Dr. Atkins' New Diet Revolution, Weight Loss and Good Health

 Weight Loss and Good Health The Atkins Way


Dr. Atkins' New Diet Revolution



Dr. Atkins' 
New Diet Revolution advocates for a controlled carbohydrate nutritional approach to combat obesity and related health issues. The book challenges the prevailing low-fat dieting advice, arguing that excessive insulin levels, triggered by refined carbohydrates, are the primary driver of weight gain and metabolic disorders. It introduces a four-phase program, starting with a strict Induction phase to shift the body's metabolism towards fat burning. The text addresses common misconceptions about the diet, emphasizing the importance of nutritional supplements and exercise, and also provides guidance on identifying and addressing food intolerances and includes practical advice for maintaining long-term weight loss and overall well-being. It also encourages readers to become proactive advocates for healthier eating habits.

  Briefing Document: Dr. Atkins' New Diet Revolution

This document summarizes the key themes and ideas presented in "Dr. Atkins' New Diet Revolution." The core concept revolves around controlling carbohydrate intake to shift the body's primary fuel source from glucose to fat, leading to weight loss and improved health.

I. Core Principles of the Atkins Diet:

·         Controlled Carbohydrate Nutrition: The central tenet is to limit carbohydrate consumption to induce lipolysis (fat burning). "A controlled carbohydrate nutritional approach helps improve the clinical parameters affecting heart disease and other illnesses while not causing harm to your liver, kidneys or bone structure."

·         Lipolysis (Fat Burning) & Ketosis: The diet aims to trigger lipolysis, breaking down fat stores for energy. Ketones, byproducts of fat burning, are released. Dr. Atkins emphasizes that ketosis in this context is different from the dangerous ketoacidosis. "Lipolysis results in the creation of ketones (that's ketosis), a perfectly normal and natural function of the body."

·         Insulin Control: The diet focuses on minimizing insulin production, which is stimulated by carbohydrate intake. High insulin levels are linked to fat storage and metabolic problems like hyperinsulinism. "When your carbohydrate intake drops low enough to induce fat burning, abnormal insulin levels return to normal-perhaps for the first time in years or decades."

·         Personalized Approach: Recognizes that individuals have varying levels of carbohydrate tolerance and metabolic resistance. The diet has four phases to help individuals determine their Critical Carbohydrate Level for Maintenance (CCLM). "Each individual then proceeds at his or her own rate, gradually adding back both the amount and the variety of carbohydrate foods."

·         Emphasis on Whole Foods: Encourages consumption of unprocessed, natural foods, prioritizing protein and healthy fats.

·         No Calorie Counting (Initially): The diet initially prioritizes carbohydrate restriction over calorie counting. "There is no need to count calories. The Atkins Nutritional Approach counts grams of carbohydrates instead of calories."

II. The Four Phases of the Atkins Diet:

1.    Induction: Strict carbohydrate restriction (20 grams per day) to initiate lipolysis. Focus on protein, fats, and limited low-carb vegetables.

2.    Ongoing Weight Loss (OWL): Gradually increasing carbohydrate intake while monitoring weight loss. Introduction of more non-starchy vegetables, nuts, and seeds.

3.    Pre-Maintenance: Slowing down weight loss by further increasing carbohydrate intake to find the level where weight loss is less than a pound a week.

4.    Lifetime Maintenance: Maintaining goal weight by finding the individual's CCLM (Critical Carbohydrate Level for Maintenance) and adhering to a personalized eating plan.

III. Identifying Your Metabolic Type:

·         The book profiles three common overweight patterns, helping readers identify potential underlying issues related to carbohydrate metabolism:

·         Group A ("I Really Don't Eat That Much!"): Difficulty losing or keeping weight off, potential metabolic problem.

·         Group B ("I Crave Food Always!"): Obsession with food, late-night eating, cravings for sweets, unstable blood sugar (hypoglycemia or pre-diabetes).

·         Group C ("I Can't Live Without This One Food!"): Addiction to a specific food or beverage, often carbohydrate-based.

