Robert C. Atkins: Doctor of Robert C. Atkins: Doctor of ComplementaryComplementary

MedicineMedicine

Jacqueline A. Eberstein, R.N.Jacqueline A. Eberstein, R.N.

Controlled Carbohydrate Nutrition, Controlled Carbohydrate Nutrition, LLCLLC

First Do No HarmFirst Do No Harm

Complementary MedicineComplementary Medicine

A philosophy of medical practice utilizing the A philosophy of medical practice utilizing the best of conventional medicine combined with best of conventional medicine combined with lifestyle protocols, nutritional supplementation lifestyle protocols, nutritional supplementation and non-invasive alternative therapies.and non-invasive alternative therapies.

For the prevention or treatment of chronic For the prevention or treatment of chronic illness.illness.

Addressing the underlying cause rather than just Addressing the underlying cause rather than just decreasing symptoms.decreasing symptoms.

Avoiding the long term use of prescription meds.Avoiding the long term use of prescription meds.

On the Cutting edgeOn the Cutting edge

Initial Patient EvaluationInitial Patient Evaluation

Glucose and insulin tolerance test- expanded Dr. Glucose and insulin tolerance test- expanded Dr. Atkins’ knowledge of IR, HI and the diagnosis of Atkins’ knowledge of IR, HI and the diagnosis of RHG as common cause of symptoms, easily RHG as common cause of symptoms, easily treated by diet. Progression to type 2 diabetes.treated by diet. Progression to type 2 diabetes.

Correlated symptoms during the GTT using a Correlated symptoms during the GTT using a symptom survey.symptom survey.

Lipid profile with HDL, LDL, Triglycerides and Lipid profile with HDL, LDL, Triglycerides and cholesterol was routine in the mid 1970’s for cholesterol was routine in the mid 1970’s for patients of Dr. Atkins.patients of Dr. Atkins.

Atkins Cardiology Work-upAtkins Cardiology Work-up

Glucose/Insulin studiesGlucose/Insulin studiesLipid profileLipid profileEKGEKGhs CRPhs CRPFibrinogenFibrinogenLipoprotein aLipoprotein aHomocysteineHomocysteineLipoprotein subfractionsLipoprotein subfractionsFast CT scanFast CT scan

Early Health MessagesEarly Health Messages

Controlling insulin and blood sugar is vital for health. Best Controlling insulin and blood sugar is vital for health. Best accomplished by controlling both quality and quantity of carbs. One accomplished by controlling both quality and quantity of carbs. One size does not fit all-personalize to carbohydrate tolerance.size does not fit all-personalize to carbohydrate tolerance.

Reactive hypoglycemia-not the opposite of diabetes but a precursor. Reactive hypoglycemia-not the opposite of diabetes but a precursor. Symptom relief with carb restriction, improving quality of life and Symptom relief with carb restriction, improving quality of life and decreasing the need for meds. Improved BS lead to better response decreasing the need for meds. Improved BS lead to better response to stressors in life.to stressors in life.

It’s not just about calories in –calories out. Where the calories come It’s not just about calories in –calories out. Where the calories come from matters and effects hormones.from matters and effects hormones.

Natural fats including saturated fats are fine. Avoid man-made trans Natural fats including saturated fats are fine. Avoid man-made trans fats and high omega 6.fats and high omega 6.

Health Messages cont’dHealth Messages cont’d

Prevention of diabetes by recognizing and treating early stages of blood Prevention of diabetes by recognizing and treating early stages of blood sugar imbalance. Well before metabolic syndrome was described.sugar imbalance. Well before metabolic syndrome was described.

Medications can cause weight gain or make weight loss difficult. Control Medications can cause weight gain or make weight loss difficult. Control high blood sugar with diet to avoid insulin and other meds that keep people high blood sugar with diet to avoid insulin and other meds that keep people overweight and have damaging side effects.overweight and have damaging side effects.

Meds can have a deleterious effect on blood sugar levels as well as Meds can have a deleterious effect on blood sugar levels as well as interfering with vitamins and minerals.interfering with vitamins and minerals.

Everyone needs a good quality (iron free) multi-vitamin/mineral.Everyone needs a good quality (iron free) multi-vitamin/mineral.

Cautioned against the overuse of antibiotics including for ear infections in Cautioned against the overuse of antibiotics including for ear infections in kids.kids.

Health Massages cont’dHealth Massages cont’d

Ketones are a positive sign when low carbing and are Ketones are a positive sign when low carbing and are notnot dangerous. Dietary ketosis is not the same as dangerous. Dietary ketosis is not the same as ketoacidosis.ketoacidosis.

