by Westman, Dr. Eric C. ; Phinney, Dr. Stephen D. ; Volek, Dr. Jeff S.
• Veggie Hash Browns. Sauté cauliflower florets and cut-up white turnips and onions in bacon drippings until browned and tender. Add crumbled bacon or sausage and serve with no-added-sugar ketchup.
• Grilled Stuffed Mushrooms: Brush a portobello mushroom cap with oil. Broil for a minute or two on both sides. Top with browned ground beef and some grated cheese and return to the broiler for a minute or two.
• Eggs Fu Yung: Stir-fry a sliced scallion with ½ cup bean sprouts in a little oil until soft, then add two beaten eggs and cook, stirring, for a minute or two. Serve with soy sauce or no-added-sugar salsa. Or replace the sprouts with grated zucchini, spinach, or vegetable leftovers. Or replace the sprouts with ½ package well-rinsed and drained shirataki noodles.
• Morning Soup: Bring 1 cup of water to a boil. Turn down the heat and add 1 bouillon cube, 4 ounces firm tofu cut into small pieces, ½ package well-rinsed shirataki noodles, and 1 thinly sliced scallion. Simmer for a few minutes. Ladle into a soup bowl. Or replace the tofu with chunks of leftover chicken, beef, or pork and/or add watercress or baby spinach leaves.
While we’re on the subject of breakfast, there’s no reason to avoid caffeinated coffee. Moderate caffeine intake is actually associated with improved long-term health and regulation of body weight.1 Coffee contains several antioxidants and has the added benefit of mildly enhancing fat burning.2 Add cream (but not milk) and/or one of the four acceptable sweeteners, if you wish. By the way, an overwhelming desire for caffeine is not a true addiction but simply the result of consuming it regularly. You’ll probably notice some withdrawal signs such as a mild headache if you miss your daily dose. This reaction is normal and isn’t associated with doing Atkins. However, another common morning beverage, orange juice (along with other fruit juices), is off the table—think of it as liquid sugar, and you’ll understand why.
THE MYTH ABOUT EGGS
THE MYTH: Eggs raise cholesterol levels and increase health risks.
THE REALITY: Eggs are one of the most nutrient-dense foods you can consume. One large egg provides 6 grams of high-quality, easily digested protein and all the essential amino acids. Eggs are also a significant source of a number of vitamins and minerals. The yolk of a large egg has about 4 to 5 grams of fat, mainly the unsaturated type, and also contains choline, an important substance necessary for fat breakdown and brain function. Eggs also provide high-quality protein at a lower cost than many other animal-protein foods.
A large body of research over five decades has revealed no association between eating eggs and heart disease. Recent research involving 9,500 overweight but otherwise healthy adults showed that eating one or more eggs a day had no impact on cholesterol or triglyceride levels and didn’t increase the subjects’ risk of heart disease or stroke.3 There also appears to be an association with decreased blood pressure. Subjects who ate eggs also lost more weight and felt more energetic than subjects who ate a bagel for breakfast. Both groups were on reduced-calorie diets, and the egg and the bagel breakfasts both contained the same number of calories.4 Previous research indicated that individuals who ate eggs for breakfast felt more satisfied and were likely to consume fewer calories at lunch-time.5 Compared to the bagel eaters, egg eaters lost 65 percent more weight and had a 51 percent greater reduction in BMI. Finally, another study that compared the results of following the Atkins Diet both with and without eggs found that eating three eggs a day is associated with a greater increase in HDL (”good”) cholesterol.6 So go ahead and enjoy your breakfast—or lunch or dinner—of eggs in all their wondrous variety, without a smidgen of guilt.
SNACK TIME
Snacks are an important part of the Atkins Diet. A midmorning and mid-afternoon snack should help keep your energy on a level plane and head off fatigue, jitters, inability to concentrate, ravenous cravings for inappropriate food, or overeating at your next meal. But not just any snacks will do: they should be made up of fat and protein. Vegetables (and later berries and other fruit) are fine in moderation, but always eat them with some fat and/ or protein to minimize the impact on your blood sugar. In addition to a lowcarb shake or bar, here are ten guilt-free Induction-appropriate snacks, each with no more than 3 grams of Net Carbs.
