    most people (as long as plenty of water is consumed).

    I pay close attention to the glycemic index when choosing foods. It is


    far

    Quoted message said:
    Quoted message said:

    more complicated than simply eating protien and fat to the exclusion of
    carbs but it makes sense. In Australia, many foods are labeled with


    their

    Quoted message said:
    Quoted message said:

    glycemic index or glycemic load. I would kill for that to be on our


    food

    Quoted message said:
    Quoted message said:

    labels. It isn't the end all of nutritional data (french fries have a


    lower

    Quoted message said:
    Quoted message said:

    index than baked potatoes without butter) but it is a start and when
    considered along with fats, calories, etc., it makes sense for just


    about

    Quoted message said:
    Quoted message said:

    everyone.

    > >
    >
    > I prefer peer-reviewed journal article to books like "Protein Power."

    >
    > The latter sounds too much like "White Power."

    And when I think of white powder, my mind automatically turns to white
    powder which is another no-no for heart patients🙂

    j

    Thank you for your comments :-)

    You're welcome. Thanks for your comments.

    Quoted message said:


    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  9. Julianne said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    John Merlano said:

    On Sun, 05 Oct 2003 16:47:55 GMT, Dr. Andrew B. Chung, MD/PhD wrote:

    > Joe Smigiel wrote:
    >
    >> I had a heart attack June 9th, 3xCABG on June 13th, and am feeling
    >> pretty good now. I'm 49 and male with a history of CAD in my family
    >> (older brother 5xCABG, father 3XCABG, paternal uncles all with MIs,
    >> CAD). I went through a hospital cardiac rehab regimen in about 4


    weeks

    Quoted message said:
    Quoted message said:

    >> time this summer and have increased my exercise rate about 25-30%


    since

    Quoted message said:
    Quoted message said:

    >> graduating from the program.
    >>
    >> My cardiologist has me on Lipitor 10mg/day as well as metaprolol,
    >> Altace, aspirin, and a daily multivitamin. The last time checked &
    >> several years before the heart attack my cholesterol was 202. Last
    >> month it was 116 with the hdl/ldl ratio about 3.5.
    >
    > You probably mean LDL/HDL ratio.
    >
    >> Yesterday I had
    >> another blood test and the total cholesterol was less than 100, hdl @
    >> 27. (Glucose 88, BP 90/58 which was low, usually around 100/70.)
    >>
    >
    > Your HDL needs to be higher. More exercise should help that.
    >
    >>
    >> Since surgery I've done some lifestyle changes including quitting
    >> smoking (was 1 1/2 packs per day for 32 years),
    >
    > Good.
    >
    >> continuing to exercise
    >> 5-6 times per week
    >
    > This needs to be aerobic for at least 30 minutes daily preferably


    before

    Quoted message said:
    Quoted message said:

    > supper.

    Why before supper? And do you mean directly before supper or at any time of
    the day prior to the evening meal?

    Right before supper. There have been studies that suggest the lipid profile
    will respond more favorably.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  10. Brad Sheppard said:

    A fairly new study showed that a high protein diet is bad for those
    with kidney problems.

    Old news. Physicians have been counseling folks with kidneys problems to avoid high protein
    diets for years if not decades.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  11. Julianne said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Julianne said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...
    > Thorsten Schier wrote:
    >
    > > "Dr. Andrew B. Chung, MD/PhD" schrieb:
    > > >
    > > > Joe Smigiel wrote:
    > > >
    > > [...]
    > > > > and helped prevent some weight loss. I could do fewer
    > > > > carbs...)
    > > >
    > > > Carbs don't cause obesity.
    > >
    > > A growing number of scientists will disagree with you on that.
    >
    > If that were true, it should be easy for you to cite research studies
    > describing carbohydrates causing obesity.
    >
    > Please don't cite Dr. Atkins:
    >
    > (1) He's dead.
    >
    > (2) He wasn't a scientist. Being a diet guru was not the same.

    Being dead doesn't neccessarily negate the value of one's message.


    Don't

    Quoted message said:
    Quoted message said:

    you frequently quote the gospel?

    Yes. Jesus is risen, therefore He is not dead.

    Yeah, but some of the apostles are decidedly napping for a while until the
    second coming.

    Quoted message said:


    Quoted message said:


    But, you are correct - there is nothing scientific about Atkins. He is


    not

    Quoted message said:
    Quoted message said:

    gospel!

    Nor was he a scientist.

    No, he sold books and was very successful.

    Quoted message said:


    Quoted message said:

    >
    > > However
    > > that may be, cutting out most carbs will cause a vast majority of


    obese

    Quoted message said:
    Quoted message said:

    > > people to lose weight.
    >
    > Cutting out anything will cause weight loss. Problem is that research
    > studies indicate that such "dieting" has dismal long-term success


    rates..

    Quoted message said:
    Quoted message said:


    I am not a scientist either but I think everyone's argument in this


    thread,

    Quoted message said:
    Quoted message said:

    thus far, has merit. Atkins is very good for short term weight loss.
    Sometimes, the initial success encourages people to go further. I do


    think

    Quoted message said:
    Quoted message said:

    it is boring, though. I have read preliminary studies on Atkins but


    there

    Quoted message said:
    Quoted message said:

    is not enough data to satisfy me, yet. One thing to consider is that


    Atkins

    Quoted message said:
    Quoted message said:

    has been around for over 30 years. Why has there not been more data in


    30

    Quoted message said:
    Quoted message said:

    years?

    You have to wonder.

    Not really🙂

    Quoted message said:


    Quoted message said:


    I have also read intensely on insulin resistance, Syndrome X, etc.,


    whatever

    Quoted message said:
    Quoted message said:

    it is called these days. Most studies state that between 20 and 25


    percent

    Quoted message said:
    Quoted message said:

    of US citizens are insulin resistant. For the insulin resistant, severe
    restriction of refined carbs is a good thing. (Note, I did not say
    elimination!) But, that also means that 75 to 80 percent of us will not
    have insatiable rebound hunger from an occasional side of rice or


    potatoes

    Quoted message said:
    Quoted message said:

    eaten in moderation with a meal. I am the poster child of insulin
    resistance - very small with long skinny legs, no butt but all my weight


    is

    Quoted message said:
    Quoted message said:

    carried in the middle. I remember going to the store to pick up cat


    food

    Quoted message said:
    Quoted message said:

    knowing that in spite of my best intentions, I would walk out with a


    soda.

