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Atkins_Speech

VIEWS: 7 PAGES: 15

									                        Dr. Robert Atkins
                         10/16/02 Speech
                    Waldorf-Astoria Jade Room
                            OT/dm 14410101




     The title of that was "Preventing 'Diabesity,' Using a
Controlled Carbohydrate Nutrition Approach." "Diabesity." What
does that mean? It means that the two epidemics that we all
know about, that have just come in the past twenty years, maybe
twenty-five years, but in the past twenty years, were both
obesity and diabetes. And it turns out that these conditions
have so much in common that they really are a single condition.
And that's what we're going to talk about. And we're going to
talk about a lot of interesting things about it.
     Let's talk about what has gone on in recent years. In the
first place, we know we have an epidemic of obesity, but
everybody's saying, "Oh, it's because we're not exercising
anymore, because we don't care anymore," and all sorts of stuff
like that, or because we're going to too many fast food places
and eating too much. Actually, there's a different reason why
we have an epidemic. In the first place, not too many people
know that between 1960 and 1980, there wasn't even a 1% increase
in the incidence of obesity. It all began after 1980. So what
could have happened? Well, let's just look at this.
     This is a slide that we made after the statement of a
Professor Ownsrood__________ from the University of Maine. He
said that most of us would have predicted that if we can get the
population to change its fat intake with its dense calories, we
would see a reduction in weight. Instead, we see the exact
opposite, and these are the statistics which it shows.
     Now, do I have something to point with? I'd love to point,
but I guess we don't have it.
     All right. Let's just look at the blue. That's the
average energy intake from fat. Twenty-five years ago, it was
40% of the diet. Twelve years ago it was 36% of the diet.
Seven years ago, it was 32% of the diet. Now, here's what
people say, to just show you about honesty. You and I have not
dealt with too many honest people, particularly from mainstream
medicine. I must tell you this. They say, "Oh, well, yeah, I
know the percentage of fat is going down, but we eat the same
amount of fat." Well, I think you'll see from these data that
that's not true, when the fat intake percentage-wise dropped 20%
in these, in about 17 or 18 years.
     Now, we'll look at the yellow. Look at the percentage of
overweight. It went from 26% to 58% to 71%. I'm not talking
about obese. I'm just talking about overweight. In the red you
see that the carbohydrate went up. In point of fact, this
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                      Page 2
doesn't tell you about the calories. The calories only went up
by 10%. So if the calories went up by 10%, and the fat intake
went down by 20%, then the fat intake went down, and the lack of
fat caused these epidemics. How about that? [scattered
laughter and applause] OK.
     Another way to look at it, though, is just look at the per
capita food consumption change, and you know what they did.
People who are saying this is exercise don't exercise their
brain; that's their problem. Because this is what really
happened. Between 1970 and the year 2000, we increased our
intake of carbonated beverages by 25 gallons. Our intake of
sugar and other sweeteners that had calories in it went up by 30
pounds per person every year. Thirty pounds a year per person.
But look what went up 64 pounds per person a year. Flour and
cereal products. Now who is responsible for that? Our beloved
United States Department of Agriculture. God love them, because
somebody better. They put out a food pyramid that said you've
got to have, as long as you're an American citizen, you've got
to have 6-11 servings of flour. That's the basis of the food
pyramid. And sure enough, that created the epidemic. That's
what did it, and it wasn't anything else. Yeah, we exercise
just as much as we ever did. I myself exercise more, play a lot
of tennis. But everybody exercises as much as we did 30 years
ago. It's not from that. It's from this -- more starch, less
fat. That did it. OK.
     Now, here's what I was talking about in front of them. I
wanted to talk about the fact, the similarity between diabetes
and obesity. So here's the story on diabetes. How many people
are diabetic or have diabetes in your family tree? May I see
your hands, please? OK, so we're talking to a lot of people.
This is very important. Because what I am determined to do, and
really, the, my main project for the next few years of my life
is to put an end to the epidemic nature of "diabesity." If
people will listen to me, we will put an end to it. My problem
is I've got to get people to listen to me. I mean, not just a
couple of people, like one roomful. I'm talking about
mainstream leaders, and we'll talk about that a little later,
how we might be able to do that.
