Eat Fat Lose Weight Ann-Louise-Gittleman
Eat Fat Lose Weight Ann-Louise-Gittleman
Eat Fat Lose Weight Ann-Louise-Gittleman
LOSE WEIGHT
How Smart Fats
reset metabolism,
stress, hunger and sex
hormones for lasting
NEW &
UPDATED weight loss and
EDITION
radiant health
This book is for educational purposes. It is not intended as a substitute for medical advice. Please consult a qualified
health care professional for individual health and medical advice. Neither First Lady of Nutrition, Inc. nor the author shall
have any responsibility for any adverse effects arising directly or indirectly as a result of the information provided in this
book.
Throughout this book, trademarked names are used. Rather than put a trademark symbol after every occurrence of a
trademarked name, we use names in an editorial fashion only, and to the benefit of the trademark owner, with no intention
of infringement of the trademark. Where such designations appear in this book, they have been printed with initial caps.
Yours in health,
This book is your gateway to a new level of health. Many of you are already doing everything right, you’ve got
dieting down, exercise covered, and you even have willpower, but you are still not losing an inch. I wrote this
book for you. To give you all the tools you need to give yourself the healthy body you want. I want each of you
to lose weight, feel great, and experience the highest degree of well-being, vitality, and radiance possible for
you regardless of which diet you are doing now or what you have done in the past.
Hello, I’m Ann Louise Gittleman, PhD, CNS. I am a Columbia University trained nutritionist, an award winning
New York Times bestselling author of 30 books, and an advocate of functional and integrative medicine. I am
also a wife, stepmother, former music teacher, model and go-go dancer (yes), and, most importantly here, a
nutrition pioneer. I have been on the front lines of health and healing for over 30 years. During that time, I have
maintained my position against fat-free and low-fat eating. I’ve shown how low fat can make you fat and why
the right fats are the key to igniting effortless weight loss. Eating the right fats can crush sugar cravings, stoke
energy, promote longevity, and ensure overall good health.
You see, unlike so many others who write about fats today, I was actually there at the beginning of the fat-free,
low fat craze. Back in the early 1980s, I was the director of the Pritikin Longevity Center in Santa Monica,
California, where fat-free was gospel. I saw firsthand the failed promises and the pitfalls of eating a fat-free/high
carb diet. These included weight gain, constant gnawing hunger, and problems with hair, skin, nails, thyroid,
and the immune system.
Since the publication of my first book Beyond Pritikin in 1988, I have been a lone voice in the nutrition
wilderness condemning fat-free, carb-rich diets. For nearly 30 years, my work has been highly criticized by
conventional dietitians, physicians, and journalists. These folks demonized fats, elevated carbohydrates and
convinced many others of their own ill-founded beliefs. You can well imagine the mainstream media response
to my next book, Eat Fat Lose Weight. The outrage was such that I was even profiled on the prime time news
magazine show 20/20.
But just as steel is forged by fire, I have remained true to my beliefs. I have grown stronger, more resilient and
more determined than ever to get the truth out about fat. Perhaps you can imagine how gratified—as well as
vindicated—I feel today, finally seeing that my message about fats is not only becoming mainstream but is
touted as “new news.”
Now that the nutrition world seems to be catching up with me, I’ve decided to revise and update my 1999
classic, Eat Fat Lose Weight. I’ve streamlined all the material with a more cutting-edge approach to fats and
their hormone connection. More importantly to you, dear Reader, I have applied my advantage of over 15 years
more experience, including expanded research and personal clinical experience.
It’s high time for YOU to get intimate with all the Smart Fats. They deserve a prominent place at your breakfast,
lunch and dinner. In Eat Fat Lose Weight you will learn how to fully utilize them for effortless “waist control”.
You will learn how to prevent or manage depression, diabetes, heart disease, chronic fatigue, allergies, arthritis,
psoriasis, eczema, and low thyroid.
I believe you will be as amazed as I was to uncover a seldom-mentioned secret to weight loss. This is something
that modern medicine seems to have forgotten and something that health pioneers of the early 20th century
held sacrosanct: BILE. That’s right! The amount of bile your body manufactures is directly linked to how you
digest fats AND to the amount of toxins you can safely eliminate from your body. Inadequate bile is connected
to a myriad of increasingly common symptoms: the inability to lose weight, dry skin, constipation, depression,
chronic fatigue, and hypothyroidism.
Fortunately, all of these conditions are easily remedied. I will show you how—whether or not you still have
your gallbladder. One surprising solution may be as easy as eliminating the top three food allergens. You will
be just as surprised to learn how metabolism can be derailed by sneaky saboteurs you never dreamed of—like
hidden dental infections and the Epstein-Barr virus. You will learn how adrenal fatigue can inhibit your thyroid;
how fruit can make you fat; why grain is such a drain; and how copper overload can wreak havoc on sex
hormones.
