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by jere 5121 days ago
I loved GCBC, but unfortunately Taubes goes a little bit too far near the end in condemning carbohydrates. It's really hard to recommend the book because of that overreaching.

http://wholehealthsource.blogspot.com/2011/08/carbohydrate-h...

2 comments

A little too far is an understatement. I read GCBC when it came out and found its arguments compelling at the time. After learning more, I've reversed my opinion almost completely.

James Krieger's critique of the core chapter of GCBC is very worthwhile reading: http://weightology.net/?p=265. His blog also has other articles addressing the core Atkins-Taubes thesis of the link between insulin, carbs and obesity. Alan Aragon's Research Reviews had an Editor's Cut on Taubes, as well as pieces specifically on the role of insulin and carbs in obesity and weight gain, but unfortunately all that is subscriber-only. Lyle McDonald (who literally wrote the book on ketogenic diets) has also written a lot on that whole orbit of ideas--never an article against GCBC directly, though he has certainly expressed his negative opinion of it on many occasions.

I could be wrong, but I don't think we disagree.

However, I think most of the book is still worth reading, especially the history behind the demonitization of fat and the uselessness of "calories in, calories out." Taubes is at his best as a science historian and, obviously, not a scientist.

> the uselessness of "calories in, calories out."

There's nothing useless about energy balance. It can be misinterpreted and misapplied, but Taubes throws the baby out with the bathwater and pretends it doesn't apply at all. For example, classical low-carber mythology is that on a low-carb diet you can eat virtually unlimited calories (as usually defined) and maintain weight, if perhaps not lose weight outright. As an example, there's an old post on Michael Eades's blog where he talks of a small woman allegedly eating 5000 calories and maintaining her weight. As explained in James Krieger's article, people's reports of their own calorie intake for studies have consistently been found to be way off the mark, to the point of being useless. When you actually measure what is being eaten under clinical conditions, the result is in line with the conventional theory of energy balance.

The main benefit of low-carb diets for weight loss is that they spontaneously reduce calorie intake by cutting out whole groups of foods (by looking at studies it's been shown that any diet that restricts food choices like this will tend to induce weight loss but is usually unsustainable), and especially lots of highly palatable foods (to use Guyenet's terminology). But most longer-term comparative studies of diets that look at the performance past the 12-month mark show that low-carb diets don't fare any better on average than other standard weight-loss diets. The one exception is a study the low-carbers like to hold up as a vindication of their views; Lyle McDonald addresses that one here: http://www.bodyrecomposition.com/research-review/comparison-....

Two other pertinent articles by McDonald are http://www.bodyrecomposition.com/fat-loss/is-a-calorie-a-cal... and http://www.bodyrecomposition.com/fat-loss/the-energy-balance....

>There's nothing useless about energy balance. It can be misinterpreted and misapplied, but Taubes throws the baby out with the bathwater and pretends it doesn't apply at all. For example, classical low-carber mythology is that on a low-carb diet you can eat virtually unlimited calories (as usually defined) and maintain weight, if perhaps not lose weight outright.

On the last point, of course it's wrong. I never saw Taubes deny CICO as being true. He repeatedly states that, while true, it isn't useful for answering _why_ people get fat.

It's as if I asked why some people are rich and others are poor. And you simply said that the poor people spent more money than they took in. It's true and yet utterly useless if you keep harping on that single point while ignoring inheritance, education, mental illness, drug abuse etc.

You've further convinced me not to recommend GCBC to anyone, since I keep realizing its possible for people to miss the central point of the book.

I'm totally in agreement on Guyenet's stuff, but he agrees with Taubes on CICO being not helpful:

>This is where I agree with Taubes-- 1) the key thing to understand is what is causing the energy imbalance, and 2) the idea that "eat less, move more" is a practical fat loss strategy does not necessarily follow from the first law of thermodynamics. Taking in less energy and expending more does cause fat loss, but the problem is that it's difficult to maintain-- the body opposes changes in its fat stores.

No. Low-carber thesis is that raising intake of fats suppresses appetite so you can eat what you like until you are full. The idea is carbs keep you hungry because of energy partiioning and so you over consume calories because you feel hungrier than you should. Taubes explains this very well in What Makes us Fat.

