Denton County Living Well Magazine January/February 2016 | Page 32

How much is too much? W By Julie Alvira, MD, MBA e all have heard that following a high protein low carbohydrates (low carb) diet is good and you lose weight fast. We have also heard that if you perform intense resistance training, you should ingest a good amount of protein after working out (post workout) to repair muscle. And of course we have heard that high protein diets are beneficial for anti-aging. But have you heard that for females a very high (in excess) protein nutrition plan can be counterproductive? What about kidney disease and other related conditions in both males and females? A look back More than 40 years ago, Dr. Robert Atkins wrote the book about the Atkins revolutionary diet. Generally speaking, his diet states that if a person cuts drastically on carbohydrates, the body turns to the fat that is stored for fuel. The person usually eats lots of protein. The result is interesting due to the fact that the body burns body fat because it releases a byproduct called ketones that the person will use for energy. Atkins diet is an example of a high protein/high fat very low carbohydrates plan. Sounds risky right? Another diet, like Atkins, but with a twist, is The Zone. This is a high protein/low fat plan with moderate carbohydrates. 30 DENTON COUNTY Living Well Magazine | JANUARY/FEBRUARY 2016 According to the American Dietetic Association, a high protein diet means that of the total number of calories a person consumes each day, 25-35% of those calories come from protein as opposed to a typical diet in which only about 10-15% of calories comes from protein (Chang, 2014). When a person ingests a substantial amount of lean protein and zero, or a very low quantity, of carbohydrates, he or she feels fuller longer, which translates into eating less frequently, which equals weight loss. Sounds nice, right? Well, not so fast. Drawbacks of high protein plans Sometimes very high protein plans lack nutrients. Eating a diet based of only protein forces the body into starvation mode (most body tissues use glucose––blood sugar–– supplied by carbohydrates as fuel). When there are not enough carbohydrates to use as fuel the body is forced to use the stored blood sugar from the liver and muscles. This results is muscle breakdown. If the carbohydrate restriction is prolonged, the brain (which runs on glucose) will go into the process called ketosis and use the fat stores for fuel. Kidneys go into overdrive in order to flush the ketone, which causes a significant amount of water loss. This water loss looks like weight loss on the scale. The effect can cause dehydration, especially if a person exercises heavily. But