Can lose weight without hunger. Regular intake good Can lose weight without hunger. Regular intake good quality protein controls hunger.quality protein controls hunger.

Carbs can be addicting.Carbs can be addicting.

Relationship of carbs and high insulin levels with high Relationship of carbs and high insulin levels with high triglycerides and low HDL. Risk for CV disease.triglycerides and low HDL. Risk for CV disease.

Sugar intake can lead to heart disease. Sugar intake can lead to heart disease.

Carb Restriction Carb Restriction

Atkins induction for epilepsyAtkins induction for epilepsyMultiple sclerosis- along with carb Multiple sclerosis- along with carb restriction, grain removal and evaluation restriction, grain removal and evaluation for yeast and other food sensitivities. for yeast and other food sensitivities. Other autoimmune conditions respond as Other autoimmune conditions respond as well.well.HypertensionHypertensionDecreased edemaDecreased edemaCardiac arrhythmia i.e. atrial fibrillation,etc.Cardiac arrhythmia i.e. atrial fibrillation,etc.

Carb restriction cont’dCarb restriction cont’d

Arthritis and other inflammatory conditionsArthritis and other inflammatory conditionsChronic GI complaints including IBS, Crohn’s, Chronic GI complaints including IBS, Crohn’s, colitis.colitis.FatigueFatigueMood symptoms-mood swings, anxiety, panic Mood symptoms-mood swings, anxiety, panic attacks, depressionattacks, depressionEliminate heartburn with carb restriction. Avoid Eliminate heartburn with carb restriction. Avoid the chronic use of meds that have dangerous the chronic use of meds that have dangerous side effects.side effects.Migraine headachesMigraine headachesSkin conditions esp. psoriasis, acne.Skin conditions esp. psoriasis, acne.

What to EatWhat to Eat

Eat whole eggs-nature’s most perfect food.Eat whole eggs-nature’s most perfect food.Butter not margarine. Avoid partially Butter not margarine. Avoid partially hydrogenated vegetable oils.hydrogenated vegetable oils.Avocado and nuts are healthy.Avocado and nuts are healthy.Partake freely of natural fats.Partake freely of natural fats.Whole foods diet.Whole foods diet.Whole fruit not juice. Eat fruit with fat and Whole fruit not juice. Eat fruit with fat and protein.protein.Be very careful with whole grains. Avoid refined Be very careful with whole grains. Avoid refined grains. Grains are not appropriate for many.grains. Grains are not appropriate for many.

SupplementsSupplements

A Few of the Most ImportantA Few of the Most Important

Why take supplements? Why take supplements?

Cannot get all your nutritional needs met from Cannot get all your nutritional needs met from food alone.food alone.Depleted nutritional potency food supplyDepleted nutritional potency food supplyAgribusinessAgribusiness

Soil is depleted by the use of inorganic fertilizerSoil is depleted by the use of inorganic fertilizerDecreases the nutritional value of plant lifeDecreases the nutritional value of plant life

The use of cheaper ingredients in processed food The use of cheaper ingredients in processed food products can cause nutrient deficienciesproducts can cause nutrient deficiencies

ChromiumChromiumEssential Fatty AcidsEssential Fatty Acids

Extended transportation of foodExtended transportation of foodThe longer it travels, the more nutrients are lostThe longer it travels, the more nutrients are lost

Why take supplements?Why take supplements?

Depleted nutritional potency food Depleted nutritional potency food supplysupplyFood PreparationFood Preparation

Every type of food prep deletes nutrients, Every type of food prep deletes nutrients, we bake it, boil it, microwave it, and reheat we bake it, boil it, microwave it, and reheat the leftovers.the leftovers.

It has been estimated that 80-95 percent of It has been estimated that 80-95 percent of

the micro nutrients originally found in the micro nutrients originally found in

food are lost before consumption.food are lost before consumption.

Why take supplements?Why take supplements?

– Factors that cause nutrient DepletionFactors that cause nutrient DepletionAlcohol ConsumptionAlcohol Consumption

– B VitaminsB Vitamins

Prescription DrugsPrescription Drugs– Various drugs for example: statins deplete CoQ10.Various drugs for example: statins deplete CoQ10.

SmokingSmoking– VariousVarious

Low fat dietsLow fat diets– Various, including essential fatty acidsVarious, including essential fatty acids

High refined food dietsHigh refined food diets– Various, including ChromiumVarious, including Chromium

Greater need for nutritional supplements in Greater need for nutritional supplements in today’s worldtoday’s world– Accelerated free radical damage/requires Accelerated free radical damage/requires

increased anti-oxidant support increased anti-oxidant support PollutionPollutionSun exposureSun exposurePesticides and other chemical additivesPesticides and other chemical additivesSmokingSmokingStressStressWeight-loss, Weight-gainWeight-loss, Weight-gainAddress Genetic Risk FactorsAddress Genetic Risk FactorsPrescription medicationsPrescription medications

Beyond Deficiency-Optimum HealthBeyond Deficiency-Optimum Health

Basic Supplement ProtocolBasic Supplement Protocol

Minimum for all: an iron free Minimum for all: an iron free multivitamin/mineral/anti-oxidant formula.multivitamin/mineral/anti-oxidant formula.

