Try An Unconventional Approach to Weight Loss

January is National Healthy Weight Awareness month and with good reason as weight loss is always a popular New Year’s resolution. Because so many people struggle with losing weight using conventional tactics, i.e., exercising, restricting calories and eating low-fat foods, I wanted to share some information from The Bulletproof Diet®, written by David Asprey that I found interesting, including the following nutrition myths:

  1. If you're not losing weight, you're not trying hard enough.
  2. You're not as hungry as you think you are.
  3. A low fat diet is healthy.
  4. Eating fat will make you fat.
  5. Cutting calories is the best way to lose weight.
  6. Everything natural is good for you, which happens to be the subject of a later post.
  7. You have to work out a lot to lose weight.
  8. Coffee is bad for you.
  9. Salt is hazardous.
  10. Moderation is the key to success when dieting.

Let’s start with the misconception that coffee is not good for you. The effect coffee has on our health has been debated for decades. Some experts believe the controversy stems from different processing methods that result in good coffee or bad coffee.  

Most of my patients look at me like I'm crazy when I tell them that I drink Bulletproof Coffee®. I’ve been drinking it for quite some time because unlike most other brands of coffee, it uses a more rigourous processing method that prevents molds and bacteria from developing. Unfortunately, mold often grows on coffee beans and often produces mycotoxins, damaging substances that have been linked to an array of health issues such as high blood pressure, kidney disease and cancer. 

To my coffee, I add two tablespoons of GRASS FED butter and between one and two tablespoons of a medium chain triglyceride (MCT) oil like coconut or olive. This is my breakfast; in fact, this alone is breakfast for many people. Occasionally, I have some eggs with it and if I skip the coffee, I eat eggs, avocado and some berries.

What’s the purpose of the coffee? First of all, many people think it’s delicious; I happen to really enjoy it. More importantly, coffee stimulates lipolysis, the release of fat from fat cells and therefore SMALLER fat cells. Coffee also contains healthy oils, kahweol and cafestol. These potent anti-inflammatory and neuroprotective chemicals can help protect the brain; yes, coffee may help prevent dementia.

To maximize your absorption of health fats and compounds, use a gold fenestrated filter rather than a paper filter when percolating your coffee, as oils can get trapped in paper. Blend the butter and oil into the coffee using a hand-held or standard blender.

The reason butter is important because it’s a great source of butyric acid, which helps to heal the gut and helps prevent leaky gut syndrome, as well as reduce inflammation in the brain. Remember – eating fat doesn't make you fat. Also, keep in mind that our cell membranes, exterior coating of nerves (aka myelin sheaths) and brain are made of FAT. How is your brain supposed to function optimally if you're depriving it of calories and, more specifically, FAT calories?

As for MCT, these oils feed certain gut bacteria, increasing the production of a chemical called FIAF (fasting induced adipose factor). When FIAF levels are elevated, your body burns fat; just as, when you feed your gut bacteria sugar and starch, your FIAF levels drop and you stop burning fat. Furthermore, the gut bacteria differ between people who are thin and those who are overweight. Thin people have more bacteroides, a species of bacteria that increases FIAF production, and the polyphenols in coffee are a fuel for this type of bacteria.

Bulletproof Coffee® also helps you to enter a state of ketosis. The MCT oil can't be stored as fat; therefore, it has to be burned as a source of fuel. I’ve noticed that my weekend workouts on are actually a lot easier after a serving. Additionally, MCT oil can suppress your appetite for hours. The caveat is that if you increase your fat intake, you must keep your carbs low.