• An ounce of string cheese
• Celery stuffed with cream cheese
• Cucumber “boats” filled with tuna salad
• 5 green or black olives, perhaps stuffed with cheese
• Half a Haas avocado
• Beef or turkey jerky (cured without sugar)
• A deviled egg
• A lettuce leaf wrapped around grated Cheddar cheese
• Sliced ham rolled around a few raw or cooked green beans
• Two slices of tomato topped with chopped fresh basil and grated mozzarella and run under the broiler for a minute
After the first two weeks you can also have one ounce of nuts or seeds.
DESSERT ON INDUCTION
On Atkins, desserts are an option, even in Phase 1. Here’s a week’s worth of ideas, each with no more than 3 grams of Net Carbs—to finish off a low-carb meal. Once you’re past the first two weeks and can eat nuts and seeds, your options will open up.
• Chocolate “Pudding”: Mix together 2 tablespoons heavy cream, 1 tablespoon unsweetened cocoa powder, and 1 packet of sucralose. Using a fork or a spatula, blend for a couple of minutes until it reaches the consistency of soft ice cream. Add a drop or two of vanilla extract if desired.
• Mocha “Pudding”: Add 1 teaspoon instant coffee granules to the above recipe.
• Chocolate Coconut “Pudding”: Add 1 teaspoon of coconut extract to the basic recipe.
• Raspberry Mousse: Follow the recipe on the package of raspberry sugar-free gelatin and partially set in the fridge. Whip ½ cup heavy cream. Gently blend into the gelatin. Return to the fridge until set. Makes four servings.
• Lime Mousse: Use sugar-free lime (or any other flavor) gelatin instead.
• Rhubarb Compote: Treat this vegetable like a fruit. Cut 1 stalk into 1-inch pieces and cook in a saucepan over low heat with a tablespoon of water and 1 packet of sucralose until soft. Serve warm or cold, topped with a little heavy cream. (Makes 2 servings.)
• Vanilla Freeze: In a large cereal bowl, dissolve 1 scoop low-carb vanilla protein powder in ½ cup unsweetened soy milk. Add a cup of cracked ice and stir until the ice turns the mixture to the consistency of soft ice cream. Add a bit more soy milk if it seems too thick. Or make in a blender after crushing the ice. Sweeten with a little acceptable sweetener, if desired.
LET’S EAT OUT
Like many people, you may eat many of your meals outside the home. Fast food may be convenient and inexpensive, but the typical offerings are all too often full of empty carbs: in the bun, crust, breading, condiments, and, of course, the fries. Fortunately, there are other options if you take the trouble to find them. Some fried chicken chains now offer grilled, broiled, roasted, or “broasted” chicken that’s not battered or breaded. Watch out for some of the sauces, however, which may be full of sugar. In a pinch, you can always peel off the battered skin of a piece of fried chicken and eat only the meat.
Many fast-food chains now offer salads with ham or chicken and even salad dressings that aren’t swimming in sugar. If you ask, most will give you a cheeseburger minus the bun, or just ask for a fork and then ditch the bun. The bigger chains provide complete nutritional data for their foods on their Web sites. Burger King and Dairy Queen even allow you to add or subtract the bun and/or condiments and immediately see the nutritional impact. For example, once you remove the bun and ketchup, a Whopper goes from 51 to 3 grams of Net Carbs. For specific suggestions on what to order and what to avoid at twelve national chains, see chapter 11, “Low-Carb Fast-Food and Restaurant Meals.”
What about your favorite cuisines? Again, as long as you follow certain guidelines, you can dine out on Atkins. Select simple grilled, broiled, or roasted meats and fish. Avoid deep-fried dishes, which are breaded and
may contain harmful trans fats. Likewise, avoid stews, which may have potatoes or other starchy vegetables in them. Gravy is almost always thickened with flour or cornstarch, so steer clear of it. In lieu of potatoes or another starch, ask for an additional portion of (hopefully) fresh vegetables or a side salad.
