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Conclusions: Compared with a low-fat diet, a low-carbohydrate diet program had better participant retention and greater weight loss. During active weight loss, serum triglyceride levels decreased more and high-density lipoprotein cholesterol level increased more with the low-carbohydrate diet than with the low-fat diet. A low-carbohydrate, ketogenic diet versus a low-fat diet to treat obesity and hyperlipidemia: a randomized, controlled trial. Yancy WS Jr, Olsen MK, Guyton JR, Bakst RP, Westman EC. Ann Intern Med. 2004 May 18;140(10):769-77. PMID: 15148063

Westman EC, Feinman RD, Mavropoulos JC, Vernon MC, Volek JS, Wortman JA, Yancy WS, Phinney SD. Low-carbohydrate nutrition and metabolism.

I have been reading a case report by Kraft, Westman, 2009 of a 70 year old obese, Caucasian female who was suffering from Schizophrenia since the age of 17. Her symptoms included paranoia, hallucinations (auditory and visual), and many hospitalizations for psychosis and suicide attempts. Her daily diet included "egg and cheese sandwich, diet soda, water, pimento cheese, barbecued pork, chicken salad, hamburger helper, macaroni and cheese, and potatoes." Instead, she was asked to follow a low carbohydrate diet of: "unlimited meats and eggs, 4 ounces of hard cheese, 2 cups of salad vegetables, and 1 cup of low carbohydrate vegetables per day. This diet restricts carbohydrate intake to fewer than 20 grams per day." The diet was also grain free.