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== Unbalanced with reference to protein intake == |
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==Removal of per-reviewed randomized Controlled Trial and addition of original research to the article== |
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"it is unbalanced as it promotes unlimited consumption of [[Protein (nutrient)|protein]] and [[saturated fat]], and it may increase the risk of [[heart disease]]." |
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[[User:Alexbrn]], Please explain why you removed a results of per-reviewed randomized study published by prestigious medical primary source (that is covered by many secondary sources as well) and added a claim that is not based on any source given. I intend to take this to relevant noticeboards, as a per-reviewed randomized study is not a "fringie" source, but a relevant and reliable source, as per Wikipedia policy guidelines.[[User:Tritomex|Tritomex]] ([[User talk:Tritomex|talk]]) 20:36, 7 May 2022 (UTC) |
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This sentence seems rather strange to me, a balance diet is composed of a variety of food types, not based on macronutrients, whilst the saturated fat intake is obviously problematic there is no good evidence of harm from high protein diet in isolation. Eating high amounts of protein does not indicate an unhealthy diet. [[User:Adhiyana|Adhiyana]] ([[User talk:Adhiyana|talk]]) 10:07, 11 December 2022 (UTC) |
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:Alex' edsum read "unreliable/fringe" to which I'd add primary and non [[WP:MEDRS]] in a biomedical context. Note that I'm not answering for Alex. You would get the same answer if you went to dramah boards. - [[User:Roxy the dog|'''Roxy''' <small> the grumpy dog</small>.]] [[User talk:Roxy the dog|'''wooF''']] 21:20, 7 May 2022 (UTC) |
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:What we have seems well-sourced. [[User:Bon courage|Bon courage]] ([[User talk:Bon courage|talk]]) 10:20, 11 December 2022 (UTC) |
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::[[User: Roxy the dog]] This is all totally incorrect. The study titled "Comparison of the Atkins, Zone, Ornish, and LEARN diets for change in weight and related risk factors among overweight premenopausal women: the A TO Z Weight Loss Study: a randomized trial" was published in [[JAMA]] a most prestigious a peer-reviewed medical journal of American medical association. Although primary sources are usable according to Wikipedia policy, it could be also cited by reliable secondary sources like the [[Nature magazine]] or Cambridge University Press [https://www.cambridge.org/core/books/abs/handbook-of-wellness-medicine/nutrition/3632883E7168318F3DC6A462EBCCA926]. It is also in Cohrain library. What is astonishing is that my properly sourced and properly attributed text was replaced with an original research, a medical claim that does not exist in source given. This claim is "sourced" by another primary source. So no, I am sure that relaible noticeboards will know to differentiate between peer-reviewed medical journal and quackery, pseudomedical claims that are not based on any sources or are taken out of context from primary sources.[[User:Tritomex|Tritomex]] ([[User talk:Tritomex|talk]]) 23:38, 7 May 2022 (UTC) |
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::[[User:Bon courage|@Bon courage]] this doesn't really resolve my issue, simply searching "high protein diet" on pubmed returns plenty of sources showing it has either no or positive effect on health, moreover the only source that isn't a book chapter makes no mention of unlimited protein [[User:Adhiyana|Adhiyana]] ([[User talk:Adhiyana|talk]]) 10:33, 11 December 2022 (UTC) |
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:::See [[WP:MEDRS]]. Primary sources are generally not reliable for biomedical claims; old ones are even worse. [[User:Alexbrn|Alexbrn]] ([[User talk:Alexbrn|talk]]) 05:18, 8 May 2022 (UTC) |
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::: |
:::If good sources on Atkins say it has unbalanced macronutrients, Wikipedia will mirror them. That's what an encyclopedia does. [[User:Bon courage|Bon courage]] ([[User talk:Bon courage|talk]]) 11:58, 11 December 2022 (UTC) |