Nearly every cuisine has a staple food such as potato, bread, rice, pasta, corn, or beans. Though it may seem almost impossible to eat Italian cuisine, for example, without a plate of pasta, what really gives any cuisine its identity is certain seasonings and cooking methods. Those elements can be applied to a wide variety of protein sources and vegetables. For advice on how to navigate Italian, Mexican, Indian, Chinese, Japanese, and other menus, see Chapter 11, “Low-Carb Fast-Food and Restaurant Meals.”
Regardless of cuisine or price point, all restaurants have some things in common.
• They’re in the service business. And they love repeat customers. Don’t hesitate to ask what’s in a dish. There’s no need to explain why you’re interested. Specify any changes you want, such as salad dressing and any sauces on the side, and ask that the bread basket, chips, and salsa not be placed on the table.
• Don’t believe the menu. Though many major chains and some restaurants have done their homework, just because a dish is listed in a “healthy” or “low-carb” section of the menu doesn’t mean that it actually is. If carb counts aren’t listed, take any claims with a large grain of salt.
• Exercise portion control. Most chains and many other restaurants have supersized their portions. You can always take leftovers home in a doggie bag.
• Play it safe with a salad. Just be sure to order dressing that has an oil-and-vinegar base, whether French, Italian, or Greek. Mayo is fine on occasion (sometimes you just can’t dodge soybean oil), as is blue cheese dressing, which is either mayo- or, preferably, sour cream–based. Get it on the side for portion control, and ditch any croutons.
• Ask your server about the dressing and pass on it if you’re not satisfied with the explanation. Many packaged dressings are full of sugar, cornstarch, or corn syrup.
• Preview the menu. Even smaller restaurants often post their menus online. Decide what you’re going to order before you arrive so you won’t be tempted to order less suitable dishes.
• Steer clear of temptation. If you’re concerned that eating in a Mexican restaurant, for example, could tempt you with longtime high-carb favorites, go somewhere else.
ON THE ROAD
Many of us live life on the run, commuting to work, driving kids to school and activities, rushing from one commitment to another. When hunger strikes, you’re often at the mercy of a vending machine or snack bar that offers only sugary, starchy options. That’s why it’s essential to have a repertoire of portable low-carb foods that you can take on the road or in a plane. Some of our Induction-approved snack ideas, such as string cheese, fill the bill, as, of course, do low-carb meal replacement bars and Tetra Pak shakes. One item will do as a snack, but if you’re putting together a meal, you’ll need to include several items. Pack each item in a separate ziplock bag in an insulated bag. Here are some suggestions.
• Sliced vegetables with cream cheese
• Cheese slices or cubes
• Hard-boiled eggs
• Cold cuts
• Nuts and pumpkin seeds (after first two weeks on Induction)
• Vacuum-packed tuna
• Strips of cooked chicken breast, wings, or drumsticks, or sliced leftover steak
What about when you’re traveling for business or pleasure? Follow our advice for eating out above. If you order from room service, specify what you don’t want as well as what you do and have the server remove any “offending” items that make their way into your room. A pair of plump hard rolls staring you in the face as you eat dinner in front of the plasma is not a good idea. Likewise, as soon as you’re done, put the tray outside the door so you don’t wind up grazing hours later. Resist the impulse to check out the contents of the room’s bar refrigerator. Other than bottled water, which you can get less expensively elsewhere, it’s a minefield studded with sugary and starchy snacks. If you think you may give in to temptation, decline the key to the fridge or return it to the reception desk.
HOW ARE YOU DOING?
After a week or so on Induction, you should have the basics under your belt. If you’re thinking “It’s a breeze!” you’ve obviously already lost an impressive amount of weight and are feeling energized. Do prepare yourself for a bit of a slowdown after you’ve lost that extra water weight you were carrying. For variety (and to avoid boredom), it’s a good idea to start sampling new foods, particularly new foundation vegetables, and explore new ways of preparing old favorites.
If you’ve been writing in your journal each day, you’ll be able to see whether you’ve been eating enough vegetables and drinking enough fluids. You’ll also begin to recognize such patterns as an afternoon slump if you’re skipping your snack. If you feel hungry on a regular basis, review your protein intake; you’re almost certainly not eating enough. You may have already discovered the difference between hunger and habit. If so, bravo! Some people go through life without ever learning the distinction. If you feel weak or light-headed, check on when you had your last cup of broth. If it’s been more than six or eight hours, have another.