EPA/DHA 1000mg minimum.EPA/DHA 1000mg minimum.

Personalized to health history, lab results, Personalized to health history, lab results, symptoms and risk factors.symptoms and risk factors.

Multi-Vitamin/Mineral/Anti-oxidant ComplexMulti-Vitamin/Mineral/Anti-oxidant Complex

Foundation of any supplement plan. There are Foundation of any supplement plan. There are more than 600 enzymes in humans that use more than 600 enzymes in humans that use vitamins and minerals as cofactors.vitamins and minerals as cofactors.

Source of iron-when needed. Iron-free to avoid Source of iron-when needed. Iron-free to avoid overload and increased CV risk.overload and increased CV risk.

Especially important for women of child-bearing Especially important for women of child-bearing age, Vit. C (poor memory development) and folic age, Vit. C (poor memory development) and folic acid (autism, schizophrenia, etc).acid (autism, schizophrenia, etc).

Multi cont’dMulti cont’d

For elderly (40% deficient) zinc for healing and proper For elderly (40% deficient) zinc for healing and proper immune function.immune function.

Associated with decreased risk of MI in older women.Associated with decreased risk of MI in older women.

Less infections esp. in people with diabetes.Less infections esp. in people with diabetes.

Decrease depressive symptoms in elderly.Decrease depressive symptoms in elderly.

B complex for mood, energy.B complex for mood, energy.

Magnesium-The Heart’s Most Important Magnesium-The Heart’s Most Important MineralMineral

Plays a role in more than 325 enzyme reactions Plays a role in more than 325 enzyme reactions in the body.in the body.Depletion in the soil = deficiency in diet (80%).Depletion in the soil = deficiency in diet (80%).Nerve and muscle functionNerve and muscle functionImmune functionImmune functionMood regulationMood regulationBone healthBone healthCV disease-decrease clotting and plaque CV disease-decrease clotting and plaque formation.formation.Better measurement is RBC magnesium not Better measurement is RBC magnesium not serum.serum.

Magnesium For…Magnesium For…

HypertensionHypertension

Migraine’sMigraine’s

Heart rhythm Heart rhythm disordersdisorders

AsthmaAsthma

AnginaAngina

FibromyalgiaFibromyalgia

Diuretic useDiuretic use

History or risk of MIHistory or risk of MI

MVPMVP

Chronic stressChronic stress

Blood sugar disordersBlood sugar disorders

Pregnancy Pregnancy complicationscomplications

PMS esp. crampsPMS esp. cramps

ChromiumChromium

Enhances action of insulin.Enhances action of insulin.Plays role in metabolism of fat, protein and Plays role in metabolism of fat, protein and carbohydrate.carbohydrate.Lost in processing of foods.Lost in processing of foods.Improve blood lipids.Improve blood lipids.Helpful in disorders of insulin and blood sugar. Helpful in disorders of insulin and blood sugar. From HI and IR to DM.From HI and IR to DM.Reduce cravings.Reduce cravings.Dose vary depending upon severity of BS Dose vary depending upon severity of BS issues.issues.

Chromium For…Chromium For…

All blood sugar All blood sugar disorders from IR disorders from IR to type 2 diabetes,to type 2 diabetes,

Met. Syndrome.Met. Syndrome.

Family history Family history diabetesdiabetes

ObesityObesity

PCOSPCOS

High cholesterolHigh cholesterol

HypertensionHypertension

Heart diseaseHeart disease

EPA/DHAEPA/DHA

Anti-inflammatoryAnti-inflammatory

Improve lipids esp. HDL and triglycerides.Improve lipids esp. HDL and triglycerides.

Decreased platelet aggregation.Decreased platelet aggregation.

Proper immune functioning.Proper immune functioning.

Essential for proper brain and neurological Essential for proper brain and neurological development and functioning.development and functioning.

Dose should vary based on maintenance vs. Dose should vary based on maintenance vs. therapy.therapy.