His main claim is that the energy balance problem is a consequence of getting fat, not the cause.

You don't mention insulin by name, but that's what underlies Taubes's thesis about the link being carbs and obesity. James Krieger dispels much of that argument here: http://weightology.net/weightologyweekly/?page_id=319

> Low-carber thesis is that raising intake of fats suppresses appetite so you can eat what you like until you are full.

Eating pounds of fruits and vegetables won't you make you full? Or rice and potatoes for that matter? Eating pounds of lean protein sources like tuna and chicken breast won't make you full?

> The idea is carbs keep you hungry because of energy partiioning and so you over consume calories because you feel hungrier than you should.

That isn't borne out by the evidence. The demonization of one macronutrient over another is baffling. If you subsist on calorically dense processed foods that are purposefully engineered to be high in palatability then you are more likely to overeat. Carbs aren't the problem. Neither is fat; dietary fat is very calorically dense, so it's easy to get lots of "hidden" calories from it, but that's the main downside from a weight loss perspective.

It's not as simple as X is good, Y is bad.

>Eating pounds of fruits and vegetables won't you make you full? Or rice and potatoes for that matter? Eating pounds of lean protein sources like tuna and chicken breast won't make you full? Of course it will.

I didn't claim otherwise

Fat accumulates due to an excess of calories. But this isn't the cause of us getting obese, it's a proximal cause, not the ultimate cause. What causes us to eat more calories than our bodies require?

     Eating pounds of fruits and vegetables won't
     you make you full?
I'm on a dissociated diet and I can offer some anecdotal insight here.

In some days I eat meat and diary. In other days I eat fruits and vegetables only. I also have days where I allow myself to eat whole-grain bread or pasta. The only days in which I don't feel hunger are the days when I eat meat. If I eat for instance pasta, or potatoes, or rice, in 2 hours tops I get hungry again. Of course, if I eat beans or spinach ... these vegetables keep me full longer than rice, but I still get hungry.

So the issue here is that meat and diary get digested slower. Beans and spinach also get digested slower than bread or pasta or refined carbohydrates, while having better nutritional value (because of the extra fiber).

It's really not about the quantity.

Btw, I also eat high-fat pork meat as I really enjoy it. I have no problems with cholesterol or other issues. I think the secret to a healthy life is having a diverse diet + abstaining from preprocessed crap.

The main benefit of low-carb diets for weight loss is that they spontaneously reduce calorie intake by cutting out whole groups of foods (by looking at studies it's been shown that any diet that restricts food choices like this will tend to induce weight loss but is usually unsustainable)

Another benefit is that the low-carb diets provide better satiety. In studies, if people were advised to eat ad libitum, those who had to choose from low-carb foods eventually consumed less calories than those, who could choose from "regular" food.

Yeah calories matter but processed foods seem to be the real culprit. They make it easy to eat too much and get addicted to the fat salt sugar combo that leads to problems.

I hate how grains make me feel so I am not going back. Losing weight is a side effect of having more energy via cutting out food that was toxic for me to be eating. This isn't religion but just empirical testing on my part. If it didn't work I wouldn't do it.

There is a long debate over this post. I personally found the best answer to the matter here:

http://paleohacks.com/questions/49970/how-do-we-reconcile-st...

Taubes also responded to Guyenet: http://garytaubes.com/2011/11/catching-up-on-lost-time-%E2%8...

It's a long running debate in general and I think I followed the whole damn thing (it officially started at the Ancestral Health Symposium 2011):

http://youtu.be/4hzoFgwFeMQ

I find Guyenet's arguments much better researched and more convincing. Taubes usually admits he doesn't have time to keep up with the research lately.

I follow Taubes, Sissons and Robb Wolf approach (paleo in general) because it just works for me and I love the food. I am thinner, stronger and with much better health eating tasty food and doing minimal exercise. I think Guyenet's approach may work too (maybe there is not only one right answer) but I think low-carb is easier to me and I dont see a reason to change it. My life is much better after limiting (almost banning) grains and refined sugar.
> Taubes also responded to Guyenet

Guyenet also responded to Taubes: http://wholehealthsource.blogspot.com/2011/11/brief-response...