Intelligent Medicine®

Leyla Weighs In: Protein vs. fat in a low carb diet

Protein vs. fat in a low carb diet
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There’s a misconception among low carb dieters. Many people believe a low carb diet is much higher in protein. Folks are opting for ‘lean’ protein like sirloin steak and grilled chicken breast, keeping fattier portions like rib-eye and dark meat poultry to a bare minimum. Many are even instructed to do so.

I am here to tell you the low carb diet is not a high protein diet. It’s a high fat diet. The very low carb ketogenic diet is high in fat. It has to be in order to facilitate lipolysis/ketosis, our primary and preferred metabolism. In other words, we have to eat fat in order to burn fat. 

In truth, protein intake stays within the 20 to 35 percent range. It’s fat intake that increases as much as 60 to 70 percent, even higher for those with neurological disorders like epilepsy. Need a point of reference? Consider that the Mediterranean diet is 40 percent fat. 

Those who find themselves in a weight loss plateau are likely stuck due to overconsumption of protein (barring other reasons for the plateau). The reason is excess protein turns into blood glucose, effectively shifting metabolism out of ketosis. Now we’re back to a mostly blood sugar burning metabolism again. 

Those with type two diabetes or prediabetes often won’t be able to reduce their blood sugar (or HgbA1c, which is marker of average blood sugar over three months) until increasing consumption of fats and moderating protein intake. 

So by incorporating fattier cuts of meat (read: dark meat poultry, skirt steak, organ meats, and stop throwing out those egg yolks!), you’re effectively decreasing the amount of protein to a more moderate level. And the fats inherent in those foods will help to keep you satiated until your next meal, stabilizing your blood sugar. 

Added bonus: You’ll get more zinc, selenium, iron, carnitine and CoQ10. 

To your health! 

Leyla Muedin, MS, RD, CDN 

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