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:::: We have an article on [[High-protein diet]], it looks to me like there is no high-quality evidence for benefits of this type of eating, but some risks of harm. [[User:Psychologist Guy|Psychologist Guy]] ([[User talk:Psychologist Guy|talk]]) 12:12, 11 December 2022 (UTC) |
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:::Please, without [[WP:IDONTHEARYOU]], If you question the reliability of primary sources, why you [[User:Alexbrn]], made this controversial biomedical claim [https://en.wikipedia.org/w/index.php?title=Atkins_diet&type=revision&diff=1086642961&oldid=1086640812], based on this primary source [https://onlinelibrary.wiley.com/doi/10.1111/obr.13195]? Worse you took a sentence from the introduction of the study, unrelated to the aim or results of that study. Here are WP:RS secondary sources that I intend to put alongside the primary source. From [[The Stanford News]]: [https://news.stanford.edu/news/2007/march7/med-diet-030707.html] "Researchers at the School of Medicine have completed the largest and longest-ever comparison of four popular diets, and the lowest-carbohydrate Atkins diet came out on top...." Than, many more WP:RS secondary sources to back it up [https://www.sciencedaily.com/releases/2007/03/070307075749.htm] from [[Science Daily]], also this meta-analysis [https://www.healthline.com/nutrition/23-studies-on-low-carb-and-low-fat-diets#TOC_TITLE_HDR_9]. There are plenty of additional secondary sources as well. So your initial argument faills (fringie-extensively covered by secondary source, additional per-reviewed studies came to same conclusions)and your newest argument (primary sources) could be resolved by addition of secondary sources, Questions remain on other parts of text that are sourced with primary sources, especially with the highly controversial medical claim, you replaced my text.[[User:Tritomex|Tritomex]] ([[User talk:Tritomex|talk]]) 08:25, 8 May 2022 (UTC) |
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:::::[[User:Psychologist Guy|@Psychologist Guy]] the evidence of risks of harm are: |
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: This [https://onlinelibrary.wiley.com/doi/10.1111/obr.13195] is a review. It is not a primary source so it is suitable for the article. The paper you wanted to add from 2007 is a trial so it is a primary source [https://pubmed.ncbi.nlm.nih.gov/17341711/]. As for Healthline not a reliable source, and we don't cite Science Daily for medical claims. In conclusion nothing you have mentioned is reliable. [[User:Psychologist Guy|Psychologist Guy]] ([[User talk:Psychologist Guy|talk]]) 11:12, 8 May 2022 (UTC) |
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:::::a) a disputed review article which extends risk of harm in patients with established renal disease to the general population, high protein plant based diets have been shown to be renoprotective which the author's acknowledge |
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: And a news report of a primary study certainly doesn’t satisfy MEDRS. |
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:::::b) diets like Atkins which couple high protein intake to high saturated fat intake which is a confounding factor |
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: If the study “could be also cited by reliable secondary sources” then the conclusions of those secondary sources are what should be cited. The CUP book chapter linked cites 157 other sources. What are its conclusions? What does it say that justifies singling out this particular study for mention? [[User:Brunton|Brunton]] ([[User talk:Brunton|talk]]) 12:49, 8 May 2022 (UTC) |
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:: |
:::::But, leaving this aside, as I mentioned earlier the statement that the diet is unbalanced because it doesn't set an upper limit on protein intake is not necessarily true. [[User:Adhiyana|Adhiyana]] ([[User talk:Adhiyana|talk]]) 12:22, 11 December 2022 (UTC) |
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::::[[User:Bon courage|@Bon courage]] the statement doesn't say unbalanced macronutrients it says unbalanced, a balanced diet is a diet composed of a variety of food groups, there are balanced diets which do not have upper limits on protein intake. A diet which is composed of equal amounts of the three macronutrients is not in line with commonly accepted dietary requirements. |
