Health Matters

Always Hungry? – A Dietary Prescription for Fat (Science) from Dr. David Ludwig



Image Credit: Corra Love

Just over two months ago, I made yet another annual vow (New Year’s Resolution) to lose weight. At 41, it wasn’t about fitting into a slinky black dress, – this was about being around long enough to watch my two children grow older. Type-2 diabetes ended my mother’s life prematurely at the age of 49 and genetically I was at-risk for following in her footsteps. It was time to get serious about choosing health for good…Again.

Truth is, no matter how hard I tried (crash diets, fasting, protein shakes, exercise boot camps, marathon training, therapy, medication, meditation) I couldn’t shake the witching hours from 9pm – 11pm when an entire day’s worth of “clean” eating evaporated within minutes. I’d promise myself I’d be better the next day, and yet like clockwork the cycle would return with bowls of dried Honey Nut Cheerios, or low-fat lemon yogurt and graham crackers the following night. I convinced myself that it wasn’t as bad as eating cake, cookies or brownies and I rarely ever ate fast food. Even though I was watching my calories, I was still putting on weight.

The irony is that for just over four years (2010-2014) I’d worked alongside a team of amazing “obesity prevention” policy analysts and epidemiologists for LA County’s Department of Public Health as my weight slowly crept up and down the scale. A couple of us tried a popular commercial diet which worked for awhile (until it didn’t), and I was stair-climbing 14 floors of stairs for over an hour, 3-4 times a week. And even then – with exercise, information and determination to be healthy, I simply couldn’t shake the inevitable itch that crept back each night taunting me back into the kitchen.

Never would I have imagined that eating more fat would be the solution.

Always HungryHow Fat Science Promotes Weight Loss

“It’s not overeating that makes us fat, it’s the process of getting fat that makes us overeat,” Dr. David Ludwig, author of Always Hungry? explained over our first phone conversation in early January. “Insulin is like miracle grow for fat cells. When you eat refined sugar or processed carbohydrates like bread, white potatoes and pasta, insulin levels spike driving fat cells to get hungrier – soon motivating fat storage and causing weight gain. By taming the fat cells with “healthy” fat and less fast-acting carbohydrate, your fat cells calm down, and get released back into the bloodstream to be used as energy…”

In the book it’s described as finally shifting your bicycle into the right gear.

It seemed blasphemous given what we’ve been advised for decades about low-fat dieting: keep fat off your plate, if you want fat off your body. And yet Dr. Ludwig is a world-renowned endocrinologist widely respected for his research and studies on insulin resistance and childhood obesity. Designed to work from the inside-out, his program was creating the internal conditions for weight loss to occur naturally.

Had I not jump-started my New Years Nutrition Resolution a few days early, and survived eight days replacing refined sugar and processed carbs with avocados, almonds and peanut butter – I’d probably chalk Always Hungry? up to just another diet book re-spinning an old message in a new and clever way. But it was getting harder to dismiss the claims of the program: my food cravings were gone, my mind was clearer, and I was little by slowly beginning to shed weight…

Why the “Calories in – Calories Out” Model Doesn’t Work

“Humans aren’t toaster ovens. Simply cutting calories without looking more closely at the body’s ability to manage refined sugar and processed carbohydrates, doesn’t work over the long haul.” According to Dr.Ludwig, the food industry has a very strong incentive to embrace the calorie balance model – because if all calories are alike then there’s nothing wrong with drinking a Coke each day. Just make sure you burn it off. It’s then up to us to make sure we exercise enough and maintain dietary willpower – never addressing our spiked insulin levels from refined sugars or their weight-gaining affects on our body.

“Despite 40 years of telling people to eat less and move more – the obesity epidemic has skyrocketed. Which leaves us with one of two possibilities: the general public has lost its moral fabric and no one can control themselves anymore – or our fundamental way of thinking about it is wrong.” The epilogue to Always Hungry? addresses the various entities impacting our food system and a plan to restore healthy food as a national priority.

