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Move over Atkins: the South Beach Diet is Hot, Hot Hot!
Web MD ^ | 6/17/2003 | John Casey

Posted on 06/17/2003 8:46:37 AM PDT by sinkspur

The South Beach Diet produces rapid weight loss without counting carbs, fats, or calories.

It started out simply enough. Arthur Agatston, MD, a cardiologist, decided to develop an eating plan that would improve the cholesterol and insulin levels of his patients with heart disease. Now, the South Beach diet has grown into something much bigger. That's because the plan Agatston created not only improves cholesterol and insulin levels, but it also has helped many people lose weight.

"We've had people lose anywhere from five to 100 pounds on the diet," says Agatston, who is director of the Mount Sinai Cardiac Prevention Center in Miami Beach, Fla. "That's great, but what it really is good at is improving heart patients' lipid profiles."

In clinical trials, people on the South Beach diet see dramatic reductions in LDL (bad) cholesterol and increases in HDL (good) cholesterol. And they do so without much calorie counting.

Agatston's book about his plan, The South Beach Diet: The Delicious, Doctor-Designed, Foolproof Plan for Fast and Healthy Weight Loss, has become a best seller and it appears to be poised to overtake the controversial Atkins diet in popularity.

"My medical orientation has always been in prevention," he says. "The diet grew out of the frustration in seeing more and more patients becoming obese, having metabolic syndrome and diabetes, and all the heart disease associated with those conditions."

Despite the South Beach diet's glitzy title, Agatston's research and inventiveness is well respected in cardiology circles. Among other achievements, he is one of the developers of the electron beam tomography scan, or EBT, a screening method used to detect coronary artery disease and other diseases. EBT scans for this purpose are given a score on the "Agatston Scale," to gauge the severity of the disease.

"This plan really does meet several criteria for a health-promoting diet," says Cindy Moore, RD, a director of nutrition therapy at The Cleveland Clinic in Ohio and a spokeswoman for the American Dietetic Association (ADA). "It appears to be scientifically based. It is rich in vegetables, fruits, whole grains, and lean protein, and it doesn't omit any major food groups."

So what is the South Beach diet all about?

In the first phase of the South Beach diet, which lasts two weeks, you eat normal-sized helpings of lean meats, such as chicken, turkey, fish, and shellfish. Vegetables are also allowed, as are nuts, cheese, and eggs. A salad with real olive oil dressing is fine. Coffee and tea are OK, and lots and lots of water is required.

The Atkins diet differs in that carbohydrates are severely restricted during the initial phase. The South Beach diet instead groups "good" and "bad" carbohydrates based on their glycemic index, a measure of how foods affaect your blood sugar.

"The goal is to eat three balanced meals a day, and to eat enough so that you don't feel hungry all the time," Agatston says.

Forbidden in those first 14 days, however, are fruit, bread, rice, potatoes, pasta, or baked goods. No sugar, ice cream, cookies, or cake. And no alcoholic drinks of any kind (wine, fruit and whole-grain breads may be added back to the diet in subsequent phases).

Highly processed carbohydrates cause a cycle of overeating, says Agatston. White bread, for example, is digested quickly, resulting in a spike in insulin levels. Once the carbohydrates are used up, he says, you're left with too much circulating insulin, which causes your body to crave more food. Eating simple carbohydrates makes you want to eat more simple carbohydrates, and in the process, you gain weight, disrupt your lipid levels, and expose your cardiovascular system to unnecessary stress.

A typical South Beach diet breakfast is two eggs and lean bacon. Lunch is salad greens with grilled chicken. A small amount of dry-roasted nuts makes up an afternoon snack. Dinner is lean meat again with fiber-rich vegetables. Cheese and low-fat yogurt are allowed, as is sugar-free gelatin for dessert.

According to Agatston, at the end of two weeks, most South Beach dieters are eight to 14 pounds lighter. He says the weight loss doesn't happen because you're eating less, but rather because eliminating simple carbohydrates has broken a bad eating cycle. As a result, you'll continue to lose weight after the initial two-week period ends.

"I would like to see more backing to that specific weight-loss claim," says Moore, of the ADA. "While the first two weeks are heavy on protein, I'm not convinced that dropping carbohydrates would be enough to induce ketosis."

