My remarks were based on Dr Jeff Volek’s research, in particular the study where they had 4 groups of people:
- A. CICO diet only,
- B. CICO+exercise,
- C. KETO,
- D. KETO+exercise!
Group A - CICO the plain old Calories In vs Calories Out “calorie restriction” diet - lost the least.
Group B and C - lost about equal amounts.
Group D - keto_+exercise_ lost the most fat. And it was fat not muscle, bone or organ tissue.
The challenge with a lot of these studies is that they use college students, and or overweight individuals who have previously remained stable in their obesity. These sorts of studies also tend to span just 8-12 weeks. There aren’t many studies of middle aged individuals with 6 months of strict keto, modest calorie restriction, who have lost 50 lbs, and who are experiencing a stall with the introduction of exercise. Actually there are none. It’s the realm of n=1.
Given the choice between the n=1 of three actual individuals on the forum who have followed strict keto for 6 months, have lost 50lbs of the 100 they’re trying to lose, and have experienced a stall after introducing exercise vs. a double blind clinical study of a dozen 18 year old males with who lost 1.5kg in 8 weeks, I tend to place more weight on the n=1 accounts.
That said, I think there is a lot to be said for doing our own n=1 with a bit of hard data. Personally, I’m using all the money I’ve saved not eating very much this year and spending it on a DEXA and indirect calorimetry RMR. My appointment if Feb 5th. I’m picking a strategy of strict keto, weekly 85hr extended fasts & 15 minute weekly Body by Science workouts for the next the months. In 3 months, I’ll get a new RMR and a new DEXA, and then I’ll know if what I was doing was useful or counterproductive. I guess in the long run, I was going to spend $1,000/yr on diabetes care; now I’m just reallocating that money to DEXA and RMR tracking.