Mary Anne Evans
Before she saw me, Mary Anne had given up. I asked her to tell her own story.
“I said to myself, Tm simply going to be a fat person for the rest of my life.’ I weighed 209 pounds when I came to see you, and I had been putting on weight steadily for twenty years especially after each of my kids.”
At 5 5″ tall and 42 years old, Mary Anne’s two hundred plus weight load was a health hazard and a half, and I told her so. She said she had tried countless diets low calorie diets including Weight Watchers; a hospital based program that measured calories; and a liquid protein diet on which she lost more than thirty pounds in three months and gained it back, with interest, in four.
She had thought it made sense to watch calories in order to lose weight, but somehow it never worked. Besides, it was terribly painful. The pounds that slid off with agonizing effort slipped on again effortlessly, which didn’t seem quite fair.
So what was the use? Besides, she hadn’t come to me with weight loss in mind. Her problems were quite medical. Mary Anne’s blood pressure was high (160 100), she had a number of allergies, and her chief complaint was the extreme fatigue she had endured far the past several years. Add her overweight to all that, and I knew she was heading into a very difficult, mid life physical crisis. Better act now.
To begin with, I took her off all carbohydrates. At nearly zero grams of carbohydrate, the most fat retaining body will develop ketosis lipolysis, which simply means it will be burning its own fat for fuel. Ketosis is the secret weapon of supereffective dieting. A person in that state is throwing off ketones little carbon fragments that are the byproducts of the burning of fat stores.
Many doctors have an unfavorable picture of ketosis, but, in fact, used as you’ll use it on the Atkins program, it’s going to be just as safe for you as it has been for my first 25,000 overweight patients. It’s an extremely desirable state to be in, and it fully deserves the name I’ve coined for it: Benign Dietary Ketosis (BDK). But remember, you can’t be in ketosis unless you’re eating hardly any carbohydrates. For most people this means less than forty grams a day. To get you oriented, remember that an average person consumes approximately 300 gms of carbohydrates a day. And, of course, some people eat much more than that.
So let’s look at Mary Anne. I wanted her to be in ketosis. She was willing to try.