It's a well-established fact that rapid weight loss can be achieved when your body does not have carbohydrates to digest. This state is called ketosis.

Moore adds that despite the many positive aspects of Agatston's South Beach diet, you would be wise to work closely with a registered dietitian or your doctor with any diet that induces ketosis because the body is shedding water and, according to Moore, this might cause an electrolyte imbalance without proper hydration.

The second phase is similar to the first phase, but you'll start to reintroduce some of the banned foods. You can start eating high-fiber carbohydrates, such as whole-grain breads, which raise your insulin levels in a much milder way that do simple, starchy carbs.

"We don't want prolonged, severe weight loss," says Agatston. "You stay on the second phase only until you reach your goal weight."

The third phase of the South Beach diet is really all about weight maintenance, which Agatston describes as a "way of life." Should your weight begin to climb, you simply repeat the process.

"What's become clear recently is that the epidemic of obesity is caused partly by government health organizations promoting a carbohydrate-rich, low-fat diet, the kind you see in developing countries like China," says Agatston. "But those recommendations are based on people eating very high-fiber diets with low protein."

In the U.S., a carbohydrate-rich diet translates into lots of highly processed, low-fiber carbohydrates.

"The food we eat has often already been digested in the factory," says Agatston. "Eating white bread is like eating table sugar."

Though Moore agrees that the South Beach diet can be healthy, she reiterates the need for dieters to see a dietitian before trying it.

"The skill of a dietitian is to work within the parameters of what an individual needs," she says. "It's fine to use this diet for weight loss, but no diet fits everybody. For that reason, you need to work with someone to make sure the general diet is tailored to your particular body."


TOPICS: Culture/Society
KEYWORDS: atkins; atkinsdiet; diet; health; highprotein; obesity; protein; saturatedfat; southbeachdiet
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This is a modified-Atkins plan, with a few more vegetables in the initial stages.

There is no doubt that low carb diets with no processed carbs are much healthier and will keep the weight off.

The best thing about them is no hunger!

1 posted on 06/17/2003 8:46:38 AM PDT by sinkspur
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To: sinkspur
And no alcoholic drinks of any kind (wine, fruit and whole-grain breads may be added back to the diet in subsequent phases).

Screw it.....

2 posted on 06/17/2003 8:49:01 AM PDT by Jimmyclyde
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To: sinkspur
This is the Atkins diet - the two are virtually identical. What is this character trying to do, cash in on the success of Atkins by hyping nonexistent differences?
3 posted on 06/17/2003 8:49:14 AM PDT by Mr. Jeeves
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To: sinkspur
marking...
4 posted on 06/17/2003 8:52:06 AM PDT by dixiechick2000 (Giving money and power to government is like giving whiskey and car keys to teenage boys. -- P.J.)
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To: Mr. Jeeves
This is the Atkins diet - the two are virtually identical. What is this character trying to do, cash in on the success of Atkins by hyping nonexistent differences?

Thats the same thing I thought...and Atkins WORKS!

5 posted on 06/17/2003 8:52:14 AM PDT by BureaucratusMaximus (if we're not going to act like a constitutional republic...lets be the best empire we can be...)
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To: sinkspur
And no alcoholic drinks of any kind

That is definitely NOT the "South Beach" diet...

6 posted on 06/17/2003 8:52:21 AM PDT by D. Brian Carter
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To: Mr. Jeeves
It's an Atkins derivative. Atkins didn't invent the low carb diet either. He rediscovered it.

Bread=bad. I lost lots of weight on Atkins. Then I started working in the city again. Crossaint for breakfast and pizz for lunch started packing weigh on me again.

For me, it's bread that I have to avoid.
7 posted on 06/17/2003 8:52:38 AM PDT by 1stFreedom
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To: Mr. Jeeves
Yeppers, sounds just like Atkins to me. Only difference is that Atkins does not allow bread at any point.
8 posted on 06/17/2003 8:53:18 AM PDT by seeker41
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To: sinkspur
Oh my gosh! It's the Atkins plan. What a crock.
9 posted on 06/17/2003 8:53:49 AM PDT by Frapster (John 3:16)
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To: sinkspur
I just lost 17 pounds in 15 days on the Isagenics diet. This is the most I have lost on any of several I have tried, including the vaunted, fat-filled Atkins Diet.
10 posted on 06/17/2003 8:56:01 AM PDT by Paulus Invictus (RATS are scum with poor memories)
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To: sinkspur
Criminy .... Atkins diet copyright infringment ..... his heirs now have something to sue over :)
11 posted on 06/17/2003 8:57:15 AM PDT by Centurion2000 (We are crushing our enemies, seeing him driven before us and hearing the lamentations of the liberal)
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To: Mr. Jeeves
This is the Atkins diet - the two are virtually identical. What is this character trying to do, cash in on the success of Atkins by hyping nonexistent differences?

