Did you incorporate fitness into your lifestyle?

I bought a little treadmill and walked on it for 5 minutes a day, slowly getting up to 15 minutes a day, 5 days a week. Now I stretch and work out for about 10 minutes a day on the glider.

Did you fall off the wagon at any point?

No, but I intentionally migrated off a couple of times. Once I tried Slim-Fast, but I was hungry all the time and was not a nice person on it! When I became pregnant, I was in the Lifetime Maintenance phase and although I thought I could stay there I wasn't really sure about the impact of it, so I took a moderately low-carb approach. I hope to become pregnant again soon, and this time I will stay in the maintenance phase.

After fourteen years, is doing Atkins second nature?

My husband eats the same way I do, which makes it easy. In fact, on our first date, we discovered we both watched our carbs. I'd never dated anyone else who did. We follow our own version of Atkins simply because we know what works for us and what doesn't. After a while, you come to know your system. Occasionally, I'll have a piece of bread or pancakes with sugar-free syrup. If they make me feel extra hungry the next day, I eat plenty of meat and b.u.t.ter and salad dressing to satiate myself.

So basically you find it easy to maintain your weight?

Yes. I weigh myself about three times a week. It's a motivational thing for me. My weight cycles between 130 and 135 pounds. When I'm at the top end of that, I can take off the extra 3 to 5 pounds quickly, but my body doesn't want to go below 130. If I realize I'm consuming too many carbs, I'll have eggs for breakfast and chicken or beef and some vegetables for lunch and dinner and the pounds come off in a week or so.

What tips can you offer other people about maintaining their weight long term?

Most people need to realize that they will be able to incorporate the foods they love back into their lifestyle once they know their Atkins Carbohydrate Equilibrium (ACE) and therefore how their body processes carbs. Focusing on the good things you can eat and enjoy works better than focusing on those you can't handle. You have to retrain your mind to think of the benefits. Resistance only makes you want something more. If you think of wanting an inappropriate food as something temporary, you can push through the difficult points and stay on track.

Chapter 5.

MEET YOUR NEW FRIEND: FAT.

The simplistic idea that eating fat makes you fat has no scientific basis, despite the old saw that you are what you eat. More accurately, you are what your body chooses to store from what you eat.

It's time to stop thinking of dietary fat as your enemy. One more time, loud and clear: fat is a key source of energy and essential nutrients, and you cannot live without it. Counterintuitive as it may be, replacing sugars and refined carbohydrates with natural fats also plays an important role in helping with weight control. In fact, fat can be a high-energy food that gives you a metabolic edge, what we call the Atkins Edge. When you increase your intake of fat in place of carbs, you'll experience a higher and more consistent energy level.

But first, let's get a few terms and definitions onto the table. When scientists refer to fat, they usually use the term "fatty acids," which are part of a group of substances called lipids. And because they are insoluble in water, dietary fats enable your body to absorb the fat-soluble vitamins A, D, E, and K, as well as certain other micronutrients in vegetables.

MULt.i.tASKING FATS.

Fat-containing cells cus.h.i.+on many parts of your body, including bones and organs, and help insulate us from cold. Fatty acids are also vital ingredients in membranes, which are basically the wrappers that act as the cells' gatekeepers, controlling what comes in and goes out. Many of our cells, including brain cells, contain specific essential fatty acids that are necessary for healthy brain function, enabling our nerves and hormonal system to transmit signals to the rest of our body, among other important functions.

All well and good, you are probably saying, but what I really want to know is, how can fat make me thin? As you already know, along with protein, fat helps increase satiety. And because fat carries flavor, it makes food more satisfying. So what? Let's say, for the sake of argument, that 500 Calories of fat give you as much satiety as 1,000 Calories of refined carbs. Which is the better choice if you want to lose weight? Fat in the diet also slows the entry of glucose into the bloodstream, moderating the highs and lows of blood sugar that can lead to renewed hunger soon after eating carbs. Bottom line: eat fats in place of carbs, and you're less apt to overeat. These entwined properties are essential to the processes of both losing weight and then keeping it off.

Despite all these benefits, dietary fat has been demonized over the last half century. For too long, the public and even some nutrition scientists have bought into the simplistic idea that eating fat makes you fat. That's remarkable because there's no compelling research that shows that natural fat is bad for you. In fact, it's just the opposite. First, in and of itself, properly selected dietary fat isn't a threat to health. Secondly, there are now hard data to demonstrate that consuming as much as 60 percent of calories as fat in the early phases of Atkins poses no health hazard. But there is a big but- but- no pun intended! It's the no pun intended! It's the combination combination of fat and a relatively high intake of carbohydrates-particularly refined ones-that can become a deadly recipe for obesity, diabetes, cardiovascular disease, and a host of other ills. We've touched on it before, but in this chapter, we'll prove to you that dietary fat is fine in the context of a low-carb lifestyle. of fat and a relatively high intake of carbohydrates-particularly refined ones-that can become a deadly recipe for obesity, diabetes, cardiovascular disease, and a host of other ills. We've touched on it before, but in this chapter, we'll prove to you that dietary fat is fine in the context of a low-carb lifestyle.

