[eloff]

A calorie is a calorie is just too simplistic. I used to hold that viewpoint, but I think now reality is more nuanced.

1) A ketogenic diet is wasteful by nature, you excrete some percent of the calories you consume.

2) It completely ignores the effects of hormones. You need insulin to store fat and build muscle. A diet that triggers more insulin may result in storing more fat. This does not violate the first law of thermodynamics - this energy will either be burned from your fat stores, or compensated for by reducing your metabolism. I expect in reality a combination of both.

[garrettdc]

I've seen some studies on this, but I (personally) haven't run across many that show a significant difference in isocaloric diets where carbohydrates are replaced calorie for calorie with fats.

If it is swapped with a mix of protein and carbs, then you have some confounding variables of the thermic effect of the protein to account for.

From what I have seen, keto diets work due to two things: 1) Reduced caloric intake due to chopping out carbs - a major swath of foods 2) Increased adherence due to stabilizing blood sugar levels and thereby increasing satiety (the whole "stay full longer" thing)

If you have other studies that have been shown significant in an isocaloric state, I'd love to see them. I just haven't run across any that have shown good control around these areas. I personally like keto (and bacon) so I'm always looking for another excuse to do it, but I don't think that there is a ton of evidence for it doing any hormonal magic in healthy populations at the moment.

[bad_user]

It's not only simplistic. It's reductionist, the mentality that promoted margarine over butter and sweetened foods over fatty foods since 1960, yielding generations of diabetic, obese people with heart problems and increased rates of cancer, to the point that we're considering it an epidemic.

Nutritionists have promoted so many falsehoods based on faulty studies, forever damaging the image of the healthcare industry, that people now feel justified in ignoring sound medical advice and embracing alt-truth (e.g. anti-vaxers).

[eloff]

alt-truth, that made me chuckle. I should `#define alttruth false` and then replace all instances of false with alttruth for an April 1st commit.

But I understand that mentality. I see myself as a very logical person compared to the general population, yet when my doctor tells me I need to lower my cholesterol, I ignore her. What does she know? What they taught her in Medical school, and I don't trust that at all. She doesn't have the time in our rushed 10 minute appointments to debate me on the subject, or even give me a recommended reading list.

I feel the need to do my own research on the subject by reading medical papers but I haven't had the energy or inclination yet. From what I have bumped into over the years, it seems your basic HDL and LDL numbers don't say much about risk of heart disease or stroke.