Introduction
Part of the information provided
is the result of 10,000 one on one consultations
and nine years experience with the Ultra Lite
system.
Also included is research data undertaken
with a sample of 668 outpatients.
Firstly let’s look at the problem we
are trying to resolve, fat loss not weight
loss. Most people can lose weight; however
burning body fat is an entirely different
issue.
In my 25 years experience as a Naturopathic
Doctor I have not found any other system that
can convert stored body fat into energy as
efficiently as the ketogenic method.
Some Frequently Asked Questions
Can Ketogenic Diets
Cause Kidney Disease?
There is some evidence that
high protein diets can be harmful to people
with pre-existing kidney damage.
Firstly, the amount of Protein recommended
in the Ultra Lite program, in my opinion is
not high. The Ultra Lite program is a balanced
protein and carbohydrate diet, unlike some
programs that suggest you can eat as much
protein as you like.
A clinical trial in 1999 was undertaken with
two groups of subjects. One group was fed
a high protein diet, whilst the other was
fed a low protein high carbohydrate diet.
In the group fed the low protein diet evidence
showed that the kidneys atrophied by an average
of 6.2 cm. The group fed the high protein
diet experienced adaptive changes in renal
size without indications of adverse affects.
What Are Ketones?
Ketones are the intermediate
product of fat metabolism. Ketones are an
alternative source of energy to glucose. Ketosis
associated with the Ultra Lite program is
in no way harmful. The confusion lies in the
association with diabetic ketoacidosis.
Ketoacidosis occurs when diabetics produce
high levels of ketones in the presence of
elevated blood sugar levels. Insufficient
insulin, or inefficient insulin function,
means this elevated blood sugar cannot be
delivered to the cells for energy. Consequently
ketones must be formed as an alternative energy
source. Under normal circumstances the body
can adjust the pH level to cope. In the case
of diabetes the body is unable to efficiently
cope with the increased acid load and ketoacidosis
occurs increasing the acidity of the blood.
This occurrence is associated with diabetes
(induced by high blood sugar levels from the
consumption of carbohydrates) and has nothing
to do with ketosis induced by a low carbohydrate
diet.
Why Do Some Patients
Have Trouble Getting a 1.5 Ketone Reading?
Firstly I have never had a
failure. That is to say I have never had a
patient not lose a reasonable amount of weight.
If the patient is managed correctly they should
be satisfied with the result.
Nine years ago the term insulin resistant
was unknown to me. The relationship between
polycystic ovaries and insulin resistance
was unknown to me. All I really understood
was what was required to have a patient hit
1.5 and the results followed.
I have not deviated from that thought pattern
and the results still keep coming.
The patient must follow your instructions
and not deviate:-
1. Calibrate their food scales.
2. Eat only the foods recommended in the program.
3. Eat the same quantity of food each day.
4. Test for 1.5 at the same time each day.
5. Refrain from having the bulk of their food
for dinner.
6. Take their 4 packets each day.
7. Have oil and vinegar, water, and potassium
each day.
8. Avoid having too much of the higher glycemic
foods each day.
9. Bring their menu sheet with them each week.
10. Undertake as much aerobic exercise as
possible.
If all the above is adhered to, you should
not have too many problems getting them into
1.5.
Some patients may have carbohydrate or protein
metabolism problems.
These patients will show a Neg/Trc (poor carb)
metabolism or Mod/Lge (poor protein) metabolism
problems.
In these cases the carb or
protein amounts have to be reduced, and in
some cases increased.
Increasing food intake increases calories;
we try and avoid that.
Never be afraid to reduce
carbs if they are not in 1.5. Your patient
will feel better eating less and in 1.5, than
eating more and not in 1.5. Any adjust you
make can take up to 3 days to have an effect.
Wait 3 days have your patient call if they
have not hit 1.5. Then you may need to make
further adjustments.
Don’t give in. Be strong. Don’t
allow deviation. Make sure they are telling
you the truth.
You will have some challenging patients. The
majority will fly through and you will be
as amazed as I am, even after 10,000 consults.
References
1. Lonnerdal R. Dietary
Factors Influencing Zinc Absorption. Journal
of Nutrition, 200; 130: 1378S-1383S.
2. Poortmans JR, Dellalieux O. Do Regular
High Protein Diets Have Potential Health Risks
on Kidney Function in Athletes? International
Journal of Sports Nutrition and Exercise Metabolism,
Mar. 2000: 10 (1): 28-38.
3. Bham M, et al, Protein Intake and Kidney
Function in Humans: Its Effect on Normal Aging.
Archives of Internal Medicine, 1989; 149 (1):
211-212.
4. Mitchell GA, et al. Medical Aspects of
Ketone Body Metabolism. Clinical and Investigative
Medicine, 1995; 18 (3): 193-216
5. Phinney SD, et al. The Human Metabolic
Response to Chronic Ketosis Without Caloric
Restriction: Physical and Biochemical Adaptation.
Metabolism, 1983; 32 (8): 757-768.
6. Hoffer LJ. Metabolic Consequences of Starvation.
Modern Nutrition in Health and Disease, Shils
ME, et al. (editors), Lippincott Williams
& Wilkens, 1999, 9th ed: 645-665.