CONFUSION OVER CALORIES.

The higher calorie content per gram of fat compared to that of protein and carbohydrate has undoubtedly added to the phobia about eating fatty foods. (A gram of fat contains 9 Calories; a gram of protein or carbohydrate contains 4 Calories.) Gram for gram, reducing the amount of fat you eat would appear to be the best way to reduce calories, but the weight weight of food is not what counts. It's all about what foods of food is not what counts. It's all about what foods do do once they enter your body, and fat can do wonderful things when consumed in combination with the right ratio of carbs. Statistics reveal that fat intake by Americans hasn't changed much from 1971 to 2000. once they enter your body, and fat can do wonderful things when consumed in combination with the right ratio of carbs. Statistics reveal that fat intake by Americans hasn't changed much from 1971 to 2000.1 The same cannot be said for carbohydrates. Their intake has increased in tandem with skyrocketing rates of obesity. In actuality, people have replaced some of their dietary fat with an even greater amount of carbohydrates. The real culprit is increased calorie intake in the form of carbs, aided and abetted by a lack of regular activity. Absolute fat intake has stayed about the same or actually decreased slightly. So much for the "eat fat, get fat" misconception. The same cannot be said for carbohydrates. Their intake has increased in tandem with skyrocketing rates of obesity. In actuality, people have replaced some of their dietary fat with an even greater amount of carbohydrates. The real culprit is increased calorie intake in the form of carbs, aided and abetted by a lack of regular activity. Absolute fat intake has stayed about the same or actually decreased slightly. So much for the "eat fat, get fat" misconception.

Moreover, there's a reason why restricting only calories may not get you the weight loss results you desire. Much as gasoline fuels a car, your body runs on energy provided by the food you eat. Just as you conserve gas by driving at a lower speed, your body conserves valuable energy when it senses that food is in short supply. This self-regulating process was a lifesaver in the days when our ancestors had to endure periods of food scarcity. When fewer calories come in, your metabolism gets stingy with the calories it expends. So calories from healthy, natural fats may be the very thing you need to get your metabolism tuned to the right mix of fuels and sustain your energy level.

WHAT HAPPENS TO DIETARY FAT?.

What occurs when you eat fatty foods depends upon what else is on your plate and how your body responds to it. If you're young and active, you may be able to eat lots of fat-and carbs-and stay slim. On the other hand, if you've lost that youthful resilience, live a sedentary lifestyle, and continue certain dietary habits, you're likely to acc.u.mulate body fat. If you're already overweight and eating lots of carbs-with or without much fat-you'll rarely if ever tap into your excess body fat as an energy source. Instead, it just continues to acc.u.mulate, year after year. This is why the low-fat/ high-carb approach has failed to work for so many of us. But cutting down on carbs releases you from this fat-holding pattern. When your carb intake is low, your body recovers its capacity to burn fat, so your fat intake can be relatively high without any adverse effect on your weight or health.

Some people mistakenly a.s.sume that a marriage of Atkins and a low-fat diet is the best of both worlds. Not so! As long as you're restricting carbohydrates, the dietary calories from fat are used directly for energy and are unlikely to be stored. Yummy foods such as nuts, guacamole, whipped cream, olives, pesto, b.u.t.ter, and chicken salad made with mayonnaise help provide satiety so you can keep your appet.i.te under control. They also ensure an adequate calorie intake so your metabolism doesn't dial itself down to "low," slowing weight loss. Protein can't do the job on its own. The tag team of fat and protein keeps you from feeling deprived.

So what happens if you try to cut out fats in an effort to coax the pounds to come off faster? In short, problems arise, all of which can be managed but require close medical supervision. So yes, doctors do sometimes put hospital patients on a low-carb and low-fat program to resolve serious metabolic issues, but such a program must be closely supervised. Eating sufficient fats is key to making Atkins work safely. So stop worrying and start enjoying the delicious foods you can eat on Atkins.

Fat metabolism is perfectly natural for your body, and the fastest path to getting into the fat-burning mode is the Induction phase, in which you wean your body away from its carb and glucose habit. It can take several weeks to fully convert your metabolism to burning primarily fat, but after the first week of restricting carbs, you'll be most of the way there. However, even one high-carb meal will slow your conversion progress.

Another common misconception is that eating fatty foods initiates the burning of body fat. Not so. It's simply the restriction of carbohydrates that acts as the stimulus.2 Nor is dietary fat burned before body fat. Rather, existing body fat stores intermingle with incoming dietary fat, much as the remaining fuel in your gas tank mixes with new gas when you start pumping more in. So when you're adapted to fat metabolism, some of the ingredients in the blend burn faster; the rest are recirculated, and the blend is remixed on a regular basis. This way, your body gets to pick and choose which fats it burns and which it keeps for later. As we will tell you over and over again, you're Nor is dietary fat burned before body fat. Rather, existing body fat stores intermingle with incoming dietary fat, much as the remaining fuel in your gas tank mixes with new gas when you start pumping more in. So when you're adapted to fat metabolism, some of the ingredients in the blend burn faster; the rest are recirculated, and the blend is remixed on a regular basis. This way, your body gets to pick and choose which fats it burns and which it keeps for later. As we will tell you over and over again, you're not not what you eat. Rather, you are what your body chooses to store from what you eat. Your job is to give it good choices and let it do its job. what you eat. Rather, you are what your body chooses to store from what you eat. Your job is to give it good choices and let it do its job.

