Type 2 Nutrition #417: The NEXT 25 Most Popular Posts

Last week, in "Readership Statistics" (just scroll down), I listed the 10 most popular posts I’ve written since I started this blog in 2010. Since most of them were viewed as a result of a search engine query, the result is biased in favor of low-numbered posts. I was disappointed, therefore, that some of my personal favorites were not included.

In an effort to correct the low-number bias and include some of my own favorites, I decided this week to offer you the NEXT 25 most popular. It turns out, however, having now done the search, that most of the next 25 are also low-numbered. Maybe my recent subject matter is of lower-interest. Who knows? Let me know.

The NEXT 25 Most Popular Posts

1 #68 Triglycerides, Fish Oil and Sardines Compelling N=1 evidence; also #281, #282 and #283 to raise HDL-C.

2 #100 Liquid Calories A few good points about digestion, then the Harvard Public Health recommendations.

3 #19 The Archevore Way of Eating, and #18: From Kurt G. Harris: limit wheat, excess fructose and Omega 6s.

4 #32 Artificial Sweeteners Useful, but I and those “in the know” use pure stevia, either powdered or liquid.

5 #25 Understanding Your Lipid Panel Solid, easy to understand basics re: cholesterol; a must read!

6 #64 Very Low Carb Eating, 10 Years Later Good, big picture data; also see #387 for “15 years on VLC.”

7 #35 The Diet Doctor and the LCHF Diet 6 years old but still good. Andreas Eenfeldt is the majordomo of LCHF.

8 #72 How to Fix Your Cholesterol Good basics on the lipid panel & Friedewald formula; see also #25 above.

9 #99 Natural History of Type 2 Diabetes Ralph DeFronzo’s description of the evolution/progression of T2DM.

10 #94 Eating Clean About the manifesto of Singaporeans who subscribe to a “clean” lifestyle, and read me.

11 #194 Live Fermented Foods Just a primer, but informative. See also my reply to an old follower’s comment.

12 #54 Loren Cordain, Robb Wolf, and Kurt Harris A couple of book reviews, and another paean to Dr. Harris.

13 #160 Letterman to Hanks: "...through diet, mostly" An example of how the media usually gets it wrong.

14 #30 Is Fructose Toxic to the Liver? With #29, covers the story; lots of stuff from Lustig’s “The Bitter Truth.”

15 #55 The Beleaguered Gary Taubes A defense of the “Insulin Hypothesis” by the “prime mover” of VLC.

16 #140 Peanuts, my nemesis Mostly relies on the Jaminets’ “Perfect Health Diet.” Note: I am still addicted.

17 #126 Do you live to eat or eat to live? Transitioning is difficult and ongoing, but possible. I am progressing.

18 #59  What I Eat and Why: The VLCKD The title says it all: Why I eat a Very Low Carb Ketogenic Diet (VLCKD)

19 #89 Reversal of Type 2 Diabetes, Revisited This is a sequel to my #1 most popular post #88. See also #380.

20 #33 Omental Adiposity Good basic information, especially for men with beer bellies, who look pregnant!

21 #83 The 8-hour Diet I don’t recommend this huckster’s “diet,” although Intermittent Fasting (IF) is good.

22 #9 Metabolic Syndrome A seminal post, 8 years old, and only 32^nd most read. See also #334 and #335.

23 #122 Macronutrient Ratios and Calorie Restriction Loaded with specifics and a good, clear message.

24 #158 Demolishing the Saturated Fat Bogeyman An authoritative review from the British Medical Journal.

25 #152 Set Point Theory This column is much more than Set Point theory. It is loaded with goodies!

I’ve published 223 columns since the highest numbered one on this list! Not one is among my Top 35. Further study of “search engine optimization” will be required to learn why. I need to get more readers for some of what I’ve written in the last few years! There’re lots of good “poop” out there that’s going on a fallow field.

Type 2 Nutrition #416: Readership Statistics

As I have recently passed 300,000 page views on this blog, it occurred to my editor that my readers might be interested in who besides you reads it. So, using the bare analytics on the Blogger platform, I assembled a few statistics.

Only 41% of my viewers are from the United States. About as many come from the next 9 countries combined, in page view order: Ukraine, Israel, France, Russia, China, United Kingdom, Canada, Poland and Germany. The remaining +/-20% are from dozens of other countries, principally among them India, Australia and Singapore!