    Quoted message said:
    Quoted message said:

    It wasn't until I seriously dealt with my eating that I was able to pass


    the

    Quoted message said:
    Quoted message said:

    soda and candy bars up without regret.

    There is a magic bullet for insulin resistance, though. It is so simple
    that I could be the hostess of an infomercial. Instead of expensive


    shakes

    Quoted message said:
    Quoted message said:

    and radical diets, all one really has to do is exercise. Studies show


    that

    Quoted message said:
    Quoted message said:

    the body can use insulin much more efficiently for 24 to 48 hours after


    an

    Quoted message said:
    Quoted message said:

    hour of moderate exercise. Also, resistance training improves


    sensitivity

    Quoted message said:
    Quoted message said:

    to the muscles used in the resistance training. Keeping this in mind, I


    try

    Quoted message said:
    Quoted message said:

    to exercise for an hour each day. Instead of running flat out for 20 or


    30

    Quoted message said:
    Quoted message said:

    minutes, I walk briskly for 45 minutes or an hour and follow up with
    resistance training. It doesn't take much. I am not graceful. I have


    a

    Quoted message said:
    Quoted message said:

    bench and a few free weights and I just do it!

    There is also research that shows that metformin can improve insulin
    resistance. I am reluctant to try this as long as I can exercise and


    eat an

    Quoted message said:
    Quoted message said:

    appropriate diet. If I couldn't exercise or if my food choices were
    severely restricted, I would try this.
    >
    > > In addition, it offers a whole host of other
    > > health benefits like reduced bloodpressure
    >
    > That happens from losing weight.

    It also happens with Atkins as diuresis is quite dramatic in the first
    weeks;

    Yes.

    Quoted message said:

    moreso than on a reduced calorie diet. This is one reason why I do
    not like to see heart patients on Atkins. Along with the fluid, goes
    potassium and many heart patients have rhythm problems or are maintained


    on

    Quoted message said:
    Quoted message said:

    lasix. I have been challenged numerous times from low carb proponents


    who

    Quoted message said:
    Quoted message said:

    state that OTC K+ supplements are harmless. I am of the rather narrow
    opinion that potassium supplementation should never be self supervised
    without lab work, etc. I have attended far too many codes for patients


    with

    Quoted message said:
    Quoted message said:

    medically supervised potassium supplementation to believe that one


    should

    Quoted message said:
    Quoted message said:

    try this on their own.
    >
    > > and lower triglcerides.
    >
    > This also happens largely from losing weight.
    >
    > Without carbohydrates, there will be hyperketonemia. This is not a


    good

    Quoted message said:
    Quoted message said:

    > thing physiologically.

    It is especially dangerous for heart patients and being that this is a
    cardiology group, I thought I might make a note of that.

    Correct.

    Quoted message said:


    > > If
    > > you are interested in how this works, I'd recommend the book


    "Protein

    Quoted message said:
    Quoted message said:

    > > Power" by Michael and Mary Eades to you.

    I've read the book - found it fascinating. It makes many good points


    and is

    Quoted message said:
    Quoted message said:

    not as strict as Atkins. It is also very hard to follow though in real
    life. I also like the Zone diet plan but being mathematically


    challenged,

    Quoted message said:
    Quoted message said:

    it is hard for me to figure out all the ratios. Why can't someone put
    together a plan that just says eat carbs with protien and watch calories


    and

    Quoted message said:
    Quoted message said:

    exercise? Is it too simple?

    See http://www.heartmdphd.com/wtloss.asp

    Read that, too🙂 Aren't I the well read one? Good points made but I find,
    that for me personally, it's almost too simple. Plus, some things I like to
    eat are decidedly heavy such as apples and fat free yogurt. That alone
    would kill 1/4 of my food each day. And I am not one to weight sauces, etc.

    Why are you fighting for every morsel of food?

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  12. Paul E. Lehmann said:

    "Blue Mu_n" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    On Mon, 6 Oct 2003 22:29:21 -0500, "Julianne" <[email hidden]>

    Quoted message said:

    One thing to consider is that Atkins
    has been around for over 30 years. Why has there not been more data in


    30

    Quoted message said:
    Quoted message said:

    years?

    Atkins refused to participate in any data collections and any studies
    of his patient population.

    Care to cite references?

    If the late Dr. Atkins' refused to participate in such studies, one would
    expect that there would be no references to be found.

    A good review article on the topic:

    http://tinyurl.com/q404

    A good reference list:

    http://tinyurl.com/q401

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  13. "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Julianne said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in


    message

    Quoted message said:
    Quoted message said:

    news:[email hidden]...

    Quoted message said:

    Julianne wrote:

    > "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in


    message

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > news:[email hidden]...
    > > Thorsten Schier wrote:
    > >
    > > > "Dr. Andrew B. Chung, MD/PhD" schrieb:
    > > > >
    > > > > Joe Smigiel wrote:
    > > > >
    > > > [...]
    > > > > > and helped prevent some weight loss. I could do fewer
    > > > > > carbs...)
    > > > >
    > > > > Carbs don't cause obesity.
    > > >
    > > > A growing number of scientists will disagree with you on that.
    > >
    > > If that were true, it should be easy for you to cite research


    studies

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > > describing carbohydrates causing obesity.
    > >
    > > Please don't cite Dr. Atkins:
    > >
    > > (1) He's dead.
    > >
    > > (2) He wasn't a scientist. Being a diet guru was not the same.
    >
    > Being dead doesn't neccessarily negate the value of one's message.


    Don't

    Quoted message said:

    > you frequently quote the gospel?
    >

    Yes. Jesus is risen, therefore He is not dead.