     But there are five stages of diabetes. The first one is
insulin resistance. The second one, which I'll talk about at
great length, is hyperinsulinism, too much insulin. The third
stage has insulin resistance with hyperinsulinism and some
abnormalities in the glucose tolerance test. These three stages
are pre-diabetes. You can find out, though, if you've got pre-
diabetes, and you keep on doing the same thing, you will have
diabetes. It's like somebody decided, "Well, pregnancy is only
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                      Page 3
when you're seven months pregnant. Otherwise, it's called 'pre-
pregnancy.'" And so somebody who's only six weeks pregnant, it
could -- I don't want to get into this -- but they could not,
they could arrange it so they don't have to give birth. But
it's much easier for a person who's pre-diabetic to arrange it
so they don't become diabetic. And that's what we do, and this
is very, very important. We do this because it's so easy to
find out who puts out too much insulin. We do that routinely at
the Atkins Center, which is five blocks north of here and a half
a block east, and so this is where I practice. This is where I
walked here in the rain from. And so we do this test, and we
find out an incredible number of overweight people who have high
insulin as well as virtually every pre-diabetic. That's the way
you define a pre-diabetic, and certainly every early diabetic.
The fourth stage, diabetes with high insulin, and it isn't until
the fifth stage, which is down to about 15% of Type II
diabetics, that have low insulin. All right.
     Now, this is why I said we're going to talk about
hyperinsulinism. It's responsible for obesity and Type II
diabetes. It's also responsible for high blood pressure, for
high levels of triglycerides, which I've got to talk about in
the future. Triglycerides are very, very important. Low levels
of the good cholesterol, that's HDL, is part of it. The other
thing stands for Polycystic Ovary Syndrome, which is another
one. And another one is some studies have shown that high
insulin is responsible for increasing the death rate from women
with breast cancer. This is just some of the reasons.
     Now hyperinsulinism is very, very important, but what you
have to understand is the most important thing. What makes your
insulin go up? It goes up, about 90% of the elevation of
insulin comes from eating carbohydrate. About 10% of it comes
from eating protein. And none of it comes from eating fat. So
if you have a hyperinsulin problem, there's only one safe food
there is. Fat. And that's what they're criticizing, the safest
food of all. Look, do you realize that between obesity, Type II
diabetes, high blood pressure, high triglycerides, and the other
conditions, we're talking about 70% of the American population?
70% of the American population would do better if they ate only
fat. Not that you should eat only fat, but it certainly is
helpful if you eat more fat than you were doing before. That's
for sure. Next slide.
     Well, this is what I, this has to do with what I told them.
Basically it was just how we can detect pre-diabetes. This is
what we do. We do these glucose tolerance tests with one and
two hour insulin levels, and that's what it talks about, and
then we can find out who's got the elevation. People with high
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                      Page 4
insulin levels, number one, their insulin went up because they
had glucose. That was the way we do the test. Insulin goes up
over 100 at the end of one hour or over 60 at the end of two
hours, and we know that we've got an abnormality, so right then
and there, you've got somebody who doesn't know they're
diabetic, but they are pre-diabetic. And we can find that out,
and we can put them on a low carbohydrate diet with, which
means, by the way, that even if we say it's a high protein diet,
there's an increase both in the amount of protein you eat and
the amount of fat you eat because the big decrease is the amount
of carbohydrates. And so that's what this slide shows.
     Now I've had some people, I've been talking to some people
here who are overweight and that were saying, "Oh, it's so hard
to lose the weight." Right? "It's so hard to stay on a diet."
And I told them that the most significant way to lose weight is
to do the most logical thing in the world, which is to switch
your entire metabolism from glucose-burning to fat-burning.
Because fat-burning is the alternate metabolic pathway, and
there are only two primary pathways for energy. One is glucose,
which you get if you're on a balanced diet, and the other one is
your stored fat. To make stored fat instead of being the back-
up fuel system, to make it be the primary fuel system, you cut
way down on carbohydrates, and then fat's got to serve the
energy, which it does. And when fat is being mobilized, it
doesn't accumulate, it doesn't deposit, and all the bad things
they say about fat don't apply when fat is being used for fuel.
It only applies when fat is not being used for fuel. Our bodies
contain all the enzymes that are needed to burn up the fat. The
word is lipolysis there, and that's what it does.