Yep. But hey, it worked for the guy who "invented" The Zone diet, which is pretty much identical to this.

12 posted on 06/17/2003 8:57:56 AM PDT by Hugin
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To: Mr. Jeeves
I'd have to look closer. It does look an awful lot like Atkins (down 30 lbs since May 1, thank you very much). The one thing it seems to have different is the emphasis on lean meats and lower fat. These things don't matter much on Atkins. Also, I have heard that it is a little less restrictive on high-fiber carbohydrates. I would have to look at that closer to verify. Actually, Atkins diets are moving more that way as well.

Mrs. Gridlock is having some issues with Atkins. Maybe this one would be more to her liking.

Now, what did they mean by lean bacon?

13 posted on 06/17/2003 9:00:17 AM PDT by gridlock ("Living History" is like the "Living Constitution": Reinterpreted as current conditions require...)
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To: Jimmyclyde
Exactly my thought.

Too good to be true.
14 posted on 06/17/2003 9:01:40 AM PDT by ctlpdad ("patco" the teachers unions)
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To: sinkspur
This sounds like a winner. I started out on Atkins, but morphed into something very much like this, when I found that no/very low carbs of the Atkins diet left me feeling weaker at the gym.

So I cut out simple carbs, ate reasonable portions of complex carbs (mostly brown rice, fruits, and vegetables), and skewed carb consumption to earlier in the day, and before and after workouts. It works well for me.
15 posted on 06/17/2003 9:02:39 AM PDT by LouD
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To: Paulus Invictus
I just lost 17 pounds in 15 days

Yikes!

16 posted on 06/17/2003 9:03:13 AM PDT by SGCOS
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To: sinkspur
Forbidden in those first 14 days, however, are fruit, bread, rice, potatoes, pasta, or baked goods. No sugar, ice cream, cookies, or cake.

My question is, would a low carb diet bring about the same results - it would just take longer? In other words, is the first stage of the diet just to give you the immediate gratification of dramatic weight loss?

17 posted on 06/17/2003 9:04:15 AM PDT by mombonn (Have you prayed for our President yet today?)
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To: sinkspur
Similar to Atkins and Sugar Busters diet. They all work because white flour + sugar are bad for you. Eliminate these from your diet and you lose weight. Thanks to the late Dr. Atkins I lost 54 pounds and plan on losing more. Heartburn was lost as well.
18 posted on 06/17/2003 9:04:46 AM PDT by MadelineZapeezda
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To: Paulus Invictus
"the Isagenics diet."

So tell us what this is.
19 posted on 06/17/2003 9:07:12 AM PDT by Bahbah
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To: Mr. Jeeves
This is the Atkins diet - the two are virtually identical. What is this character trying to do, cash in on the success of Atkins by hyping nonexistent differences?

Atkins preaches that reaching ketosis is essential to the success of his diet.

I never bothered with ketosis; doing it right requires buying strips and testing urine and other such nonsense. Also, you get really constipated and your breath smells awful.

This South Beach Diet is modified Atkins, and it seems to work just as well.

20 posted on 06/17/2003 9:09:00 AM PDT by sinkspur
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To: gridlock
Now, what did they mean by lean bacon?

Canadian bacon?

21 posted on 06/17/2003 9:12:32 AM PDT by Hugin
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To: mombonn
Here's another article from the same website:

Red Meat May Be Key to High-Protein Diet

Women With High Triglycerides Lost 25% More Weight on Red-Meat Diet

By Jeanie Lerche Davis
WebMD Medical News on Friday, May 09, 2003

May 9, 2003 -- Carnivores, rejoice! Red meat might be key to your high-protein diet. That's the finding from a new study, presented at an annual meeting of the American Heart Association.