    Yeah, but some of the apostles are decidedly napping for a while until


    the

    Quoted message said:
    Quoted message said:

    second coming.

    Quoted message said:


    >
    > But, you are correct - there is nothing scientific about Atkins. He


    is

    Quoted message said:
    Quoted message said:

    not

    Quoted message said:

    > gospel!
    >

    Nor was he a scientist.

    No, he sold books and was very successful.

    Quoted message said:


    > >
    > > > However
    > > > that may be, cutting out most carbs will cause a vast majority


    of

    Quoted message said:
    Quoted message said:

    obese

    Quoted message said:

    > > > people to lose weight.
    > >
    > > Cutting out anything will cause weight loss. Problem is that


    research

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > > studies indicate that such "dieting" has dismal long-term success


    rates..

    Quoted message said:

    >
    > I am not a scientist either but I think everyone's argument in this


    thread,

    Quoted message said:

    > thus far, has merit. Atkins is very good for short term weight


    loss.

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > Sometimes, the initial success encourages people to go further. I


    do

    Quoted message said:
    Quoted message said:

    think

    Quoted message said:

    > it is boring, though. I have read preliminary studies on Atkins but


    there

    Quoted message said:

    > is not enough data to satisfy me, yet. One thing to consider is


    that

    Quoted message said:
    Quoted message said:

    Atkins

    Quoted message said:

    > has been around for over 30 years. Why has there not been more data


    in

    Quoted message said:
    Quoted message said:

    30

    Quoted message said:

    > years?
    >

    You have to wonder.

    Not really🙂

    Quoted message said:


    >
    > I have also read intensely on insulin resistance, Syndrome X, etc.,


    whatever

    Quoted message said:

    > it is called these days. Most studies state that between 20 and 25


    percent

    Quoted message said:

    > of US citizens are insulin resistant. For the insulin resistant,


    severe

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > restriction of refined carbs is a good thing. (Note, I did not say
    > elimination!) But, that also means that 75 to 80 percent of us will


    not

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > have insatiable rebound hunger from an occasional side of rice or


    potatoes

    Quoted message said:

    > eaten in moderation with a meal. I am the poster child of insulin
    > resistance - very small with long skinny legs, no butt but all my


    weight

    Quoted message said:
    Quoted message said:

    is

    Quoted message said:

    > carried in the middle. I remember going to the store to pick up cat


    food

    Quoted message said:

    > knowing that in spite of my best intentions, I would walk out with a


    soda.

    Quoted message said:

    > It wasn't until I seriously dealt with my eating that I was able to


    pass

    Quoted message said:
    Quoted message said:

    the

    Quoted message said:

    > soda and candy bars up without regret.
    >
    > There is a magic bullet for insulin resistance, though. It is so


    simple

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > that I could be the hostess of an infomercial. Instead of expensive


    shakes

    Quoted message said:

    > and radical diets, all one really has to do is exercise. Studies


    show

    Quoted message said:
    Quoted message said:

    that

    Quoted message said:

    > the body can use insulin much more efficiently for 24 to 48 hours


    after

    Quoted message said:
    Quoted message said:

    an

    Quoted message said:

    > hour of moderate exercise. Also, resistance training improves


    sensitivity

    Quoted message said:

    > to the muscles used in the resistance training. Keeping this in


    mind, I

    Quoted message said:
    Quoted message said:

    try

    Quoted message said:

    > to exercise for an hour each day. Instead of running flat out for


    20 or

    Quoted message said:
    Quoted message said:

    30

    Quoted message said:

    > minutes, I walk briskly for 45 minutes or an hour and follow up with
    > resistance training. It doesn't take much. I am not graceful. I


    have

    Quoted message said:
    Quoted message said:

    a

    Quoted message said:

    > bench and a few free weights and I just do it!
    >
    > There is also research that shows that metformin can improve insulin
    > resistance. I am reluctant to try this as long as I can exercise


    and

    Quoted message said:
    Quoted message said:

    eat an

    Quoted message said:

    > appropriate diet. If I couldn't exercise or if my food choices were
    > severely restricted, I would try this.
    > >
    > > > In addition, it offers a whole host of other
    > > > health benefits like reduced bloodpressure
    > >
    > > That happens from losing weight.
    >
    > It also happens with Atkins as diuresis is quite dramatic in the


    first

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > weeks;

    Yes.

    > moreso than on a reduced calorie diet. This is one reason why I do
    > not like to see heart patients on Atkins. Along with the fluid,


    goes

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > potassium and many heart patients have rhythm problems or are


    maintained

    Quoted message said:
    Quoted message said:

    on

    Quoted message said:

    > lasix. I have been challenged numerous times from low carb


    proponents

    Quoted message said:
    Quoted message said:

    who

    Quoted message said:

    > state that OTC K+ supplements are harmless. I am of the rather


    narrow

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > opinion that potassium supplementation should never be self


    supervised

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > without lab work, etc. I have attended far too many codes for


    patients

    Quoted message said:
    Quoted message said:

    with

    Quoted message said:

    > medically supervised potassium supplementation to believe that one


    should

    Quoted message said:

    > try this on their own.
    > >
    > > > and lower triglcerides.
    > >
    > > This also happens largely from losing weight.
    > >
    > > Without carbohydrates, there will be hyperketonemia. This is not


    a

    Quoted message said:
    Quoted message said:

    good

    Quoted message said:

    > > thing physiologically.
    >
    > It is especially dangerous for heart patients and being that this is


    a

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > cardiology group, I thought I might make a note of that.
    >

    Correct.