     Now our, the Atkins nutritional approach then is
controlling the carbohydrate intake, thereby converting the body
to the alternate metabolic pathway, which will promote weight
loss, also allow for a lifetime of effective weight management.
It promotes good health, and it reduces the risk of specific
diseases as well, all of which I will expand upon. In managing
obesity, this, it's called the lipolytic pathway, but it really
means "burning up your fat," it manages diabetes and obesity
because it stabilizes insulin resistance, controls the
hyperinsulinism, which I've been talking about, normalizes the
blood sugar. It burns the fat as energy, reduces the appetite -
- really, that's one of the things that happens -- improves all
of the clinical parameters that people lie about. You know,
everybody says, "Oh, it's really terrible. It does this, that,
the other thing." But in point of fact, none of that is true.
I mean, all these people are making up stories about that a low
fat diet is good and that a high fat, low carbohydrate diet is
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                      Page 5
bad, and none of it is supported by the scientific literature.
It's just statement after statement, and people are using one
person's statement, which wasn't honest to begin with, to say,
"This is how I know I'm right." But in point of fact, if you
look at their research, you just find it isn't true. So the
rationale behind our controlled carbohydrate lifestyle is that
stored fat is the body's back-up fuel system. The human body
can't store more than a two-day supply of carbohydrate. So
that's the other point. After two days of no carbohydrates,
you've got to burn your fat. It's so simple. Fat, then a
primary energy fuel, as I said, a steady burning of fat produces
more energy, and it also reduces the appetite dramatically.
     Now, one of the things that I have to talk about is on this
slide, which is, you may not be able to see it from the back,
but it's about the misconceptions. I've been saying that I've
had to put up with misconceptions, and so they talk about the
fact that it eliminates fruits and vegetables and all the other
carbohydrates, which shows that the people don't even read the
book. The first two weeks of the diet, we do restrict
carbohydrates pretty dramatically. We don't eliminate all the
vegetables. We still have a lot of salad. But then we
immediately increase the vegetables and add fruit, and you have
to understand that people, a 40-year-old person is going to be
on the diet for sixty years, and so two weeks out of the sixty
years they may not eat fruit, but the other 59.99 years they
will.
     And they don't know that. They don't talk about that.
They say that weight loss is caused by caloric restriction. The
idea of metabolic advantage is unproven. What they're saying
is, "Oh, the Atkins Diet works just because it's low in
calories." Yeah? A 16 ounce steak has 1600 calories, and
that's just half of one of your meals. But they don't tell the
truth, my critics, I must say. They say that controlled
carbohydrate programs don't promote fat loss but cause lean body
mass. In other words, you lose 100 pounds -- it was all muscle.
Meanwhile you've been lifting weights, and you can lift 500
pounds and stuff like that, but all you lost was muscle. I
mean, it's nonsense to say that, but they do say that. They say
that ketogenic diets, diets where fat is used as the fuel, are
dangerous. We'll get to that.
     Controlled carbohydrate programs promote cardiac risk.
We'll talk about that. That's just not what this -- that's what
they say, but that's not what the literature shows. Controlled
carbohydrate programs are short-term only. They're not suitable
for long-term adherence. Well, I've been on mine for 39 years,
and I think I'm going to stay on it the rest of my life. I have
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                      Page 6
nothing -- it's my favorite way to eat anyway. And we can do
that for just about anybody. We can get anybody, I think.
Except for vegetarians. To get to their goal weight, eating in
such a way that they love it and wouldn't even want to eat any
differently. Oh, yeah, they may like the taste of other things,
but the reason they love it is not because the food is so
delicious, and there's so much of it, but because they feel so
much better than they ever felt before, and then they go off the
diet, and they have a really bad week because they went off the
diet, and then they learned, finally learned. I'm staying on it
because I feel so much better, and I enjoy it.
     And they say glucose is the only fuel the brain can use.
Well, it turns out that ketones, which come from fat, are a
better fuel than glucose is. I live on ketones, and you can see
how stupid I am. All right. High protein programs cause kidney
or liver damage. I'm not going to talk about that except
there's never been a single study or a single case which ever
showed a single case. Why do they lie so much? Next slide.