·         Dr. Atkins links these patterns to hyperinsulinism, a condition where the body produces excessive insulin in response to carbohydrate intake.

IV. Key Considerations and Practical Advice:

·         Medical Consultation: Emphasizes the importance of consulting a physician before starting the diet, especially for individuals with pre-existing conditions like diabetes or kidney disease, or those taking medications. "If you are currently taking diuretics, insulin or oral diabetes medications, consult your physician before starting Atkins. People with severe kidney disease should not do Atkins."

·         Supplementation: Recommends vitamin and mineral supplements to address potential deficiencies, especially during the initial phases. Also suggests fiber supplements to avoid constipation.

·         Hydration: Stresses the importance of drinking at least eight 8-ounce glasses of water per day.

·         Reading Food Labels: Teaches how to calculate "net carbs" by subtracting fiber grams from total carbohydrate grams.

·         Exercise: Encourages incorporating exercise into the lifestyle for overall health and weight loss. "Even a half hour of brisk walking four times a week will make a big difference, especially if you are almost completely inactive now."

·         Support System: Highlights the importance of having support from loved ones and preparing them for the new eating habits. "Tell family members that you need a strong show of support and understanding."

·         Addressing Cravings: Suggests strategies for managing cravings, such as eating protein-rich snacks and finding substitutes for favorite high-carbohydrate foods.

V. Addressing Specific Health Concerns:

·         The book addresses how the Atkins diet can impact various health conditions and medications, such as:

·         Hormone replacement therapy (HRT)

·         Anti-depressant drugs

·         Diabetes

·         Thyroid function

·         Yeast overgrowth

·         Food intolerances

VI. Long-Term Success and Maintenance:

·         Avoiding Yo-Yo Dieting: Stresses the importance of viewing the Atkins diet as a permanent lifestyle change, not a temporary fix. "A true 'diet' is not an excursion."

·         Visualizing Success: Encourages visualizing the desired outcome and the positive changes that will result from weight loss.

·         Dealing with Setbacks: Acknowledges that setbacks are possible and emphasizes the importance of learning from them and getting back on track.

VII. Important Cautions:

·         The diet is not suitable for everyone, particularly those with severe kidney disease, pregnant women, and nursing mothers (weight loss phases).

·         Individual results may vary, and it is essential to listen to your body and adjust the diet accordingly.

·         While carbohydrate counting is important, some carbohydrate sources are better than others (fiber, phytochemicals in vegetables). "When doing Atkins, you will control the number of grams of carbohydrates you eat and will focus on certain food groups rather than others."

·         Constantly retreating to induction from lifetime maintenance will cause your metabolism to develop a tolerance to the rapid weight loss experienced during induction. "If you keep retreating to Induction from Lifetime Maintenance, it becomes a form of yo-yo dieting."

I. Short Answer Quiz

Answer each question in 2-3 sentences.

1.       According to Dr. Atkins, what are three questions people typically have about weight loss plans?

2.       What are the three common overweight patterns identified in the book, and what is a characteristic of each?

3.       What is hyperinsulinism, and why is it considered a common denominator among overweight people, according to Atkins?

4.       What is lipolysis, and why is it important for weight loss according to the Atkins diet?

5.       How does the Atkins diet differentiate between ketosis and ketoacidosis?

6.       What is the significance of "carbs that count" in the Atkins diet, and how are they calculated?

7.       Explain the concept of the Glycemic Index and its relevance to the Atkins diet.

8.       Why is it important to consult with a physician before starting the Atkins diet, especially for individuals with specific medical conditions or those taking certain medications?

9.       What are the two medically important steps that should be taken before beginning Atkins?

10.   What are the benefits of maintaining a food diary during the Atkins diet?

Answer Key

1.       People typically want to know if a diet is safe, nutritionally sound, and if they can keep the weight off. Dr. Atkins addresses these questions and the misinformation surrounding them, emphasizing the safety and scientific backing of controlled carbohydrate nutrition. He assures readers that it improves clinical parameters without harming vital organs.