    >
    > > > If
    > > > you are interested in how this works, I'd recommend the book


    "Protein

    Quoted message said:

    > > > Power" by Michael and Mary Eades to you.
    >
    > I've read the book - found it fascinating. It makes many good


    points

    Quoted message said:
    Quoted message said:

    and is

    Quoted message said:

    > not as strict as Atkins. It is also very hard to follow though in


    real

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > life. I also like the Zone diet plan but being mathematically


    challenged,

    Quoted message said:

    > it is hard for me to figure out all the ratios. Why can't someone


    put

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > together a plan that just says eat carbs with protien and watch


    calories

    Quoted message said:
    Quoted message said:

    and

    Quoted message said:

    > exercise? Is it too simple?
    >

    See http://www.heartmdphd.com/wtloss.asp

    Read that, too🙂 Aren't I the well read one? Good points made but I


    find,

    Quoted message said:
    Quoted message said:

    that for me personally, it's almost too simple. Plus, some things I


    like to

    Quoted message said:
    Quoted message said:

    eat are decidedly heavy such as apples and fat free yogurt. That alone
    would kill 1/4 of my food each day. And I am not one to weight sauces,


    etc.

    Quoted message said:
    Quoted message said:

    Why are you fighting for every morsel of food?

    Because I live in a culture where food is a central point of social
    activity. Since giving up refined sugars and carbs, it is easier but, I am
    a really good cook and I enjoy eating. Furthermore, I really do believe, at
    least where I am concerned, that exercise as an adjunct to moderately
    lowered calories is far more beneficial than restriction in calories. I
    like the way I feel after exercising. But, burning off 500 calories when
    restricting calories is challenging.. For instance, I can easily lose
    weight eating 1200 calories a day. If I eat 1200 calories a day and burn off
    500 calories a day, it leaves me with a net of 700. If I didn't experience
    hunger or irritability, this would be fine. I find that if I adjust my
    calories to 1200 plus the estimated amount I burn off, I do better.

    For me, eating smaller amounts of really good food is far more preferable to
    over eating trash! When I am unable to feed myself well, I go for a protien
    shake or another low-cal alternative and 'save' my calories for when I can
    sit down and enjoy really good food. Note that for me really good food is 4
    oz of a good steak, maybe a salad (depending on the dressing and the
    presence of radical veggies) and some wine. In addition to the weight loss
    and health benefits, it is notable that I feel better after eating a smaller
    amount of really good food. I have never been to a restuarant that served 4
    oz of steak and thus, my morning after omelettes are great!

    Alas, I cannot eat seafood which brings me to another question that you may
    be able to answer. I am severly allergic to shellfish and get ill when I
    eat fresh water fish. Note that I live in South Louisiana which is mostly
    below sea level. Most of our water is at least 'brackish'. My question is
    if I take supplements (EPA, etc.) will I be in danger of doing the
    anaphylaxis dance? I do so hate it. It wears me out for days🙂

    j

    Quoted message said:


    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  14. Julianne said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Julianne said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in


    message

    Quoted message said:
    Quoted message said:

    news:[email hidden]...
    > Julianne wrote:
    >
    > > "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in


    message

    Quoted message said:
    Quoted message said:

    > > news:[email hidden]...
    > > > Thorsten Schier wrote:
    > > >
    > > > > "Dr. Andrew B. Chung, MD/PhD" schrieb:
    > > > > >
    > > > > > Joe Smigiel wrote:
    > > > > >
    > > > > [...]
    > > > > > > and helped prevent some weight loss. I could do fewer
    > > > > > > carbs...)
    > > > > >
    > > > > > Carbs don't cause obesity.
    > > > >
    > > > > A growing number of scientists will disagree with you on that.
    > > >
    > > > If that were true, it should be easy for you to cite research


    studies

    Quoted message said:
    Quoted message said:

    > > > describing carbohydrates causing obesity.
    > > >
    > > > Please don't cite Dr. Atkins:
    > > >
    > > > (1) He's dead.
    > > >
    > > > (2) He wasn't a scientist. Being a diet guru was not the same.
    > >
    > > Being dead doesn't neccessarily negate the value of one's message.
    Don't
    > > you frequently quote the gospel?
    > >
    >
    > Yes. Jesus is risen, therefore He is not dead.

    Yeah, but some of the apostles are decidedly napping for a while until


    the

    Quoted message said:
    Quoted message said:

    second coming.
    >
    > >
    > > But, you are correct - there is nothing scientific about Atkins. He


    is

    Quoted message said:
    Quoted message said:

    not
    > > gospel!
    > >
    >
    > Nor was he a scientist.

    No, he sold books and was very successful.
    >
    > > >
    > > > > However
    > > > > that may be, cutting out most carbs will cause a vast majority


    of

    Quoted message said:
    Quoted message said:

    obese
    > > > > people to lose weight.
    > > >
    > > > Cutting out anything will cause weight loss. Problem is that


    research

    Quoted message said:
    Quoted message said:

    > > > studies indicate that such "dieting" has dismal long-term success
    rates..
    > >
    > > I am not a scientist either but I think everyone's argument in this
    thread,
    > > thus far, has merit. Atkins is very good for short term weight


    loss.

    Quoted message said:
    Quoted message said:

    > > Sometimes, the initial success encourages people to go further. I


    do

    Quoted message said:
    Quoted message said:

    think
    > > it is boring, though. I have read preliminary studies on Atkins but
    there
    > > is not enough data to satisfy me, yet. One thing to consider is


    that

    Quoted message said:
    Quoted message said:

    Atkins
    > > has been around for over 30 years. Why has there not been more data


    in

    Quoted message said:
    Quoted message said:

    30
    > > years?
    > >
    >
    > You have to wonder.