     Now I want to talk about one of the things they said. I
want to talk a little bit about one of the things. The first
misconception is about there's no metabolic advantage, and so
here's a slide that goes all the way back to 1956, and it's one
of the studies that got me interested in the idea that if I
wanted to lose weight, I'd better cut out my carbohydrates.
Kekwick and Pawan were really great scientists in London, and
they were the number one and number two people in Europe who,
whenever there were lectures on obesity. And they did one study
on thousand calorie diets and found out that the --

     They found out that the people on 1,000 calories, 90%
carbohydrate, actually gained a little weight. The people on
90% protein lost 6/10 of a pound a day. The people on 90% fat
lost 9/10 of a pound a day. It's better than protein -- for
weight loss. There you go. Now they were smart enough, Kekwick
and Pawan, to say that nobody's going to believe it's only 1,000
calorie diet, and they figured they're just going to say, "Well,
everybody's going to lose on 1,000 calories."
     So they did another test. This time they did a 2,000
calorie diet. This was for eight days now. A 2,000 calorie
diet that was normal. It had the normal balance, you know, of
carbohydrate. They actually gained a pound. Then they
increased it to 2600 calories, but it was high fat, and here
they lost three pounds. The average, this group of 2600
calories did four pounds better in eight days, half a pound a
day better than people with 600 fewer calories.
     And, but nobody still believed them. Number one, once
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                      Page 7
mainstream people make a statement, they don't believe anything
that's contrary to them. It's unbelievable. For instance, here
was a study done where a person compared a fast with body --
this was -- he was able to do the body measurements of fat in
the body and lean body mass and body fat lost and so on, and
sure enough, these people lost 21 pounds in ten days on a total
fast. Except that only 7-1/2 were fat. The rest was lean body
mass; in other words, protein they lost. What they were
criticizing our diet for was this, that you're losing lean body
mass. That's what they said. But that was a total fast. They
did a 1,000 calorie diet which was high in fat. It was actually
the Kekwick and Pawan Diet. It was mostly fat, and it was 1,000
calories, and they lost 14 pounds, and virtually every pound
except for 4/10 of a pound was fat loss.
     So this is pretty strong evidence that what you lose is not
lean body mass, but what you lose on a low carbohydrate, high
fat diet is body fat. More than if you eat nothing at all. Can
you believe that? But it's true. Now they still didn't believe
it, so Charlotte Young at the, at Cornell University, who did a
lot of studies that found out the number of pounds -- these were
obese college men -- 1800 calorie diets, so it wasn't that low -
- but on 104 grams, they lost two pounds, what is that? Per
week, yeah. Two pounds a week. On a 60 gram diet, they lost 2-
1/2 pounds a week, and on a 30 gram diet, they lost 3.6 pounds a
week.
     Now what happened then is then they picked on me and said
that I, right after that, 1972, they picked on me and said,
"There's no evidence whatever to support the idea of, behind
Atkins." Meanwhile, you know where I got the idea to go on a
low carbohydrate diet? In a journal called The Journal of the
American Medical Association. That was where I learned about
it. About two months after I read about it, I said, "I've got
to go on it." That's how the whole thing started. They denied
that anything like that had ever been published.   That's, see,
now that's how I got into complementary medicine, by the way. I
knew that the AMA was dishonest, and therefore I figured they
must be dishonest about everything, and so I learned the
alternatives to everything, and that's what complementary
medicine is, is when you know things other than "drugs, drugs,
drugs," "surgery, surgery, surgery," when you know other things
that work. And I must say that for ten years I practiced
mainstream medicine, and I don't think I ever had a patient say,
"Thank you, Dr. Atkins, for helping me get better." But now I
hear that at about 75% of the time, now that I don't do what the
AMA taught me to do.
     So, but there were no studies done from that point on, not
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                      Page 8
until recent years, not until the year 2000, and here was a
study done at Schneider__________ Children's Hospital in Long
Island. And here they, they knew they wanted to study my diet,
so they had one group of kids -- most of the kids were about 16
years of age -- they had one group of kids who they put on a low
fat diet and low calorie, 1100 calories, and another group that
said, "Oh, you're on Atkins. Eat as much as you want. Just
keep away from carbohydrates, only 8% carbohydrates." Turned
out that that group ate 1830 calories, and the other group 1100,
but this is how much they lost in 12 weeks. Nine pounds, these
1100 calorie people lost. Nineteen pounds is how much the 1800
calorie people with low carbohydrate lost, so that was a very
good study, and I'll show you more about that later.