THE CHOLESTEROL MYTH.

THE MYTH: Eating fatty foods raises cholesterol to dangerous levels.

THE REALITY: The idea of eating less carbohydrate and more fat inevitably raises the specter of cholesterol and its relations.h.i.+p to cardiovascular health. But calm down. Like fats, cholesterol is a lipid. And like them, it's essential for life, in this case normal cellular function, hormone production, and infection fighting. Unlike fat, however, cholesterol has no calories, so your body doesn't burn it for energy. Though you do absorb some cholesterol from eating animal products-plants contain none-your own liver makes the vast majority of the cholesterol in your body from scratch, independently of how much cholesterol you eat. So, yes, the amount of cholesterol in your diet influences your cholesterol levels somewhat, but so does your genetic predisposition and, most important, the mix of other nutrients you eat. Give your body the right combination of nutrients, and it will figure out how to safely process cholesterol.

THREE "FLAVORS" OF FAT Although most foods contain a mixture of fat-the three main cla.s.ses are based on chemical structure-they're typically categorized by their predominant fat.

- Monounsaturated fatty acids (MUFAs) are found in olive oil, canola oil, and in walnuts and most other nuts, as well as avocados. MUFAs are usually liquid at room temperature. (MUFAs) are found in olive oil, canola oil, and in walnuts and most other nuts, as well as avocados. MUFAs are usually liquid at room temperature.- Polyunsaturated fatty acids (PUFAs) are always liquid both at room temperature and in the refrigerator. They're found mostly in oils from vegetables, seeds, and some nuts. Sunflower, safflower, flaxseed, soybean, corn, cottonseed, grape seed, and sesame oils are all high in PUFAs. So are the oils in fatty fish such as sardines, herring, and salmon. (PUFAs) are always liquid both at room temperature and in the refrigerator. They're found mostly in oils from vegetables, seeds, and some nuts. Sunflower, safflower, flaxseed, soybean, corn, cottonseed, grape seed, and sesame oils are all high in PUFAs. So are the oils in fatty fish such as sardines, herring, and salmon.- Saturated fatty acids (SFAs) tend to remain solid at room temperature. b.u.t.ter, lard, suet, and palm and coconut oils are all relatively rich in saturated fats. (SFAs) tend to remain solid at room temperature. b.u.t.ter, lard, suet, and palm and coconut oils are all relatively rich in saturated fats.

Remember, most fatty foods contain more than one type of fat. For example, canola oil contains twice as much monounsaturated fat as polyunsaturated fat, so it's considered a MUFA. And although most people a.s.sume all the fat in a steak is saturated, certain cuts of beef actually contain almost as much MUFA as SFA and even a small amount of PUFA.

THE SATURATED FAT MYTH.

THE MYTH : Saturated fat is to blame for a host of health ills.

THE REALITY: Nothing could be further from the truth. Recent research actually points to the benefits of saturated fat as part of a balanced intake of natural fats. Harvard researchers found that the higher their subjects' intake of SFAs, the less plaque they had in their arteries.3 And although some types of SFAs increase cholesterol levels, replacing dietary carbohydrate with either protein or any kind of fat lowers your blood triglyceride level and elevates HDL ("good") cholesterol levels. And although some types of SFAs increase cholesterol levels, replacing dietary carbohydrate with either protein or any kind of fat lowers your blood triglyceride level and elevates HDL ("good") cholesterol levels.4 Moreover, the number of small, dense LDL ("bad") particles actually decreases, becoming the fluffy, less risky type. Moreover, the number of small, dense LDL ("bad") particles actually decreases, becoming the fluffy, less risky type.5 So where did the SFA go? When carb intake is restricted, the body makes less saturated fat and simultaneously burns more of it. And, strange but true, research shows that during the weight loss phases of Atkins, if you eat saturated fat, the less carbohydrate you eat, the more you reduce the saturated fat levels in your blood. So where did the SFA go? When carb intake is restricted, the body makes less saturated fat and simultaneously burns more of it. And, strange but true, research shows that during the weight loss phases of Atkins, if you eat saturated fat, the less carbohydrate you eat, the more you reduce the saturated fat levels in your blood.6 Even in the weight maintenance phases of Atkins, the increased intake of saturated fat is a.s.sociated with decreased blood levels of SFAs. Even in the weight maintenance phases of Atkins, the increased intake of saturated fat is a.s.sociated with decreased blood levels of SFAs.