2.       The three patterns are "I Really Don't Eat That Much!" (difficulty losing weight despite perceived low intake), "I Crave Food Always!" (obsessive cravings and potential glucose intolerance), and "I Can't Live Without This One Food!" (addiction to a specific food or beverage). Each group's responses reveal underlying metabolic issues related to carbohydrate metabolism.

3.       Hyperinsulinism is a condition where the body produces excessive insulin, often due to high carbohydrate intake. It's a common issue among overweight individuals because it promotes fat storage and hinders the body's ability to burn fat for energy.

4.       Lipolysis is the process of dissolving fat, breaking it down into glycerol and fatty acids to be used as fuel. It's crucial because the Atkins diet aims to shift the body from burning glucose to burning fat, which is a natural way to lose weight and improve health.

5.       The Atkins diet distinguishes ketosis, a natural byproduct of lipolysis when burning fat for energy, from ketoacidosis, a dangerous condition in uncontrolled diabetes where blood sugar is excessively high due to insulin deficiency. They are polar opposites: ketosis has low carbs and ketoacidosis has excessive carbs.

6.       "Carbs that count" refers to the net carbohydrates in a food, calculated by subtracting the grams of fiber from the total carbohydrate grams. It is important because fiber does not significantly impact blood sugar levels, allowing for a slightly higher carbohydrate intake through fiber-rich foods.

7.       The Glycemic Index (GI) ranks carbohydrate-containing foods based on their effect on blood sugar levels. On the Atkins diet, the GI is relevant because choosing foods with lower GI values can help stabilize blood sugar and insulin levels, supporting weight loss and overall health.

8.       Consulting a physician is crucial because the Atkins diet can affect medication dosages (especially for diabetes), and it may not be suitable for individuals with specific conditions like kidney disease. Medical supervision ensures safety and allows for necessary adjustments to medication or the diet itself.

9.       The first thing you must do is review any medications you take and make a doctor's appointment to get a complete physical, including some blood work and other tests. After you have been doing Atkins for six weeks or so, have your blood work redone; you may be surprised at the dramatic improvements.

10.   Maintaining a food diary helps individuals identify hidden sources of carbohydrates, track their carbohydrate intake, understand their body's response to different foods, and identify potential food intolerances that may be hindering their progress.

II. Essay Questions

1.       Discuss the role of insulin in weight gain and weight loss, according to Dr. Atkins. How does the Atkins diet aim to control insulin levels, and what are the potential benefits of this approach?

2.       Compare and contrast the four phases of the Atkins diet (Induction, OWL, Pre-Maintenance, Lifetime Maintenance). What are the goals of each phase, and how do they contribute to long-term weight management?

3.       Explain the concept of "metabolic resistance" as described in the Atkins diet. What factors can contribute to metabolic resistance, and how can individuals overcome this challenge to achieve their weight loss goals?

4.       Analyze the importance of nutritional supplements in the Atkins diet. What specific supplements does Dr. Atkins recommend, and what are their purported benefits for individuals following the diet?

5.       Discuss the potential challenges and controversies associated with the Atkins diet, such as concerns about saturated fat intake, nutritional deficiencies, and long-term sustainability. How does Dr. Atkins address these concerns, and what evidence supports or refutes his arguments?

III. Glossary of Key Terms

·         Hyperinsulinism: A condition characterized by abnormally high levels of insulin in the blood, often caused by excessive carbohydrate consumption.

·         Lipolysis: The biochemical process of breaking down stored fat into glycerol and fatty acids to be used as energy.

·         Ketosis: A metabolic state in which the body primarily uses fat for fuel, resulting in the production of ketones.

·         Ketoacidosis: A dangerous condition, primarily in diabetics, caused by uncontrolled blood sugar and excessive ketone production, leading to a build-up of acid in the blood.

·         Critical Carbohydrate Level for Losing (CCLL): The maximum amount of carbohydrates an individual can consume while still losing weight on the Atkins diet.

·         Critical Carbohydrate Level for Maintenance (CCLM): The maximum amount of carbohydrates an individual can consume without gaining weight, used during the Lifetime Maintenance phase.