     Let's see what else we've got. Next criticism: the ketones
are bad. Well, ketones come from burning fat, and to say that
ketones or ketosis is bad is saying burning up your fat is
unhealthy. I guess it would be unhealthy if you're really
skinny. But those are not the people we put on the diet. The
people we put on the diet are those who are overweight and could
very well benefit from burning up their fat. But enzymes are
present within all the cells, by the way, including the brain,
that convert the ketones into fuel, so I think whoever made the
cells in our body wanted us to have that option of using our
ketones or using our fat as a fuel source. That's what nature
crated for us. All right.
     Then there's some more statements. This is a statement
that a Dr. Veach__________ at Harvard said: "Ketosis is a normal
physiologic state. I would argue it is the normal state of man.
Rather than being poison, which is how the press often refers to
ketones, they make the body run more efficiently and provide a
back-up fuel source for the brain." Veach__________ calls
ketones "magic" and has shown that both the heart and brain run
25% more efficiently on ketones than on blood sugar. So that
was actually taken from that New York Times Magazine, "Maybe
It's a Big Fat Lie," on July 7, but that's one of his
statements. All right.
     Magnitude of the ketogenic effects. This simply points out
the fact that the ketogenic diet produces one to three
millimoles__________ of ketones a liter, and the uncontrolled
diabetes that they worry about produces more than 25, and this
is what they're worried about, that it's ketoacidosis, but this
is so much less that you can tell that it's not the same thing.
Ketones as a fuel source. I won't spend time on that, but it
decreases appetite. Insulin is not involved in ketone
production we talked about, so we don't have to go into that.
     Human metabolic response. There was a study done with a
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                      Page 9
Harvard group back in, twenty years ago really, and they had a
really strict ketogenic diet, a diet providing 85% of the
calories as fat. That was the diet that they used. Now this is
Dr. Blackburn, who is right now considered the head of all the
obesity research groups, and he was the head of this group. He
said, "After four weeks there was no measurable impairment of
liver, kidney, heart or hematopoietic function." So it was
right there, and it was in a major journal called Metabolism, so
everybody could have known that if they wanted to read the
medical literature. They just didn't want to. They don't even
believe that the Harvard people know what they're doing. They
just, it's really bad. But we're going to have to change all
that. Really.
     Here's another study that just showed that the brain can
use ketones for fuel, and that's another Harvard study, by the
way. Now here's an interesting study. Here's a study showing a
high fat diet, 70% fat, versus a 10% fat but 70% carbohydrate
diet. And these were both very low. They were like 1/3 the
usual intake, so they're both going to lose weight, but what you
can see here is the people on the high fat diet lost a lot more
weight than this group in the same amount of time, so you can
see they lost more weight.
     Now the other statement that comes from this study is what
I really want to talk about. What they found was that there
were, the high fat, low carbohydrate diet had more ketones, and
the high carbohydrate, low fat diet, there was a switch. What
it really means is that the metabolism of FFA -- that's free
fatty acids -- goes away from synthesizing or manufacturing
triglycerides and toward the production of ketone bodies. And
this explains why the triglycerides are lower, and the ketones
are higher. What it really means is that when the carbohydrate
is restricted, your fat takes a different metabolic pathway.
     Now all of the studies that were done when they say that
fat was harmful were done when there was a lot of carbohydrate
in the diet. That was when the fat took the pathway of forming
triglyceride, so maybe that was a little bad in that instance.
That's an open question because it wasn't that bad, but it --
but when you took a different pathway, there's no question that
fat was helpful because it provided energy, and it didn't
provide harm, and this is in many ways the first time the
statement ever appeared in a medical journal back in 1977 which
really demonstrated why fat is a very appropriate thing to eat
when carbohydrates are restricted. All right.
     Now we're getting to, here's another study, very
interesting. Here's a study that was done at Stanford. Dr.
