PHIL KAPLAN'S FITNESS TRUTH - ATKINS
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Atkins / Low Carb Article, continued
(Part II of III Parts)

On February 9, 2000, I set my alarm clock for 4:45 AM. I was staying at the Warner Hilton in Los Angeles. My wife was fast asleep and I tried not to wake her as I rubbed the sleep from my eyes. It was still dark out, but I wanted to be wide awake when the phone rang. Paul Castronovo and Young Ron Brewer, the morning show hosts of South Florida's #1 morning radio show, were going to bring me on the air to confront their in-studio guest . . .Dr. Atkins. He was visiting the studio at 8 AM Eastern Time, the same time my Los Angeles clock read 5:00 AM.

Dr. Atkins immediate demeanor seemed guarded. I'm not surprised. Since his information is controversial he's regularly faced with criticism. It has to take its toll. Especially if that criticism comes from some of the most respected nutritional experts in the world!

I had spent the night before the interview reading Dr. Atkins' new book, Age Defying Diet Revolution. I was impressed by this one. He had included a great deal of valid information. I like the fact that he challenged the FDA on some of their fraudulent "laws" and I applaud his pointing out of the long-term health risks the ongoing ingestion of simple sugars and refined and processed flours can offer. He also offered valuable info on hormones that interplay and the relationships between antioxidants and free radicals. Good information.

Despite the fact that in his new book Atkins does deliver some valuable information, I'm careful not to forget the fact that he's offering a very low-carb diet plan as a "cure-all" weight loss solution for the masses. Regardless of the truths he provides for public consumption in the future, as long as he holds tight to this "carbs are the enemy" dictum, he will find criticism continues to emerge at every clinical and professional juncture. Does the fact that he's making millions selling books alleviate the stress of criticism? I'm sure it does. Does the fact that he's landed on the New York Times best-seller list add anything to his credibility? Absolutely not! Suzanne Sommers sold a whole lot of thighmasters. That doesn't mean they did anybody any good!

Even with the compliments I had to offer for information presented in Dr. Atkins' Age Defying Diet Revolution, I can not bring myself to recommend the book. Amidst the valid information, he does plummet too far into his version of nutrition, encouraging people to follow his best-selling diet and to buy all sorts of supplements (that he now sells by the way) without offering enough of a focus on the essential inclusion of aerobic and resistance exercise. Yes, he does mention that everyone should exercise, and he does quote some research that backs up the fact that aerobic exercise strengthens cardiovascular health (was there any doubt?), but he gives resistance training all of one paragraph. I'm not suggesting that Dr. Atkins position himself as an exercise aficianado, but the interplay between activity and nutrition requires a bit of focus when fat loss is a goal.

The body treats food very differently if it is well acquainted with exercise. Despite the partially valid information he provides for readers, there is a great deal of information in the book that is flawed at best. For example, while it is true that osteoporosis is affecting our population in alarming proportions, bone density can not be "repaired" or "protected" through nutritional supplementation without a distinctive concern for resistance exercise. Beyond bone density, exercise affects hormonal production in such a way that many of the nutritional supplements he recommends could easily be dismissed with a simple commitment to truly supportive eating and exercise. It appears to me, after reading his new book, cover to cover, that although it does offer some valid information, it serves as a vehicle to get more people to buy into his diet programs and spend money on his nutritional products. I also noticed that this book was not written by Dr. Atkins alone, but rather with the assistance of Sheila Buff. I don't know who she is, but his book jacket references her as a freelance writer specializing in nutrition and medicine. I would guess that her input lent some validity to the text.

So, here I am, February 9, awake in my hotel room, fully prepared to confront Dr. Atkins when the phone rings. It's Glen Richards, the producer of the morning show. He seems a bit nervous. He had told me a week prior that Atkins was going to be an in-studio guest and Glen invited me to participate in the discussion. While he welcomed some controversy, Glen was worried that I might go on the attack. I probably could have. I had ammunition ranging from questions regarding his Board Certification to cases of wrongful death attributed to his diets. Still, I had no intentions of attacking. I realize he is a businessman and doctor, out there I have to believe with good intentions, and as I mentioned, I do applaud much of the work he has done. I decided to approach him with respect and give him the opportunity to answer some concerns I had.

As I listened, by phone, to Dr. Atkins' preliminary conversation with Paul and Ron, I heard him contradict himself several times. When he was asked about Kidney problems associated with his diet, he boldly denied that anyone had ever experienced any kidney problem at all resulting from his diet. He assured the listeners it had never happened! Never! With tens of thousands of people . . . not one kidney issue. Ever! Ron Brewer then asked, "don't some people following your diet get kidney stones?"

As a point of reference, Rick Sanchez, a local South Florida newscaster, wound up hospitalized with digestive disorders after beginning the Atkins Diet, and Paul Castronovo's father had kidney stones after a bout with Atkins. Ron spoke not from conjecture, but from personal knowledge. I, in fact, have met hundreds, literally hundreds of Atkins "victims" who had passed kidney stones. Ouch! In fact, I spoke with a well-respected trainer several days before the ZETA Atkins interview, and this trainer, told me he tried the Atkins diet. He wanted to have some personal experience with it so he could better educate his clients who were asking. I asked the trainer if he lost weight. His answer, "Sure." Did you develop kidney stones? His answer, "Yup." So, isn't it interesting how I've seen a correlation between Atkins' Diet and kidney stones and Dr. Atkins denies having ever had a kidney issue pass through among his dieters? I was anxious to hear how he answered Ron's question.

Atkins' answer made me chuckle. He mumbled, "Well, sure, people get kidney stones." In one breath he mentioned that he'd never had anyone have any kidney issue, and in the next, "well sure, people get kidney stones."

He then went on to explain the virtues of ketosis. In a moment I'll explain a bit about ketosis, a word Dr. Atkins presents as a wonderful thing, just to help you understand that this is not simply my opinion against his. This is medical science. Well documented medical science that offers irrefutable evidence that a carb depleted diet can lead to some medical issues.

When you consume a healthful and supportive diet complete with proteins, carbs, and fats, the carbohydrates are broken down into glucose. Glucose is actually blood sugar. Some of that glucose is transported and stored in muscle tissue as "glycogen." This is sort of the fuel in your fuel tank. That's important to understand. Glycogen = Fuel.

Glycogen is used to produce energy that fuels muscle contraction. ALL muscle contraction! Don't think of muscle contraction only as exercise. Any movement requires the contraction of muscle, from blinking your eye to rising from bed in the morning. Without glycogen, you don't have any fuel in the fuel tank. As long as you're consuming carbs, you continue to re-fuel. You access and burn up stored glycogen, but quickly replace it with new muscle fuel. An understanding of that simple fact, that carbohydrates are the source of muscle fuel should raise an immediate red flag toward anything that suggests eliminating or cutting back to extremely low levels of carb intake. Once you understand the basic premise behind muscle glycogen, you should understand that the liver also plays a role in fuel storage.

Some of the carbs that you eat ultimately wind up stored as liver glycogen. Think of the liver as sort of a "pump" for blood sugar. The brain burns more calories than any other organ in your body, and guess what it uses as its primary source of fuel. Glucose! Carbohydrates! As the brain results in the "burning" of blood glucose, the liver accesses its glycogen stores to keep blood glucose in adequate supply. Again, as you expend glycogen, the carbs that you ingest replete your supply.

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