Weight Loss If You’re Overweight. Chapter 6 Part 3

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Articles - Dr. Bernstein Shares His Insights

We all have comfort foods to offset depression, anxiety or stress and these are always high in Carbohydrates. Why are these foods so addictive?? Richard K. Bernstein, M.D., F.A.C.E., F.A.C.N., C.W.S has the answer in this week's feature. COMFORT FOODS

The Diabetes Diet
Richard K. Bernstein, M.D., F.A.C.E., F.A.C.N., C.W.S.

Chapter 6
Weight Loss — If You’re Overweight

Part 3 of Chapter 6
See more features here

Most of my patients initially feel somewhat deprived, but they are also grateful to feel more alert and healthier —sometimes more so than they have in years. I fall into this category myself. My mouth waters whenever I pass a bakery shop and sniff the aroma of fresh bread, but I am also grateful simply to be alive and sniffing.

Part 3

COMFORT FOODS AND CARBOHYDRATE ADDICTION

“Contrary to popular belief, the fat in the ice cream or in the crust of the pie doesn’t make much of a difference.”

A certain level of this may be true not only of those with the thrifty genotype, but people in general. There’s a reason that some foods are referred to as comfort foods. They tend to be high in starch or sugar, and such foods are comforting because they bring about high serum (blood) levels of insulin and high brain levels of an amino acid called L-tryptophan.

Tryptophan is the dietary precursor to the brain chemical serotonin, which is deeply involved in sensations of pleasure and satisfaction. It is the brain chemical affected by the largest number of antidepressants, including Prozac, Zoloft, and Paxil. When insulin levels in the blood are normal, tryptophan has to compete with other amino acids to be admitted into the brain. As such, only small amounts get in. When blood insulin levels are elevated, the competing amino acids get deposited into muscle and other tissues, and tryptophan gets a free ride into the brain. What results is a very powerful — if short-lived — sensation of bliss, reduced stress, decreased depression, and diminished anxiety. Comfort food becomes a very easy way to self-medicate, to offset depression or anxiety or stress. When people talk about recreational eating (not in the gourmet sense, but in the quart-of-ice-creamwhile-watching-TV sense), they’re really talking about giving themselves pleasure by loading the brain with serotonin.

A frequent television sitcom scenario is the depressed woman who plops down on the couch with a pie or carton of ice cream, a spoon, and the intention of eating the whole thing. She’s not really hungry. She’s trying to make herself feel better. She’s indulging herself, we think, rewarding herself in a way for enduring one of life’s traumas, and we laugh because we understand the feeling. But there is a very real biochemical mechanism at work here. She craves the sugar in the pie or the ice cream not because she’s hungry but because she knows, consciously or not, that it really will make her feel better. Contrary to popular belief, the fat in the ice cream or in the crust of the pie doesn’t make much of a difference. It’s the carbohydrate that will increase the level of serotonin in her brain and make her feel better — if only temporarily. The other effect of the carbohydrate is that it causes her blood sugar to rise and her body to make more insulin; and as she sits on the couch, the elevated level of insulin in her bloodstream will take that enormous amount of food she’s just eaten and help her body pack it away as fat.

When I help patients lose weight, I am usually treating an addiction to the brain chemical surges that result from comfort food. As I’ve mentioned before in discussing the “phasing” common in many low-carb diets, it’s completely counterproductive to help someone through carbohydrate withdrawal in phase one, then hit them again in phase two with the carbohydrate you just helped them get over.

On television the actress may never get fat. But for the real-life woman, high serum insulin levels from eating high carbohydrate foods will cause her to crave carbohydrate again. If she is a type 1 diabetic making no insulin, she’ll have to inject a lot of insulin to get her blood sugar down, with the same effect — more carbohydrate craving and building up of fat reserves. This is the central reason that the Diabetes Diet has no phasing and no treat days.

Too Be Continued in Chapter 6 Part 4 - GETTING IT OFF AND KEEPING IT OFF

Dr. Bernstein will be doing another live teleconference call soon. If you would like to ask a question or just register for the free teleconference call, just go to www.askdrbernstein.com and register. There were over 600 people on the last call. More info at www.diabetes911.net


We would like to thank the publisher Little Brown and Company and Dr. Richard K. Bernstein, for allowing us to provide excerpts from The Diabetes Diet.

Copyright © 2005 by Richard K. Bernstein, M.D.
All rights reserved. No part of this book may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems, without permission in writing from the publisher, except by a reviewer who may quote brief passages in a review.

Author’s Note
This book is not intended as a substitute for professional medical care. The reader should regularly consult a physician for all health-related problems and routine care.

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Richard K. Bernstein, M.D., F.A.C.E., F.A.C.N., C.W.S.

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Dr. Bernstein is a true pioneer in developing practical approaches to controlling a devastating disease that is growing at epidemic proportions in this country This book should be in the library of every diabetic patient, and especially Physician’s who treat diabetes.” —
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“Dr. Bernstein himself exemplifies the experience that diabetes is controllable, and that all people can improve their lives in spite of diabetes. While the task is demanding, it is doable, and with Dr. Bernstein’s approaches, new information and new science can be used to help all people at risk for or with diabetes. With the programs and recommendations contained in this book, diabetes can be managed well! So I thank Dr. Bernstein for continuing his commitment to people with diabetes, and for sharing his own experiences and helpful approaches so that we all can get a good handle on this condition called diabetes mellitus”. ---

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Richard K. Bernstein, M.D., is recognized as one of the foremost experts on diabetes and its complications. His private practice in Mamaroneck, New York, is devoted solely to diabetes and prediabetic conditions.

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