Ukraine is 2nd and figures prominently probably because someone there is “stealing” my intellectual property and regularly “hosting” a link to my columns in a health or nutrition-related newsletter. That’s fine with me. I do this for educational purposes, not financial ones. I offer no advertising, so I do not forego “income by hit.”

Israel comes in 3rd because someone there is reading my blog regularly and once in a while provides a link to their readership. And then, wow, 2,500 ‘hits’ in an hour. Same thing happened in Singapore a few years back.

I’ve been publishing this blog for 7 years, most of that time once a week. For a couple of years I posted twice a week and then burned out and took an 8 month break. My average monthly viewership for the last 4 years, including the 8-month hiatus, is over 5,300, or about 180 per day, with a wide monthly range: 9,781 to 2,404. Allowing for the decline during the period when I was not writing, that comes out to about 6k/mo. or 200/day.

Most viewers find this blog through a Google search and are not regular readers. They search by subject using “keywords.”  According to the Blogger analytics, 6 of 10 keywords were searched using an “88 search engine.” In the early years, many page views resulted from my shameless self-promotion, providing a link on sites like Livin la Vida Low Carb(Jimmy Moore), Authority Nutrition, and Canadian low-carb blogger Dr. Jay Wortman.

The 10 most popular posts (incorporating the 88 search engine) since I began writing this blog are as follows:

#88 “Reversal of Type 2 Diabetes” Made #1 by the coincidence of very high interest subject matter and #88.

#31   Carbohydrates and Sugars A decent primer, drawn mostly from the Wikipedia entry on the subject. 

#101 Why I'm Never Hungry A touchstone subject and one that I return to often.

#197 Triglycerides and Alcohol Consumption  A surprising hit; a lot of bibulous tipplers out there, I guess.

#108 "You're eating too much dairy."  This one is a compendium of excerpts from a few experts on the subject.

#38 "The Perfect Health Diet" A book review but, aside from that, probably searched for the subject matter.

#21 The Dangers of Polyunsaturated Fats An important and under-addressed subject. I’m delighted it’s a hit.

#281 HDL-C and Triglycerides With 282 & 283 a series on the transformation of my own HDL and TGLs on Very Low Carb.

#103 Your Mileage May Vary (YMMV) Everyone thinks they are a special case, so they want to believe this.

#61 Stefansson and the Eskimo Diet  Another surprise, popular because of the early link on Dr. Wortman’s site.

In my opinion, many of these top 10 are not my best efforts, but they do show what the reader is searching  for. As such they offer an insight for me to ponder as I contemplate what to write about next. I note, however, the list is heavily biased toward the low numbered posts, reflecting the time that those posts have been “out there” in the blogosphere and available to search engines. As such, many newer ones will eventually catch up.

Many of my personal favs did not make the Top 10 list. Some are among “The NEXT 25 most popular,” to be published next week as “Type 2 Nutrition #417.” If you’re interested, I hope you’ll look for it then. Other favs have hardly been read at all. To find those, you’ll just have to read all 400+ at www.thenutritiondebate.com .

Type 2 Nutrition #415: Hypoglycemia? I’ve had it only three times

I recently read a scary piece by Beverly Hills endo, Professor of Medicine, and Endocrine Society spokesperson, Anne L. Peters, MD. Title: “Seizures, Vomiting, Fear of Dying: The Threat of Hypoglycemia.” Subtitle: “Patients with Diabetes Explain How They Experience Hypoglycemia.” There’s also a short video here at Medscape.com.

Peters wrote, “As a physician, I'm judged on how my patients do with their A1c targets. I always want people to be at less than 7% so that they do not get horrible complications. But day in and day out, patients have to live with the overarching concern of being too low. That can happen anytime, day or night. A patient can go too low if they misjudge insulin by maybe a unit or two, eat too little, or exercise too much” (my emphases).

Those three things will surely do it. But saying, “Eat too little” is disingenuous. She means, “Eat too few carbohydrates,” thus inadvertently not RAISING your blood sugar. Equally, by wanting her patient’s A1c’s to be less than 7%, but not “too low,” she implies it is okay to be in a perpetual disease state (#397), according to the ADA’s “Standards of Medical Care.” A clinical diagnosis of type 2 diabetes requires an A1c ≥6.5%.