Reven__________ is the person that wrote all the papers about
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                     Page 10
Syndrome X, which is high -- excuse me. All right. We'll just
go with it. I just want to talk about what he wrote, that the
plasma triglyceride levels were elevated on a 60% carbohydrate
diet. Now that's the low fat diet. Low fat diet elevates
triglycerides. The HDL cholesterol concentrations were also
decreased. That's another bad thing to happen. When they just
cut it down to 40% carbohydrate, meaning they increased the fat
intake by 20%, everything got better. So that's what's going
on. Meanwhile, the American Heart and everybody else is pushing
this low fat, 60% carbohydrate diet, and I have to go into
greater detail about what that means.
     Now there have been a lot of studies showing that, how
dangerous triglycerides are. Now here's the study which shows
what, this is, each one of these is the same number of people,
1/4 of the people with triglycerides, the lowest quarter --

                 [END OF TAPE - TAPE #1 SIDE 1]

    [NOTE: This next section is a repeat of the end of Tape #1
    Side 1 -- about 1 page in length. This was copied but tape
    was audited to confirm exact duplicate content.]

...burn, who is right now considered the head of all the obesity
research groups, and he was the head of this group. He said,
"After four weeks there was no measurable impairment of liver,
kidney, heart or hematopoietic function." So it was right
there, and it was in a major journal called Metabolism, so
everybody could have known that if they wanted to read the
medical literature. They just didn't want to. They don't even
believe that the Harvard people know what they're doing. They
just, it's really bad. But we're going to have to change all
that. Really. Here's another study that just showed that the
brain can use ketones for fuel, and that's another Harvard
study, by the way. Now here's an interesting study. Here's a
study showing a high fat diet, 70% fat, versus a 10% fat but 70%
carbohydrate diet. And these were both very low. They were
like 1/3 the usual intake, so they're both going to lose weight,
but what you can see here is the people on the high fat diet
lost a lot more weight than this group in the same amount of
time, so you can see they lost more weight. Now the other
statement that comes from this study is what I really want to
talk about. What they found was that there were, the high fat,
low carbohydrate diet had more ketones, and the high
carbohydrate, low fat diet, there was a switch. What it really
means is that the metabolism of FFA -- that's free fatty acids -
- goes away from synthesizing or manufacturing triglycerides and
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                     Page 11
toward the production of ketone bodies. And this explains why
the triglycerides are lower, and the ketones are higher. What
it really means is that when the carbohydrate is restricted,
your fat takes a different metabolic pathway. Now all of the
studies that were done when they say that fat was harmful were
done when there was a lot of carbohydrate in the diet. That was
when the fat took the pathway of forming triglyceride, so maybe
that was a little bad in that instance. That's an open question
because it wasn't that bad, but it -- but when you took a
different pathway, there's no question that fat was helpful
because it provided energy, and it didn't provide harm, and this
is in many ways the first time the statement ever appeared in a
medical journal back in 1977 which really demonstrated why fat
is a very appropriate thing to eat when carbohydrates are
restricted. All right. Now we're getting to, here's another
study, very interesting. Here's a study that was done at
Stanford, Dr. Reven__________ is the person that wrote all the
papers about Syndrome X, which is high -- excuse me. All right.
We'll just go with it. I just want to talk about what he wrote,
that the plasma triglyceride levels were elevated on a 60%
carbohydrate diet. Now that's the low fat diet. Low fat diet
elevates triglycerides. The HDL cholesterol concentrations were
also decreased. That's another bad thing to happen. When they
just cut it down to 40% carbohydrate, meaning they increased the
fat intake by 20%, everything got better. So that's what's
going on. Meanwhile, the American Heart and everybody else is
pushing this low fat, 60% carbohydrate diet, and I have to go
into greater detail about what that means. Now there have been
a lot of studies showing that, how dangerous triglycerides are.
Now here's the study which shows what, this is, each one of
these is the same number of people, 1/4 of the people with
triglycerides, the lowest quarter --

    [NOTE: Resumed the transcription from the beginning of
    the last paragraph typed before the cut-off in the
    recording.]

     Now there have been a lot of studies showing that, how
dangerous triglycerides are. Now here's the study which shows
what, this is, each one of these is the same number of people,
1/4 of the people with triglycerides, the lowest quarter, the
highest quarter, and then with cholesterol, the lowest quarter,
the highest quarter, and the two middle quarters, and what I
want you to see is that when the triglycerides are below 100,
and we're in the lowest quarter, the heart attack rate, even
with the high cholesterol, drops from 97 to only 11 in the same
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                     Page 12
number of people. So that gives you an idea just how important
triglycerides are, and, as you know, triglycerides could be
avoided if you ate fat instead of carbohydrates. All right.