All three of these cla.s.ses of fats can be healthy, but getting the right balance in your diet is important to give your body the variety it needs. At present, the American diet tends to be high in polyunsaturates, which is fine for people who eat a low-fat diet. However at higher levels of fat intake, certain PUFAs lower both "good" and "bad" cholesterol. Though the latter is desirable, the former is not-it increases the risk for heart disease-so we recommend that you not add much more PUFAs. (This advice does not apply to fatty fish, discussed below.) MUFAs, on the other hand, lower LDL ("bad") cholesterol and triglyceride levels without lowering HDL ("good") cholesterol levels. The higher the proportion of these oils you eat, the better, starting with olive oil. Dress salads and vegetables alike with extra-virgin olive oil. For cooking, your best bets are virgin olive oil, canola, and high-oleic safflower oil (which is labeled for high-heat use), all rich in MUFAs and with relatively high smoke points. Safflower imparts no taste to foods. Both canola and safflower oil are inexpensive; however, canola should be refrigerated to guard against rancidity. Canola oil also can impart an off taste when heated. Feel free to cook with b.u.t.ter and add a pat to vegetables, meat, or fish at the table. Coconut oil is also fine in the context of a low-carb diet. Be careful not to heat oils to their smoke point or burn them, as that causes chemical changes that can turn a good fat bad.

Interestingly, no matter which natural fats you eat, when you have the Atkins Edge, your body has its way with them. When body fat from people of all ethnic and geographic groups is a.n.a.lyzed, it tends to be primarily MUFA. This means that your body picks and chooses from what you give it to obtain its preferred mix for storage as body fat.

DOUBLE-TALK ABOUT TRANS FATS.

In the last decade, researchers have found that an increased intake of trans fats is a.s.sociated with an increased heart attack risk.7 More recently, trans fats have been shown to increase the body's level of inflammation. More recently, trans fats have been shown to increase the body's level of inflammation.8 (For more on trans fats and inflammation, see (For more on trans fats and inflammation, see chapter 13 chapter 13.) Since 2006, the Food and Drug Administration (FDA) has mandated that the Nutrition Facts panel indicate the amount and percentage of trans fats in all packaged foods. Though the FDA did not ban trans fats outright, leaving it to the consumer to be vigilant, the result was that many manufacturers reduced the amount in their products or eliminated them altogether. Among the numerous products that recently were or may still be made with trans fats are fried foods, baked goods, cookies, crackers, candies, snack foods, icings, and vegetable shortenings. Most margarine products have been reformulated, but as long as a product contains less than 0.5 gram of trans fat per serving, a manufacturer can claim that it's free of trans fats. To be sure that there are no no trans fats in a product, also check the list of ingredients, where trans fats are listed as "shortening" or "hydrogenated vegetable oil" or "partially hydrogenated vegetable oil." If you see any of these words in the ingredient list, just say no. Also, avoid deep-fried foods in fast-food and other restaurants. trans fats in a product, also check the list of ingredients, where trans fats are listed as "shortening" or "hydrogenated vegetable oil" or "partially hydrogenated vegetable oil." If you see any of these words in the ingredient list, just say no. Also, avoid deep-fried foods in fast-food and other restaurants.

ESSENTIAL FATS.

The essential fatty acids (EFAs) are two families of compounds among dietary fats that your body cannot produce on its own. Both omega-3 and omega-6 EFAs are polyunsaturated fats essential to your health and well-being. The former start their way up the food chain as the leaves of green plants and green algae and wind up in the fat of sh.e.l.lfish and cold-water fish. Omega-6 fats are found primarily in seeds and grains, as well as in chickens and pigs, which pa.s.s along to us much of these essential fats from the feed they ate. Unless you're following a very-low-fat diet, you're likely to get much more than the recommended amount of omega-6s-far in excess of what your ancestors or even your grandparents did. The latest recommendation from the American Heart a.s.sociation is that 5 to 10 percent of your daily calories should be made up of omega-6s. That intake is a.s.sociated with a reduced risk for cardiovascular disease.9 Both omega-6 and omega-3 EFAs are needed for human cell membranes to function; however, the two compete with each other to get into membranes, so keeping their intake in balance is important. In the current American diet, which relies heavily on products made from soy, corn, and their oils, omega-6s dominate. In addition, the meat of animals fattened on soy and corn is full of omega-6 fats. As a result, the ideal dietary ratio of 1 to 1 between omega-6 and omega-3 EFAs has been disrupted. For example, soybean oil has an omega-6 to omega-3 ratio of 10 to 1 and corn oil a ratio of 100 to 1! Perfect balance is difficult to achieve, so 2 to 1 or 3 to 1 omega-6 to omega-3 is a more realistic goal. To achieve a desirable ratio: - Emphasize olive, canola, high-oleic safflower, and other high-MUFA oils for dressing foods and cooking.- Eat foods or take supplements rich in omega-3s, such as cold-water ocean fish or fish oil. (See the sidebar "Where to Get Your Omega-3s.")- Avoid corn, soybean, sunflower, cottonseed, and peanut oils, which are all high in omega-6s.