This approach to medical care, and NOT INCIDENTALLY medical practice liability, is deemed preferable to the patient being at risk of a blood sugar too low, i.e., at risk of “seizures, vomiting and…dying.” One commenter wrote, “My A1c is always around 6.7- 6.9%, and this is fine with me and my doctor.  I hate hypoglycemia!” I think most doctors would agree. They are, after all, ALL “judged” on how [their] patients do with their A1c targets, and the “Standards of Medical Care” call for it, too liberally, IMHO, to be just at or less than 7%.  

The message to patients is thus: “If I die tomorrow from a low blood sugar, who cares what my A1c is?”

This concern, according to Dr. Peters, is “a real part of the experience” her patients have of “living with diabetes.”  For her part, “A real part of the experience of [her] giving insulin is the fear of hypoglycemia.” Do you see the corollary? “Living with diabetes” and “giving insulin”? One just follows the other, naturally.

Because of the advice you have received, you are in a perpetual disease state, and your type 2 diabetes will PROGRESS to where your doctor will be “giving (you) insulin.” You too WILL become an insulin-dependent type 2 at greater risk of “seizures, vomiting and…dying” and all the micro and macro vascular complications of type 2 diabetes. It will probably also be your cause of death, approximately 8 years earlier than your peers…. But, it doesn’t have to be this way. You can take responsibility for managing your own health, 

You started reading this post because I told you I have only experienced hypoglycemia three times in my life. All three were in the same week 15 years ago, when I began cold-turkey to eat Very Low Carb on the advice of my doctor. Two months earlier he had read a New York Times Sunday Magazine cover story by Gary Taubes, “What If It's All Been a Big Fat Lie.” My doctor tried the diet that Taubes described and lost 17 pounds. He then suggested I try it too, to lose weight. I’ve been eating a Very Low Carb diet ever since.

At the time I weighed 375 pounds and was eating a “balanced” diet including beaucoup carbs. I was on 3 types of oral anti-diabetic meds and 3 types of blood pressure meds. My fasting blood glucose was still out of control, and my blood pressure was border line. I was soon to become an insulin-dependent type 2.

My first episode of hypoglycemia occurred late on my first day on the new diet. I ate a candy bar and called my doctor. He told me to stop taking the 3^rd class of diabetes drug he had recently prescribed. The next day I had another hypo. This time he said cut the dose of the other two drugs in half. But on the 3rd day I had yet another hypo, so he told me to cut the dose in half again! In all the years since then I have never had another hypo. I later dropped the SU (glyburide) altogether and continued with 500mg of Metformin for a decade. Last year I raised my Met to a “therapeutic” dose and, now with fasting, occasionally have FBGs in the 60s, without hypoglycemia. In the ensuing years, I’ve lost 185 pounds (“Not half the man I once was”), and my most recent A1c was 5.1%.

Type 2 Nutrition #414: To LOSE weight, do NOT eat a Ketogenic Diet

Do NOT eat a Ketogenic Diet to lose weight! If you’re “normal” weight, or you have intractable epilepsy and will benefit from a very high dietary fat diet, then okay.  Eat a high fat diet. But if you are overweight and want to burn body fat, you first need to get in a hormonal state conducive to fat burning – by eating Low Carb (LC). Or, if you have Insulin Resistance, eating Very Low Carb (VLC); then, while eating LC or VLC, and “enough” protein, you need to be careful not to over EAT fat because, you want to burn BODY fat.

A Ketogenic Diet, as defined here and elsewhere, is very high in dietary fat. Whatever else it is, the fat in the Ketogenic Diet is thus taken by mouth. But at the cellular level, the body doesn’t care where the fat comes from, and it has to do something with the fat you eat. So, while you’re hormonally in a “fat-burner” state, as your body digests the fat you eat, it’s going to burn what it needs and store what it doesn’t. And if it doesn’t need to burn your body fat, it keeps it in reserve, as it was intended to be. You have defeated your purpose.

So what does this do to the macronutrient ratios I have talked about for years? It doesn’t change the ratios. It just changes where they are sourced. Your biology hasn’t changed, just the way you (or I) pictured it. It’s a little harder to calculate, but the physiology is the same. The difference is that the macronutrient ratios are not measured where it is “taken by mouth” but where your body takes it up for energy – at the cellular level.

