Thank you for actually reading the paper, it’s gratifying to be able to discuss it in detail.
Surgery is a option, I just wanted to give you a example of 5 years of consistent weight loss that didn’t involve surgery.
As far as the diabetic group in the study went, I think the goal of people in the study was just controlling diabetes, any weight loss would be a side benefit rather then the primary goal.
I’m firmly in the camp that people should not try to lose weight as the goal, getting healthy is the goal - Fixing a poor diet is necessary even with surgery, so why not try fixing the diet first?
I note in the above surgery paper, the hypertensive cases went from 29 -> 23… That tells me even if these people are less obese, they are still metabolically unhealthy and still should improve their diet.
Bariatric surgery comes with a ton of problems as well including the possibility of malnutrition. Definitely not something to take lightly nor am I championing it.
Health is definitely a better goal than weight. Smokers are typically lower weight than non smokers, but I wouldn’t recommend that, either. Decoupling health from weight is a challenge when it comes to healthcare (in terms of doctors and insurance).
Again, thanks for the interesting article; I had previously heard about the negative cardiovascular effects of keto, but it might be time to update some of those conceptions.
Happy to talk about keto to any degree you like: If you remember the issues you heard I can point you at the current literature for the concern.
LDL is the one interesting metric on low carb that might be the issue your remembering, for overweight people it goes down, but for lean people some of them fall into the LMHR (lean mass hyper responder) type and their LDL goes 3-4x above the current guidelines. The current literature heavily indicates that LDL is not a concern by itself, only damaged (oxidized and glycated) LDL is a indicator of a problem. for the LMHR group their elevated LDL is the type-A totally healthy LDL.
Thank you for actually reading the paper, it’s gratifying to be able to discuss it in detail.
Surgery is a option, I just wanted to give you a example of 5 years of consistent weight loss that didn’t involve surgery.
As far as the diabetic group in the study went, I think the goal of people in the study was just controlling diabetes, any weight loss would be a side benefit rather then the primary goal.
I’m firmly in the camp that people should not try to lose weight as the goal, getting healthy is the goal - Fixing a poor diet is necessary even with surgery, so why not try fixing the diet first?
I note in the above surgery paper, the hypertensive cases went from 29 -> 23… That tells me even if these people are less obese, they are still metabolically unhealthy and still should improve their diet.
Bariatric surgery comes with a ton of problems as well including the possibility of malnutrition. Definitely not something to take lightly nor am I championing it.
Health is definitely a better goal than weight. Smokers are typically lower weight than non smokers, but I wouldn’t recommend that, either. Decoupling health from weight is a challenge when it comes to healthcare (in terms of doctors and insurance).
Again, thanks for the interesting article; I had previously heard about the negative cardiovascular effects of keto, but it might be time to update some of those conceptions.
Happy to talk about keto to any degree you like: If you remember the issues you heard I can point you at the current literature for the concern.
LDL is the one interesting metric on low carb that might be the issue your remembering, for overweight people it goes down, but for lean people some of them fall into the LMHR (lean mass hyper responder) type and their LDL goes 3-4x above the current guidelines. The current literature heavily indicates that LDL is not a concern by itself, only damaged (oxidized and glycated) LDL is a indicator of a problem. for the LMHR group their elevated LDL is the type-A totally healthy LDL.