EPA/DHA For…EPA/DHA For…

ArrhythmiaArrhythmia

HypertensionHypertension

Coronary artery Coronary artery diseasedisease

Inflammatory Inflammatory conditionsconditions

DiabetesDiabetes

Lipid disordersLipid disorders

CancerCancer

Skin conditionsSkin conditions

Autoimmune Autoimmune disordersdisorders

IBDIBD

Improve brain Improve brain functionfunction

PMSPMS

Coenzyme Q 10Coenzyme Q 10

Essential for energy production (ATP) in every Essential for energy production (ATP) in every cell.cell.

More concentrated in tissues with high energy More concentrated in tissues with high energy needs i.e. the heart, liver, skeletal muscle and needs i.e. the heart, liver, skeletal muscle and kidneys.kidneys.

Antioxidant protection from free radicals.Antioxidant protection from free radicals.

Enhances immune function.Enhances immune function.

Anti-ageing effects.Anti-ageing effects.

Coenzyme Q10 For…Coenzyme Q10 For…

HypertensionHypertension

CAD-post MI, anginaCAD-post MI, angina

ObesityObesity

Statin therapyStatin therapy

Periodontal diseasePeriodontal disease

CancerCancer

Alzheimer’s, other Alzheimer’s, other neuro conditions.neuro conditions.

Congestive heart Congestive heart failurefailure

CardiomyopathyCardiomyopathy

MVPMVP

DiabetesDiabetes

Dr. Robert C. and Veronica Dr. Robert C. and Veronica Atkins FoundationAtkins Foundation

www.atkinsfoundation.orgwww.atkinsfoundation.org

Established by RCA in 1999.Established by RCA in 1999.

Since 2004 $29 million in grants.Since 2004 $29 million in grants.

Project Healthy SchoolsProject Healthy Schools

Cornell Curriculum-metabolic syndromeCornell Curriculum-metabolic syndrome

Endowed Chairs-Washington Univ., Columbia, Univ. of Endowed Chairs-Washington Univ., Columbia, Univ. of Michigan, USC, Univ. Texas SW, Tufts. Michigan, USC, Univ. Texas SW, Tufts.

Endowed Chair and Center of Excellence, Univ. of Calif. Endowed Chair and Center of Excellence, Univ. of Calif.

at Berkeley: Center for Weight and Health.at Berkeley: Center for Weight and Health. Endowed Chair and Center of Excellence Barnes-Endowed Chair and Center of Excellence Barnes-Jewish, Washington Univ. Center for Weight and HealthJewish, Washington Univ. Center for Weight and Health

Research FundedResearch Funded

Eric Westman,M.D.-wt loss, diabetesEric Westman,M.D.-wt loss, diabetes

Eric Kosoff,M.D.-intractable epilepsyEric Kosoff,M.D.-intractable epilepsy

Sam Gandy,M.D.-Alzheimer’sSam Gandy,M.D.-Alzheimer’s

Eugene Fine,M.D.-low carb and cancerEugene Fine,M.D.-low carb and cancer

Stephen Sondike, M.D.-teens, low carb and DMStephen Sondike, M.D.-teens, low carb and DM

Jeff Volek, PhD., R.D.-low carb, endo.dys and inflammationJeff Volek, PhD., R.D.-low carb, endo.dys and inflammation

Christopher Gardner, Ph.D- 4 diet studyChristopher Gardner, Ph.D- 4 diet study

Stephen Freedland, M.D.-low carb and prostate cancerStephen Freedland, M.D.-low carb and prostate cancer

Iris Shai, Ph.D,R.D.-low carb, weight loss and effects on carotid Iris Shai, Ph.D,R.D.-low carb, weight loss and effects on carotid plaqueplaque

Ronald Krauss, M.D.-fatty acids and CVDRonald Krauss, M.D.-fatty acids and CVD

Research CoalitionResearch Coalition

Established 2006 to study metabolism, nutrition, Established 2006 to study metabolism, nutrition, obesity, type 2 DM.obesity, type 2 DM.Members: Dr. Andrew Greenberg-Tufts,Members: Dr. Andrew Greenberg-Tufts,Drs. Jeffrey Horowitz and Charles Burant-Univ. Drs. Jeffrey Horowitz and Charles Burant-Univ. Michigan Med. School.Michigan Med. School.Dr. Jay Horton-Univ.Texas SWDr. Jay Horton-Univ.Texas SWDr. Samuel Klein-Washington Univ, Med. SchoolDr. Samuel Klein-Washington Univ, Med. SchoolDr. Michael Goran, USCDr. Michael Goran, USCDr. Sharon Wardlow- Columbia Univ. Med. Dr. Sharon Wardlow- Columbia Univ. Med. CenterCenter

Thank YouThank You

www.controlcarb.comwww.controlcarb.com

Dr. Robert AtkinsDr. Robert Atkins1930-20031930-2003