WHERE TO GET YOUR OMEGA-3S.

Salmon and such other cold-water fish such as tuna, sardines, herring, and anchovies are superb sources of omega-3s. Why these fish and not their tropical counterparts? The colder the water, the more omega-3 fat fish need to survive. Farmed salmon now has omega-3 levels that come close to those of wild-caught salmon. Even 2 to 3 ounces of water-packed canned tuna provide one day's requirement of omega-3s. If you don't like the taste of fish or fish oil capsules, an alternative is fish oil with lemon or orange oil to mask the fish taste. Nonfish sources-flaxseed, almonds, walnuts, and canola oil-are generally not as concentrated as fish oil and contain a form of omega-3 that your body must process extensively to convert to usable omega-3. A new product that may appeal to vegetarians or others who prefer not to use fish oil is a DHA supplement extracted from microalgae. It's about as close as you can get to what fish low on the food chain eat. The American Heart a.s.sociation recently increased its dietary recommendation from two to three portions of fatty fish a week, or 1 gram of omega-3s a day.

When your body burns fat for energy, both omega-3 and omega-6 fats are metabolized along with monounsaturated and saturated fat. In fact, the omega-3 fats are actually burned off faster than the others.10 As a result, after significant weight loss, a person tends to have reduced stores of this EFA, making it all the more important to consume omega-3s both during weight loss and for some time afterward. (See the sidebar "Where to Get Your Omega-3S.") On the other hand, one of the benefits of carbohydrate restriction is that it allows your body to make better use of the EFAs it does have in order to construct good membranes. As a result, after significant weight loss, a person tends to have reduced stores of this EFA, making it all the more important to consume omega-3s both during weight loss and for some time afterward. (See the sidebar "Where to Get Your Omega-3S.") On the other hand, one of the benefits of carbohydrate restriction is that it allows your body to make better use of the EFAs it does have in order to construct good membranes.11 This means that the combination of cutting back on carbs and adding omega-3 fats to your diet is an excellent way to improve your cell membrane function. This means that the combination of cutting back on carbs and adding omega-3 fats to your diet is an excellent way to improve your cell membrane function.

If you're confused about the difference between dietary fat and essential fats, a helpful a.n.a.logy is gasoline and motor oil. Both gasoline and motor oil are derived from the stuff that gushes from oil wells, but the former goes into your car's gas tank and the latter into the crankcase. Gasoline is burned for energy, while motor oil lubricates the machinery so that it runs without friction, reducing wear and tear. Dietary fats differ from each other in many ways, but most contain a mixture of nonessential fats, the saturates and monounsaturates; and essential fats, the omega-6s and omega-3s that are in the polyunsaturated group. Think of the nonessential fats as fuel and the essential fats as metabolic lubricators.

THE REBALANCING ACT.

You now understand that to effectively reboot your metabolism, you'll have to change the ratio of carbohydrate, fat, and protein in your diet. If your first reaction is "Yuck. I don't want to eat lots of fat," please take a careful look at the Phase 1, Induction, meal plans in part III part III. You'll see that in a typical day, you'll be eating a cornucopia of vegetables along with ample muscle-building protein. To enhance those foods, you'll add your favorite acceptable salad dressings, sauces, and oils. If you're at a loss for ideas, our recipe section, also in part III part III, focuses on such sauces, dressings, and condiments.

SAVOR, DON'T SMOTHER It's essential that you eat enough natural fats to provide satiety, the satisfying sense of fullness, keep your fat metabolism humming along, and make foods tasty. But that doesn't mean you should eat so much that you wind up with a calorie bomb. For most of us on Atkins, our natural appet.i.te response gives us good guidance as to how much fat to eat. But here are some tips. Use enough oil when saute-ing food to keep it from sticking to the pan. Use about a tablespoon of oil (plus lemon juice or vinegar) to dress a small salad. These are general guidelines. Pet.i.te women may need less, and tall men may be able to have more. Feel free to swap out one fat source for another. For example, if you don't use cream in your coffee, you can have a bit more cheese. If you have two salads a day and need more olive oil for dressing, forgo a pat of b.u.t.ter. You get the picture. A typical day's intake of fat might include the following: - 2 tablespoons oil for dressing salads and cooking- 1 tablespoon b.u.t.ter- 1 ounce cream- 2 ounces cheese- 23 eggs- 23 servings of meat, poultry, fish, or sh.e.l.lfish- 10 olives and/or Haas avocado- 2 ounces nuts or seeds (after the first two weeks of Induction) REVIEW POINTS.

