Andreas Eenfeldt, MD presentation: Low Carb, Protein or Satiety for Metabolic Health?

[@felipearbustopotd]

It's great to go 23 hours if not more and not feel hungery. Be the lab rat and find what works for you. Thank you for uploading and sharing.

[@CAM-fq8lv]

Clear, humane, and funny. Advice for the adults in the room.

[@hellie_el]

yes! usually i watch these things at 2x speed, but this was so great, i enjoyed it at normal speed. :)

[@hellie_el]

brilliant!

[@DrEenfeldt]

@@hellie_el 🤣

[@hellie_el]

@@DrEenfeldt 100% true! :)

[@tracylinn5669]

Good for you Dr Eenfeldt, it is a rare treat to see a long-held position evolve in response to new studies and evidence. I believe science should be "strong opinions loosely held".

[@antoinetteblair4]

I love this new approach! Makes so much sense! Can’t wait to try it 😊

[@hellie_el]

exceptionally good presentation

[@DrEenfeldt]

Thank you!

[@hellie_el]

@@DrEenfeldt thank YOU :)

[@kevanhess2105]

Great got me thinking ......👍🥳

[@pbziegler]

Science isn't a list of facts or rules, it's a conversation. Tip of the hat to you for evolving with new information and understanding.

[@Manweor]

Fro medium term weight loss and sustainable life this is a great approach. There are specific advantages to periodically following other approaches. The advantages of ketosis and fasting are real. And sure, you don't need to do them all the time, but periodically a week of keto followed by some fasting is really useful. Some plant-based, on the other hand can work as a fasting mimicker for a few days. Carnivore can help fix many problems in the body while maintaining strength and hormone levels.

[@weinerdad]

Low carb helps in regulating my T1D glucose levels, but I'm not losing any weight at all, for sure. Cheese is my foil. I'm glad Diet Dr and others have migrated away from high-fat "keto" and toward low-carb, higher-protein, just like Dr Richard Bernstein always said was ideal.

[@Mrs.TJTaylor]

Great concept! I’m going to try this. I’ve been ketovore for years and I’m plateaued at 40 pounds overweight.

[@wodzefag8062]

Do you do any of resistance training?

[@Mrs.TJTaylor]

@@wodzefag8062 I just started in the new year. I have light hand weights that I’m working with at home. I take long walks. And I’m looking for a gym that accepts Silver Sneakers membership. I need the weight circuit. I had a devastating viral brain injury with meningitis which left me semi comatose and bedridden for nearly two years. I’m still quite sarcopenic, weak as a kitten because if it. I literally didn’t have the strength to lift my head off the pillow when I first started to recover, via a ketogenic diet. I’m actually changing my diet from ketogenic to full carnivore for a while. It’s very hard to make progress at my age. I’m 70.

[@Jack_Schularick]

After Volvo, Ikea, Abba, Husquarna and perhaps even Sven Hedin, this is arguably the BEST thing that came out of Sweden. I should probably have mentioned the Vikings but my French (but certainly not Russian) friends might give me hard time. Oh, oh, I forgot Gustavus II Adolphus who ended the 30 years' war. I think that counts. We could use him in the Ukraine today, btw. Best regards, Andreas, from Copenhagen.

[@DrAndreasEenfeldt]

Haha, thanks Jack! We'll aim to move up that list with time. 😉

[@Jack_Schularick]

@@DrAndreasEenfeldt Du er godt på vej opad Andreas. That I can tell you. But is there any independent validation, assessment of the satiety score? Underway?

[@DrEenfeldt]

@@Jack_Schularick We are validating and updating it based on all quality ad lib RCTs on humans out there, as well as all studies coming up. We'll also continually follow up the effectiveness of our system based on the success of participants.

[@OGPedXing]

I've been saying for years that 80% of a good diet is eating whole foods. But i also believe in eating an evolutionary consistent diet, which is naturally lower in carbs. If your ancestors for the last 200k years lived outside of equatorial regions, high carb was not an option. Honey was uncommon, and fruits were very small and bitter. Grains were way too much work, except for a couple of species, and that was very seasonal.