    Not really🙂
    >
    > >
    > > I have also read intensely on insulin resistance, Syndrome X, etc.,
    whatever
    > > it is called these days. Most studies state that between 20 and 25
    percent
    > > of US citizens are insulin resistant. For the insulin resistant,


    severe

    Quoted message said:
    Quoted message said:

    > > restriction of refined carbs is a good thing. (Note, I did not say
    > > elimination!) But, that also means that 75 to 80 percent of us will


    not

    Quoted message said:
    Quoted message said:

    > > have insatiable rebound hunger from an occasional side of rice or
    potatoes
    > > eaten in moderation with a meal. I am the poster child of insulin
    > > resistance - very small with long skinny legs, no butt but all my


    weight

    Quoted message said:
    Quoted message said:

    is
    > > carried in the middle. I remember going to the store to pick up cat
    food
    > > knowing that in spite of my best intentions, I would walk out with a
    soda.
    > > It wasn't until I seriously dealt with my eating that I was able to


    pass

    Quoted message said:
    Quoted message said:

    the
    > > soda and candy bars up without regret.
    > >
    > > There is a magic bullet for insulin resistance, though. It is so


    simple

    Quoted message said:
    Quoted message said:

    > > that I could be the hostess of an infomercial. Instead of expensive
    shakes
    > > and radical diets, all one really has to do is exercise. Studies


    show

    Quoted message said:
    Quoted message said:

    that
    > > the body can use insulin much more efficiently for 24 to 48 hours


    after

    Quoted message said:
    Quoted message said:

    an
    > > hour of moderate exercise. Also, resistance training improves
    sensitivity
    > > to the muscles used in the resistance training. Keeping this in


    mind, I

    Quoted message said:
    Quoted message said:

    try
    > > to exercise for an hour each day. Instead of running flat out for


    20 or

    Quoted message said:
    Quoted message said:

    30
    > > minutes, I walk briskly for 45 minutes or an hour and follow up with
    > > resistance training. It doesn't take much. I am not graceful. I


    have

    Quoted message said:
    Quoted message said:

    a
    > > bench and a few free weights and I just do it!
    > >
    > > There is also research that shows that metformin can improve insulin
    > > resistance. I am reluctant to try this as long as I can exercise


    and

    Quoted message said:
    Quoted message said:

    eat an
    > > appropriate diet. If I couldn't exercise or if my food choices were
    > > severely restricted, I would try this.
    > > >
    > > > > In addition, it offers a whole host of other
    > > > > health benefits like reduced bloodpressure
    > > >
    > > > That happens from losing weight.
    > >
    > > It also happens with Atkins as diuresis is quite dramatic in the


    first

    Quoted message said:
    Quoted message said:

    > > weeks;
    >
    > Yes.
    >
    > > moreso than on a reduced calorie diet. This is one reason why I do
    > > not like to see heart patients on Atkins. Along with the fluid,


    goes

    Quoted message said:
    Quoted message said:

    > > potassium and many heart patients have rhythm problems or are


    maintained

    Quoted message said:
    Quoted message said:

    on
    > > lasix. I have been challenged numerous times from low carb


    proponents

    Quoted message said:
    Quoted message said:

    who
    > > state that OTC K+ supplements are harmless. I am of the rather


    narrow

    Quoted message said:
    Quoted message said:

    > > opinion that potassium supplementation should never be self


    supervised

    Quoted message said:
    Quoted message said:

    > > without lab work, etc. I have attended far too many codes for


    patients

    Quoted message said:
    Quoted message said:

    with
    > > medically supervised potassium supplementation to believe that one
    should
    > > try this on their own.
    > > >
    > > > > and lower triglcerides.
    > > >
    > > > This also happens largely from losing weight.
    > > >
    > > > Without carbohydrates, there will be hyperketonemia. This is not


    a

    Quoted message said:
    Quoted message said:

    good
    > > > thing physiologically.
    > >
    > > It is especially dangerous for heart patients and being that this is


    a

    Quoted message said:
    Quoted message said:

    > > cardiology group, I thought I might make a note of that.
    > >
    >
    > Correct.
    >
    > >
    > > > > If
    > > > > you are interested in how this works, I'd recommend the book
    "Protein
    > > > > Power" by Michael and Mary Eades to you.
    > >
    > > I've read the book - found it fascinating. It makes many good


    points

    Quoted message said:
    Quoted message said:

    and is
    > > not as strict as Atkins. It is also very hard to follow though in


    real

    Quoted message said:
    Quoted message said:

    > > life. I also like the Zone diet plan but being mathematically
    challenged,
    > > it is hard for me to figure out all the ratios. Why can't someone


    put

    Quoted message said:
    Quoted message said:

    > > together a plan that just says eat carbs with protien and watch


    calories

    Quoted message said:
    Quoted message said:

    and
    > > exercise? Is it too simple?
    > >
    >
    > See http://www.heartmdphd.com/wtloss.asp

    Read that, too🙂 Aren't I the well read one? Good points made but I


    find,

    Quoted message said:
    Quoted message said:

    that for me personally, it's almost too simple. Plus, some things I


    like to

    Quoted message said:
    Quoted message said:

    eat are decidedly heavy such as apples and fat free yogurt. That alone
    would kill 1/4 of my food each day. And I am not one to weight sauces,


    etc.

    Quoted message said:
    Quoted message said:

    Why are you fighting for every morsel of food?

    Because I live in a culture where food is a central point of social
    activity. Since giving up refined sugars and carbs, it is easier but, I am
    a really good cook and I enjoy eating.

    The latter will make "eating less" more difficult.

    Quoted message said:

    Furthermore, I really do believe, at
    least where I am concerned, that exercise as an adjunct to moderately
    lowered calories is far more beneficial than restriction in calories.

    If you eat excessive amounts, the exercise is not going to help you either reach
    or maintain ideal body weight. God forbid you have an injury or other reasons
    that keep you from exercising.

    Quoted message said:

    I
    like the way I feel after exercising.

    No one is suggesting that you stop exercising.

    Quoted message said:

    But, burning off 500 calories when
    restricting calories is challenging..

    Burning off 500 calories is challenging whether you are reducing intake or not.

    Quoted message said:

    For instance, I can easily lose
    weight eating 1200 calories a day. If I eat 1200 calories a day and burn off
    500 calories a day, it leaves me with a net of 700. If I didn't experience
    hunger or irritability, this would be fine. I find that if I adjust my
    calories to 1200 plus the estimated amount I burn off, I do better.

    For me, eating smaller amounts of really good food is far more preferable to
    over eating trash!

    Why overeat anything?

    Quoted message said:

    When I am unable to feed myself well, I go for a protien
    shake or another low-cal alternative and 'save' my calories for when I can
    sit down and enjoy really good food. Note that for me really good food is 4
    oz of a good steak, maybe a salad (depending on the dressing and the
    presence of radical veggies) and some wine. In addition to the weight loss
    and health benefits, it is notable that I feel better after eating a smaller
    amount of really good food. I have never been to a restuarant that served 4
    oz of steak and thus, my morning after omelettes are great!

