In 2002 and 2003, Hill also received over $300,000 a year from the NIH to do a clinical trial testing the Atkins diet against a low-calorie, low-fat diet and, by implication, the justification for olestra as a fat substitute in a weight-reduction diet. And Hill was one of three principal investigators in the follow-up trial of the Atkins diet, for which the NIH provided $5 million. The salient question is whether Hill and the other academics in this pursuit are any less open to having their interpretation of the evidence influenced by financial considerations than Atkins or Taller or any of the other diet-book authors.

“A resolution of the very controversial question of the efficacy of low carbohydrate diets has great practical and theoretical significance,” wrote Donald Novin of UCLA in 1978. Because a generation of obesity authorities were determined to dismiss the practical significance of carbohydrate-restricted diets, they dismissed the potential theoretical significance at the same time. Obesity researchers today say they still have no hypothesis of weight regulation that can explain obesity and leanness, let alone account for a century of paradoxical observations. They insist that obesity is inevitably caused by overeating and thus consuming more calories than we expend, but when asked what causes someone to overeat, they have no answer. Yet the research on insulin and fat metabolism offers one, and it has for several decades.

Chapter 24

Chapter Twenty-four

THE CARBOHYDRATE HYPOTHESIS, III: HUNGER AND SATIETY

There is only one way to lose weight, and that is to grow accustomed to feeling hungry. This simple fact, known to most people in affluent countries, seems somehow lost on the authors of the diet, weight-loss, and exercise books that find their lucrative way through the drugstore book racks. Two questions, then: Why do they fail to mention it? And why is it so?

Emory University anthropologist Melvin Konner,
The Tangled Wing, 2003