[@IonTrone]

interesting new approach!

[@DrEenfeldt]

It is.

[@lowcarbconferences]

Thanks for commenting here @DrEenfeldt. I wish more speakers would share in the conversation. Listened to you talk again and I've been a fan including satiety in the conversation. And you jokes were awesome!

[@DrEenfeldt]

@@lowcarbconferences You clearly Hava great sense of humor!

[@lowcarbconferences]

@@DrEenfeldt Hava a great day!

[@joannawieczorekmd]

Satiety per calorie concept is not new and well described by Dr Ted Naiman in the book PE diet , highly recommended.

[@sueacres8784]

Dr E is working with Ted.

[@judymiller5154]

yes, sadly I am thinking the cream, nuts, and butter need to be cut way back.

[@Pyjam-0702]

There's no way spinach can have a satiety score of 100 when it's 92% water and 3.5% carbohydrates.

[@OGPedXing]

Well the algorithm puts in palatability and that is close to zero, let's not kid ourselves. Bitter leaves are the definition of poison by instinct. So that plus a lot of fiber means you would rather die that eat a lot of it. So it's "satiating", lol.

[@thalesnemo2841]

Plants are full of anti nutrients such as phytates, oxalates and lectins ! The key is keeping the carbohydrate low less than a 100 grams total per day ! Find your own carbohydrates threshold.

[@celinar2650]

The measure is satiety per calorie-the “per calorie” part is crucial.

[@JD-rc6lq]

Its very plausible that in the last study you cited the ultra processed foods caused more insulin secretion than the non-processed foods. This would support the Carbohydrate-Insulin Model that you seem to want to declare dead. This same study appears to disprove the protein leverage hypothesis because protein was equal in the two arms. Protein deficiency can not be THE cause if you can arrange a study where all things are equal but you get different results. And more processi g of protein should result in better absorption...

[@OGPedXing]

He explained the study poorly. It was ad libitum. Food options were matched, but those eating highly processed ended up with twice the calories. The point being that hyper palatability beats macros. Although that said, the protein leverage hypothesis is definitely very accurate given a wide range of food choices. As shown previously, most hyper processed foods are high carb, fat, low protein.

[@karenohanlon4183]

I like the idea of feeling satisfied. I eat mostly carnivore . Lately I find myself bored with the same foods. I actually sickened myself of bacon and eggs. I think if this approach worked it would be much easier than the same four or five foods. I love cheese and butter but I can overeat them with meat. Plain steak for the rest of my life is scary. I hear Jordon Peterson say he eats nothing only beef and salt.

[@JulieAnneMullan]

@@zlmdragon. may I quote you? This short message (after watching Dr Eenfeldt’s brilliant presentation and I’ve been looking forward to the emergence of the Satiety model for a while now) means that you are both brilliant :)

[@gaiacielo5090]

And also if you eat broccoli and chicken it’s pufas, oxalates and you can get rabbitstavlrving 😀

[@emilee_7265]

For me is also so simple. Randle cycle. You must eat carbs or fats. You cant eat them together. Because these are two energy source. Thats so simple! Vegan diets, africans, are low fat diets. Japan - low fat, but carbs. There isnt healthy diet on planet, with carbs and fats together. You can choose!

[@remcovisser7927]

This satiety method will only be a major worldwide success if a satiety label is on every product in the supermarket. That will not happen in the coming 10 years. It is much easier until that time to explain what the pitfalls of the keto diet are like drinking too much milk and eating processed meat

[@johneubank8543]