Most nutrients from food you eat are absorbed at the small intestine. From there they circulate in the blood or are held in the liver until needed. There are some exceptions: iodine is stored in breast tissue, lutein is stored in the macula of the eye, for example. When you eat VLC, and your hormonal state has transitioned from sugar-burner (glucose-based) to fat-burner, your body will first process all the foods you ate and then, to maintain energy balance (homeostasis), it will break down body fat (triglycerides) into fatty acids for fuel. Fatty acids will then circulate and mix with the other fuels in the blood until taken up wherever needed. It can do this, remember, only so long as you eat LC or VLC and remain in the fat-burner (vs. sugar-burner) state.

Your metabolism will NOT slow down and you will NOT excrete vitamins and minerals before they can be stored. Your metabolism will continue to run at full speed because you are not being “starved” by the absence of “food.” Your body has supplied the “food” it needed from the energy reserves it had stored.

So, in practical terms, what does this do to the macronutrient ratios, as traditionally applied to food ingested (taken by mouth)? The ratios don’t change. The carbs are exactly the same. The protein is exactly the same. Total fat is the same too, only it is divided between eaten fat and stored fat. And YOU will determine the fat ratio by how much fat you eat. To keep in energy balance, the remainder will be body fat that you burn.

Let’s do an example: A certain, mostly sedentary man (me) needs say 2,400kcal/day to maintain his “normal” weight. But, he’s overweight and wants to burn body fat, so he eats a diet with macronutrient ratios that gets his body in a hormonal state conducive to fat burning: 5% carbs. 20% protein and 75% fat. That’s 30 carb grams, 120 protein grams and 200 fat grams a day. If he eats this Ketogenic Diet (k/g ratio: 2.0), he will not be hungry. He will be fat-adapted and in ketosis, but he won’t lose weight. He’s EATING way too much fat.

Now, envision this same man eating the same 30 carb grams and the same 120 protein grams and but just 100 grams of fat. His “diet,” i.e. what he has taken in by mouth, is now 1,500kcal/day, but because he is still eating Very Low Carb, he is still in a hormonal state conducive to fat-burning, and his body will have to break down 100 grams of body fat a day to maintain the 2,400kcal his body requires for energy balance. His metabolism runs full speed, he is not hungry, and he loses weight. His macronutrient ratios (by mouth) are now 8% carb, 32% protein and 60% fat (k/g ratio just 1.4), but it doesn’t matter. At the cellular level – where the energy is used – they are unchanged. Both are Very Low Carb. He is still fat adapted but, at K:G=1.4, he is not ketogenic.

Type 2 Nutrition #413: “End Date”

My wife recently left a post-surgical office visit with a written prescription for physical therapy (PT). She told me the doctor’s assistant said to call for another office visit when the PT was completed. So, I asked my wife how long was the course of PT that the doctor prescribed. She looked, and said, “End date: TBD by insurer.”

My first reaction was surprise, then anger at the doctor for abdicating on the decision, then anger at the insurer for taking control of medical decisions, then anger at government for letting them dictate to insurers. Making healthcare decisions that affect a patient’s recovery from surgery should always be a matter between doctor and patient, not insurers, whose principal interest is the bottom line. And not big government, where politicians and their staffs are not qualified…and besides are generally corrupted by conflicts of interest.

So, the doctor is not to blame. He or she is in business too – albeit small business, but this column on changes in Medicare demonstrates that even the giant American Medical Association was helpless to alter the course of the “reforms” to Medicare that were enacted to pay for the Affordable Care Act (“Obamacare”). Healthcare represents about 17% of the U. S.’s Gross National Product. It’s a behemoth that overpowers everything else.

So, let’s review where we are: A doctor can no longer prescribe the duration of PT, and insurers shouldn’t, and politicians who have no business doing it at all but ultimately do by the legislation their staffs write, they pass, and the indecipherable regulations government minions then produce, so, in this mess, what’s a patient to do? Answer: Take your healthcare into your own hands! Seriously, it’s your health!

My doctor offers “Concierge Care.” I suspect he’s looking for a way to get out from under all the restrictions, regulations and reporting (the 3R’s). He needs less overhead to handle the billing, and he gets paid more promptly.  It has to be more rewarding, and not just financially.