    This all may be moot if you are not overweight. Are you?

    Quoted message said:


    Alas, I cannot eat seafood which brings me to another question that you may
    be able to answer. I am severly allergic to shellfish and get ill when I
    eat fresh water fish. Note that I live in South Louisiana which is mostly
    below sea level. Most of our water is at least 'brackish'. My question is
    if I take supplements (EPA, etc.) will I be in danger of doing the
    anaphylaxis dance?

    It depends on what you are actually allergic to.

    Quoted message said:

    I do so hate it. It wears me out for days🙂

    You might consider visiting an allergist to help you find out exactly what you
    are allergic to.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

  15. "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Julianne wrote:

    <Snipped>

    Quoted message said:
    Quoted message said:
    Quoted message said:

    Why are you fighting for every morsel of food?

    Because I live in a culture where food is a central point of social
    activity. Since giving up refined sugars and carbs, it is easier but, I


    am

    Quoted message said:
    Quoted message said:

    a really good cook and I enjoy eating.

    The latter will make "eating less" more difficult.

    Yes, but not impossible.

    Quoted message said:


    Quoted message said:

    Furthermore, I really do believe, at
    least where I am concerned, that exercise as an adjunct to moderately
    lowered calories is far more beneficial than restriction in calories.

    If you eat excessive amounts, the exercise is not going to help you either


    reach

    Quoted message said:

    or maintain ideal body weight. God forbid you have an injury or other


    reasons

    Quoted message said:

    that keep you from exercising.

    That actually happened several years ago. It was not fun. Injuries are not
    fun and not always preventable.

    Quoted message said:
    Quoted message said:

    I
    like the way I feel after exercising.

    No one is suggesting that you stop exercising.

    Quoted message said:

    But, burning off 500 calories when
    restricting calories is challenging..

    Burning off 500 calories is challenging whether you are reducing intake or


    not.

    Quoted message said:

    Yes, my point is that it is much easier to make a modest restriction in
    calories (particularly nutritionally deviod calories) in addition to
    exercise is easier for me than to cut my calories by an additional 500 a
    day.

    Quoted message said:
    Quoted message said:

    For instance, I can easily lose
    weight eating 1200 calories a day. If I eat 1200 calories a day and burn


    off

    Quoted message said:
    Quoted message said:

    500 calories a day, it leaves me with a net of 700. If I didn't


    experience

    Quoted message said:
    Quoted message said:

    hunger or irritability, this would be fine. I find that if I adjust my
    calories to 1200 plus the estimated amount I burn off, I do better.

    For me, eating smaller amounts of really good food is far more


    preferable to

    Quoted message said:
    Quoted message said:

    over eating trash!

    Why overeat anything?

    I generally do not. When I do, I look to see what precipitated it. First,
    if there are limited food choices, I will put off eating until I am very
    hungry. This happens when I travel. I do not like meal bars, etc. I am a
    picky eater, as well and hate those chemically engineered salad dressings
    found at resturaunts. If it is my only choice and I eat it before I am
    hungry, I do fine. Frequently, I put off eating something I don't like. I
    am learning to eat before I am ravenous when I still have will power.

    If I eat while I am doing something else, I lose track of what I am eating.
    This happens when I am reveiwing clinical records, etc. at an office and
    lunch has been brought in. I have learned that I am rarely so very busy
    that I cannot take a few minutes to eat.

    Quoted message said:


    Quoted message said:

    When I am unable to feed myself well, I go for a protien
    shake or another low-cal alternative and 'save' my calories for when I


    can

    Quoted message said:
    Quoted message said:

    sit down and enjoy really good food. Note that for me really good food


    is 4

    Quoted message said:
    Quoted message said:

    oz of a good steak, maybe a salad (depending on the dressing and the
    presence of radical veggies) and some wine. In addition to the weight


    loss

    Quoted message said:
    Quoted message said:

    and health benefits, it is notable that I feel better after eating a


    smaller

    Quoted message said:
    Quoted message said:

    amount of really good food. I have never been to a restuarant that


    served 4

    Quoted message said:
    Quoted message said:

    oz of steak and thus, my morning after omelettes are great!

    This all may be moot if you are not overweight. Are you?

    Not to any great degree. My BMI is well below the 'overweight' category. I
    would love to lose ten pounds for reasons of vanity but alas, I am not quite
    vain enough🙂 But, any extra ounce of weight I carry is in my midsection.
    A couple of years ago, my waist was 36 inches. I try to keep it under 32
    inches. Part of that is that I simply thick waisted - when I was very, very
    thin as younger woman, it would stay between 28 and 30. Part of it is also
    because that is where I store all my excess weight. I have absolutely no
    desire to be diabetic or suffer from heart disease, etc. Some things, such
    a genetics cannot be changed but others can be addressed through a healthy
    lifestyle. It is certainly more pleasant than addressing high bp through
    medications or fluctuating sugars with insulin, etc. Everything else aside,
    I am a self employed single mother and investment in my health will keep
    groceries on the table.

    Quoted message said:


    Quoted message said:


    Alas, I cannot eat seafood which brings me to another question that you


    may

    Quoted message said:
    Quoted message said:

    be able to answer. I am severly allergic to shellfish and get ill when


    I

    Quoted message said:
    Quoted message said:

    eat fresh water fish. Note that I live in South Louisiana which is


    mostly

    Quoted message said:
    Quoted message said:

    below sea level. Most of our water is at least 'brackish'. My question


    is

    Quoted message said:
    Quoted message said:

    if I take supplements (EPA, etc.) will I be in danger of doing the
    anaphylaxis dance?

    It depends on what you are actually allergic to.

    Quoted message said:

    I do so hate it. It wears me out for days🙂

    You might consider visiting an allergist to help you find out exactly what


    you

    Quoted message said:

    are allergic to.

