As the title suggests, my friend is 300 pounds, has diabetes, fatty liver, no gallbladder , and has a major sweet tooth. He joined OA and is 2 weeks into not eating sugar, but he's still woofing down the fruit. He's addicted to diet soda and has a major sweet tooth.
He's experiencing pain in what he thinks is his liver, and is blaming the pot roast he had 2 days ago, and not the quart of fruit he had last night.
He's 49 and at this rate, I'm not sure he'll make it to 50.
I tried to explain that fructose is only metabolized in the liver and he really needs to cut back on the carbs, and fruit in particular. Aside from the fact that he's diabetic, and lots of fruit will obviously cause all kinds of diabetic related problems.
He pointed me to this article for dietary advice (I'm not impressed):
Since he's not listening to me, please chime in and give him some advice and any inspirational paleo success stories.
asked byCaveMan_Mike (3275)
Get FREE instant access to our Paleo For Beginners Guide & 15 FREE Recipes!
on February 12, 2013
at 05:44 PM
Well, he can either trust D.J. Atterson, a self proclaimed "Diamond Level Expert Author" or he can trust sound science conducted by actual resarch doctors:
???Instead of looking at drugs to combat obesity and the diseases that stem from it, maybe optimizing diet can not only manage and treat these diseases, but also prevent them,??? said Dr. Browning, the study???s lead author. Although the study was not designed to determine which diet was more effective for losing weight, the average weight loss for the low-calorie dieters was about 5 pounds after two weeks, while the low-carbohydrate dieters lost about 9?? pounds on average.
More from Dr. Browning:
"Liver triglycerides decreased significantly with weight loss (P less than 0.001) but decreased significantly more (P = 0.008) in carbohydrate-restricted subjects (-55 ?? 14%) than in calorie-restricted subjects (-28 ?? 23%)."
"Carbohydrate restriction modifies hepatic GNG by increasing reliance on substrates like lactate or amino acids but not glycerol. This modification is associated with a reorganization of hepatic energy metabolism suggestive of enhanced hepatic beta-oxidation."
Patients with NAFLD are at increased risk for cardiovascular disease and endothelial dysfunction.7 Some concern has been expressed that the increased dietary fat intake as a result of a low-carbohydrate diet may be deleterious to the cardiovascular risk profile in such patients. However, two recent studies have shown that the longterm use of a low-carbohydrate diet (6-14 months) has a favorable effect on serum cholesterol, lipoprotein subfractions, and high-sensitivity C-reactive protein despite the increased intake of dietary fat.
on February 12, 2013
at 06:31 PM
That's a hard one, because I don't think you're going to convince anyone still eating SAD that fruit is problematic. Even people who convert to paleo can take a while to understand the fruit issues.
However, as someone who has had liver and digestive problems (and my gallbladder removed) I can tell you that I found a LOT of relief for abdominal pain following a low FODMAPs diet. Here is a good place to start: