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A Dieter's Dilemma (Atkin's diet)
The New York Times Magazine ^ | 08/25/2002 | JASON EPSTEIN

Posted on 08/23/2002 5:07:58 PM PDT by Pokey78

In August and September, as the blueberry crop advances northward across Long Island on its way to Canada, I like to bake a blueberry pie, to which I add an entire lemon, including the peel, coarsely chopped. By the time the pie is baked, the peel and its pith caramelize and give the berries a surprising tang. A tablespoon or two of arrowroot doesn't quite absorb all the lemon juice, but I prefer my blueberry pie a little runny, not glutinous and stiff with cornstarch like pies from the bakery. I enjoy the way a scoop of vanilla ice cream melts into the warm juice.

During blueberry season, I usually make a dozen or so of these pies, their top crusts lightly browned with egg wash and accented with little rivers of purple syrup. But this year I'm not making any. And when they ripen, I'm not cutting up plump Golden Delicious or crunchy Mutsu apples from the Milk Pail in Water Mill on Long Island and laying the thick slices out neatly in circles in caramelized sugar and butter on the tarte Tatin pan that I bought from Fred Bridge in the 1960's. Nor will I be topping the apples with a thin sheet of buttery pie dough and sliding the tarte in the oven for 50 minutes at 360 degrees, to keep the apples from sticking to the pan the way they would at a higher temperature. And I won't be adding a tablespoon of flour to thicken the syrupy apple juice, because a tarte Tatin, unlike a blueberry pie, should not be runny at all.

Never again will I make the buttery muffins that I used to bake on Sunday mornings. I am also giving up ketchup, which is mainly corn syrup flavored with tomato and vinegar. Moreover, I'm going to think twice before I buy another Walla Walla onion, laden with sugary carbohydrates, or the wonderful rolls from Amy's Bread. That probably means no more hamburgers either and, for that matter, no more onion marmalade, the perfect accompaniment to magret de canard (the breasts of moulard ducks, the kind raised for foie gras), sautéed until warm and pink inside, then sliced and fanned out on the plate accompanied by the marmalade, a silky reduction of a half-dozen large, sweet onions -- a critical mass of carbohydrate waiting to turn itself into body fat.

According to Dr. Robert Atkins, 60 percent of the American population is perilously plump, an endangered group from whose condition I have been withdrawing for the past month at the rate of a pound every other day. I am especially wary of pecan pie, of which a single triangular slice contains three times the daily amount of carbohydrate permitted during the two-week initiation phase -- Atkins calls it the Induction Phase -- of his diet. This is the phase I have recently completed, having lost 10 pounds. I am now well into the Ongoing Weight Loss (O.W.L.) phase, with the permission of my wise friend and physician Stanley Mirsky, who for years has been urging me to avoid carbohydrates. But it was to the evangelical pitchman Dr. Atkins, not the stately Dr. Mirsky, that I finally succumbed, goaded by my son, Jacob, who, though not at all plump, lost 27 pounds and reduced his cholesterol in two months on Atkins.

The physiological case against excessive carbohydrates, reported in this magazine seven weeks ago, is fairly straightforward and by now well known. The low-carbohydrate diet, touted originally by Atkins and adopted successfully by millions of his followers, contradicts the widely accepted theory, introduced in the 1980's and later promoted by the Department of Agriculture's Food Guide Pyramid, that carbohydrates should be the basis of the American diet. Most researchers now agree that carbohydrates, especially refined ones like sugar and other vegetable-based sweeteners, white flour and rice, are quickly absorbed as energy by the body, while carbohydrates in excess of the body's immediate needs are stored as fat for future use. A secondary effect of this quick absorption is renewed hunger soon after a high-carbohydrate meal, for example after a Chinatown dinner of noodles, rice, wonton wrappers, egg-roll skins, syrupy ribs and cornstarch thickeners.

A low-carbohydrate diet, on the other hand, not only forces the body to seek energy by consuming its own stored fat but also suppresses appetite, since dietary fat and protein take longer to digest and enter the bloodstream than carbohydrates. Moreover, the body expends more energy burning fat than burning carbohydrates, yielding what Atkins calls ''a metabolic advantage.'' These phenomena explain the quick weight loss, especially during the Induction Phase, which allows only 20 grams of carbohydrates per day, about half the amount in a single bagel.

