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Then there’s what you won’t eat. Palinski-Wade gives your body a break from the worst waist-plumping culprits. That means you’ll skip sweeteners and processed starch, which set off blood-sugar spikes strongly linked to belly-fat storage. Trans fats and red meat are also out, since both can worsen a type of cellular inflammation and make belly-fat hormones go haywire.
It's generally accepted that the folks in countries bordering the Mediterranean Sea live longer and suffer less than most Americans from cancer and cardiovascular ailments. The not-so-surprising secret is an active lifestyle, weight control, and a diet low in red meat, sugar and saturated fat and high in produce, nuts and other healthful foods. The Mediterranean Diet may offer a host of health benefits, including weight loss, heart and brain health, cancer prevention, and diabetes prevention and control. By following the Mediterranean Diet, you could also keep that weight off while avoiding chronic disease.
Drinking more than a tablespoon or so of olive oil in a day can have a laxative effect. That can lead to diarrhea, which leads to dehydration and possible laxative dependency. Also, olive oil does contain calories. Dipping bread in olive oil instead of buttering it will save you the saturated fats in animal products, but a tablespoon of olive oil contains 120 calories, where a tablespoon of butter only has 100. Twenty calories isn’t enough to tip the scales, but calories can add up fast if you’re not paying attention.
This content is strictly the opinion of Dr. Josh Axe and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.
At the end of the twelve months, 60 participants (about 82%) in the low-fat group and 59 participants (about 79%) in the low-carbohydrate group successfully completed the trial. The decrease in body weight was substantially greater in the low-carbohydrate diet group which lost four times as much weight as the low-fat group (1.1 kg vs. 4.4 kg). 
A systematic review of 26 short-term intervention trials (varying from 4-12 weeks) evaluated the appetites of overweight and obese individuals on either a very low calorie (~800 calories daily) or ketogenic diet (no calorie restriction but ≤50 gm carbohydrate daily) using a standardized and validated appetite scale. None of the studies compared the two diets with each other; rather, the participants’ appetites were compared at baseline before starting the diet and at the end. Despite losing a significant amount of weight on both diets, participants reported less hunger and a reduced desire to eat compared with baseline measures. The authors noted the lack of increased hunger despite extreme restrictions of both diets, which they theorized were due to changes in appetite hormones such as ghrelin and leptin, ketone bodies, and increased fat and protein intakes. The authors suggested further studies exploring a threshold of ketone levels needed to suppress appetite; in other words, can a higher amount of carbohydrate be eaten with a milder level of ketosis that might still produce a satiating effect? This could allow inclusion of healthful higher carbohydrate foods like whole grains, legumes, and fruit. 
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MCT oils are particularly good for cooking because they have a high “smoke point,” meaning they don’t oxidize from heat easily and can withstand high temperatures. This is crucial, because even certain “good fats” are not well-suited for cooking (like extra virgin olive oil or flaxseed oil, for example) and can become rancid oils somewhat easily. Both coconut oil and MCT oil can be used for the most part in baked goods, sautés, stir-fries and grilled foods without oxidizing.
The ketogenic diet is amazing for losing weight and improving your health, so stick with it and don’t be afraid to make changes as needed. Track what you eat, stick within your keto macros, and test your ketone levels frequently to make sure you’re staying in ketosis. Most of all, give your body time to respond to the great changes you’re making for it.
Research has consistently shown that the Mediterranean diet is effective in reducing the risk of cardiovascular diseases and overall mortality. [3, 4] A study of nearly 26,000 women found that those who followed this type of diet had 25% less risk of developing cardiovascular disease over the course of 12 years.  The study examined a range of underlying mechanisms that might account for this reduction, and found that changes in inflammation, blood sugar, and body mass index were the biggest drivers.
