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Metabolically possible to not lose weight lchf?

Commented on July 16, 2014
Created July 13, 2014 at 1:44 PM

hi!

I've been having issues with lchf, I can lose the initial stored carbs attached to water, but after that there seems to be a complete lack of weight loss/stall. ( on lchf for 2 years)

Then with the addition of propranolol, a beta blocker, for migraines, I gained 45 pounds in 5 months. I have been off of it for one month and my weight has stabilised but still no losses.

So I had blood work done. I'm a 29 female.

Fasting glucose : 92

HbAc1: 114

Fasting insulin: 32 (should be less then an 8 if not a 0)

Testosterone :11.36

Testosterone free: 0.4

Tsh: 1.36

Total cholesterol 155

Hdl 61

Triglyceride 42

Ldl 86

Vldl 8

Dhea-s 280

I do want to add for 2 months of my ac1 I was on a beta blocker and it does raise blood sugar.

And I had a hypoglycemia panic attacks a few minutes before my blood work, but then was feeling fine and not hypoglycemic during blood draw (=adrenaline =release of glucose by liver? = looks like higher fasting??? )

I have switched to topamax for migraines, and the heat intolerance completely removes cardio exercise for me.

I've been seeing doctors for years trying to get help with weight loss, my hypoglycemia and hypotension problems. But I keep hearing diet /exercise. Or that I'm lying about what I am eating or how much I am (was) exercising.

I need help!

D71d417b7adfb093aaecb98951b2d8d6

(43)

on July 16, 2014
at 11:24 PM

Thank you for your comment!

I completely understand that 99% of the time that generally it is user error.

I finally saw my doctor regarding my blood work. Firstly my thyroid was much more hypothyroid but still normal during the unusual weight gain. My lipid panel shows im not over eating, if not under eating. And she thinks the weight gain was from the beta blocker and birth control. 'it just happens' according to her, and it's common but not usually as much as I experienced which leads me to my last point.

We are currently investigating me for insulinoma.

Be157308a0438e382b88d9db4c12ab30

on July 16, 2014
at 06:27 PM

You make a very fine point, I certainly agree that more muscle is beneficial in disposing of excess glucose. However, while some of the fat released by fat cells is re-absorbed back into storage if not utilized, some of it is lost in the urine (urine ketones) and in the breath (keto-breath). It is this inefficiency (ketones lost in urine and breath have calories after all, they're just being thrown away) which allows for fat loss during ketosis even when subjects engage in limited exercise. Nevertheless, like you said, additional exercise can also be helpful.

Be157308a0438e382b88d9db4c12ab30

on July 14, 2014
at 09:52 PM

So let me get this right, you eat low-carb and simultaneously have high fasting insulin levels? Well, aside from carbs, the only other thing that may promote high insulin levels is protein. You have not addressed your protein consumption. How many grams of protein are you consuming on a daily basis?

D71d417b7adfb093aaecb98951b2d8d6

(43)

on July 14, 2014
at 09:22 PM

Unfortunately with my hypoglycemia and high fasting insulin if I eat too few foods it is more likely for me to store any glucose my liver releases before it feeds my cells... Which in the past has led to my organs starting to shut down. So unfortunately I can't just fast or go super hypocaloric for weight loss with out being in a hospital environment.

Over the years I have done a lot of weight training to build up my muscle to try to increase my metabolism so I can approach calorie deficiency differently. I also don

D71d417b7adfb093aaecb98951b2d8d6

(43)

on July 14, 2014
at 09:14 PM

*15g net carbs per meal us the max, I usually stay under this ranging from 8-12.

D71d417b7adfb093aaecb98951b2d8d6

(43)

on July 14, 2014
at 09:13 PM

Well I was trying to lose only 20 pounds previous to the 45 pound weight gain from beta blockers.

So in theory I should now have a staggering 65 pounds to lose now to where I want to be. And my goal weight isn't too terribly low. I'm 5'10 and my absolute bottom weight I was assessed for is 165, lean mass+ essential body fat (goal weight 175 because I like my boobs).

I only have seen TSH. I do have hypoglycemia that is very bad. I find I must stay under 15g carbs or I will crash. So no coke for me.