     Here's another study at Harvard showing just how important
these things are, triglycerides and -- This is just 25% of the
population, and they were looking for a heart attack, myocardial
infarction. This is a Harvard study. The people in the, it was
the ratio of triglycerides compared to the good cholesterol, so
when the triglycerides went up, and the good cholesterol went
down, the ratio went up. And the people with the highest 25%
had 16 times the number of heart attacks as the people with the
lowest. Now we can take anybody with these numbers, put them on
a low carbohydrate diet and bring them down into this group,
which means we can cut down the incidence of heart attacks by
1600% -- or it's vice versa. It's 1/1600th or whatever. But
anyway, it's quite dramatic. But that's what we can do. All
right.
     I don't know how much time we've got. I just want to show
you a study, another Harvard study again. This was done on
showing that people with very high triglycerides, 500 and up, in
just 14 days were given a diet with 1500 calories and only 26
grams of carbohydrate, and you can see how dramatically and
quickly the triglycerides dropped 70 or 80%, and that's what our
practice shows as well. All right.
     A more modern study shows, this is that adolescence study
done at Schneider__________ Children's. This shows how much the
triglycerides in these teenagers dropped. This was on the
regular diet. This was on that 1830 calorie high fat low carb
diet. So you can see how dramatic it is and how many studies
show it. There's another study that shows how much
triglycerides dropped. This is from the Duke study. These
people weren't that high to begin with, but they did drop from
130 down to 74, which made it safe.
     So anyway, that's all the, there are obviously more slides
I could show you, but I just want to stop with the slides and
just talk a little bit about what all of this means. First of
all, this is, I didn't talk about which fats are healthy and
which fats ar not healthy. I don't want to get into that, and I
don't even want to talk into which carbohydrates are healthy and
which are not healthy. I just want you to see that there's
plenty of evidence to support the idea of a diet where when you
restrict carbohydrates, you do eat more fat. And there are a
lot more things you can say. Fat suppresses the appetite on a
low carbohydrate diet more than protein does. I have a lot of
people that I have to put, that are not losing weight, and I
have to put them on a high fat version; in other words, I have
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                     Page 13
to put them on ribeye steak, macadamia nuts mixed with cream
cheese and heavy cream and things like that. I don't have to do
this very often, only 1% of the people, but it proves that fat
does suppress the appetite and does accelerate weight loss as
some of these studies done. Fortunately we don't have to do
that very often, but you could know in the back of your mind
that a high fat diet low in carbohydrates is the most effective
diet there is for weight loss.
     So many things to say, I just want to say that we, if there
is anybody here who wants to help do some of things that we have
to do, which is prove to the world, particularly the U.S.
government and the American Heart Association, etc., that a high
fat low carbohydrate diet can be beneficial, I just want to say
that I formed a foundation called The Atkins Foundation which
funded the research for a Duke study, for a Harvard study, but
we don't have enough money to fund a lot of studies -- if
there's anybody who feels that they have to give a donation to
somebody, you may want to do it to get a study done that will
prove something that would improve the entire industry. It
could be done. Call me personally if you want to do that. I'm
at the Atkins Center, and you can find it on the website
atkinscenter.com. I thank you very, very much. [applause]
     Yeah, I can take some questions if anybody has any.
Anybody?
UNIDENTIFIED: [inaudible question from audience]
DR. ATKINS:    We haven't done those studies. We have not done
those. Other people have done it, but they haven't done it in
conjunction with low carbohydrate. It's one of the things I
want to do. The people at Harvard are afraid of saturated fat,
and what I want to do is after, with this first study done, I
want to do another study where we do one with low and another
one with high saturated fat, and I think we will prove that
there's no real significant difference between the two, but yet
there are some fats which I am not going to recommend, but I
don't want to get into that because somebody here may be exactly
making them. I don't know. [laughter] And that's the last
thing I want to do. I love all you people, and I don't want to
hurt anybody's feelings. Yeah.