"This is not the Atkins diet," says lead investigator Manny Noakes, PhD, a research dietitian with the Commonwealth Scientific Industrial Research Organization in Adelaide, Australia. "This is a high-protein diet, but it includes more fruits and vegetables than Atkins," she tells WebMD.

The Atkins Diet, which has drawn criticism from dietitians, is a high-protein diet but allows few carbohydrates (at least in the first few weeks). Later, dieters are allowed to gradually add in limited amounts of fruits and vegetables. Atkins allows too much saturated fat and is too skimpy on fruits and vegetables, many dietitians say, but research has shown that people on the Atkins diet do lose weight without upping their cholesterol.

In their study, Noakes and colleagues set out to analyze red meat's effects -- very lean red meat, that is -- on risk factors for heart disease and diabetes, she explains. However, the results turned up a surprising conclusion.

But first the data: 100 women were enrolled in the study -- all overweight, with an average body mass index (BMI) of 33. For 12 weeks, half the women ate a high-protein diet of 34% protein, 46% carbohydrate, and 20% fat. The other half ate a high-carbohydrate diet that was 17% protein, 64% carbohydrate, and 20% fat.

Each diet consisted of about 1, 340 calories, and protein in both diets was from lean red meat.

After 12 weeks, both groups lost weight -- but some of the high-protein-diet women lost substantially more weight. Those women who had triglyceride levels higher than 133 mg/dL -- a fat in the blood -- at the study's beginning lost 25% more weight, reports Noakes. At the study's end, the high-meat eaters also had 22% lower levels of triglycerides, she says. High triglyceride levels are often seen in people at risk for diabetes.

Other measures of health -- "good" HDL and "bad" LDL cholesterol, blood sugar, and fasting insulin levels -- fell in both groups.

"You can lose weight in lots of different ways," Noakes says. "But certain people might do better on a certain dietary pattern with less carbohydrates, more protein. They will feel less hungry, be able to tolerate eating less for longer periods of time. We find that's generally true of high-protein diets."

Whether or not you have high triglyceride levels in your blood, this type of red-meat, high-protein diet might work for you, she adds. "It's whether or not a particular pattern suits you. A high carbohydrate diet -- rice, pasta, fruit, vegetables -- hasn't always worked for people. There are lots of strategies to lose weight, and this is one of them."

"Younger women may be especially interested in the high-protein diet, since it has lots of calcium and iron, and provides lots of micronutrients," Noakes adds. "We believe that a higher-protein pattern is more nutrient rich and may in fact be a diet of choice for women who are trying to lose weight."

Noakes' high-protein diet is certainly healthy, says Kathleen Zelman, RD, spokeswoman for the American Dietetic Association (ADA). In fact, the carbohydrates, protein, and fats in both diets that Noakes tested are within approved ranges set by the ADA and the National Academy of Sciences, she tells WebMD.

"We're not talking Atkins," says Zelman. "These are within normal limits."

Other studies have documented the effectiveness of increasing protein, she tells WebMD. Protein works partly because it makes us feel full. Also, studies have shown that high protein and fewer carbohydrates work well together in terms of weight loss.

Bottom line: Eat fewer refined carbohydrates -- table sugar, baked goods, white bread, pasta -- and more fruits and vegetables, says Zelman. Eat lots of lean protein -- sirloin steak, flank steak, chicken, eggs, tofu, and fish.

22 posted on 06/17/2003 9:17:53 AM PDT by sinkspur
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To: Bahbah
Go to the targetweight.isagenix.com website. It appears to be some kind of drink, sold through multi-level marketing.
23 posted on 06/17/2003 9:28:34 AM PDT by sinkspur
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To: Paulus Invictus
I just lost 17 pounds in 15 days on the Isagenics diet. This is the most I have lost on any of several I have tried, including the vaunted, fat-filled Atkins Diet.

How can you stand that stuff?

24 posted on 06/17/2003 9:33:15 AM PDT by Pure Country
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To: Bahbah
"the Isagenics diet." So tell us what this is.

It's a diet drink plus other stuff that within four hours you are trotting to the pot continuously. Sure you lose weight, but diarrhea always does that to you.