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::::I'm not disputing that Atkins is unbalanced with reference to including a variety of foods but this statement implies diets without upper protein limits are unbalanced which is not necessarily the case. [[User:Adhiyana|Adhiyana]] ([[User talk:Adhiyana|talk]]) 12:16, 11 December 2022 (UTC) |
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== Missing most of the diet == |
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::::: High protein diets (unlimited protein), or high-saturated fat (unlimited saturated fat) diets are clearly not balanced. I am not sure why you are claiming they are. If you eat an balanced omnivore diet but then decide to add an unlimited amount of high- protein to it everyday, i.e. red meat steaks this is not going to make a balanced diet, it puts that person's protein intake well above the average range. It's impossible to have a high-protein or high-saturated fat intake in a balanced diet that's why limits are advised. If you look up what amount of protein is too much, there are various recommendations from medical agencies and organizations explaining this. None recommend a "high"-protein diet in "unlimited" protein. You are arguing against mainstream consensus. BTW the idea to eat a high-protein diet is dangerous, it can lead to [[protein poisoning]]. [[User:Psychologist Guy|Psychologist Guy]] ([[User talk:Psychologist Guy|talk]]) 12:34, 11 December 2022 (UTC) |
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::::::[[User:Psychologist Guy|@Psychologist Guy]] this is a strawman argument for a few reasons: |
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THIS ARTICLE DOESN'T MENTION DIABETES ONCE. Diabetes prevention and control were major aspects of the diet. But why include something good about the diet you can't spin? His books frequently mention the issues of diabetes, insulin resistance, hyperinsulin production, etc. and the diet being a way to bring down blood glucose levels, alleviating as much reliance on drugs. |
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::::::1) not setting an upper limit on protein doesn't mean eating infinite protein, it means not defining a limit on the protein intake |
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::::::2) eating large amounts of steak is unhealthy for reasons other than protein content, one of the most important being high saturated fat content |
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Both this article and the bio page for Dr. Atkins are terribly biased and lacking much of any pertinent information. Just for example in the section "effectiveness and risk" the claim is made it may increase heart disease risk, because Dr. Atkins himself had heart problems. This would be trash on its own and no way up to Wikipedia standards if this were true but you're lying. It's even mentioned in his bio article that it was due to infection, not eating steaks, as you desperately insinuate. That bio page is trash too, focusing a lot of attention on his death, again abandoning science for "hurr look he dead, that means diet bad!" |
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::::::3) protein poisoning occurs at protein intakes in excess of 250grams of protein per day which is in extremis |
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::::::Also, returning to my other point a balance in macronutrients is not the same as a balanced diet, the standard RDA for protein is around 70g per day, if one were to eat a balanced macronutrient diet on this basis it would imply eating 70g of carbohydrates and 70g of fat as well, this does not meet the caloric requirements of the average human. |
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This article mentions a few negative things said about it, but doesn't include any positive. It repeatedly, in excess, calls it a "fad diet" as if the entire point of this article is to push a narrative, rather than providing even a rudimentary overview of what the diet encompasses (as this article utterly fails to do). At best the two or three references repeatedly cited stating the diet works, but you spin that as a negative because the two or three studies cited say it didn't do a lot better than others. But it did do better, and yet you word that like it's a bad thing. |
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::::::A balanced diet involves eating a balance of different food groups, many high protein foods contain a variety of other nutrients, including carbohydrates, fats and micronutrients, this is the case with peas, legumes, most nuts etc |
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::::::Atkins is not unbalanced because it doesn't set an upper limit on protein it's unbalanced because it discourages eating many food groups. [[User:Adhiyana|Adhiyana]] ([[User talk:Adhiyana|talk]]) 12:49, 11 December 2022 (UTC) |
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Oh so terrible a type 2 diabetic might be able to have a diet that virtually removes their need for medication and entirely abates their high blood glucose levels regardless if they're hyperinsulin or not producing. Better not include this at all. [[User:J1DW|J1DW]] ([[User talk:J1DW|talk]]) 12:50, 22 July 2022 (UTC) |
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::::::[[User:Psychologist Guy|@Psychologist Guy]] additionally I would recommend reading through the protein poisoning article because it chiefly discussed a historical ailment observed in Roman times, there is no widely accepted upper limit for protein intake [[User:Adhiyana|Adhiyana]] ([[User talk:Adhiyana|talk]]) 13:00, 11 December 2022 (UTC) |
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:Source? So far as I can see this was rubbish promoted for weight loss, not diabetes mgt. [[User:Alexbrn|Alexbrn]] ([[User talk:Alexbrn|talk]]) 13:07, 22 July 2022 (UTC) |
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::::::: We have reliable sources saying that Atkins diet is unlimited in saturated fat and protein, you have not provided any reliable sources to the contrary. On the traditional Atkins diet people are not eating peas, legumes, or nuts. It's a stupid diet (I think you agree) and your other comments are off-topic. We don't really need to go into anymore detail. Your POV here to have a scientific debate about protein intake is not on topic or relevant to the Atkins diet. We just go by what the sources say. I have told you a diet (in this case the Atkins diet) unlimited in protein and saturate fat is not balanced. No medical organization supports the Atkins diet. In your first comment you have given the game away "no good evidence of harm from high protein diet in isolation", it seems you have some fringe views and you want to promote a high-protein diet. This is not the place to do it. [[User:Psychologist Guy|Psychologist Guy]] ([[User talk:Psychologist Guy|talk]]) 13:17, 11 December 2022 (UTC) |
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::::::::[[User:Psychologist Guy|@Psychologist Guy]] it is on topic because the statement that the Atkins diet is unbalanced because of unlimited protein is incorrect [[User:Adhiyana|Adhiyana]] ([[User talk:Adhiyana|talk]]) 13:24, 11 December 2022 (UTC) |
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::::::::I do not wish to promote a high protein diet here, but I disagree with the linking of the harm of Atkins to protein when it is clearly a diet which is high in many other things correlated with harm such as saturated fat, excessive animal protein, and excessive calories [[User:Adhiyana|Adhiyana]] ([[User talk:Adhiyana|talk]]) 13:28, 11 December 2022 (UTC) |
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::::::::: You appear well educated, but it is not up to you or me or any other editor to challenge what is in reliable sources or say if they are incorrect. We just cite them. In this case the source/s are reliable, ''The Gale Encyclopedia of Diets: A Guide to Health and Nutrition'' and ''Body Weight and Its Management'', these are mainstream textbooks. If you have such an issue with just that one line then I guess you could take this to another board like the dispute noticeboard. I have checked the content though and it is reliable. If you search on Google books for Atkins diet and "unlimited" fat and protein many references exist pointing out the diet advocates unlimited consumption of protein and fats but severely limited consumption of carbohydrates, the sources then criticize this as dangerous, unbalanced and unsafe. At least 6+ sources clarify this that could be added to the article. I am not seeing any references that say what you are claiming. [[User:Psychologist Guy|Psychologist Guy]] ([[User talk:Psychologist Guy|talk]]) 13:59, 11 December 2022 (UTC) |
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Unbalanced with reference to protein intake
[edit]"it is unbalanced as it promotes unlimited consumption of protein and saturated fat, and it may increase the risk of heart disease."
