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Posted on August 6, 2024 by admin

Status Update
I’m still alive and well. Still doing keto. Maintaining weight in the mid 160’s for about 20 months now. If I go up a bit in weight, I do PSMF. If I want to maintain weight I increase my fat intake with nuts or cheese.

My diabetes is being completely covered with diet. Good HbA1C numbers earlier this year. I’ve stopped obsessively taking my blood sugar measurements.

Carbs or Fat Make Us Fat?
The question has been a long unsettled question of debate between the Low Carb and Low Fat diet adherents. Here’s a good article which provides some insight from world population data (The Rise of Obesity and How to Make It Stop).

As for keto, here’s a good article on Seven Common Keto Diet Myths. I agree with every one of these being a myth which sidetracks keto dieters.

Carbs or Fat Make Us Fat?
Coffee and Blood Lipids
One of the things that keto folks sometimes notice is an increase in blood lipids on the keto diet. This may be in some part due to increased coffee consumption. I never used to drink coffee but I started drinking coffee on keto for extra energy.

Turns out there’s an associational study on the subject (Stensvold I1, Tverdal A, Foss OP. The effect of coffee on blood lipids and blood pressure. Results from a Norwegian cross-sectional study, men and women, 40-42 years. J Clin Epidemiol. 1989;42(9):877-84.).

The association between boiled and filter coffee consumption and levels of cholesterol, triglycerides and blood pressure was studied, including 14168 men and 14859 women. A total of 94% drank coffee, 55% of the men and 48% of the women drank more than 4 cups per day. The type of coffee consumed varied between the counties, from 11 to 49% boiled and 49 to 87% filter coffee. Serum cholesterol increased linearly with increasing coffee consumption, and most strongly for boiled coffee. Controlling for other variables gave, for boiled coffee, an 8% increase for men and 10% for women. For filter coffee drinkers the coffee dose-cholesterol association remained significant only for women. Triglycerides showed a negative association with coffee, significant after adjustment for other variables. This effect was stronger for filter than for boiled coffee in both sexes. For men and women drinking 1 cup of coffee or more, a significant negative association between both systolic and diastolic blood pressure and number of cups of filter coffee was found.

Not going to change my life but perhaps a talking point with my doctor if my numbers are high.