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When you talk about a keto diet, it means a low-carb and high-fat diet. And compared with the baseline diet, the low-carb diet did not cause subjects to experience an increase in fat loss. It lacked a control for comparison, and while the baseline diet was designed to keep participants at about the same levels of energy burn they experienced outside of the study, the participants started to lose weight on that diet too. But they didn’t, which he thinks suggests that the regulation of fat tissue storage in the body has to do with more than just insulin levels and their relationship with the carbs we eat. The main scientific model behind the low-carb approach is the "carbohydrate-insulin hypothesis," which journalist Gary Taubes, Harvard professor David Ludwig, University of California San Francisco’s Robert Lustig, and others have extensively promoted, including in a New York Times piece by Taubes in July 2017. It suggests that a diet heavy in carbohydrates (especially refined grains and sugars) leads to weight gain because of a specific mechanism: Carbs drive up insulin in the body, causing the body to hold on to fat and suppress calorie burn. The study is a real blow to the low-carb camp, said Richard Bazinet, a professor of nutritional sciences at the University of Toronto.
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