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by psykotic 5121 days ago
> 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....

4 comments

>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?

> What causes us to eat more calories than our bodies require?

One big reason is eating foods that aren't filling relative to the energy and nutrients they provide. There's nothing unique about carbs in that regard. I can barely put away a 1000-calorie meal with an equal amount of calories from chicken breast and white rice (100+ grams of carbs just from the rice). Putting away the same amount of calories split between chicken breast and greens would be almost physically impossible--I ate a whole pound of grilled asparagus with my chicken breast on Sunday, and the asparagus barely amounted to 100 calories. But I can easily put away a 2000-calorie pepperoni pizza with extra cheese. If you think carbs are the calorically-dominant macronutrient in that pizza, think again. I'm not blaming the fat either. My point is that the issue goes much deeper than simple macronutrient composition.

Fats and proteins are more filling and satisfying per gram than carbs.

The pizza example you give is basically wrong. Carbs would be the largest source of calories. For example see http://nutritiondata.self.com/facts/fast-foods-generic/9307/... which is for a 2500 calorie pepperoni pizza. Almost half the calories come from carbs.

> Fats and proteins are more filling and satisfying per gram than carbs.

Again, that statement makes no sense. You don't eat carbs, fats and proteins. You eat foods. Is 100 calories of olive oil as filling as 100 calories of asparagus (about a pound)? If that's too extreme, I'd still gladly put up your 100 calories of olive oil (a few spoonfuls) against my 100 calories of white rice (a small bowl) for satiety and fullness.

Different macronutrients stimulate hormones differently, so I'm not saying that macronutrient composition doesn't play a role in these matters, only that those effects are mostly irrelevant if you don't go overboard. For example, high GI and low GI foods have virtually identical glycemic loads when consumed alongside a lean protein like chicken breast (GI is measured by feeding food to a subject after a 12-hour fast), so even if you accept that insulin is the master regulator of fat storage (which is out of date nonsense that Taubes can't get out of his head), it still wouldn't matter appreciably so long as you eat your carbs alongside your fiber and protein.

> The pizza example you give is basically wrong.

I was going by the pizza recipe I usually make at home, which per slice has 200 calories from fat and 100 from carbs.

What causes us to eat more calories than our bodies require?

Remember that your body doesn't care that you want to look good on the beach. It wants to load up when times are good, incase there is a famine around the corner. Piling on the pounds is a survival mechanism, people who tend towards fat are in fact highly tuned survival machines.

It's too soon to tell if this is still a useful mechanism. Mankind has only been "civilized" for a heartbeat in evolutionary time. Nevertheless, if you want to shed fat, the key is to convince your body that starvation is not around the corner.

     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.