25 posted on 06/17/2003 9:35:53 AM PDT by Pure Country
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To: 1stFreedom
This does seem a bit milder than Atkins, but the same basic idea, which was around before Atkins "invented" it.
The problem with all these "diets" is that people don't stay on them, you have to have a lifestyle change with smaller portions, and more exercise, period.
But some of us do need a program to follow. I have had excellent results with Sugerbusters, but I also keep in mind that even the good carbs have too be cut down.
My workout program is Power 90 which you may have seen the TV ads for. I've never bought a TV program, but this has a great website where you can see others results and chat with others doing it. Its a simple but hard 40 minute a day workout program incorporating light weights and cardio.
Unless you have a serious medical condition, there's no excuse for being a walking teletubbie. I was once 30 lbs overweight, now have I have a better body than I did in high school.
26 posted on 06/17/2003 9:42:11 AM PDT by CMClay
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To: sinkspur
This sounds like it is identical (or very nearly so) to the diet suggested in: The Schwarzbein Principle: The Truth About Losing Weight, Being Healthy, and Feeling Younger -- Diana Schwarzbein, Nancy Deville
27 posted on 06/17/2003 9:42:58 AM PDT by The Electrician
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To: Pure Country
LOL. I think I'll stick with Atkins.
28 posted on 06/17/2003 9:45:35 AM PDT by Bahbah
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To: sinkspur
"IMAGINE Beautiful Hair and Youthful Skin!"

This is from the site, and I doubt very much whether it could deliver me either of the above.
29 posted on 06/17/2003 9:47:24 AM PDT by Bahbah
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To: Mr. Jeeves
It sounds to me like the Atkins diet combined with that of Nicholas Perricone (author of "The Wrinkle Cure"). Perricone provides lists of foods with good and bad carbohydrates based on their glycemic rating.
30 posted on 06/17/2003 9:48:00 AM PDT by LanPB01
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To: 1stFreedom
If they give up flour and potatoes, anyone will lose weight.
31 posted on 06/17/2003 9:49:23 AM PDT by AppyPappy (If You're Not A Part Of The Solution, There's Good Money To Be Made In Prolonging The Problem.)
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To: sinkspur
This is not so. Atkins does not require monitoring of ketosis at all. It is suggested but not required. I have been on atkins for just over two months and have lost 30 lbs. I'm 10 pounds from my goal. Also, you only get bad breath and constipation if you do not drink enough water. Water intake is very important. As for the South Beach Diet, no thank you, I like my Brauts, sausage, heavy cream in my coffee. In the maintenance phase of atkins you phase back in complex carbs upto 100g a day.
32 posted on 06/17/2003 9:50:02 AM PDT by Angry_White_Man_Syndrome (I'm Okies love Dubya 2's "other half")
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To: sinkspur
Ping for further reading
33 posted on 06/17/2003 9:51:09 AM PDT by egarvue (Martin Sheen is not my president...)
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To: sinkspur
"It's a well-established fact that rapid weight loss can be achieved when your body does not have carbohydrates to digest... many positive aspects of Agatston's South Beach diet... the epidemic of obesity is caused partly by government health organizations promoting a carbohydrate-rich, low-fat diet... the South Beach diet can be healthy..."

This is disgusting. Pretty much since Atkins first published his diet decades ago, the evidence has been continually mounting that he was absolutely correct. That didn't stop the medical establishment from demonizing the man right up to the day he died. Practically the minute he's no longer around to say "I told you so," suddenly, magically, overnight it's "well-established" that low-carb diets cause rapid weight loss while government-backed high-carb diets cause heart disease and obesity. Oh, but only if you follow this altogether "new" diet created by a "well-respected" doctor, rather than the crazy scheme that dead crackpot was pushing.

34 posted on 06/17/2003 9:52:49 AM PDT by Fabozz
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To: sinkspur
No alchohol :-(
35 posted on 06/17/2003 9:53:01 AM PDT by Moleman
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To: Angry_White_Man_Syndrome
Love your tag line!
36 posted on 06/17/2003 9:54:01 AM PDT by Okies love Dubya 2
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To: Bahbah
I'm with you there. I just can' see a reason to give up my breakfast meats.
37 posted on 06/17/2003 9:54:38 AM PDT by Angry_White_Man_Syndrome (I'm Okies love Dubya 2's "other half")
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To: Moleman
On Atkin's you can still have same hard drinks. Plus Michalobe (sp?) Ultra is OK after the first stage of Atkins. Caution it is not as good as most beers.
38 posted on 06/17/2003 10:00:09 AM PDT by Angry_White_Man_Syndrome (I'm Okies love Dubya 2's "other half")
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To: sinkspur
The best way to stay in shape is exactly the same now as it has always been. Eat in moderation (several small meals are much better than two or three large ones), do moderate amounts of strength training (especially if your job doesn't involve much heavy lifting), and run, run, run.