    I have considered it - will do it eventually. Last summer, we were playing
    tennis and went to a convenience store to buy beer (don't go there) after a
    long match. They were boiling crawfish indoors and I just about went into
    anaphylaxis. That was no fun after two hours on the court! I have a little
    aspirin thing, too so a trip to the allergist is in my near future. I was
    just wondering if the oils were purified enough to remove all iodine and
    other fishy essence.

    Thanks.

    j

    Quoted message said:

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

  16. "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Paul E. Lehmann said:

    "Blue Mu_n" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    On Mon, 6 Oct 2003 22:29:21 -0500, "Julianne" <[email hidden]>
    wrote:

    > One thing to consider is that Atkins
    >has been around for over 30 years. Why has there not been more data


    in

    Quoted message said:
    Quoted message said:

    30

    Quoted message said:

    >years?

    Atkins refused to participate in any data collections and any studies
    of his patient population.

    Care to cite references?

    If the late Dr. Atkins' refused to participate in such studies, one would
    expect that there would be no references to be found.

    Were are the references that state he refused to participate in studies?

    Good summary from one of your references:

    "CONCLUSIONS: There is insufficient evidence to make recommendations for or
    against the use of low-carbohydrate diets, particularly among participants
    older than age 50 years, for use longer than 90 days, or for diets of 20 g/d
    or less of carbohydrates."

    NOTE: the conclusions state OR AGAINST .......

    Where is the evidence for or against your TPD? Has the medical community
    accepted and endorsed it?

    Quoted message said:

    A good review article on the topic:

    http://tinyurl.com/q404

    A good reference list:

    http://tinyurl.com/q401

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  17. Julianne said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Julianne wrote:

    <Snipped>

    Quoted message said:
    Quoted message said:

    > Why are you fighting for every morsel of food?

    Because I live in a culture where food is a central point of social
    activity. Since giving up refined sugars and carbs, it is easier but, I


    am

    Quoted message said:
    Quoted message said:

    a really good cook and I enjoy eating.

    The latter will make "eating less" more difficult.

    Yes, but not impossible.

    It defines the struggle.

    Quoted message said:


    Quoted message said:


    Quoted message said:

    Furthermore, I really do believe, at
    least where I am concerned, that exercise as an adjunct to moderately
    lowered calories is far more beneficial than restriction in calories.

    If you eat excessive amounts, the exercise is not going to help you either


    reach

    Quoted message said:

    or maintain ideal body weight. God forbid you have an injury or other


    reasons

    Quoted message said:

    that keep you from exercising.

    That actually happened several years ago. It was not fun. Injuries are not
    fun and not always preventable.

    Injuries and related other things will invariably happen.

    Quoted message said:
    Quoted message said:
    Quoted message said:

    I
    like the way I feel after exercising.

    No one is suggesting that you stop exercising.

    Quoted message said:

    But, burning off 500 calories when
    restricting calories is challenging..

    Burning off 500 calories is challenging whether you are reducing intake or


    not.

    Quoted message said:

    Yes, my point is that it is much easier to make a modest restriction in
    calories (particularly nutritionally deviod calories) in addition to
    exercise is easier for me than to cut my calories by an additional 500 a
    day.

    Yes, if you are tracking calories instead of food weight.

    Quoted message said:


    Quoted message said:
    Quoted message said:

    For instance, I can easily lose
    weight eating 1200 calories a day. If I eat 1200 calories a day and burn


    off

    Quoted message said:
    Quoted message said:

    500 calories a day, it leaves me with a net of 700. If I didn't


    experience

    Quoted message said:
    Quoted message said:

    hunger or irritability, this would be fine. I find that if I adjust my
    calories to 1200 plus the estimated amount I burn off, I do better.

    For me, eating smaller amounts of really good food is far more


    preferable to

    Quoted message said:
    Quoted message said:

    over eating trash!

    Why overeat anything?

    I generally do not. When I do, I look to see what precipitated it. First,
    if there are limited food choices, I will put off eating until I am very
    hungry.

    This is not advisable.

    Quoted message said:

    This happens when I travel. I do not like meal bars, etc. I am a
    picky eater, as well and hate those chemically engineered salad dressings
    found at resturaunts. If it is my only choice and I eat it before I am
    hungry, I do fine. Frequently, I put off eating something I don't like. I
    am learning to eat before I am ravenous when I still have will power.

    You seem bonded to eating only things that "taste good."

    Quoted message said:


    If I eat while I am doing something else, I lose track of what I am eating.

    It is hard to track calories.

    Quoted message said:

    This happens when I am reveiwing clinical records, etc. at an office and
    lunch has been brought in. I have learned that I am rarely so very busy
    that I cannot take a few minutes to eat.

    Quoted message said:


    Quoted message said:

    When I am unable to feed myself well, I go for a protien
    shake or another low-cal alternative and 'save' my calories for when I


    can

    Quoted message said:
    Quoted message said:

    sit down and enjoy really good food. Note that for me really good food


    is 4

    Quoted message said:
    Quoted message said:

    oz of a good steak, maybe a salad (depending on the dressing and the
    presence of radical veggies) and some wine. In addition to the weight


    loss

    Quoted message said:
    Quoted message said:

    and health benefits, it is notable that I feel better after eating a


    smaller

    Quoted message said:
    Quoted message said:

    amount of really good food. I have never been to a restuarant that


    served 4

    Quoted message said:
    Quoted message said:

    oz of steak and thus, my morning after omelettes are great!

    This all may be moot if you are not overweight. Are you?

    Not to any great degree. My BMI is well below the 'overweight' category. I
    would love to lose ten pounds for reasons of vanity but alas, I am not quite
    vain enough🙂 But, any extra ounce of weight I carry is in my midsection.

    Not good.

    Quoted message said:

    A couple of years ago, my waist was 36 inches.

    Too many inches.

    Quoted message said:

    I try to keep it under 32
    inches. Part of that is that I simply thick waisted - when I was very, very
    thin as younger woman, it would stay between 28 and 30.

    That's fine.

