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	<title>Comments on: Was it the diet?</title>
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	<description>Internal medicine, American health care, and especially medical education</description>
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		<title>By: Pauline</title>
		<link>http://www.medrants.com/archives/684/comment-page-1#comment-667</link>
		<dc:creator>Pauline</dc:creator>
		<pubDate>Mon, 28 Apr 2003 15:01:21 +0000</pubDate>
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		<description>Hi
 I have been low carbing alittle over 2 years now and have lost 126 pounds and my extremely high sugar count has came down to normal I was on 4 Glucovance a day before now 1 a day.I feel great. love low carbing. I do take supplements and vitamins. I am looking for stores in western Pa. that carry&#039;s a nice line of low carb products if you know of any please let me know? 
    Thank you 
    Sincerely
   Pauline 

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		<content:encoded><![CDATA[<p>Hi<br />
 I have been low carbing alittle over 2 years now and have lost 126 pounds and my extremely high sugar count has came down to normal I was on 4 Glucovance a day before now 1 a day.I feel great. love low carbing. I do take supplements and vitamins. I am looking for stores in western Pa. that carry&#8217;s a nice line of low carb products if you know of any please let me know?<br />
    Thank you<br />
    Sincerely<br />
   Pauline</p>
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		<title>By: Pauline</title>
		<link>http://www.medrants.com/archives/684/comment-page-1#comment-666</link>
		<dc:creator>Pauline</dc:creator>
		<pubDate>Mon, 28 Apr 2003 15:01:05 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2002/11/01/was-it-the-diet/#comment-666</guid>
		<description>Hi
 I have been low carbing alittle over 2 years now and have lost 126 pounds and my extremely high sugar count has came down to normal I was on 4 Glucovance a day before now 1 a day.I feel great. love low carbing. I do take supplements and vitamins. I am looking for stores in western Pa. that carry&#039;s a nice line of low carb products if you know of any please let me know? 
    Thank you 
    Sincerely
   Pauline</description>
		<content:encoded><![CDATA[<p>Hi<br />
 I have been low carbing alittle over 2 years now and have lost 126 pounds and my extremely high sugar count has came down to normal I was on 4 Glucovance a day before now 1 a day.I feel great. love low carbing. I do take supplements and vitamins. I am looking for stores in western Pa. that carry&#8217;s a nice line of low carb products if you know of any please let me know?<br />
    Thank you<br />
    Sincerely<br />
   Pauline</p>
]]></content:encoded>
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		<title>By: Jim Pierce, MD</title>
		<link>http://www.medrants.com/archives/684/comment-page-1#comment-665</link>
		<dc:creator>Jim Pierce, MD</dc:creator>
		<pubDate>Fri, 01 Nov 2002 14:35:53 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2002/11/01/was-it-the-diet/#comment-665</guid>
		<description>I am an internist practicing in western PA, and have been advocating low-carb diets for 4 years.  It has been my experience that in the first few weeks of low carb, the diet acts as an extremely powerful diuretic due to at least 2 mechanisms: 1.  decrease in insulin levels/reversal of insulin resistance, resulting in reversal of insulin-induced sodium (and concommitant water) retention, and 2.  depletion of skeletal muscle glycogen stores, with resultant diuresis secondary to water loss (hydroxl groups in the glycogen had been holding onto water).  Therefore, I routinely recommend a Ca/Mg/Zn supplement, and a potassium supplement or Morton&#039;s Lite Salt.  Total body potassium stores are severely depleted in the first 2 weeks otherwise.</description>
		<content:encoded><![CDATA[<p>I am an internist practicing in western PA, and have been advocating low-carb diets for 4 years.  It has been my experience that in the first few weeks of low carb, the diet acts as an extremely powerful diuretic due to at least 2 mechanisms: 1.  decrease in insulin levels/reversal of insulin resistance, resulting in reversal of insulin-induced sodium (and concommitant water) retention, and 2.  depletion of skeletal muscle glycogen stores, with resultant diuresis secondary to water loss (hydroxl groups in the glycogen had been holding onto water).  Therefore, I routinely recommend a Ca/Mg/Zn supplement, and a potassium supplement or Morton&#8217;s Lite Salt.  Total body potassium stores are severely depleted in the first 2 weeks otherwise.</p>
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