The disagreement, as I see it, is whether or not restricting energy intake is an effective treatment for obesity, long or short term.
We all are agreeing it works and we all are agreeing there must be an energy deficit for weight loss to occur. What is being disagreed upon is whether or not restricting calories to achieve caloric deficit is effective advice. This sounds like a silly debate, but really, it is not and it is a very valid question.
Antz (and the dieting mainstream) feels calories should be restricted if weight loss does not occur. They have a purely scientific approach to weight loss: if one is failing to catabolize body fat for energy, it means consumed energy is in excess. Reduce it, and the body will turn to tissues for energy. Tissue loss, hopefully mostly from fat (especially if controlling blood sugar), is unavoidable.
ABD, Eepobee, and other LC purists are against this. LC purists feel that over eating & maintaining obesity is a symptom of a physical problem. Because it's a symptom, it is not a problem that should be approached head on (meaning, restricting quantity of energy should not be a treatment for overweight). Over eating isn't a behavioral issue, either, so yet again the LC purists feel there is no justification for limiting quantity. Excess calories are usually a carb issue - if you take care of the carbs, the calories take care of themselves, and you'll lose weight. If the calories aren't taking care of themselves, then that means something else is wrong (likely your carbs aren't controlled well enough, or you are eating/doing something that is upsetting your metabolism).
Because the LC purist viewpoint feels over eating and failing to normalize weight is always a symptom and never a problem, they feel that advice to focus on calories is wrong. It is ineffective and unsustainable long term because it does not address the core issue. You are, in effect, fighting your body, and no one can do that for life. Useful for temporary weight suppression for say, vacation or a body building contest? You bet. Long term effectiveness of calorie suppression as a treatment for weight problems is suspect.
Speaking personally, I'm very much torn between the two camps.
On one hand I feel the dieting mainstream makes a good point.
Obviously reducing calories is very effective for reducing body fat. If you are more quantity-conscious, it allows us to eat whatever we want without worrying so much about gains.
Furthermore, who says that it's NATURAL to be thin? The dieting mainstream recognizes that it is a fact people tend to eat too much and tend toward heaviness.
This is the error of the LC camp: they assume if you aren't getting thin (or have a moderate appetite) when eating whatever, it means something is wrong.
There seems to be this assumption that all healthy bodies will stay slim and never fat when allowed to eat as much as possible.
It's possible that slimness is not the only healthy body type.
It's possible that perfectly healthy people do become and stay fat when allowed to eat freely in a food-rich environment.
We are all so thin biased and obsessed with low body fat and high muscles, but who says this is the ONLY healthy body type? I mean yea, obviously there's a point where at which it's obvious you're unhealthfully fat. At 280 pounds, with numerous health problems (reactive hypo & PCOS), and a rapidly climbing weight at such a young age, it was pretty obvious something was wrong with my body (hyperinsulinemia/insulin resistance). But I mean, the guy who maintains a 30 lb heaviness eating whatever, or the woman who's 165 pounds and maintains it steady with no health problems at all... just because these individuals don't spontaneously under eat and lose weight on low carb doesn't necessarily mean something is WRONG. It could be that those are their natural weights in a food-rich environment.
The dieting maintstream seems to more readily recognize that people DO tend to eat a lot and stay heavy, and that this is a normal/natural process.
The dieting mainstream recognizes that sometimes our natural body type, when we are in ideal health, is often less than desirable.
If you would like to be thinner than your natural weight, it means you need to under eat. Peroid. That means watching calories.
Now on the other hand, the LC camp makes good points as well.
If one who has a serious weight problem is failing to lose weight, and is in fact GAINING weight on unrestricted LC, that implies to me something must be wrong.
Focusing on calories in such a situation is the approximate equivalent of injecting insulin to keep blood sugar down in severe insulin resistance. It may produce the desired result, sure, but ultimately the source problem is remaining unaddressed. It is questionable, too, whether or not symptom suppression is truly effective long term. We all know what happens when we focus on symptoms. The root disease usually gets worse. Perhaps increased hunger and failure to lose on LC is a problem of some condition that is remaining unaddressed? Perhaps that symptom - the body's natural way of trying to correct some horrible imbalance - will not motivate us to try to fix the problem. Without the symptom alerting us to a problem, we will ignore it, and it will only get worse. Doctors tend to feel if symptoms are controlled that translates into disease control, but this is not always correct. Symptom control can imply disease control, but it is not an absolute relationship. If symptoms are controlled via artificial means (i.e. under eating to correct excessive appetite & broken metabolism) then that doesn't mean anything.
Furthermore, I think the LC camp is more tolerant of accepting heaviness as normal. The "traditional dieter" camp is less health focused; they are more likely to validate (and encourage) weight manipulation for aesthetics. The LC purists are more likely to say "whatever weight you settle at when your health and lifestyle are healthy is the weight you are supposed to be". For this reason the LC purists are less likely to validate weight suppression via under eating; it is pointless vanity and does nothing for health.
Speaking personally, I feel that obesity, like diabetes, is a permanent condition. Yes, one can prevent obesity, just like one can prevent diabetes. However, once you have it, you have it, and you can either suppress the weight (to conform for aesthetics) or accept it.
Obesity is not simply "choosing" to eat too much. It's not something that can be gotten rid of by going on LC. It's a real, physical disease. The hyperinsulinemia & the extremely lipogenic state which characterizes obesity, triggered by high carbohydrate diet, causes profound and irreversible physiological changes in fat and endocrine system. These changes, I speculate, have the net result of raising "set point" at a high normal or even obese weight.
The gain cycle is almost always stopped. Partial weight reduction is also very likely. However, for us TDCers it becomes obvious eventually a plateau, a permanent one, is reached. At this point we either make the choice to suppress our weights via under eating or accept our natural heaviness.
|