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Keto vs Atkins: Insights from Colette Heimowitz

Mar 17, 2025

Podcast with Colette Heimowitz on Keto and Atkins

Introduction

  • Host: Ben
  • Guest: Colette Heimowitz, worked with Dr. Atkins, author on keto and Atkins.
  • Main Topic: Differences between Atkins and keto diets, myths, and Colette's experience with Dr. Atkins.

Colette's Background

  • Started in private practice in physicians' offices.
  • Focused on nutrition for diseases: heart disease, diabetes, hypoglycemia, food allergies.
  • Joined Dr. Atkins after seeing better patient lipid profiles with low-carb diets.
  • Conducted a retrospective study on Atkins' patients showing improved lipid profiles and weight loss.
  • Involved in funding initial research with Dr. Atkins, leading to wider acceptance and further studies.

Atkins vs. Keto Diets

  • Atkins Diet:
    • Four phases: Atkins 20 (similar to keto), ongoing weight loss, pre-maintenance, and maintenance.
    • Allows gradual increase in carbs to find personal tolerance.
    • More variety and sustainability.
    • Atkins 40 and 100 programs for different levels of carb tolerance.
  • Keto Diet:
    • Typically 20 grams of carbs (ketogenic phase).
    • More rigid, less carb intake variety.

Flexibility and Carb Cycling

  • Importance of flexibility in diet plans.
  • Carb cycling can be beneficial, especially for younger, healthier individuals or those not primarily focused on weight loss.

Carbohydrates and Metabolic Health

  • Main Culprits:
    • Processed, high glycemic carbs.
    • Overconsumption leads to issues like obesity and diabetes.
  • Government Dietary Guidelines:
    • Often promote high-carb diets.
    • Lobbying for changes to address diet-related diseases.

Health Metrics and Blood Sugar

  • Importance of understanding blood sugar levels and insulin response.
  • Advanced glycation end products from sugar can lead to plaque and heart disease.
  • Recommendations for triglycerides and HDL levels.

Cholesterol and Heart Health

  • Total cholesterol is not a sufficient metric; focus on ratio and particle size.
  • LDL particle size matters.
  • Importance of inflammation markers like homocysteine.

Protein Intake

  • Recommendations vary based on age, activity level.
  • Generally keep protein under 30% of total calories.

Intermittent Fasting

  • Beneficial but not necessary for keto followers.
  • 12-18 hour fasting windows recommended.

Atkins 100 Book

  • Details various Atkins levels (20, 40, 100 grams of carbs).
  • Emphasis on sustainability and personal adaptation.

Addressing Weight Loss Plateaus

  • Assess stress levels, carb intake, and toxin release.
  • Consider reducing carbs or returning to lower phases temporarily.

Stress and Sleep

  • Stress increases cortisol and insulin, affecting weight.
  • Importance of adequate sleep for metabolic health.

Future of Dietary Guidelines

  • Push for changes acknowledging low-carb benefits.
  • Potential for separate guidelines for those with diet-related diseases.

Plant-Based Diet Myths

  • Challenges with bioavailability of plant proteins.
  • Options for vegetarians and vegans to maintain a low-carb diet.

Common Myths about Atkins

  • Misconception of high protein intake and lack of vegetables.
  • Atkins includes a balanced approach with substantial vegetable servings.

Dr. Atkins' Legacy

  • Clarified misinformation about Dr. Atkins' death.
  • Colette's experiences with Dr. Atkins' passion for patient care.

Resources and Final Thoughts

  • Colette's books and blogs, community support on her website.
  • Importance of gratitude and optimism for change in dietary health.