This sentence seems rather strange to me, a balance diet is composed of a variety of food types, not based on macronutrients, whilst the saturated fat intake is obviously problematic there is no good evidence of harm from high protein diet in isolation. Eating high amounts of protein does not indicate an unhealthy diet. Adhiyana (talk) 10:07, 11 December 2022 (UTC)
- What we have seems well-sourced. Bon courage (talk) 10:20, 11 December 2022 (UTC)
- @Bon courage this doesn't really resolve my issue, simply searching "high protein diet" on pubmed returns plenty of sources showing it has either no or positive effect on health, moreover the only source that isn't a book chapter makes no mention of unlimited protein Adhiyana (talk) 10:33, 11 December 2022 (UTC)
- If good sources on Atkins say it has unbalanced macronutrients, Wikipedia will mirror them. That's what an encyclopedia does. Bon courage (talk) 11:58, 11 December 2022 (UTC)
- We have an article on High-protein diet, it looks to me like there is no high-quality evidence for benefits of this type of eating, but some risks of harm. Psychologist Guy (talk) 12:12, 11 December 2022 (UTC)
- @Psychologist Guy the evidence of risks of harm are:
- a) a disputed review article which extends risk of harm in patients with established renal disease to the general population, high protein plant based diets have been shown to be renoprotective which the author's acknowledge
- b) diets like Atkins which couple high protein intake to high saturated fat intake which is a confounding factor
- But, leaving this aside, as I mentioned earlier the statement that the diet is unbalanced because it doesn't set an upper limit on protein intake is not necessarily true. Adhiyana (talk) 12:22, 11 December 2022 (UTC)
- @Bon courage the statement doesn't say unbalanced macronutrients it says unbalanced, a balanced diet is a diet composed of a variety of food groups, there are balanced diets which do not have upper limits on protein intake. A diet which is composed of equal amounts of the three macronutrients is not in line with commonly accepted dietary requirements.
- I'm not disputing that Atkins is unbalanced with reference to including a variety of foods but this statement implies diets without upper protein limits are unbalanced which is not necessarily the case. Adhiyana (talk) 12:16, 11 December 2022 (UTC)
- High protein diets (unlimited protein), or high-saturated fat (unlimited saturated fat) diets are clearly not balanced. I am not sure why you are claiming they are. If you eat an balanced omnivore diet but then decide to add an unlimited amount of high- protein to it everyday, i.e. red meat steaks this is not going to make a balanced diet, it puts that person's protein intake well above the average range. It's impossible to have a high-protein or high-saturated fat intake in a balanced diet that's why limits are advised. If you look up what amount of protein is too much, there are various recommendations from medical agencies and organizations explaining this. None recommend a "high"-protein diet in "unlimited" protein. You are arguing against mainstream consensus. BTW the idea to eat a high-protein diet is dangerous, it can lead to protein poisoning. Psychologist Guy (talk) 12:34, 11 December 2022 (UTC)
- @Psychologist Guy this is a strawman argument for a few reasons:
- 1) not setting an upper limit on protein doesn't mean eating infinite protein, it means not defining a limit on the protein intake
- 2) eating large amounts of steak is unhealthy for reasons other than protein content, one of the most important being high saturated fat content
- 3) protein poisoning occurs at protein intakes in excess of 250grams of protein per day which is in extremis
- Also, returning to my other point a balance in macronutrients is not the same as a balanced diet, the standard RDA for protein is around 70g per day, if one were to eat a balanced macronutrient diet on this basis it would imply eating 70g of carbohydrates and 70g of fat as well, this does not meet the caloric requirements of the average human.