·         Glucosis: A term used to describe the body's reliance on glucose from carbohydrates for energy metabolism.

·         Glycemic Index (GI): A ranking system for carbohydrate-containing foods based on their effect on blood sugar levels.

·         Insulin Resistance: A condition in which cells become less responsive to insulin, leading to higher blood sugar levels and increased insulin production.

·         Vitanutrients: Dr. Atkins' term for vitamin and mineral supplements, emphasizing their nutritional benefits.

·         AGEs (Advanced Glycation End-products): Proteins or fats that have become glycated after exposure to sugars.

·         GTT (glucose-tolerance test): Test that measures your blood sugar after twelve hours of fasting and then over the course of five to six hours after you drink a sugary liquid with no other food or beverage.

·         Delta: The difference between the baseline and peak glucose levels during the GTT.

·         SSRI (selective serotonin reuptake inhibitors): A class of anti-depressant drugs.

·         HRT (hormone replacement therapy): Treatment to relieve symptoms of menopause.

·         Metabolic Resistance: How readily you can lose weight.

 

Atkins Diet Revolution: A Comprehensive Study Guide

I. Short Answer Quiz

Answer each question in 2-3 sentences.

1.      1- According to Dr. Atkins, what are three questions people typically have about weight loss plans?

The Atkins Diet, a controlled carbohydrate nutritional approach, is generally considered safe when followed correctly. Recent studies suggest it can improve clinical parameters related to heart disease and other illnesses without harming the liver, kidneys, or bone structure. However, certain individuals should exercise caution and consult their physician before starting: those currently taking diuretics, insulin, or oral diabetes medications (dosage adjustments may be necessary as blood sugar levels decrease), individuals with severe kidney disease (creatinine over 2.4), and pregnant or nursing women (the weight loss phases are not recommended). Before starting the diet it is essential to have a complete physical including blood work to check your cholesterol, triglycerides, and other vitals to determine if the diet is right for you.

2. How does the Atkins Diet work for weight loss, and what is lipolysis?

The Atkins Diet promotes weight loss by shifting the body's metabolism from burning glucose (from carbohydrates) to burning fat. This process, called lipolysis, involves breaking down stored fat into glycerol and fatty acids for energy. A secondary process of lipolysis is ketosis, which occurs when the carbohydrate intake is drastically reduced. By restricting carbohydrate intake, the diet lowers insulin levels, which are responsible for converting excess carbohydrates into stored fat. The body then begins to utilize its fat reserves for fuel. By restricting carbohydrates, the body starts burning its own fat for energy.

3. What are the different phases of the Atkins Diet, and what is the purpose of each phase?

The Atkins Diet consists of four phases:

·         Induction: This is the most restrictive phase, limiting carbohydrate intake to 20 grams per day. The goal is to initiate lipolysis and kickstart weight loss.

·         Ongoing Weight Loss (OWL): This phase gradually increases carbohydrate intake while continuing to lose weight, focusing on adding more variety to the diet.

·         Pre-Maintenance: Carbohydrate intake is further increased until weight loss slows to less than a pound per week. This phase prepares the body for long-term maintenance and helps determine the individual's Critical Carbohydrate Level for Maintenance (CCLM).

·         Lifetime Maintenance: The goal is to maintain weight indefinitely by finding a sustainable eating plan that incorporates healthy carbohydrate choices while staying within 3-5 pounds of the goal weight.

4. What is the importance of insulin in weight management, and how does the Atkins Diet address it?

Insulin is a hormone that regulates blood sugar levels and controls the use, distribution, and storage of energy. When carbohydrates are consumed, the body releases insulin to transport glucose from the blood to cells. Excess glucose is converted into glycogen (stored in the liver and muscles) or, if glycogen stores are full, into fat. The Atkins Diet aims to control insulin levels by limiting carbohydrate intake. By reducing carbohydrate consumption, less insulin is produced, preventing excessive fat storage and promoting the use of stored fat for energy.

