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Her family (and her doctor) were stunned, and could hardly believe the changes they were seeing.
Yet as impressive as very low-carb (VLC) and ketogenic diets can be in certain situations, that does not mean that these diets may not have some undesirable side effects over the long term—some of which we’re only beginning to understand.
Their high protein intake would have prevented ketosis from occurring.
(Lest low-carb advocates think that I am anti-low-carb, I’d like to reiterate that both the research and my clinical experience suggest that low-carb diets can be incredibly effective therapeutic tools for certain conditions.
I recall an 84 year-old woman who came to see me complaining of dementia and early-onset Alzheimer’s.The belief that “everyone” will benefit from one particular dietary approach—no matter what it is—ignores the important differences that determine what is optimal for each person.These include variations in genes, gene expression, the microbiome, health status, activity levels, geography (e.g. Some people may thrive on a long-term, low-carb diet.Yet even these cultures—such as the traditional Inuit—often made an effort to obtain carbohydrates from berries, corms, nuts, seaweed, and tubers whenever they could, as Richard Nikoley has recently detailed on his blog.
What’s more, contrary to popular claims, studies have shown that it’s unlikely the Inuit spent much time—if any—in nutritional ketosis.
Or that a low-carb diet simply does not work for everyone? It’s true that VLC/ketogenic diets are effective for improving the metabolic markers associated with type 2 diabetes.