I found this talk almost a complete waste of time. Okay, so the "low carb" diet version that "lost" to high carb was _flawed_ low carb - yeah, we've seen that before many times. The presenter doesn't seem particularly thorough, so who knows what else he missed. Another thing he missed is that an extremely large number of people do low carb or keto wrong. I can't tell you how many times in the past year, mostly in the grocery store, I've struck up a conversation with someone about diet - just to see what I'll find out (or at church, or wherever). I'm surprised by how many people told me, "Oh I did low carb" or "Oh, I did keto" .... "and it didn't work for me." Invariably, they did it wrong. "Let me guess," I often say. "You continued eating grilled skinless chicken breast, right?" Often the answer is yes. Because saturated fat is "so bad for me" - of course it isn't and I tell them so. But these people weren't eating nearly enough fat. Another problem is too many keto treats and too many processed "keto" foods that aren't keto. Another problem: "but potatoes and sweet potatoes are 'vegetables,' and we're allowed vegetables on the keto diet, right?" /facepalm Some people have told me they get such bad "keto flu" they had to quit. I suggest they try again, using electrolytes to get through the first week - and - make sure they understand what keto is and is not (i.e. eat the right ratio of macronutrients). Back to this talk, I don't even know what the presenter was recommending. I don't like diet doctor presentations anymore. Bret Scher is ... frustrating in most of his talks, because he invests so so SO much energy in pandering to all sides and trying not to seem "one sided" that he ends up being confusing or saying nothing. This guy is much the same. Get you act together, Diet Doctor people. Pick a side. Stop playing this - and be far, far FAR more thorough. Stop trying to use the Ted Talk format and get to the point - and be far more clear on what you're recommending. Or find something else to do. This current approach is garbage.

[@kevanhess2105]

I like them but I agree thT should be more decisive on where they stand.I didn't get the conclusion of the talk?

[@idiBibi]

I kept waiting for him to talk about what seems to me to be the obvious culprit behind the weight gain in the ultra-processed group: industrial seed oils. They raise insulin levels even in the absence of sugar.

[@johneubank8543]

@@kevanhess2105 maybe I was tuning out, but ... what may have been the talk's conclusion seemed so weak and wishy-washy to me, I couldn't call it a conclusion. /shrug

[@johneubank8543]

@@kevanhess2105 I do basically like these guys, but they also irritate me - the diet doc guys.

[@johneubank8543]

@@idiBibi good point!

[@gaiacielo5090]

No but if you eat spinach you will be really sick unfortunately! Oxalates

[@touchofgrace3217]

Are there really “clear” racial disparities in cardiometabolic health or might they be cultural disparities? Are we attributing to skin color what might be attributed to behavior? The Italian who won’t give up pasta or the latino who won’t give up tortillas and rice or the cop who won’t give up donuts?

[@warrenklein7817]

Lost me, over emphasised calories. Calories have got nothing to do with metabolic health. Calories are just a test tube calculation.

[@weav8060]

Karl Marx would be so so proud and also ashamed at the childish economic arguments. Genius non-analysis of an entire social system and industry

[@jmphome9793]

For the Algo 🥩🧈🥓🍳👍✌️

[@robertcorlet512]

Umm…

[@darkfieldcarnivore3928]

This is stupid. The carbohydrate insulin model is NOT about calories! It's based around the cellular glucose fatty-acid cycle, which involves fat! Given exogenous carbs/glucose are non-essential, it's those that cause the issue.

[@A_Dome_Dream]

You have to meet people where they are at. Good luck explaining the cellular glucose fatty acid cycle to the masses. Simple formulas sell better. This is the reason why weight watchers is so popular and why calorie counting has been the standard for so long. We have a world wide epidemic of obesity and diabetes and we have to use every tool we have. Perhaps this model is not perfect but the average person can understand it.

[@darkfieldcarnivore3928]

@A_Dome_Dream Meanwhile obesity rates continue to increase despite the likes of weight watchers, calorie counting, and all other "simpler" methods of education. All my clients have a "light bulb" moment when the randle cycle is explained, and can't understand why it's not taught at school. They can then make appropriate choices to very easily lose weight and restore health.

[@vishalchaudhary-nf6gr]

Ayurveda's individualized and natural methods can provide substantial support for addressing metabolic syndrome. Integrating elements such as yoga, dietary recommendations, and herbal supplements offered by Planet Ayurveda could create a comprehensive treatment approach that has the potential to improve metabolic health.