In Eat Fat Lose Weight, I have brought together do-able and delicious Smart Fat tips, tricks, and recipes for
lasting weight control. In each section, you’ll find targeted foods, supplements, and lifestyle intervention
suggestions. I originally created these for concerned readers as the nutrition columnist for First for Women
magazine. I’ve since expanded on that research and made the solutions even easier and more complete. I’ve
been able to do this with the emergence of many new Smart Fats like omega-7, pine nut oil, and hemp seed oil.
These new fats round out the Smart Fat staple oils: coconut, GLA, fish, flax, cream, and butter. You’ll also find
smart sips, seasonings, and sweeteners to complete your culinary creativity.
To be clear, this book is NOT a diet book. It is an essential companion for every other high fat diet whether it
is Paleo, Primal, Price, Ketogenic, GAPS, Vegan, or Raw Foods. And, because of the forgotten significance of
bile for removing toxins, this book is a primer for any detox or cleanse you are doing—be it a colon cleanse,
a liver cleanse, or a green smoothie or juice cleanse. Remember, you can’t achieve optimum health when your
hormones are out of whack and your liver and gallbladder are on overload.
As my good friend, the witty and deliciously irreverent pediatrician, the late Dr. Lendon Smith, would have
said, “Everybody should read this book, even doctors who are supposed to know everything.”
Even Time magazine is in on the newly found love affair with fats. “Eat Butter” is prominently declared on the
cover of the June 2014 issue with its larger than life delicious golden butter gracing the entire page!
And it’s about time. For over half a century, fat has been terribly maligned and misunderstood in the American
diet landscape and our health and expanding waistlines have suffered for it.
While “fat makes you fat” has been the mantra of most diet gurus over the last 20 years, NOTHING could be
further from the truth. The right Smart Fats are the #1 secret to fixing your metabolism, stress, hunger and sex
hormones for lasting weight loss, vitality and overall wellbeing.
The American public has been brainwashed with a big fat lie—a lie that has been told, retold and told again for
well over 50 years. What’s more, this lie has been extended to cover all fats, not just the hydrogenated, overly
refined and genetically modified commercial vegetable oils that actually will harm you.
Truth be told, our fear of fats only began in the 1950s thanks to the work of research scientist Ancel Keys,
PhD, who conducted the Seven Countries Study in which he cherry picked data to support his theory that fat
consumption led to cardiovascular disease. Although considered “pioneering” back in the day, the study was
deeply flawed. Yet, the media ran with it and by 1961 even the American Heart Association issued its first anti-
fat guidelines. This resulted in the launching of the no-to-low fat diet dictum that—to this very day—many
health experts still recommend and rely upon as gospel.
As I wrote in the first edition of Eat, Fat Lose Weight, since we as a nation have gone fat-free, we have gotten
sicker. Here’s what happened:
Fat Phobia
It’s a message I have been preaching for a very long time. When Eat Fat, Lose Weight first came out 15 years
ago, it was absolute heresy in the age of fat phobia. Before it became mainstream, I was the ONLY nutritionist
in the country to write about the importance of the right dietary fats—a very unpopular message which flew in
the face of all conventional dietary wisdom of the 1980s.
The time has finally come to set the record straight with a newer, updated edition that is more streamlined for
today’s audience, thanks to the results from the latest trials which have exonerated fats once and for all. These
trials have shown that not only was a high fat diet more effective for weight loss, but also greatly reduced the
risk of heart disease and diabetes.
Yes, the science now proves it. A high fat diet is a healthier diet.
I know that many of you have already banned transfats and margarine. You try to avoid refined polyunsaturated
vegetable oils like corn and canola. However, before you start slathering on all that butter or coconut oil, and
bringin’ home the bacon, it is important to understand that eating all those good fats—what I call the “Smart
Fats”—is simply one part of a healthy weight loss equation. You must also learn the keys to making Smart
Fats work for you. I will tell you the very best fats to eat and the trick to activating them to burn as your body’s
MOST efficient fuel.
Wouldn’t it be great if you could eat all the healthy fats you wanted, properly utilize them and look and feel
fabulous in your body? You can!
This book is your road map back to the Smart Fats that will keep you thin for life with beautiful glowing skin,
healthy hair and nails, energy through the roof, a positive attitude and no more sugar cravings!
Some Smart Fats can fix metabolism while others help you deal with stress and rebalance sex hormones. They
also singlehandedly boost nutrient absorption and reduce inflammation which is linked to a whole host of
conditions you want to avoid—like heart disease, depression, diabetes, arthritis, psoriasis, eczema and attention
deficit hyperactivity disorder (ADHD).
You will learn all the tasty tricks to adding Smart Fats into your daily food intake—how to use them in your
smoothies, salads, sides, soups and sauces. I’ll even share some ideas for easy desserts with all the Smart Fat
trimmings—as well as suggestions for Smart Sips, Smart Seasonings and Smart Supplements.