I declined his Concierge Care option because under the primary Medicare and secondary supplemental that I have from being a former NYC manager, I have very good insurance coverage. Virtually everything is covered and paid for. I even get the Medicare Part B premiums, deducted from my pension check, refunded! And my Medicare Part D prescription drug coverage is subsidized by the Management Benefits Fund.  I am also in pretty good health for my age – much, much better than I was 15 years ago, when I was morbidly obese. When my current doctor took over my former doctor’s practice, he studied my chart and suggested I see him just once a year. Instead, at my insistence, I see him 3 times a year, primarily for blood work.

So, my pitch to you at New Year’s is: Take responsibility for your own health. Don’t rely on your insurer to tell you what to do or how long to do it. And don’t let the government tell you what to eat. They’ve been wrong with that advice for the last 60 years, much longer than anyone now in government and certainly longer than anyone in medical practice has been working. Remember, too, your doctor is/was not educated in nutrition, and the RDs and CDEs in practice today obtained and keep their licenses by learning all the wrong things.

If you’re overweight or pre-diabetic, ask yourself, how did you get that way? Haven’t you been trying to eat a “healthy diet” the way you’ve been told to do for most of your adult life. And haven’t you been exercising regularly? Then what caused you to gain weight or become Insulin Resistant (pre-diabetic)? If you are Insulin Resistant, you are Carbohydrate Intolerant. Does it make sense to continue to eat a “balanced” diet? To “eat everything in moderation,” the way the government and the medical establishment told you to do. Isn’t that what caused you to become Carbohydrate Intolerant? Then why would you continue to do the same thing over and over again and expect a different result? Isn’t that the definition of insanity? Think about it. Seriously!

End of hectoring. Happy New Year, and make it a truly NEW one, for YOU.

Type 2 Nutrition #412: “Cover” Story

With idle time in my wife’s doctor’s waiting room, I picked up WebMD Magazine’s June 2017 issue. The cover appeared to feature an article asking, “Trouble reaching your A1c goals?” Next to a photo of a middle-aged man, the caption invited the reader to: “See how Jerry does it.” I’m always interested in seeing how other people lower their A1c’s, so I eagerly and naively turned the page…to a 3-page ad for Trulicity.

Somehow I missed the disclaimer on the “cover.” It said (on a black banner), “Special advertising section. This Trulicity promotional cover has been placed on a limited number of WebMD magazines” – just the ones in doctor’s offices, I’d bet. It continued, “It does not constitute an endorsement by WebMD Magazine and no endorsement is implied.” Okay, WebMD gets big bucks for the fake cover, but how about the doctor’s office? Are they not complicit in this non-endorsement endorsement? I think so, and they don’t even get paid for it!

I also missed the small red-type Lilly at the bottom of the false cover. But it was impossible to miss the 3 full pages of information about “non-insulin Trulicity, a once-weekly injectable pen for type 2 diabetics to help [your body] release its own insulin.” They’re careful to say it’s not the first pharmacotherapy med for type 2s. That would be Metformin, introduced in France in 1957 and the UK in 1958. But Metformin works on the liver to suppress unwanted glucose production and improve to insulin sensitivity (glucose uptake), and it’s safe.

As Lilly implies, Trulicity works on the pancreas, an organ that is already overworked, to counter the insulin resistance that is the cause of type 2 diabetes. Does it make sense to put an added burden on the one (and only) pancreas you have to secrete the insulin on which your life depends? Trulicity makes the pancreas work harder; it “helps the body release its own insulin,” to use their own words. Lilly’s not worried, though. When the pancreas eventually wears out, you will graduate to another injectable drug made by Lilly: daily insulin. Have you seen the price increases for insulin lately?

But Lilly and all the other drug manufacturers do not intend you harm. Their drugs are all approved by the FDA for the uses intended, and the uses all conform to the American Diabetes Association's Standards of Medical Care. What’s wrong with this picture? The treatment plan! The treatment treats the symptom of type 2 diabetes—an elevated blood sugar – by forcing the pancreas to produce more insulin. More insulin is what your pancreas has been producing for years before and since your impaired insulin response was discovered (by an elevated fasting blood glucose, or an A1c test).

Your impaired insulin response, aka Insulin Resistance (IR), is the cause of your type 2 diabetes. What caused your IR? Answer: On the government’s advice, in order to avoid eating saturated fat, for 60 years you ate a diet of 55% to 60% carbohydrate, composed of simple sugars and processed, refined, long-chain glucose molecules, euphemistically called “complex” carbohydrates. Over time, you became Carbohydrate Intolerant.