    Quoted message said:

    Part of it is also
    because that is where I store all my excess weight. I have absolutely no
    desire to be diabetic or suffer from heart disease, etc. Some things, such
    a genetics cannot be changed but others can be addressed through a healthy
    lifestyle. It is certainly more pleasant than addressing high bp through
    medications or fluctuating sugars with insulin, etc. Everything else aside,
    I am a self employed single mother and investment in my health will keep
    groceries on the table.

    Understandable. Following the 2PD approach is easier than you think.

    Quoted message said:


    Quoted message said:


    Quoted message said:


    Alas, I cannot eat seafood which brings me to another question that you


    may

    Quoted message said:
    Quoted message said:

    be able to answer. I am severly allergic to shellfish and get ill when


    I

    Quoted message said:
    Quoted message said:

    eat fresh water fish. Note that I live in South Louisiana which is


    mostly

    Quoted message said:
    Quoted message said:

    below sea level. Most of our water is at least 'brackish'. My question


    is

    Quoted message said:
    Quoted message said:

    if I take supplements (EPA, etc.) will I be in danger of doing the
    anaphylaxis dance?

    It depends on what you are actually allergic to.

    Quoted message said:

    I do so hate it. It wears me out for days🙂

    You might consider visiting an allergist to help you find out exactly what


    you

    Quoted message said:

    are allergic to.

    I have considered it - will do it eventually. Last summer, we were playing
    tennis and went to a convenience store to buy beer (don't go there) after a
    long match. They were boiling crawfish indoors and I just about went into
    anaphylaxis. That was no fun after two hours on the court! I have a little
    aspirin thing, too so a trip to the allergist is in my near future. I was
    just wondering if the oils were purified enough to remove all iodine and
    other fishy essence.

    Thanks.

    You're welcome.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  18. "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    John Merlano said:
    MD/PhD said:

    Joe Smigiel wrote:

    > I had a heart attack June 9th, 3xCABG on June 13th, and am feeling
    > pretty good now. I'm 49 and male with a history of CAD in my family
    > (older brother 5xCABG, father 3XCABG, paternal uncles all with MIs,
    > CAD). I went through a hospital cardiac rehab regimen in about 4


    weeks

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > time this summer and have increased my exercise rate about 25-30%


    since

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > graduating from the program.
    >
    > My cardiologist has me on Lipitor 10mg/day as well as metaprolol,
    > Altace, aspirin, and a daily multivitamin. The last time checked &
    > several years before the heart attack my cholesterol was 202. Last
    > month it was 116 with the hdl/ldl ratio about 3.5.

    You probably mean LDL/HDL ratio.

    > Yesterday I had
    > another blood test and the total cholesterol was less than 100, hdl @
    > 27. (Glucose 88, BP 90/58 which was low, usually around 100/70.)
    >

    Your HDL needs to be higher. More exercise should help that.

    >
    > Since surgery I've done some lifestyle changes including quitting
    > smoking (was 1 1/2 packs per day for 32 years),

    Good.

    > continuing to exercise
    > 5-6 times per week

    This needs to be aerobic for at least 30 minutes daily preferably


    before

    Quoted message said:
    Quoted message said:
    Quoted message said:

    supper.

    > and I have changed my diet considerably. I'm eating
    > oats instead of eggs for breakfast, probably have one meal with lean
    > meat daily (usually chicken or lean pork) and try to do a vegetarian
    > meal per day. I've switched to mostly non- or low-fat, low-salt


    foods

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > and am doing more fruits, veggies, fish and nuts, olive oil. etc.,


    and I

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > haven't had a cup of regular coffee since the cardiac event. I'm


    still

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > about a 20 pounds overweight (although not obese) even with the
    > increased exercise and diet changes. I've been trying to shed the


    extra

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > weight since April but have only lost about 8 pounds total. (I


    figure

    Quoted message said:
    Quoted message said:
    Quoted message said:

    > the exclusion of nicotine and caffeine have probably affected my
    > metabolic rate

    This does more to increase appetite than to lower metabolic rate.

    > and helped prevent some weight loss. I could do fewer
    > carbs...)

    Carbs don't cause obesity.

    Doesn't eating refined carbs contribute to gaining weight?

    John Merlano

    No.

    So, you are advocating a 2-pound twinkie diet?

    Quoted message said:

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

  19. Paul E. Lehmann said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Paul E. Lehmann said:

    "Blue Mu_n" <[email hidden]> wrote in message
    news:[email hidden]...
    > On Mon, 6 Oct 2003 22:29:21 -0500, "Julianne" <[email hidden]>
    > wrote:
    >
    > > One thing to consider is that Atkins
    > >has been around for over 30 years. Why has there not been more data


    in

    Quoted message said:
    Quoted message said:

    30
    > >years?
    >
    > Atkins refused to participate in any data collections and any studies
    > of his patient population.

    Care to cite references?

    If the late Dr. Atkins' refused to participate in such studies, one would
    expect that there would be no references to be found.

    Were are the references that state he refused to participate in studies?

    Good summary from one of your references:

    "CONCLUSIONS: There is insufficient evidence to make recommendations for or
    against the use of low-carbohydrate diets, particularly among participants
    older than age 50 years, for use longer than 90 days, or for diets of 20 g/d
    or less of carbohydrates."

    NOTE: the conclusions state OR AGAINST .......

    Ok, one neutral in a sea of negatives. No positives.

    Quoted message said:


    Where is the evidence for or against your TPD? Has the medical community
    accepted and endorsed it?

    No negatives. In time, the 2PD approach will likely be proven.

    For past discussions about this, either use Google or go to:

    http://www.heartmdphd.com/wtloss.asp

    Quoted message said:


    Quoted message said:

    A good review article on the topic:

    http://tinyurl.com/q404

    A good reference list:

    http://tinyurl.com/q401

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  20. Sharon Hope said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    John Merlano wrote:


    <snip>

    Quoted message said:
    Quoted message said:

    > Carbs don't cause obesity.

    Doesn't eating refined carbs contribute to gaining weight?

    John Merlano

    No.

    So, you are advocating a 2-pound twinkie diet?

    What I am advocating is well described at:

    http://www.heartmdphd.com/wtloss.asp

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

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