Even in its rigorous two-week Induction Phase, however, Atkins provides a rich larder of bacon and eggs, steak, lamb, pork and poultry, fish, including most shellfish, cheese, butter, cream (but not whole milk) and green vegetables except leeks, onions, peas and artichokes. Gin, vodka, whiskey and other spirits, according to Atkins, become ''acceptable,'' as does wine. Excluded forever are pasta, pizza, pastries and so on. No more sushi, congee, cookies, cereals, bagels, croissants, pancakes or waffles; no potatoes or corn, though one or two chips with guacamole is allowed. Above all, no more pretzels, which deliver five times as many carbs as potato chips. Orange juice, alas, is also out. But pecans, almonds and macadamia nuts are in.

Despite these restrictions, you can make a splendid breakfast of eggs scrambled through a strainer and cooked gently in a Teflon pan over simmering water, accompanied by warm prosciutto or its Austrian cousin, speck, with a few spears of asparagus, or a lunch of lobster, shrimp or chicken salad with homemade mayonnaise. (My favorite, Hellmann's, contains sugar.) For dinner you can have a pan-roasted rib-eye steak or striped bass with braised fennel or grilled trevisano radicchio. Most cheeses are acceptable, including blue, cheddar, cottage, cream and mozzarella. Tomatoes are iffy, but Atkins includes a recipe for fried green tomatoes using a noncarbohydrate bake mix. He may be an evangelist, but in his recipes he is not inflexible.

For the moment, at least, I seem to have successfully reversed my compulsions. Not only am I no longer addicted to croissants, hash-brown potatoes, blueberry pies and lobster salad stuffed into hot-dog rolls, but I am also slightly repelled by them. For moderately resourceful cooks, a low-carbohydrate diet offers abundant opportunity, and many of the recipes in ''Dr. Atkins's New Diet Revolution'' are worth considering. Nevertheless, I include my recipe for blueberry pie. Perhaps one day, when I am beyond Atkins's O.W.L. phase and into Maintenance, I'll make it again.

Blueberry Pie

For the pastry:

4 cups all-purpose flour
6 ounces unsalted butter, diced
1 tablespoon sugar
Pinch salt
3/4 cup water
1 egg mixed with 1 tablespoon water

For the filling:
2 quarts plus a little more firm,
fresh blueberries
3 cups sugar
1/4 cup arrowroot
1 lemon, seeded and coarsely chopped in the food processor
Vanilla ice cream for serving.

1. Preheat the oven to 400 degrees and place a sheet pan lined with aluminum foil beneath the rack where the pie will bake.

2. To make the pastry, place the flour, butter, sugar and salt in a food processor and pulse briefly until the butter has been cut in coarsely. Add half the water and pulse, watching to see if the dough forms a ball. If not, add a little more water until it does. Too much water will make a heavy, gummy pastry. Too little will make a crumbly one. If the dough feels too wet, add a little more flour and pulse. If too dry, add a little more water. Pulse sparingly. On a floured board, cut the dough into two parts, one slightly larger. Roll out the smaller portion and place it neatly in a 9-inch deep-dish pie pan. Refrigerate the larger portion while you prepare the berries.

3. To make the filling, pick over the berries, discarding green or bad ones, and remove any stems. Rinse the berries and drain. In a large bowl, mix the sugar and arrowroot. Add the berries and lemon and mix well. Mound the filling in the pastry shell.

4. Roll out the remaining pastry into a large round. Brush the rim of the bottom shell with some of the egg mixture and carefully lay the large pastry round over the berries. Trim the edges, leaving a 3/4-inch overhang. Press the top and bottom pastry halves together to seal well. Fold excess top pastry under and crimp the edges. Cut 4 triangular holes near the top. (Do not cut along the sides or all the juices will leak out.) Brush with more of the egg mixture.

5. Bake for 15 minutes. Reduce the oven temperature to 375 degrees and bake 40 to 50 minutes longer, or until the top has browned and the juice has begun to spill out. Cool for about 1 hour so juices can settle. Serve with vanilla ice cream.

Yield: 8 servings.

Guacamole

4 tomatillos
Juice of 1 lime, or more to taste
1 bunch cilantro, roughly chopped
1 jalapeno pepper, seeded and roughly chopped, or more to taste
1/2 onion, peeled and roughly chopped
5 ripe Haas avocados
Sea salt to taste.

1. Place all the ingredients except the avocados and salt in a food processor and pulse briefly.

2. Split the avocados lengthwise and remove the pits. Save one pit. Scoop out the avocado flesh and add it to the processor. Pulse twice, or until the avocado is roughly cut in. Add sea salt to taste. The salt is crucial and should be added with care. To keep guacamole from turning brown if not serving immediately, add the reserved pit to it and cover with plastic wrap. Remove the pit before serving.