- Dietary fat is essential to good health and plays a key role in weight control.- In the context of a low-carb diet, natural fats pose no health risk; rather, it is the combination of fat and a high intake of carbohydrates that is linked to heart disease and other serious conditions.- As long as you're eating a high-carb diet, you won't burn your own body fat for energy. But reduce carb intake enough, and you will burn both dietary and body fat.- A low-fat version of Atkins is unnecessary and inadvisable.- Your body uses three kinds of fat for fuel: monounsaturated, polyunsaturated, and saturated.- The standard American diet is tilted toward polyunsaturated fat. To restore the proper balance, use olive and other monounsaturated oils for cooking and dressing vegetables.- When you control your carb intake, there is no health risk in eating foods high in saturated fats.- Eating fatty fish several times a week or taking an omega-3 supplement can remedy the imbalance between omega-6 and omega-3 essential fatty acids.- Your cholesterol levels are primarily a factor of your genetics, not your diet.

Now let's move on to part II part II, where you'll learn how to personalize Atkins to meet your needs and food preferences and embark on your healthy new lifestyle. But first, meet Sara Carter, who after losing about 100 pounds quit her job and started her own business.

SUCCESS STORY 5.

NEW BODY, NEW CAREER.

After Sara Carter trimmed 100 pounds from her frame, she got motivated to quit her desk job and start her own business. Eight years later, she's still slim and her business is thriving.

VITAL STATISTICS.

Current phase: Lifetime MaintenanceDaily Net Carb intake:5060 gramsAge: 46Height: 5 feet, 9 inchesBefore weight: 235 poundsCurrent weight: 135 poundsWeight lost: 100 poundsFormer blood sugar: 163 mg/dLCurrent blood sugar: 80 mg/dLCurrent HDL cholesterol: 50 mg/dLCurrent LDL cholesterol: 111 mg/dLFormer total cholesterol: 235 mg/dLCurrent total cholesterol: 175 mg/dLCurrent triglycerides: 66 mg/dL Has your weight always been an issue?

I was heavyset for years. I carried most of my weight below my waist and when I was wearing stretch pants and standing with my legs together, I looked like a double scoop on a sugar cone. My weight would fluctuate, depending upon what diet my mother had me on, but I was always hungry, cranky, and sneaking food.

What motivated you to try Atkins?

My mother was diagnosed with diabetes about eight years ago and told to lose weight or else. Her weight just started coming off. Well, I was not about to have my mother be thinner than me! So I started Atkins too, and wow! I lost 8 pounds the first day and 70 pounds in three months. This was the only diet that felt natural to me. Every other diet was a fight, like "die" with a "t." Eating the Atkins way was how I always wanted to eat but was told was wrong.

How long did it take you to lose the 100 pounds?

I stayed in Induction for two weeks to get rid of my carb cravings, then moved to OWL, where I lost most of the weight. I lost weight every single day. When I got close to my goal weight, I started adding carbs until I got to between 50 and 60 grams a day. All in all, it took me six months to go from a size 24 to a size 6. Later, when I would grocery shop, I would pick up a fifty-pound bag of dog food and heft it over my shoulder just to see what it felt like; I would be amazed that I'd lugged around the equivalent of two bags for years.

Did you see any health benefits?

After three months, my total cholesterol went from 235-interestingly, the same number as my start weight-to 175, all the while I was eating a four-egg omelet with cheese for breakfast every day. My blood sugar went from about 163 to 80. Once I was taking many pills for depression and pain from fibromyalgia and sometimes had to walk with a cane because my knees were starting to buckle. Now that I watch my carb and gluten intake, I only need to take ibuprofen sometimes. My mother is doing well too. She lost 60 pounds and doesn't need any diabetes medications at this time. And my dad is doing Atkins too.

How did losing weight change other things in your life?

For twenty years I sat in a chair working as a secretary until I decided to start my own business. I clean up foreclosed properties, which means that I'm lifting things, mowing lawns, and hauling trash all day. I'm not an exercise person, but I'm so active now that I don't need to be.

After eight years, do you watch what you eat?

It's still a battle but I keep a tight rein on myself. I can eat pretty much what I want because I'm so active, but I weigh myself every other day. It's become a habit not to put sugar in my coffee. It shoots through me like a rocket. And eating bread makes me feel tired and sick. It's difficult to stay away from certain foods, but I know how I'll feel if I eat them and ask myself whether the price is worth paying. Usually, it isn't.

What advice can you offer other people?

Always have food that can quell cravings handy. I precook chicken b.r.e.a.s.t.s and nuke them in the microwave when I'm in a hurry. I often have to leave the house without making breakfast, so I keep sliced pepperoni and roast beef in the fridge so I can grab them and go. I'm in the car a lot, so I always keep Atkins bars and a can of mixed nuts there for snack attacks. And I know where the convenience stores are so that if I get caught without a snack on me I can pull in.

Part II

WHAT TO EAT: How to Tailor Atkins to Your Needs and Goals

Chapter 6.

ATKINS FOR YOU: MAKE IT PERSONAL.

You can customize Atkins to your own metabolism, goals, and time frame, for example, choosing to start in OWL instead of Induction. Just as important, you can mold the program to your culinary preferences and dietary restrictions.