5. How do I determine my level of carbohydrate tolerance and how can I test for that?

Everyone has a unique Critical Carbohydrate Level for Losing (CCLL) which determines weight loss, and a Critical Carbohydrate Level for Maintenance (CCLM) which allows for weight maintenance. Determining the CCLL starts with the Induction phase and slowly adding carbs through OWL until your weight loss is less than one pound a week. From here you can move into pre-maintenance and experiment with your CCLM.

To test for issues that impact carbohydrate tolerance, you can get a five-hour glucose-tolerance test (GTT) with insulin levels. This test will highlight insulin resistance, which causes a need for more insulin to process a given amount of carbohydrates.

6. How are carbohydrates classified, and what types should be emphasized or avoided on the Atkins Diet?

Carbohydrates are classified based on their impact on blood sugar levels. Digestible carbohydrates are converted to glucose, while some carbohydrates like fiber are not. Fiber does not impact blood sugar levels and are therefore a positive addition. The net carbs that count on the Atkins diet, comes from subtracting fiber grams from total carb grams.

During the initial phases of the Atkins Diet, refined carbohydrates (sugar, white flour, processed foods) should be strictly avoided. As the diet progresses, the emphasis should be on fiber-rich, nutrient-dense vegetables, and then, nuts, seeds, and certain fruits.

7. What role do nutritional supplements play in the Atkins Diet, and which ones are recommended?

Nutritional supplements are recommended to address potential vitamin and mineral deficiencies that may result from dietary restrictions or pre-existing poor eating habits. A multivitamin, especially with an abundance of B vitamins, is a recommended supplement. Additionally, fiber supplements are important for avoiding constipation. Specific supplements, like L-Glutamine, may be used to help sugar cravings.

8. What steps should be taken before starting the Atkins Diet to ensure success and safety?

Before beginning the Atkins Diet, it is recommended to:

·         Consult a physician: This is particularly important for individuals with pre-existing medical conditions or those taking medications. A full physical and blood work are vital to determine if the diet will work for you and if any pre-existing conditions might impact the success of the diet.

·         Review medications: Discuss potential dosage adjustments with a doctor, especially for those taking medications for diabetes or high blood pressure.

·         Stock up on acceptable foods: Ensure a readily available supply of protein sources, low-carbohydrate vegetables, and approved snacks.

·         Eliminate unacceptable foods: Remove tempting high-carbohydrate foods from the house.

·         Prepare loved ones: Inform family members about the new eating plan and enlist their support.

·         Consider an exercise plan: Incorporate regular physical activity to enhance weight loss and overall health.

·         Take your measurements: Use a tape measure to record some vital statistics. Measure your chest, waist, hips, upper arms and thighs, and write down those numbers!

·         Fill out the Blood-Sugar Symptom Test: Great way to quantify how much better you'll soon be feeling

This is an updated version of the book I wrote ten years ago to help as many people as I could to lose weight. I felt certain then-and continue to do so-that the widespread dissemination of misinformation about what constitutes a healthy diet had caused that epidemic of weight gain in this country.

The book made a greater impact than anyone might have predicted. Its sales exceeded ten million copies, and it was the number one-selling diet and health book in the U.S. for nearly five years. In fact, it has been the all-time top seller in its field. Certainly of the millions of people who've read it, a large percentage followed its precepts, lost weight, kept it off and decisively improved their health.

What you hold in your hands is a thoroughly rewritten version of that work. Having listened with care to the people who followed my weight control program, I've clarified and improved the "do-ability" of the practical chapters of this book. I've added many new case histories and a horde of new and improved recipes. Finally, I've incorporated information on the recent upsurge of scientific evidence. We had it right ten years ago, but now we have twice as much research to confirm the nutritional approach championed by New Diet Revolution.

-Robert C. Atkins, MD


The book made a greater impact than anyone might have predicted. Its sales exceeded ten million copies, and it was the number one-selling diet and health book in the U.S. for nearly five years. In fact, it has been the all-time top seller in its field. Certainly of the millions of people who've read it, a large percentage followed its precepts, lost weight, kept it off and decisively improved their health.