I am probably at a 50 % fat intake level, coming from butter, coconut oil and nuts/avocados.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on July 14, 2014
at 12:59 PM

Results that fly in the face of well-defined science require exceptional evidence. CICO works so well… it's truly hard to believe those who claim to lose no weight on starvation diets (starving kids in Africa aren't fatties). There are numerous examples of "unique snowflakes" that couldn't lose weight conventionally, when put into metabolic wards, they immediately lose weight.

D71d417b7adfb093aaecb98951b2d8d6

(43)

on July 14, 2014
at 04:42 AM

I had worked with a dietician, I had to scale weigh every bit of food and exercise was not added into the equation. I lost nothing at 1200 calories, so she bumped me up to 1400 calories, still nothing then 1600,still nothing, 1800 still nothing. Eating a ketogenic diet to manage my hypoglycemia.

We met every 6 weeks so there was plenty of time between visits.

Then in December I started a beta blocker (for migraines) and didn't change my diet. Gained 45 pounds in 5 months, stopped it, stopped gaining weight still no change in diet. Found out it some how increases blood sugar. Horrible!

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5 Answers

0
Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on July 16, 2014
at 08:23 PM

Hi Alalia, it is possible for atypical things to happen anywhere in the population. It should absolutely be possible for a person to not lose weight while on a Low Carb High Fat diet(LCHF). Assuming a LCHF diet where you are controlling Calories In Calories Out (CICO) this becomes extremely rare based on personal and PH anecdotal experiences. Considering you are a relatively new user and that this is your first question you'll have to understand that the original screening provided by matt and in part raydawg is very typical. 9 times out of 10 (or even more) they will be right. Which means they are probably right in this circumstance as well. That being said,,,

There are variables that might help this to happen. You mentioned some medication as one possible contributing factor. This is definitely possible. Rather than go into all the possible causes I'll offer a simple solution that I would offer to any individual, especially once who considers themselves metabolically damaged (though self diagnosis is dangerous and should be avoided, even with the aid of fellow internet 'gurus'). Quality muscle contractions are necessary for global metabolic fitness. If your metabolism was to blame for your lack of weight loss then quality muscle contractions would be at the top of the list of my suggestions right after counting your calories.

So yes it is unlikely, very unlikely, but possible. If I were you I would go to a maintenance calorie diet and include walking vigorously at least 30 minutes per day along with any other weight lifting or cardio you enjoy. Be consistent, if you follow these guidelines by me and other posters then the only way you won't meet your goals is if you break some of the laws of physics!

D71d417b7adfb093aaecb98951b2d8d6

(43)

on July 16, 2014
at 11:24 PM

Thank you for your comment!

I completely understand that 99% of the time that generally it is user error.

I finally saw my doctor regarding my blood work. Firstly my thyroid was much more hypothyroid but still normal during the unusual weight gain. My lipid panel shows im not over eating, if not under eating. And she thinks the weight gain was from the beta blocker and birth control. 'it just happens' according to her, and it's common but not usually as much as I experienced which leads me to my last point.

We are currently investigating me for insulinoma.

0
96440612cf0fcf366bf5ad8f776fca84

(19463)

on July 16, 2014
at 10:54 AM

The only time it wouldn't work is if you're under very high stress, or you're hypothyroid. Certainly that beta blocker would have contributed to this, and high blood sugar, is well, going to prevent LCHF by definition.

Assuming those hormones and fasting blood sugar are normal, if you find you can't lose fat under a LCHF, you can kickstart the process with HIIT and weight training.

Building muscles is really the best way to burn fat - without enough muscle, you won't make much of a dent, or the process will be very very slow. Don't worry about looking like a male body builder, your hormones will prevent that from happening. You don't have to lift heavy, even smaller weights can make a big difference. Start with something like a 5lbs or 10lbs set of dumbbells and work your way up.

Muscles can be used for disposing of excess carbs and also triglycerides, and when they're in good shape, they'll have tons of mitochondria which will help make use of any ketones you make from a low carb, high fat diet.

If your fat cells are releasing their stores, but nothing is burning them, they'll go right back to storage. So without the right kinds of exercise, it's not going to work well.

Be157308a0438e382b88d9db4c12ab30

on July 16, 2014
at 06:27 PM

You make a very fine point, I certainly agree that more muscle is beneficial in disposing of excess glucose. However, while some of the fat released by fat cells is re-absorbed back into storage if not utilized, some of it is lost in the urine (urine ketones) and in the breath (keto-breath). It is this inefficiency (ketones lost in urine and breath have calories after all, they're just being thrown away) which allows for fat loss during ketosis even when subjects engage in limited exercise. Nevertheless, like you said, additional exercise can also be helpful.