Now that you understand why and how Atkins works, let's focus on the nitty-gritty of doing it. After covering the basics, we'll show you how to tailor it to your needs, including deciding which path to pursue at several forks in the road. As long as you understand and adhere to the underlying principles of the program, this approach will provide you with lots of freedom as you give your body permission to burn primarily fat for energy, which, as you've learned, is the essence of the Atkins Edge. But first let's review the principles underlying Atkins.

Atkins is based upon seven concepts that ensure optimal health and weight control. We introduced most of these principles in part I part I, but let's review them quickly.

- Focus on Net Carbs. This means that you count only the grams of carbohydrate that impact your blood sugar level, not of total carbs, since fiber doesn't sabotage your body's use of fat. This means that you count only the grams of carbohydrate that impact your blood sugar level, not of total carbs, since fiber doesn't sabotage your body's use of fat.- Eat adequate protein. In addition to building and fortifying all the cells in your body, protein helps you feel full and keeps your blood sugar and insulin levels on an even keel. Have a minimum of 4 to 6 ounces of protein with each meal. Taller guys may need closer to 8 ounces. In addition to building and fortifying all the cells in your body, protein helps you feel full and keeps your blood sugar and insulin levels on an even keel. Have a minimum of 4 to 6 ounces of protein with each meal. Taller guys may need closer to 8 ounces.- Understand the power of fat. Fat carries flavor, making food satisfying and filling, working hand in glove with protein. Increase your intake of monounsaturated fats, while holding back on most polyunsaturated fats with the exception of omega-3s. Saturated fats are fine in the context of a low-carb diet. Fat carries flavor, making food satisfying and filling, working hand in glove with protein. Increase your intake of monounsaturated fats, while holding back on most polyunsaturated fats with the exception of omega-3s. Saturated fats are fine in the context of a low-carb diet.- Get adequate fiber in food. In addition to its role in blood sugar management, fiber is filling, so it helps make you feel full, moderating your hunger. In addition to its role in blood sugar management, fiber is filling, so it helps make you feel full, moderating your hunger.- Avoid added sugar and refined carbs. Eliminating these empty carbs is essential to good health, appet.i.te management, and weight control. Eliminating these empty carbs is essential to good health, appet.i.te management, and weight control.- Supplement your diet with vitamins, minerals, and other vital nutrients. Although Atkins is a whole foods diet, it's hard to achieve optimal levels of some micronutrients, such as omega-3 fatty acids and vitamin D, on any eating program. Although Atkins is a whole foods diet, it's hard to achieve optimal levels of some micronutrients, such as omega-3 fatty acids and vitamin D, on any eating program.- Explore and find enjoyable forms of physical activity to incorporate into your lifestyle, as your weight loss and improved energy level allow. to incorporate into your lifestyle, as your weight loss and improved energy level allow.

WHAT YOU'LL EAT You now know that your objective is to curb your carbs while eating more healthy fat, along with adequate protein. You'll be getting your carbs primarily, at least in Induction, from the leafy greens and other nonstarchy vegetables known as foundation vegetables. You'll find an extensive list of Acceptable Foods for Induction in the next chapter, along with foods to avoid in this phase. With each of the next two phases, we'll provide similar lists of acceptable foods. (Foods for Lifetime Maintenance are the same as those for Pre-Maintenance.) Some people will be able to add back most or all of these foods; others will not. We'll help you understand what works for you and what doesn't. Unless you're blessed with total recall, photocopy these lists. That way, you can have this crucial information-which will be the key to your success-with you at all times. Over time, of course, it will become second nature.

LEARN TO COUNT.

Central to doing Atkins is lowering your carbohydrate intake enough to unlock the gate that blocks fat burning. The initial amount that works for just about everyone is 20 grams of Net Carbs a day. So for at least the first two weeks of Phase 1, Induction, your objective is to stay at or very close to that number. Counting grams of Net Carbs allows precision as long as your portions match those listed in the carb gram counter. (For most packaged foods, you'll have to read the Nutrition Facts panel to find the carb count, subtracting fiber from total carbohydrate to calculate Net Carbs.) Our Induction-level meal plans in part III part III are designed to ensure that you eat about 20 grams of Net Carbs per day, of which 12 to 15 grams will come from foundation vegetables. are designed to ensure that you eat about 20 grams of Net Carbs per day, of which 12 to 15 grams will come from foundation vegetables.

Be sensible, not obsessive, about both carbs and portions. You needn't split hairs about whether a serving contains 0.4 or 0.8 gram of Net Carbs. Round off to 0.5 gram in the first case and 1.0 gram in the second, as we've done in our meal plans. Nor will you hit 20 grams of Net Carbs on the b.u.t.ton each day. Your intake may be a couple of grams under 20 one day and a little over the next. Don't count calories, although we do ask you to use common sense. In the past, some individuals made the mistake of thinking that they could stuff themselves with protein and fat and still lose weight. If the pounds are falling off, forget about calories. But if the scale won't budge or it seems to be taking you forever to lose, you might want to do a reality check, caloriewise. (See page 107.) You could probably guess that too many calories will slow your weight loss, but here's a surprise: too few few will slow down your metabolism, also threatening your progress. will slow down your metabolism, also threatening your progress.

