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It states: Two randomized trials of low-fat versus low-carbohydrate weight loss diets, published in the May 18 issue of the Annals of Internal Medicine, found greater weight loss among the low-carbohydrate dieters at six months. One study ended at six months; however, the other study continued for twelve months, and found no difference in the amount of weight lost. Both studies found a greater reduction in triglycerides and a modest difference in high-density lipoprotein (HDL, the "good cholesterol") among the low-carbohydrate dieters. High levels of triglycerides, a type of blood fat, may be linked to an increased risk of coronary heart disease. In addition, both studies were small and had a high dropout rate of study participants, under- scoring both the difficulty in performing diet trials and of maintain- ing a weight-loss program that is based solely on diet. The article goes on to quote Robert H. Eckel, chairman of the AHA Coun- cil on Nutrition, Physical Activity, and Metabolism, and professor of med- icine at the University of Colorado Health Sciences Center: "Individuals who are trying to lose weight should consume a dietary pattern that has abundant scientific evidence behind it. A reduced- calorie diet rich in fruits, vegetables and whole grains, restricted in saturated fat and cholesterol, can help individuals lose weight and lower their risk of cardiovascular disease. It is important to get at least 30 and preferably 60 minutes of aerobic activity, such as brisk walking, daily. It's the long haul that really matters." Choosing low-fat protein sources and not disregarding portion control or caloric intake as oudined in the Total Health plan will most likely be per- ceived by most health care professionals as a more balanced approach to long-term health when following a low-carbohydrate lifestyle. Heart Health 1 Was a Heart Attack Waiting to Happen GREG B. Insurance agent Age: 53 Height 6 feet, i inch Total Health start date: October 1999 Start weight 282 pounds After weight 182 pounds Total weight loss: ioo pounds Start body fat percentage: 35% After body fat percentage: 17.4% Start fat pounds: 99 . After fat pounds: 32 Total pounds of fat loss: 67 Start LDL (bad) cholesterol: 154 mg After LDL (bad) cholesterol: m mg Start HDL (good) cholesterol: 38 mg After HDL (good) cholesterol: 63 mg Start triglycerides: 109 mg After triglycerides: 56 mg Start cholesterol: 214 mg After cholesterol: 176 mg Start cholesterolHDL coronary risk ratio: 6.5 After cholesterolHDL coronary risk ratio: 1.9 Start glucose (blood sugar): 105 mg After glucose (blood sugar): 89 mg Start waist measurement 52 inches After waist measurement 36 inches GregB. before Greg В. after On Sunday, October 10, 1999, a good friend of mine told me about a young doctor who had helped him lose 10 pounds of excess weight, and it had been simple. So on Monday, October 11, 1999, I attended Dr. Markham's lecture to find out for myself if it was as simple as my friend had told me.