So what’s the best treatment for IR? That’s simple too: reduce your intake of carbs, especially the refined, processed ones, and the simple sugars of course, particularly the liquid ones. From 60% there’s lots of room for lowering. For the generic woman’s 2000kcal/day diet, 60% is 300 grams of carbs/day. Lowering it to 20% would be 100 grams/day. For a man (2500kcal/day = 375 grams/day), lowering it to 20% would be 125 grams.

Type 2 Nutrition #411: “You don’t eat!”

When the lab report arrived in the mail, I was expecting an increase in my A1c. While eating Very Low Carb December to April, but only following a fasting regimen for the last 2 months, my A1c had dropped from 5.8% to 5.3%. By August I figured my system would get used to my routine and adjust. Instead, my A1c dropped another 0.1% to 5.2%. When I expressed surprise to my wife, she blurted, “I’m not surprised. You don’t eat!”

It’s true. I’m not hungry when I fast because, when I do eat, I eat Very Low Carb (VLC). As I result, my body is fat-adapted and obtains its energy from the fat I eat and the fat my body has stored for the purpose, and I still have plenty of that. So, my energy level, i.e. metabolic rate, remains high because when my body fat breaks down, it is used to maintain energy balance. This fat burning process will continue so long as I eat VLC. While glucose and insulin levels in the bloodstream remain low, the body will feed freely, as needed, on its own fat.

In retrospect, my concern that my A1c would rise was unfounded. I didn’t take into account that I had only been fasting for 2 days a week – and for just 2 months – when blood was drawn in April. The A1c test measures glucose on the surface of red blood cells over 3 months. So, when the A1c blood was drawn, I still had “old” red blood cells in my blood. Plus, after April I increased my fasting from 2 days to 3 days a week.

But my wife, feeling like she was on a roll, continued, “That’s why we don’t go out to eat as often as we used to….and you’ve saved a lot of money by our eating out less often. My rejoinder was that I only fast 3 days a week, and that still leaves 4 days a week for eating out! So, my standing offer, to eat out as often as she would like to, stands…and look at all the money she’s saved by not needing to buy food-for-two for 3 days a week! She agreed, and our “Bickersons” episode ended…strangely, I think, because she usually gets “the last word.”

The point is: if you don’t eat, you’re going to 1) lose weight and 2) save money. The secret is: doing it without hunger and without harm. Ketosis is the answer. It is the normal state of man, according to the NIH’s Richard L. Veech (and a host of other researchers in human metabolism). Ketosis begins when your body has finished digesting and absorbing your last meal and begins a period of fasting. The length of time before entering this state differs only in the amount of glycogen (glucose energy) stored in the liver from previously digested carbs.

In addition, if I don’t eat and continue to take Metformin as prescribed, my blood sugar is going to be better controlled. When I asked my doctor to increse my dose from 500mg once a day to 750mg twice a day – a “therapeutic dose” – and started my 300kcal/day regimen, I sometimes got fasting blood glucoses in the 60s, without hypoglycemia. When I told my doctor, he laughed. “You can’t get hypoglycemia on Metformin,” he said. Now, when I follow VLC strictly, my FBGs are in the 70s and 80s. A recent weekly average was 81mg/dl.

So, eating Very Low Carb and fasting 2 or 3 days a week is a win-win-win: You lose weight, you save money, and you and your doctor are pleased that your blood sugar control has improved. And as promoted by one of the Big Pharma ads on TV, when you have better blood sugar control, you have reduced your risk of cardio vascular disease (CVD). Type 2s have twice the risk of CVD as “normal” people. And if you’re been diagnosed with heart disease, you have an even higher risk. See “How Diabetic Do You Want to Be?” to learn more.

Naturally, the question arises: Would it be possible to get an A1c lower than 5.2%? Maybe even in the high 4s? By diet and Metformin alone?  I think it is possible. I also think I can continue to lose weight. When you read this a week before Christmas, I will have lost 185 pounds, just about “half the man I once was.” My target final weight is 171-175 pounds or “200 pounds lost.” And then the hardest goal of all: Maintaining that weight. I imagine it will involve Very Low Carb, One Meal a Day, and my “300kcal full-day fasts” for 2 or maybe 3 days every week. I’ll call it my VLC/OMAD/4-3 diet. I should be there…in the not-too-distant future.