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> Cheeseburgers are amazing but they are a hell of a lot less appealing with no bun, onions, tomato, or ketchup

This is true, but honestly the only one of those you really need to cut out is the bun. The onions and tomato add up to 2-3g of carbs, and the ketchup is another 4g, so the whole burger in a lettuce wrap would be 6-7g of carbs, not at all bad for a meal! For reference, I use myfitnesspal to keep track of my food consumption and to research carb/calorie counts.

> Eating no more than like 20 carbs a day is really hard and for me it affects the quality of my life too much

Would 50g be more sustainable? Or 100g? From what I've seen, the 20g limit is mostly an introductory phase. 50g is still a huge reduction from what most people consume on a daily basis.

[kaitai]

Agreed. The 20g limit is not sustainable long-term. Even 50g can be hard or impossible (from a health perspective) for some people to sustain. Diets are not really all-or-nothing -- check out marksdailyapple.com for a more flexible approach to low-ish carb eating.

Playing with carb intake can be very educational: while low-carb diets benefit a lot of people, different folks have different needs. Your athletic pursuits, sex, pregnancy status, thyroid health, etc, are all really important to consider.

[source99]

In-n-Out : Double Meat Animal and Protein style...

Protein means they wrap it in lettuce instead of a bun.

You can also go the double double but I'm not a big fan of the cheese...

[ramblerman]

When you go low carb, you cut out the onions, tomatos, and other vegetables too?

That seems excessive, and somewhat unbalanced.