If your first week wasn’t a walk in the park or the pounds and inches aren’t dropping as fast as you’d hoped, a few small adjustments may be all you need to get into first gear. If you’ve had trouble changing some ingrained habits, now’s the time to adjust any missteps and lay the groundwork for a whole new set of habits. This is a much harder task than losing a few pounds the first week of a new diet. And we know that change doesn’t happen overnight. As you move through the first three phases of Atkins, you’ll have the opportunity to hone those new habits. The day will come when you can walk through the cookie, cracker, or snack food aisles or ice cream section of the supermarket without a twinge. Then you’ll realize that you’ve banished one of your old habits. At this very moment it may be hard to believe that that day will ever come. But we promise you, it will.
Changing habits is essential, but you might simply be someone—and you are not alone—who, no matter how faithfully she—unfortunately, this is more often a problem for women—follows the program, will find it slow going. We profile such a person at the end of this chapter. Metabolic resistance simply means that your body is resistant to losing weight. This may be the case if you have lost and then regained weight in the recent past. If, after two weeks on Induction, you’ve lost no weight or merely the 2 pounds that typically constitute water weight, you need to confirm that you’re actually doing everything right. It’s the rare person who doesn’t lose weight on Atkins, so the two most important pieces of advice we can give you are: first, be sure you’re in full compliance with the program, and second, be patient. Occasionally, those first few pounds are maddeningly slow to disappear from your life. Even if you think you’re doing everything right, this spot quiz should set you right.
Were your expectations unrealistic?
If you’ve already lost more than 2 or 3 pounds (some of it water weight), you’re on your way. From here on in, you’ll be shedding fat. Although some people do experience more dramatic results, a loss of just a few pounds is definitely within the normal range. Stay the course, and those small increments will add up.
Course correction: Readjust your expectations. After the initial few weeks, your average rate of loss could be as low as 1 to 2 pounds per week.
Are you eating too much protein?
Sometimes people new to Atkins take the freedom to eat ample amounts of protein to extremes. Protein is essential to fortify your body, but overindulging can get in the way of fat burning and stall weight loss.
Course correction: Cut back to a maximum of 6 ounces at each meal (unless you’re a tall man who might need a bit more) and follow the guidelines for total daily intake in chapter 4, and you
should see results.
Are you not eating enough or holding back on fat?
Strange as it sounds, eating too little or skipping meals can slow down your metabolism. Eat three meals a day, or, if you simply aren’t hungry, have a small snack that includes fat and protein. Once you’re eating sufficient quantities of both, you should start shedding pounds. If your calorie intake dips too low, your metabolism slows to preserve your body’s organs and muscle mass.
Course correction: Follow the guidelines on fat intake to ensure that you’re getting enough energy to maintain your metabolic rate. Don’t follow a low-carb, low-fat diet!
Are you eating too many calories?
Although you don’t have to count calories on Atkins, if you’re overdoing the protein and fat, you may be taking in too many calories. We know, we said that you don’t have to count calories on Atkins, and the vast majority of people don’t, but you may need a reality check.
Course correction: See “Savor, Don’t Smother” on page 57 and refer to the recommended protein ranges on page 42. Women should shoot for a range of 1,500 to 1,800 calories a day, while men should aim for 1,800 to 2,200. Eat less if you’re not losing weight. If you’re accustomed to counting calories, you’ll know what your range is. If not, a spot check at www.fitday.com will tell you whether you’re in the ballpark. (If you’re losing nicely, don’t worry about calories.)
Are you counting grams of Net Carbs?
If you’re just estimating, you may well be consuming too many carbs. Course correction: Note the carb content of each item you eat in your diet journal. If you’re right at about 20 grams of Net Carbs and not losing weight, make sure that you’re not exceeding the recommended protein portions.
Are you eating 12 to 15 of your carb grams in the form of foundation vegetables?
If you’re not, you may be constipated, which will obviously impact the numbers on your scale and tape measure. The fiber and moisture in vegetables also help you feel full so you’ll eat less.