- A balanced diet involves eating a balance of different food groups, many high protein foods contain a variety of other nutrients, including carbohydrates, fats and micronutrients, this is the case with peas, legumes, most nuts etc
- Atkins is not unbalanced because it doesn't set an upper limit on protein it's unbalanced because it discourages eating many food groups. Adhiyana (talk) 12:49, 11 December 2022 (UTC)
- @Psychologist Guy additionally I would recommend reading through the protein poisoning article because it chiefly discussed a historical ailment observed in Roman times, there is no widely accepted upper limit for protein intake Adhiyana (talk) 13:00, 11 December 2022 (UTC)
- We have reliable sources saying that Atkins diet is unlimited in saturated fat and protein, you have not provided any reliable sources to the contrary. On the traditional Atkins diet people are not eating peas, legumes, or nuts. It's a stupid diet (I think you agree) and your other comments are off-topic. We don't really need to go into anymore detail. Your POV here to have a scientific debate about protein intake is not on topic or relevant to the Atkins diet. We just go by what the sources say. I have told you a diet (in this case the Atkins diet) unlimited in protein and saturate fat is not balanced. No medical organization supports the Atkins diet. In your first comment you have given the game away "no good evidence of harm from high protein diet in isolation", it seems you have some fringe views and you want to promote a high-protein diet. This is not the place to do it. Psychologist Guy (talk) 13:17, 11 December 2022 (UTC)
- @Psychologist Guy it is on topic because the statement that the Atkins diet is unbalanced because of unlimited protein is incorrect Adhiyana (talk) 13:24, 11 December 2022 (UTC)
- I do not wish to promote a high protein diet here, but I disagree with the linking of the harm of Atkins to protein when it is clearly a diet which is high in many other things correlated with harm such as saturated fat, excessive animal protein, and excessive calories Adhiyana (talk) 13:28, 11 December 2022 (UTC)
- You appear well educated, but it is not up to you or me or any other editor to challenge what is in reliable sources or say if they are incorrect. We just cite them. In this case the source/s are reliable, The Gale Encyclopedia of Diets: A Guide to Health and Nutrition and Body Weight and Its Management, these are mainstream textbooks. If you have such an issue with just that one line then I guess you could take this to another board like the dispute noticeboard. I have checked the content though and it is reliable. If you search on Google books for Atkins diet and "unlimited" fat and protein many references exist pointing out the diet advocates unlimited consumption of protein and fats but severely limited consumption of carbohydrates, the sources then criticize this as dangerous, unbalanced and unsafe. At least 6+ sources clarify this that could be added to the article. I am not seeing any references that say what you are claiming. Psychologist Guy (talk) 13:59, 11 December 2022 (UTC)
- We have reliable sources saying that Atkins diet is unlimited in saturated fat and protein, you have not provided any reliable sources to the contrary. On the traditional Atkins diet people are not eating peas, legumes, or nuts. It's a stupid diet (I think you agree) and your other comments are off-topic. We don't really need to go into anymore detail. Your POV here to have a scientific debate about protein intake is not on topic or relevant to the Atkins diet. We just go by what the sources say. I have told you a diet (in this case the Atkins diet) unlimited in protein and saturate fat is not balanced. No medical organization supports the Atkins diet. In your first comment you have given the game away "no good evidence of harm from high protein diet in isolation", it seems you have some fringe views and you want to promote a high-protein diet. This is not the place to do it. Psychologist Guy (talk) 13:17, 11 December 2022 (UTC)
- High protein diets (unlimited protein), or high-saturated fat (unlimited saturated fat) diets are clearly not balanced. I am not sure why you are claiming they are. If you eat an balanced omnivore diet but then decide to add an unlimited amount of high- protein to it everyday, i.e. red meat steaks this is not going to make a balanced diet, it puts that person's protein intake well above the average range. It's impossible to have a high-protein or high-saturated fat intake in a balanced diet that's why limits are advised. If you look up what amount of protein is too much, there are various recommendations from medical agencies and organizations explaining this. None recommend a "high"-protein diet in "unlimited" protein. You are arguing against mainstream consensus. BTW the idea to eat a high-protein diet is dangerous, it can lead to protein poisoning. Psychologist Guy (talk) 12:34, 11 December 2022 (UTC)
- We have an article on High-protein diet, it looks to me like there is no high-quality evidence for benefits of this type of eating, but some risks of harm. Psychologist Guy (talk) 12:12, 11 December 2022 (UTC)
- If good sources on Atkins say it has unbalanced macronutrients, Wikipedia will mirror them. That's what an encyclopedia does. Bon courage (talk) 11:58, 11 December 2022 (UTC)
- @Bon courage this doesn't really resolve my issue, simply searching "high protein diet" on pubmed returns plenty of sources showing it has either no or positive effect on health, moreover the only source that isn't a book chapter makes no mention of unlimited protein Adhiyana (talk) 10:33, 11 December 2022 (UTC)
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