Conventional thinking is wrong! I treat people and test inflammation and cholesterol every day. The best results are from patients who break traditional wisdom and realize that low fat, calorie restricted diets are a huge mistake.
Barry Kelman
Feb 21st, 2017
bullet proof coffee sounds interesting. some of these myths sound right (that they are myths). I'm on meds for high blood pressure which work well, but you seem to suggest salt is an overrated concern. what's the story. where do I find more info re these? e.g. I know arsenic is a natural substance that's nt good for me, but I'm guessing you have something else in mind.
Ron stoltz
Feb 7th, 2017
If bulletproof coffee is made from yak butter why add xtra butter?
Michelle Thomposn
Jan 3rd, 2017
I am thrilled to see MDVIP supporting the LCHF lifestyle! LCHF is changing the lives of those who are carbohydrate sensitive and/or do not do well on the SAD, standard american diet. I hope to become a MDVIP member very soon. I have already requested an appointment.
May 31st, 2016
I'm glad to see that MDVIP is recommending low carb / high fat!! I've been on this life style for 4 years and have went back to my normal weight and feel way better than before. I have to disagree with Elizabeth Carr. This is a major perk and had I seen recommendations similar to the current US guidelines, I would have not been interested in joining.
Elizabeth Carr
Feb 24th, 2016
I don't think there's any science legitimately behind this the butter in your coffee nonsense. I'm very troubled medical website as a physician presumably recommending this to patients. Patients believe, wrongly, that their physicians have nutritional training. I stumbled on this blog considering membership in MDVIP. These pro butter Paleo silly articles are major turnoff to prospective customers!
1 Reply
Mar 1st, 2016
Greetings Elizabeth,

Thank you for replying with your valuable point of view. Our physician blogs allow us to share a variety of health information. Although Bulletproof coffee may not be for everyone, Dr. Malinow, along with many other dietary experts, supports the eating of healthy fats, including grass fed butter, because of the numerous health benefits. More importantly, high quality coffee contains MCT oil, which increases calorie burning (thermogenesis) and suppresses appetite. This is why many people are replacing the typical high carb breakfast with low carb diets that will raise help HDL, lower triglycerides, normalize insulin resistance and induce a sense of satiety that can last for hours.

In Good Health,

penny cunningham
Feb 11th, 2016
what is Bulletproof Coffee and where do I get it?
1 Reply
Feb 12th, 2016
Greetings Penny,

Bulletproof coffee is an American take-off of Tibetan coffee that is made with yak butter. Because some people have had success using it, one of our affiliated doctors wanted to expose readers to it. For a more thorough understanding of Bulletproof Coffee and the recipe, please visit: and

In Good Health

Feb 10th, 2016
These are good questions I would like to hear your answers.
Barbara DAmico
Feb 10th, 2016
I have polycystic kidneys and being in a state of ketosis is the reason I have always stayed away from the Atkins eating plan. My body reacts quickly to too much protein...what would drinking my coffee this way do to me? large is your cup of coffee?
1 Reply
Feb 12th, 2016
Greetings Barbara,

We appreciate you asking a specific question about your health concerns, as it may help others with the same condition. Generally, caffeinated foods and beverages are not recommended for people with polycystic kidneys. As always, it is best to ask your physician about how this may specifically affect you.

In Good Health,

Marianne Ziegler
Feb 8th, 2016
Bulletproof Coffee really worked for our son and I am a believer in the high fat, low carb lifestyle. However, the minute you stop eating this way (i.e. start eating carbs again) the weight returns. Another concern is that most cardiologists and endocrinologists are not on board with this lifestyle yet. Do you feel that the data surrounding HFLC diets will eventually convince other medical professions that this is safe diet?
1 Reply
Feb 11th, 2016
Greetings Marianne,

Thank you for your insights and questions. It is hard to say if the medical community will embrace LCHF diets, as there are many variables involved in these diets that make them controversial. For instance, the type of carbs and fats consumed can affect how healthy the diet is and whether a physician would support it. Generally speaking, carbs that are comprised of processed, white flour and foods high in saturated fats can be problematic. Meanwhile, depriving your body of carbs such as whole grains, fruits, vegetables and monounsaturated fats may lead to health issues.

Another factor is the sustainability of this diet. As you mentioned, if you cannot continue to eat a LCHF diet, whatever weight you manage to lose is gained back. If an individual finds this type of diet unfeasible to live on, it can cause cycles of considerable weight loss and weight gains, often referred to as “yo-yo dieting”. More often than not, yo-yo dieting causes weight gain and an unhealthy shift in body composition.

Lastly, when you lower your carbohydrate intake, the level of substances that help break down fat for energy rises. So, instead of your body relying on carbohydrates as its first source of energy, it’s able to use stored fat, resulting in weight loss. However, if your carbohydrate levels drop too low, you run the risk of ketoacidosis. This is a buildup of ketones in your blood causes, which causes an acidic environment in your blood. It is especially dangerous for people with diabetes.

For these reasons, it’s best to discuss if a LCHF diet is a safe alternative for you with your doctor and work with your doctor to monitor your progress.

In Good Health,

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