UNIDENTIFIED: [inaudible question from audience]
DR. ATKINS:    Well, the carbohydrate is just stored as glucose,
and it drops it a little bit, but your body makes a shift. When
there's just not carbohydrate around, it just switches over
automatically and starts burning fat. The average person will
probably burn a little fat overnight just from the fact that you
people didn't eat during the night, but by the time 48 hours
have passed, then it really goes up quite rapidly, and the fat
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                     Page 14
becomes, and the ketones become the fuel.
UNIDENTIFIED: The body [inaudible question from audience].
DR. ATKINS:    Well, yeah, your body uses it up. It's using it
for fuel. That's, it's the, still the number one fuel, and it's
going to be the number one fuel as long as it's around. It's
only when it's not around that fat becomes the number one fuel.
UNIDENTIFIED: [inaudible question from audience]
DR. ATKINS:    No, just the opposite. Just the opposite. They
made a statement not too long ago that we should restrict sugar
to the point where it's no more than 25% of our calories.
They're talking about junk sugar could be up to 25% of your
calories. That was a 2002 statement that they made. They also
said that you need to have, everybody has to have 130 grams of
carbohydrate because the brain needs that carbohydrate to
produce glucose for fuel. They didn't even know that there have
been dozens of studies showing that ketones are a better fuel
than glucose. They didn't even consider that. So that's where
they're coming from. They've got a lot to learn, and we've --
That's why we have to do some studies which will convince
everybody else at least that what's true and what's not true
because it's all about truth and falsity. It really is.
UNIDENTIFIED: [inaudible question from audience]
DR. ATKINS:    I'd love to meet a "normally healthy individual."
[laughter] But if I meet one, I want to say, "Do whatever
you're doing. That's fabulous." On the other hand, for people
who are relatively normal and relatively healthy, I think
staying away from junk food is very, very valuable because
carbohydrates themselves are not, were not a problem until junk
food, white flour and sugar, became the dominant source of
carbohydrates.
     Not too many people recognize that back in 1900, we ate the
same amount of protein, fat, and carbohydrate as before, and the
number one fats then were lard and schmaltz and things like
that, animal-based fuel, the things that they criticize. Except
there wasn't a single heart attack not ever even described until
the year 1912.
     Even by the year 1930, which was my birthday, as of
tomorrow, even in 1930 there were only 3,000 deaths from heart
attacks in the United States per year, and just forty years
later, there were a million. So all of this happened when
carbohydrates became refined. It took about twenty years for
all of this stuff to kick in, twenty to fifty years really, of
eating refined carbohydrates. It's not one of these things that
happens the next year, and so that's why there was such a delay,
but it's very important that people should remember that
coronaries that they think everybody gets and half the people
                      Dr. Atkins 10/16/02 speech - Waldorf-Astoria Jade Room
                                                                     Page 15
die from didn't even exist before 1912.
UNIDENTIFIED: [inaudible question from audience]
DR. ATKINS:    Bad fats are trans, trans fats, and they're --
sorry, but, I mean, everybody knows that. I'm sure you know
what's good and what's bad. I don't want to get into that. I'm
just a practicing physician, and that's what I do for a living,
and that's what I've got to do as soon as I finish talking here.
I've got to go back and see some patients, and I thank you so
much. Thank you very much. [applause]

    [NOTE: The following "unidentified" speakers are most
    likely two of the following members -- David
    Italiander__________, David Rothchild__________, Rick
    Hagenburger__________, Abbott Dresler__________,
    Walter Karpinski__________.]

UNIDENTIFIED 1:     Dr. Atkins, on behalf of the Association,
we'd like to thank you. I'm only sorry you couldn't see a video
of the receptivity to last year's speaker [laughter] who
addressed this group, but thank you very much, and I hope we
will find contributions to your foundation. Thanks again.
[applause]
UNIDENTIFIED 2:     I would like to add my thanks, Dr. Atkins.
It was certainly enlightening, and I'm sure that we'll see
carbohydrate consumption in this group go down significantly.
If there are no other announcements or items on the agenda, we
would like to entertain a motion to adjourn the meeting.
[inaudible comment from audience] Is there a second?
[inaudible comment from audience] All those in favor?
AUDIENCE: Aye.
UNIDENTIFIED 2:     The meeting is adjourned. Thank you very
much. We will be meeting across the way for the seminar
shortly. 15 to 20 minutes. Thank you.

              [END OF DICTATION - TAPE #2 SIDE 2]

								
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