Yield: 10 appetizer servings. Each tortilla chip contains 1 gram of carbohydrate, so take it easy.

Monday Salad
(Adapted from the Palm)

1 head iceberg or other firm, crunchy lettuce, chopped medium fine
1 European cucumber, peeled, seeded and diced
1/2 sweet onion, peeled and chopped medium fine
2 stalks celery, chopped medium fine
1 red pepper, chopped medium fine
1 tablespoon chopped anchovies
1 tablespoon capers, drained and rinsed
1 tablespoon nicoise olives, pitted and chopped medium fine
2 tablespoons extra-virgin olive oil
1 tablespoon sherry vinegar or red-wine vinegar
Salt, sparingly, to taste.

In a bowl, mix the first 8 ingredients. Mix in the oil, then the vinegar, then salt to taste, although the anchovies may be salty enough.

Yield: 4 servings. Except for the onion, this delicious salad has practically no carbs.


TOPICS: Culture/Society; Editorial
KEYWORDS: atkins
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To: mamaduck
Dents, trust me, learn to LOVE eggs. There is no down side, loaded with vitamins and yummy!

What about cholesterol? Mine is already high.

101 posted on 08/24/2002 9:08:15 PM PDT by DentsRun
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To: rmlew
Within the Town of Southampton one has Bridgehampton, Water Mill and Southampton Village...also Hampton Bays, North Sea, and more.
102 posted on 08/25/2002 2:39:21 AM PDT by Rudder
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To: DentsRun
Read more, don't have sources for you, sorry, but: eggs are high in cholesterol, but they DO NOT raise cholesterol levels in humans. Studies were done by . . .Kelloggs, I kid you not.

This is getting to mainstream, now, that this is a MYTH. They are little bundles of extremely good nutrition.
103 posted on 08/25/2002 7:17:56 PM PDT by mamaduck
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To: Trust but Verify
Well, I didn't realize that the Atkins diet 'cured' indigestion and Crohn's disease. I wonder why doctors don't just stop all other treatments for both and put all their patients on the Atkins diet.

If you had even bothered to read about the subject, you wouldn't have to ask this question. Just as an engineer or a lawyer may be familiar with other disciplines in their fields, that is far from being an expert and your doctor is no different. Your basic doctor is no expert in nutrition, either, but it seems by default you expect them to be.

Many doctors tow the party line and when you add in the profit motive for prescribing pills, that's not a very advantageous situation for the dieting patient.

I'm happy for you, but nobody will ever convince me that limiting oneself to the type of foods Atkins demands is healthy.

Your unwillingness to learn + closed mind = not entirely valuable opinion. I hate saying this, but this happens in every Atkins thread, all the critics absolutely refuse to educate themselves but feel their opinions must carry weight for some reason or another.

104 posted on 08/26/2002 12:03:07 PM PDT by Citizen of the Savage Nation
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To: diode
With regard to losing weight, the problem is as economic as it is physiologic: expenses must exceed revenues over the long-haul to achieve a net calorie deficit and fat loss. Some of the disputes over how this is achieved is because we are discussing the issue in the context of a bountiful, prodigiously caloric Western culture, where a supersize burger, fries an soda can add about 3,000 calories to the diet in a few minutes, all for about 5 bucks. This just doesn't exist for most of the world's population.

Huge, huge point here for the 'So, why aren't the Chinese fat since they supposedly eat so many carbs' folks out there. For one, don't assume that what you may get in the local Chinese greasy spoon is what the average Chinese citizen living in China (or fill in random Asian nationality here) eats day in and day out. And then to your point, since even basic meats are expensive, the sugary and heavy carb-laden processed foods that we take for granted (yes, even in Chinese restaurants) are simply not in the cards for a vast majority of Chinese, when a chicken dinner is mostly rice & vegetables.

105 posted on 08/26/2002 12:17:12 PM PDT by Citizen of the Savage Nation
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To: Blessed
Costco has great frozen chicken breast and 1/3 pound hamburger patties that can be redy in less than 20 minutes.

Good point, Costco is my local Atkins hdqtrs. Stock up on a variety of chicken breasts, sliced chicken, beef hot dogs, eggs, and those Tillamook cheese loafs which are so much cheaper than the store.