0
3491e51730101b18724dc57c86601173

(8395)

on July 14, 2014
at 07:26 PM

It is metabolically possible NOT to lose weight on LCHF under certain circumstances. There are many factors to consider. What is your weight and height? Do you really need to lose a significant amount of weight--it's been my observation that people who don't have a lot to lose (20-30 lbs or fewer) don't lose easily on LCHF)? Has your thyroid function been thoroughly evaluated (not just TSH levels)? Your medications and comorbidities may be factors. Perhaps there is too much stress caused by lifestyle, illness, or overexercise, causing adrenal issues that interfere with weight loss.

But more often people who can't lose weight on LCHF can't aren't really doing LCHF even though they may believe so. So it would help to post your dietary intake for a few days. Often carbs are too high or fat is too low. Either of these issues will make weight loss difficult or impossible. I've seen people here say "I'm eating low carb except for one Coke a day". Well, just one Coke or Pepsi exceeds an entire day's worth of carbs on low carb. Or the person is eating egg whites and boneless skinless chicken breasts with just a teaspoon of olive oil and some low fat dressing on a salad. That's not sufficient fat. Either instance will sabotage weight loss because there's not sufficient support for metabolizing fat and for hormonal balance.

D71d417b7adfb093aaecb98951b2d8d6

(43)

on July 14, 2014
at 09:14 PM

*15g net carbs per meal us the max, I usually stay under this ranging from 8-12.

D71d417b7adfb093aaecb98951b2d8d6

(43)

on July 14, 2014
at 09:13 PM

Well I was trying to lose only 20 pounds previous to the 45 pound weight gain from beta blockers.

So in theory I should now have a staggering 65 pounds to lose now to where I want to be. And my goal weight isn't too terribly low. I'm 5'10 and my absolute bottom weight I was assessed for is 165, lean mass+ essential body fat (goal weight 175 because I like my boobs).

I only have seen TSH. I do have hypoglycemia that is very bad. I find I must stay under 15g carbs or I will crash. So no coke for me.

I am probably at a 50 % fat intake level, coming from butter, coconut oil and nuts/avocados.

0
96440612cf0fcf366bf5ad8f776fca84

(19463)

on July 14, 2014
at 10:33 AM

One of the side effects of propanol is weight gain. see:

http://www.rxlist.com/inderal-side-effects-drug-ce...

"Tell your doctor immediately if any of these unlikely but serious side effects occur: shortness of breath, blue fingers/toes, swelling ankles/feet, mental/mood changes (e.g., depression), numbness/tingling of arms/legs, very slow heartbeat, fainting, decreased sexual ability, unexplained/sudden weight gain, increased thirst/urination."

0
32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on July 14, 2014
at 01:30 AM

It's not that you may be lying about diet or exercise, it's just that you may be bad with measuring exercise effort or quantities of food. Overstimating the former, and underestimating the latter.

D71d417b7adfb093aaecb98951b2d8d6

(43)

on July 14, 2014
at 04:42 AM

I had worked with a dietician, I had to scale weigh every bit of food and exercise was not added into the equation. I lost nothing at 1200 calories, so she bumped me up to 1400 calories, still nothing then 1600,still nothing, 1800 still nothing. Eating a ketogenic diet to manage my hypoglycemia.

We met every 6 weeks so there was plenty of time between visits.

Then in December I started a beta blocker (for migraines) and didn't change my diet. Gained 45 pounds in 5 months, stopped it, stopped gaining weight still no change in diet. Found out it some how increases blood sugar. Horrible!

D71d417b7adfb093aaecb98951b2d8d6

(43)

on July 14, 2014
at 09:22 PM

Unfortunately with my hypoglycemia and high fasting insulin if I eat too few foods it is more likely for me to store any glucose my liver releases before it feeds my cells... Which in the past has led to my organs starting to shut down. So unfortunately I can't just fast or go super hypocaloric for weight loss with out being in a hospital environment.

Over the years I have done a lot of weight training to build up my muscle to try to increase my metabolism so I can approach calorie deficiency differently. I also don

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