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Category Archives: SAD Diet

7: The Long-Term Effects Of The High-Carb SAD Diet | Dr. Cate Shanahan

7: The Long-Term Effects Of The High-Carb SAD Diet | Dr. Cate Shanahan

AIR DATE: February 23, 2012 at 7PM ET
FEATURED EXPERT: Dr. Cate Shanahan
FEATURED TOPIC: “The Long-Term Effects Of The High-Carb SAD Diet”


Nutrition-minded physician Dr. Cate Shanahan, MD is the author of two truly fantastic books entitled Deep Nutrition and Food Rules and looks at treating patients with quite a different perspective than most traditionally-trained medical doctors. She is a board certified Family Physician who trained in biochemistry and genetics at Cornell University before attending Robert Wood Johnson Medical School. She practiced in Hawaii for ten years where she studied ethnobotany and her healthiest patient’s culinary habits. She’s a big believer in hormone regulation and the impact diet plays on it and did a fantastic job answering YOUR questions related to the long-term effects of eating a SAD diet on your hormones.

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NOTICE OF DISCLOSURE: http://cmp.ly/3
Here are some of the questions we addressed in this podcast:

I have low testosterone for years. I tried androgel with little increase in my testosterone. The next step would have been weekly injections which I would like to avoid. How does diet effect testosterone levels and all of the insidious problems that go along with low testosterone like low energy and abdominal fat?

What creates a greater health risk: sustained high blood sugars or sustained high (total) cholesterol?

I have found that if I eat before 5pm, I will become very tired for the next 2 hours and have low energy for the rest of the day. If I don’t eat until after 5, the food gives me energy and I feel fine for the balance of the day. I have a chronic fatigue problem – some form of hypersomnia – and the after-5 trick has helped me cope for the last half year. I switched to a Paleo diet like you recommend about 2 months ago, but with more grains – mostly fermented whole grains. That has helped, but I still have to stick to the after-5 rule. Why does it help?

I have eaten low carb for around 3 years and lost 80 pounds. For the past 8 months about every 6 weeks I take a weekend where I eat way off program including a lot of junk food. I don’t really plan it every six weeks but the way holidays and things have fallen it has seemed to work out in that time frame. I usually gain about 8-10 pounds and it takes about 4 weeks to get rid of it. Will this kind of routine keep low-carb from eventually working for me? Could it do any kind of damage to my metabolism and if so what? I really do plan on stopping this off and on again stuff someday. I hope I have not ruined my metabolism.

I was wondering if Dr. Cate’s way of eating is better for everyone no matter what their problems. I know it is better than the SAD diet but is vegetarian or vegan better for hemochromatosis?

I was diagnosed with Type 1 Diabetes at age 15 and was taking insulin injections for 6 years (3 times a day) and eating a high-carbohydrate diet and really did nothing to try to control blood glucose levels with nutrition or exercise. I was able to eventually get off the insulin, drop a lot of weight and as of now, I am very lean and have no signs or symptoms of diabetes.

My question is this: Did the diet I ate, and more specifically the excess insulin I pumped into my system, which I now know is a system that is not artificial insulin-dependent, do permanent metabolic damage that I may never reverse? I am now 28 and have been in great shape for 3 years. What possible long-term effects could I still have from the previous 25 years of abuse?

Why do my hormone levels come back “normal” if I show symptoms of hormonal dysregulation? I have PCOS with abdominal fat, hirsuitism, and a touch of hair loss.

In your book Deep Nutrition you say, paraphrasing,

“Trans fat consumption interferes with hormone expression and daily infusions of sugar interferes with hormone receptivity.”

In considering this, could it be plausible that in the absence of trans fat our bodies would be better able to deal with a higher-carb diet? Could this perhaps help explain the French ‘paradox’?

I am most personally interested in hormonal issues during pregnancy and post-partum. What do you advise for a person who had pre-pregnancy hormonal issues, PMS, etc. that, (despite several years of a nutrient-dense, low-carb diet) did not lead to infertility, but rather to pregnancy/post-partum depression, adrenal/thyroid malfunctioning, etc.? Is it too late for many interventions at this point (especially during pregnancy)? When has a person reached the point at which you might advise hormonal supplementation or medications of any sort?

Do semi elite athletes have the same outcomes when on the SAD as those in the general population? And is there a data set to support that? Typically we don’t look at those outcome markers in the athletes because there is little to no effect from the control group. Is there any data published that these athletes have impaired hormonal function with the continued exercise and the SAD?

In pregnant women, how can an abnormal hormonal environment from consuming the SAD diet impact the fetus? This concerns me because the SAD diet not only wreaks hormone havoc, but leads doctors to prescribe hormone drugs in pregnancy and before.

Of all the hormones in the body, which do you think are the most important and why? Are there any governing hormones?