Intended for healthcare professionals

Endgames Case Review

A patient request for some “deprescribing”

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h4023 (Published 03 August 2015) Cite this as: BMJ 2015;351:h4023

LCHF: not just for “deprescribing” diabetics.

I was put on a low carb, high fat diet due to neurological complaints. I am now off all medications and remain asymptomatic, so long as I follow the diet. Further, I lost 15kg and am now effortlessly maintaining a weight I hadn’t been since primary school. I eat heroic doses of saturated fat, salt, and cholesterol, with absolutely no whole grains. Yet my blood cholesterol is normal, with a total:HDL ratio under 2.4.

Like many of us, I was amazed that my health markers went from iffy to spot-on, even as I radically ignored everything I’d been taught about diet and good health. Unfortunately, what passes for “high fat” in most research literature is a bowl of pasta with olive oil. As a scientist who believes in evidence-based practice, I’m ashamed that much of the critical work on metabolic impacts of LCHF is happening on Internet forums. We can do better.

Competing interests: Member of the Health E-Heart research cohort.

03 September 2015
Katherine H Aull
PhD Student
UCSF Bioinformatics
San Francisco, CA