THOU SHALT EAT REGULARLY ...

That's right. No starving yourself! Regardless of the phase in which you start, you should be eating three regular-sized meals (with your choice of up to two snacks) every day. You may be surprised how quickly that old devil hunger diminishes when you eliminate the blood sugar roller coaster. One reason we want you to put something into your stomach at least three times a day is to provide enough protein to prevent lean-tissue loss, as well as to avoid cravings that may tempt you to hijack the office doughnut cart. Also, a low-carb late-afternoon snack, perhaps half an avocado or a couple of ounces of cheese, will make you less likely to chow down everything in sight at dinner. Are snacks mandatory? Not if your appet.i.te is under control at meals and you're not feeling fatigued. Try cutting out one or both snacks, see what happens, and proceed accordingly. Or simply cut back a bit at meals and continue the snacks. Some people do best on four or five small meals. Do what works for you.

... AND DRINK REGULARLY There are numerous health reasons for drinking adequate fluid. When you're not properly hydrated-and many people are borderline dehydrated much of the time-your body releases a hormone that makes your kidneys retain salt and water, but it does this at the expense of wasting your body's stores of pota.s.sium. This essential mineral is vital to keeping your muscles and heart happy. The key to maintaining a healthy amount of pota.s.sium is to drink plenty of water, eat your foundation vegetables, and and consume a modest amount of salt every day (unless you're on a diuretic medication). We'll discuss how to do this in detail in consume a modest amount of salt every day (unless you're on a diuretic medication). We'll discuss how to do this in detail in chapter 7 chapter 7. Consuming adequate salt, particularly in Induction, keeps your circulation primed and your energy level high. People often misread the body's signal for more fluid as hunger, so staying well hydrated also helps you not overeat.

To determine if you're drinking enough fluids, simply check the color of your urine, which should be clear or pale yellow. Also make sure that you're pa.s.sing urine at least every four to six hours. Thirst is clearly a sign as well, but you need to rehydrate long before you actually feel thirsty. Despite the old saw that everyone should drink eight 8-ounce gla.s.ses of water a day, individual needs vary. Larger, more active people need more than small, sedentary folks. Vigorous exercise or airplane travel (thanks to the dry air) increases your needs as well.

The bulk of your daily fluids should come from water, clear broth, and herb teas. Drinking coffee and other caffeinated beverages increases urine output, but research indicates that it doesn't contribute to creating water or electrolyte imbalances.1 Caffeine also gently a.s.sists the body in burning fat. Caffeine also gently a.s.sists the body in burning fat.2 That means that you can count coffee and caffeinated tea (in moderation) toward your fluid intake. You won't be drinking fruit juice (with the exception of small amounts of lemon and lime juice) or sodas sweetened with sugar or high-fructose corn syrup, all of which are full of carbs. The same goes for milk-and that includes skim milk, which is naturally rich in milk sugar (lactose). Spread out your fluid intake over the day, although you may want to stop a couple of hours before bedtime to avoid middle-of-the-night trips to the bathroom. That means that you can count coffee and caffeinated tea (in moderation) toward your fluid intake. You won't be drinking fruit juice (with the exception of small amounts of lemon and lime juice) or sodas sweetened with sugar or high-fructose corn syrup, all of which are full of carbs. The same goes for milk-and that includes skim milk, which is naturally rich in milk sugar (lactose). Spread out your fluid intake over the day, although you may want to stop a couple of hours before bedtime to avoid middle-of-the-night trips to the bathroom.

SUPPLEMENTARYINSURANCE.

Vitamins, minerals, antioxidants, and other micronutrients in food are just as vital to your health as protein, fat, and carbohydrate. Vitamins and minerals help convert calories into useful energy and perform a host of other functions that are vital for your body's optimal performance. With lots of vegetables, ample protein, and healthy fats, at the very least you'll be getting the daily minimum of micronutrients that you need. You should also take a daily multivitamin with minerals that includes magnesium and calcium but no iron (unless your doctor has diagnosed you as iron-deficient). Also, take an omega-3 supplement to ensure a proper balance of essential fatty acids. Finally, consider taking additional vitamin D if you don't spend a lot of time in the sun.

BECOME GOAL-ORIENTED.

As with any new endeavor, the first step is to set specific goals. We encourage a realistic long-term weight goal. If you're dealing with health issues, work with your health care provider to quantify both long-term and short-term goals. Blood sugar, insulin, triglyceride, and blood pressure indicators usually improve quickly on Atkins, but changes in some markers may take up to six months. As with any journey, you need to know your destination or you might get lost or distracted along the road. The more specific your goal, the more likely you'll achieve it. For example: - I want to lose 30 pounds in six months.- I want to be able to fit into Mom's size 10 wedding dress for my wedding in June.- I want to get my blood sugar level down to normal in the next three months.- I want to maintain my 30-pound weight loss for a year.