106 posted on 08/26/2002 12:20:13 PM PDT by Citizen of the Savage Nation
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To: Fabozz
I've never noticed the smells associated with ketolysis, but then again, I always seem to be drinking more water than necessary, too.
107 posted on 08/26/2002 12:22:59 PM PDT by Citizen of the Savage Nation
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To: Senator Pardek
I hate Macs. OTOH, you've proved my point as well (therefore nullifying yours) as you didn't stick around and educate yourself, as none of the Atkins-bashers did per usual. However, on the next thread, y'all will be there with the same message.
108 posted on 08/26/2002 12:29:34 PM PDT by Citizen of the Savage Nation
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To: Trust but Verify
You're wasting your time with the Atkins Cult - it's akin to arguing with Scientologists.
109 posted on 08/26/2002 12:48:40 PM PDT by Senator Pardek
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To: Pokey78
The Atkins diet is eventually a dangerous one. You can really harm your kidneys on this one. Our bodies need more raw food, vegetables, whole grains, nuts, seeds and less meat and dairy. Meat in that quantity is not a good thing for long-term health. All things in moderation, my friend. I've struggled with weight all my adult life so I'm not pitching hay out of an empty wagon.
110 posted on 08/26/2002 12:49:35 PM PDT by Marysecretary
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To: Citizen of the Savage Nation
I didn't stick around because I became convinced that Atkins works when I saw the list of pro athletes who use it. For example, there's..., and also..., and don't forget... LOL!
111 posted on 08/26/2002 12:50:23 PM PDT by Senator Pardek
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To: BeAllYouCanBe
Anything with white refined flour and sugar is dangerous to your health. Unfortunately, it all tastes so goooood!
112 posted on 08/26/2002 12:52:50 PM PDT by Marysecretary
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To: ladyinred
Putting starches and protein together are a real no no in some circles and you CAN lose weight by not eating them together: no bacon and toast, no hamburger AND buns, salads instead of potatoes with meat, etc. It does work.
113 posted on 08/26/2002 12:56:16 PM PDT by Marysecretary
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To: Senator Pardek
Well, I guess one *could* look for the results of experimental AIDS medications on people who don't have AIDS, if one wanted...but what's the point? Professional athletes are among the last group of people who need this diet...besides perhaps people with AIDS and concentration camp occupants...I mean, why would people who typically need to *gain* weight and bulk up every method, legal or illegal, available to do so, need to be on this diet?

True, there are overweight athletes, but Atkins is upfront in his book that this is a very tough diet for athletes (no Gatorade for you), so its not a valid point. Next.

114 posted on 08/26/2002 1:00:02 PM PDT by Citizen of the Savage Nation
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To: SwordofTruth
That's right! I weighed 205 for years and now I'm 155. I did get down to 133 but everyone said I was too thin. My digestive system is all screwed up because of poor eating habits and I'm paying for it now, but am trusting God, finally, to help me get back on track, Spirit, Soul AND Body. I'm on supplements for enzyme problems, etc. and that also seems to be helping my body heal. Doctors don't know everything, in fact, in my case, they don't know WHY I'm having the symptoms I do. My trust level of doctors is very low these days. God's got the answer and I'm pressing in to Him and feeling a whole lot better for doing it.
115 posted on 08/26/2002 1:03:38 PM PDT by Marysecretary
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To: Citizen of the Savage Nation
I mean, why would people who typically need to *gain* weight and bulk up every method...

Er - you folks are the ones who claim it makes you healthy. Perfect for athletes.

You folks are the ones who claim it is a safe way to lose fat AND have a net increase in energy. Again, perfect for athletes (well, only NFL lineman want to keep fat.)

Or are we not getting the other side of the latest fad diet?

116 posted on 08/26/2002 1:05:30 PM PDT by Senator Pardek
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To: SwordofTruth
I don't know why people have such a problem believing this simple fact.

Why do that when it's easier to fall under the spell of the latest Diet Guru, Dr. Atkins - who has no desire to eat bread, because he's too busy counting his!

117 posted on 08/26/2002 1:07:46 PM PDT by Senator Pardek
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To: John W
The smell your're referring to is probably from what Atkins refers to as benign ketoacidosis, there is a significant rise in ketones when you are on the diet.
118 posted on 08/26/2002 1:08:05 PM PDT by TEXASPROUD
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To: Trust but Verify
I'm in mid 150s on a 5'7" frame, after having been 205 for years. I still have a spare tire around my middle but a lot of that is fluid in my chest cavity (nobody's figured out why yet) that has to be drained off now and then. OUCH!!! I believe moderation is the key. Portions are the key! Lack of exercise contributes to it, too. I need to work on that.
119 posted on 08/26/2002 1:08:59 PM PDT by Marysecretary
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To: BeAllYouCanBe
ALL THINGS IN MODERATION, MY DEAR.
120 posted on 08/26/2002 1:12:38 PM PDT by Marysecretary
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