But now something even more significant is taking place. The view of the medical world has been changing, and New Diet Revolution celebrates its tenth anniversary in a climate that is infinitely more receptive to controlled carbohydrate weight loss. Medical opinion, slowly evolving, is finally catching up with-and beginning to absorb-the vast weight of scientific evidence that supports a controlled carbohydrate nutritional approach.

And what a godsend that is, because when I first wrote this book, well-meaning but poorly informed organizations were so fat-phobic that people became convinced that so long as food was low in fat it was healthy.

People were taught to regard sugary cereals, which bore the American Heart Association's seal of approval, as health food, along with bread, pasta, bagels and the like. We were taught to shrink in terror from a steak or lamb chops. The low-fat craze-in vogue for two decades-significantly lowered the percentage of fat in the American diet but simultaneously resulted in a massive increase in carbohydrate consumption. Nor did the reduction in fat intake mean people were eating more vegetables; instead, it was refined carbohydrates, sugar and flour. Such quintessential junk foods had become the staple of American cuisine.

I hope you agree with me that if you wanted to create a nation of fat, tired, unhealthy people, this would be the perfect dietary plan. Every year the statistics poured in confirming that the obesity rates were escalating. And even more frightening, the number of diabetics worldwide has escalated. As I will show you, all too often the flipside of the coin of being overweight is having diabetes.

These twin epidemics, obesity and diabetes, were clearly the result of the low-fat, high-carbohydrate diet that was being preached to the public as gospel. The same groups that championed low fat denigrated the controlled carbohydrate nutritional approach-which was the very answer to these epidemics-as exceedingly harmful.

Now that millions of people have switched from the low-fat fiasco to the controlled carbohydrate lifestyle, a growing number of them are learning with certainty the degree to which they have been blatantly misinformed. I'll wager that there has never been another example in modern medicine of propaganda of such magnitude than the statements made by those worshipping the low-fat dogma.

Let me give you a few examples taken from the dozens of untruths designed to keep you from making the health-promoting change to a controlled carbohydrate nutritional approach. First, 8

thousands of these low-fat fanatics have claimed that a high-protein diet would impair kidney function. Yet, I have never seen or heard a single accuser provide a single example of a single case in which that happened. This is one of the many examples of untruths fashioned out of the whole cloth.

Another example is an idea so fixed that not even overwhelming evidence can change some people's minds. I'm speaking of the belief that eating the controlled carbohydrate way will create cholesterol problems. The truth, as you will learn from reading this book, is that every one of a score of studies on eating regimens low enough in carbohydrates to produce the desired shift to stored fat as the primary energy source showed a significant improvement in cholesterol and triglycerides. Yes, there was a single exception, one in which cholesterol levels rose insignificantly after the subjects were told not to take their vitamins. This is one of the many examples of untruths being peril accusers don't bother to read the scientific literature.

As you read this book, you will be informed, and, I expect, taken aback by the magnitude of the misinformation that stands behind our society's staggering increase in rates of diabetes and obesity. This propaganda campaign and the severity of the twin epidemics changed my focus on what I wanted this edition of the book to accomplish. I want so many millions of people to succeed in overcoming obesity, diabetes, heart disease, hypertension and all the other medical conditions aggravated by excessive carbohydrates that all the leaders of the medical profession recognize controlled carbohydrate eating as the treatment of choice for optimum health.

I probably will never again have to write a book that was as defiant and controversial as the first edition of this one was. What you hold in your hands is a thoroughly rewritten version of that work. Having listened with care to the people who followed my weight control program, I've clarified and improved the "do-ability" of the practical chapters of this book. I've added many new case histories* and a horde of new and improved recipes. Finally, I've incorporated information on the recent upsurge of scientific evidence. We had it right ten years ago, but now we have twice as much research to confirm the nutritional approach championed by New Diet Revolution.

Weight loss? Now you can't avoid it. You've bought this book, haven't you? Health? Don't forget, the carbohydrate controlled nutritional approach is a major part of the teaching of complementary medicine, and this medicine is focused on restoring ideal health, no matter what the cause.

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