The Power of Community

beef barley soup.stew Joan

Always Hungry’s Beef Barley Stew & Apple/Pear Crisp, Photo: Joan Schaefer Richmond  

For two months, I’ve actively participated in the Always Hungry (“AH”) program, communicating regularly with Dr. Ludwig and his wife, Chef Dawn (who managed the pilot study and developed the amazing recipes for the book) by email, phone and now as a moderator within the online community. I’ve learned along the way that my new prescription for weight loss success wasn’t only about retraining my fat cells, but also striving for overall wellness beyond a number on a scale.

“This is about nourishing yourself healthy” – Dawn added in their most recent live Q&A on Facebook this past Thursday. She works closely with the moderators who she refers to “Rock Stars” on developing ways to best support the online community. Her mantra: “Go easy on yourself. Leave self-blame and shame at the door.”

Biology & Emotional Eating

People also eat for psychological and emotional reasons which makes Always Hungry’s solution to conquering cravings through fat science so groundbreaking. “So many of the participants had previously been confusing the biology with their psychology and being hard on themselves for it,” Dawn shared during one of our email exchanges. “The liberation of finally being able to watch their biological cravings diminish, the addiction centers in their brains calm down, and then appropriately address anything left as the “Why” they ate was amazing.” The book’s website offers downloadable resources to monitor those cues including daily and monthly trackers, along with a simplified meal plan, a FAQ sheet, conversion chart, and menus- at-a-glance for those contemplating the program or looking for quick tips to print out for easy reference.

Online Support

The Official Always Hungry Facebook group has grown to over 2,000+ men and women (now at over 4,000 members as of April, 2016*) from all over the world – ranging from needing to lose anywhere from five to 100+ pounds, to elite athletes training for marathons who want to better fuel their bodies to maximize performance. Both Dr. Ludwig and his wife Chef Dawn communicate with the community board almost daily – along with 20+ moderators who are also navigating the AH program and providing ongoing support and encouragement to its newest members who are often anxious about getting started and how quickly they will lose weight.

But sometimes, it really isn’t only about the weight at all. As “Jenny” recently shared on the community board, “On a purely self esteem level, I finally feel like I’m normal. There’s nothing inherently wrong with me! I was simply following bad diet advice…”

With years of bad dieting under my belt too, I couldn’t agree more.

David S. Ludwig, MD, PhD, is a practicing endocrinologist, researcher, and professor at Harvard Medical School and Harvard School of Public Health. Described as an “Obesity Warrior” by Time Magazine, Dr. Ludwig also directs the New Balance Foundation Obesity Prevention Center at Boston Children’s Hospital. His research focuses on how food affects hormones, metabolism, body weight, and well-being.

Abridged Version also published by Huffington Post on March 3, 2016.



Always Hungry?: A Dietary Prescription for Fat (Science) from Dr. David Ludwig –  is from the “Confessions of a Miseducated Dieter” series hosted on Each post covers a specific topic inviting readers to reevaluate how they can improve their personal health, with opportunities for sharing information learned with others at home, in the classroom, their community or online through social media.

Diet Fix ImageExercise & Diet : Exercise Matters – But Does it Effectively Promote Weight Loss? with The Diet Fix author Dr. Yoni Freedhoff – “Exercise should never be undertaken in order to lose weight as the calories burned often aren’t enough and people have a bad habit of eating back their exercise. Sadly, the message is amplified by TV shows like The Biggest Loser also suggesting that “suffering” is the ticket to the weight loss express. Exercise is the world’s best drug, it’s just not a weight loss drug. And as far as how much exercise – the mantra I wrote in The Diet Fix is easy to remember – “some is good, more is better, everything counts”…

For More Information Stay Connected…

MisEdPromo.FBThe Miseducated Dieter page on Facebook is a new community-driven social forum established to identify often unknown or conflicting news on all things dietary. The Miseducated Dieter highlights books, articles, inspiring quotes, and other helpful resources to combat the growing influx of misinformation on what makes for “healthy” eating and active living across the globe. (March 1, 2016). “Like” the FB page to stay connected with updates and resources.









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