Four hours on the couch a day watching television and eating chips equals turning into a big flat slob.

39 posted on 06/17/2003 10:01:02 AM PDT by jpl
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To: Okies love Dubya 2
Stop stalking me. LOL
40 posted on 06/17/2003 10:05:26 AM PDT by Angry_White_Man_Syndrome (I'm Okies love Dubya 2's "other half")
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To: sinkspur
Marking...
41 posted on 06/17/2003 10:06:48 AM PDT by tubebender (FReepin Awesome...)
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To: sinkspur
I dont see anywhere in the SB Diet where it talks about trying to intentionally achieve ketosis. That is part of the mainstay of the Atkins diet, at least during the induction period.

This diet seems like a good, moderate version of LowCarb dieting. I myself have done something similar, back when I was working out alot. If this guys book can bring more people into the low-carb way of eating, and if this help those people become healthier individuals, then more power to him!

42 posted on 06/17/2003 10:13:11 AM PDT by Paradox
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To: sinkspur
Bump
43 posted on 06/17/2003 10:17:35 AM PDT by Anoel
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To: Paradox; Angry_White_Man_Syndrome
I dont see anywhere in the SB Diet where it talks about trying to intentionally achieve ketosis. That is part of the mainstay of the Atkins diet, at least during the induction period.

Of course it is. Atkins preached ketosis for the first twenty-five years of his diet program, though he did back off in the last few years.

Achieving ketosis is not necessary to lose weight on Atkins or any other low-carb diet.

44 posted on 06/17/2003 10:25:29 AM PDT by sinkspur
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To: Angry_White_Man_Syndrome
Plus Michalobe (sp?) Ultra is OK after the first stage of Atkins

I don't think it's bad at all. I wouldn't suggest drinking one immediately after a 'full-flavored' beer, but to me it doesn't taste much different from a light beer. Occasionally I splurge and drink the 'good stuff' like a corona or yuengling, but most often I stick to the ultra. And I love beer!

45 posted on 06/17/2003 10:28:39 AM PDT by dubyagee
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To: Pure Country
I haven't had diarrhea once since I've been on the Isagenix System, but I've lost over 50 pounds. This isn't a diet. It's total health. I also lost my depression because of getting the right blend of nutrition. This is a do-able lifestyle change which has worked far better for me than the dozens of "diets" I have done over the last 38 years, including Atkins. You can check here for more details: www.healthbiz.isagenix.com
46 posted on 06/17/2003 10:39:58 AM PDT by Mother of the Bride
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To: chicagolady
Pinging...
47 posted on 06/17/2003 10:44:56 AM PDT by tubebender (FReepin Awesome...)
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To: sinkspur
Great post! Thanks, sinkspur, I'm gonna get the whole household on this, a.s.a.p. ... I'm really gonna miss Ice Cream though.
48 posted on 06/17/2003 10:49:12 AM PDT by MHGinTN (If you can read this, you've had life support from someone. Promote Life Support for others.)
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To: sinkspur
"And no alcoholic drinks of any kind (wine, fruit and whole-grain breads may be added back to the diet in subsequent phases)."

South Beach BS. Since April 8, I'm down from 249 to 202 and enjoy adult beverages, whole-grain bread 1x daily, fruit and the occassional small dish of ice cream. Filet mignon and porterhouse steaks 3x daily is heavenly. I do miss my pasta, though.

Sounds like an Atkins Diet rip-off to me.
49 posted on 06/17/2003 11:10:50 AM PDT by Hinoki Cypress
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To: Mother of the Bride
I've got a cupboardful of the stuff. Had two friends who tried it also, with the same running that I had. One of them it made her very sick to her stomach. But hey! I'm glad that it works for you! Congratulations!!! Sounds like a winner!
50 posted on 06/17/2003 11:10:58 AM PDT by Pure Country
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