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GidMK's profile
Health Nerd
Health Nerd
Health Nerd
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@GidMK

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Health NerdVerified account

@GidMK

Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him

Sydney, New South Wales
theguardian.com/profile/gideon…
Joined November 2015

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    1. Dr. Adele Hite‏ @ahhite 26 Jul 2019
      Replying to @GidMK

      First of all the meta-analysis that you pointed to defines CHO restriction as less than 45% of kcals. Let's be realistic about this. Clinicians who use therapeutic carb restriction don't 1) use % kcals or 2) use a level of carb intake that high.

      2 replies 0 retweets 1 like
    2. Health Nerd‏Verified account @GidMK 26 Jul 2019
      Replying to @ahhite

      Why does everyone say that? It didn't-they split carb lowering into <20% and <20-45%

      1 reply 0 retweets 0 likes
    3. Dr. Adele Hite‏ @ahhite 26 Jul 2019
      Replying to @GidMK

      Clinicians seldom use any % kcals for therapeutic carbohydrate restriction. We treat carb intake as absolute value/threshold because that's how it operates in humans w/r/t metabolic changes.

      1 reply 0 retweets 1 like
    4. Health Nerd‏Verified account @GidMK 26 Jul 2019
      Replying to @ahhite

      But research usually does, and it's right there in the abstract...

      1 reply 0 retweets 0 likes
    5. Dr. Adele Hite‏ @ahhite 26 Jul 2019
      Replying to @GidMK

      So a good question to ask might be "why?" Since this isn't how experienced clinicians administer the diet, why would researchers use this approach? This is probably where @WeDietitians could help provide a possible answer 😉

      3 replies 0 retweets 0 likes
    6. Health Nerd‏Verified account @GidMK 26 Jul 2019
      Replying to @ahhite @WeDietitians

      I mean, I'm sure we can debate which is the better choice to use, but my main point is every low carb person reads the abstract and then gets the numbers wrong...

      2 replies 0 retweets 0 likes
    7. Dr. Adele Hite‏ @ahhite 26 Jul 2019
      Replying to @GidMK @WeDietitians

      That <45 is considered "low" is only an artifact of what policy (not science) decided was "normal." I'm not talking about which is "better," I'm talking about which is used by most clinicians who use these interventions daily. Where's the "real life" in your "real life" studies?

      1 reply 0 retweets 0 likes
    8. Health Nerd‏Verified account @GidMK 26 Jul 2019
      Replying to @ahhite @WeDietitians

      You literally got the numbers wrong tho. That's my point

      1 reply 0 retweets 0 likes
    9. Dr. Adele Hite‏ @ahhite 26 Jul 2019
      Replying to @GidMK @WeDietitians

      Okay. Help me out, then. What number besides <45 is the cutoff for what the authors define as carbohydrate restriction? Bc what I read is "the effects of carbohydrate-restricted diets (<45% of total energy) compared to high carbohydrate diets(>45% of total energy)."

      1 reply 0 retweets 0 likes
    10. Dr. Adele Hite‏ @ahhite 26 Jul 2019
      Replying to @ahhite @GidMK @WeDietitians

      You tweeted that "they split carb lowering into <20% and <20-45%" but I don't see that in the abstract or the paper. It looks like the lowest carb studies were grouped together using <26% of total energy as the cutoff.

      2 replies 0 retweets 0 likes
      Health Nerd‏Verified account @GidMK 26 Jul 2019
      Replying to @ahhite @WeDietitians

      Yep 20% was a typo, should've read 26% my mistake

      8:52 PM - 26 Jul 2019
      • 1 Like
      • Dr. Adele Hite
      1 reply 0 retweets 1 like
        1. New conversation
        2. Dr. Adele Hite‏ @ahhite 26 Jul 2019
          Replying to @GidMK @WeDietitians

          LOL. Okay. You got the number wrong. Typo. I got it. But where did I get the number wrong? 😉

          1 reply 0 retweets 0 likes
        3. Health Nerd‏Verified account @GidMK 26 Jul 2019
          Replying to @ahhite @WeDietitians

          Health Nerd Retweeted Dr. Adele Hite

          https://twitter.com/ahhite/status/1154891152140713984?s=19 …

          Health Nerd added,

          Dr. Adele Hite @ahhite
          Replying to @GidMK
          First of all the meta-analysis that you pointed to defines CHO restriction as less than 45% of kcals. Let's be realistic about this. Clinicians who use therapeutic carb restriction don't 1) use % kcals or 2) use a level of carb intake that high.
          2 replies 0 retweets 0 likes
        4. Show replies

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