Fat isn’t unlimited either. As with wine, it's possible to get too much of a good thing when it comes to healthy fats. The American Heart Association points out that while the Mediterranean diet meets heart-healthy diet limits for saturated fat, your total fat consumption could be greater than the daily recommended amount if you aren't careful. That’s 65 g per day. (32)
Dr. Vincent M. Pedre, medical director of Pedre Integrative Health and president of Dr. Pedre Wellness, is a board-certified internist in private practice in New York City since 2004. His philosophy and practices are a blend of both Western and Eastern medical traditions. He is a clinical instructor in medicine at the Mount Sinai School of Medicine and is certified in yoga and medical acupuncture. His unique methodology is best described as integrative or defined by a functional, systems-based approach to health. With his holistic understanding of both sides of the equation, he can help each patient choose the best course of action for their ailments to provide both immediate and long-term relief. His holistic approach incorporates positive, preventive health and wellness lifestyle choices. Dr. Pedre Wellness is a growing wellness platform offering health-enhancing programs along with informative social media and lifestyle products, such as dietary supplements, books, and weight-loss programs.
What’s really intriguing is that high-fat meals increase inflammation even when calorie intake is restricted and weight is lost. In a study published in the Journal of the American College of Nutrition, a diet high in fat raised an inflammatory protein (CRP) in the blood by 25% despite the fact that the subjects lost weight. By contrast, CRP levels dropped by 43% when the subjects lost the same amount of weight on a low-fat, high-carbohydrate diet. (6)
Beyond plant foods, another major staple of the diet is locally caught fish and a moderate consumption of cow, goat or sheep cheeses and yogurts that are included as a way to receive healthy fats and cholesterol. Fish like sardines and anchovies are a central part of the diet, which usually is traditionally lower in meat products than many Western diets today.
Ten years ago an ambitious and unique research trial was started in Spain in 7,500 mildly overweight men and women in their 60s at risk of heart disease and diabetes. They were randomly allocated to two diets for five years: one a low-fat diet recommended by doctors in most western countries and the other a high fat Mediterranean diet supplemented with either extra olive oil or nuts.
What is the key to a healthy diet?According to the Harvard Medical School Food Pyramid, the total amount of fat you eat, whether high or low, is not really linked with disease. What really matters is the type of fat you eat. The "bad" fats -- saturated and trans fats -- increase the risk for certain diseases. The "good" fats – mono-unsaturated and poly-unsaturated fats –- like those contained in olive oil lower disease risk. The key to a healthy diet is to substitute good fats for bad fats, and to avoid trans fats.
So don’t reward olive oil with the laurels, agreed Dr. Alice Lichtenstein, one of the nation’s top nutrition scientists, at the Human Nutrition Research Center on Aging at Tuft University in Boston. In several interviews about this study of Greek adults, she said, “If the main message that Americans get is to just increase their olive or canola oil consumption, that’s unfortunate because they will increase their caloric intake and they are already getting too many calories.
In addition, the history of the Mediterranean diet includes a love for and fascination with wine — especially red wine, which is considered beneficial and protective in moderation. For instance, red wine may help fight obesity, among other benefits. This smart choice of a healthy way of life leads to longer lives free of chronic complications and diseases related to stress, such as those caused by hormonal imbalances, fatigue, inflammation and weight gain.
One interesting finding of this eating plan is that it dispels the myth that people with or at risk for heart disease must eat a low fat diet. Although it does matter which types of fats are chosen, the percentage of calories from fat is less of an issue. The PREDIMED study, a primary prevention trial including thousands of people with diabetes or other risk factors for heart disease found that a Mediterranean diet supplemented with extra virgin olive oil or nuts and without any fat and calorie restrictions reduced the rates of death from stroke by roughly 30%.  Most dietary fats were healthy fats, such as those from fatty fish, olive oil, and nuts, but total fat intake was generous at 39-42% of total daily calories, much higher than the 20-35% fat guideline as stated by the Institute of Medicine.  Risk of type 2 diabetes was also reduced in the PREDIMED trial. 
Results, she promises, can be quite dramatic. And sure enough, Woman’s World readers who tested Palinski-Wade’s olive oil diet menus melted up to eight pounds and four inches of ab flab in just seven days. “I tried Weight Watchers, supplements, fad diets, but nothing worked until this,” says Pennsylvania grandmother Eleanor Downing, 62. “I lost a pant size in a week!” Meanwhile, Colorado travel agent Erika Crocker, 47, who whisked four inches off her middle, still can’t believe such a simple approach could be so effective. As for 30-year-old Mississippi mom Lindsey Bradley, 30, dropping a size has her raving: “For once, my belly got flatter without hunger pangs.”