You will uncover all the very best foods and nutrients that help you digest and assimilate the Smart Fats so your
body can efficiently utilize them as the perfect food for maximum weight loss and stress control.
Right now, fats are hot! Look everywhere. Everyone is confirming what I wrote about over 25 years ago—
But, there is a lot more to it. If you can’t break down the fats properly or if you have too many pollutants
already in your body (as we all do), you will end up in worse shape than when you started. As a matter of fat,
simply adding more into your diet, even Smart Fats, isn’t going to get you to your goal if your body cannot
digest them.
Bile is an emulsifier—a type of soap for fats. It breaks down the fats into small particles so that your intestines
can absorb them. Produced by the liver to the tune of about one quart per day, bile is made from lecithin,
cholesterol and bilirubin. It is stored near the liver in the gallbladder. From there, it is transported to the
intestines during digestion.
Here’s a NEWSFLASH for you: Bile is not ONLY the real key to the body’s ability to digest and assimilate fats,
but it is also a vehicle for removing toxins from your body so they can be flushed out through the colon.
Bile is one of the liver’s premier detox mechanisms so the consequences of inadequate bile go far beyond the
inability to lose weight. If the liver can’t clear fats, then it most likely can’t break down hormones or other
metabolic waste products either, and you can end up with hot flashes, night sweats, cysts, migraines and
depression.
To put it another way, bile is one of the most underrated and ignored methods our bodies utilize to move out
toxins. The quantity of bile your body makes is directly proportional to the quantity of toxins you can eliminate.
If you lack enough fiber to escort these toxins out of your body, they can remain (along with bile) in your
intestines for too long and are then reabsorbed. This is when toxic overload occurs with poisonous wastes
ending up stagnant in your lymphatics and getting stuck in the bloodstream, joints and other tissues.
There is already a 75% bile deficiency by the time allergies, arthritis, and inflammation in joints and muscles
develop. By the time cancer or chronic illness is diagnosed, a whopping 90% deficit has already occurred.
If your gallbladder hasn’t been doing its job due to a lack of the right Smart Fats or too much hydrogenated fat
or even if your gallbladder is gone, your body loses its ability to adequately regulate proper bile flow. Without
your gallbladder, for instance, there is still a steady release of bile from the liver, but it is “mismatched” with the
amount of oil or fat you are consuming—whether in quantity or timing. This has a cascading detrimental effect
on your digestion as well as absorption of the fat-soluble vitamins (A, E, D, and K) and the essential fatty acids
you will read about later.
Moreover, bile can be hampered from doing its job because of a lack of bile nutrients, congestion or even
clogged bile ducts which interfere with bile flow and result in less bile production.
Regardless of where the bile is—in the liver, in the gallbladder or in the bile ducts—the principles of
manufacturing, thinning and moving bile are the same.
Just as fascinating, French researchers have found that bile may be connected to our obesity epidemic and
hypothyroidism. They discovered that fat metabolism is sped up by the activation of thyroid hormones in the fat
cells. Could it be that an imbalance of bile is one of the reasons that hypothyroidism is so rampant today?
Millions of us experience unrecognized signs of poor bile digestion like bloating, nausea, sluggishness, poor
thyroid function, constipation, hemorrhoids, and dry skin and hair.
Well over 20 million Americans have known gallbladder challenges while millions more go undiagnosed. Why?
They haven’t been able to connect the dots between ALL the seemingly disconnected—but urgent—SOS signals
our body is sending out loud and clear.
It is a shame that gallbladder removal has become the most common type of surgery performed in this country,
usually due to the presence of gallstones. Gallstones commonly occur because of congested bile due to buildup
which results in the precipitation of stones.
Ideally, treatment should consist of making sure the bile is thinned, decongested, and fluid—a major focus of
Eat Fat, Lose Weight.
For those who no longer have a gallbladder, it is critically important to mimic your body’s natural output of bile
by taking an ox bile supplement (also known as bile salts). While you may not be able to duplicate your body’s
remarkable wisdom of knowing just when to release the exact right amount of bile, supplementation with bile
extracts can go a long way in maximizing the process and assuring that your fat-soluble vitamins are being
absorbed.
Too much bile supplementation can create loose stools, while too little can make for very light or clay colored
stools.
If you still have your gallbladder but are experiencing frequent gallbladder attacks OR if you have had your
gallbladder taken out but still experience pain (what is called “post-cholecystectomy syndrome,”) you should
definitely know about the work of allergist Dr. James C. Breneman. He identified food allergies as a primary
underlying cause of gallbladder pain.
I discovered Dr. Breneman’s landmark work thanks to a newsletter (Dr. Jonathan Wright’s Health and Healing)
written by my personal integrative physician, the brilliant and insightful Dr. Jonathan Wright in 2004 with the
enticing headline “The 99.9% effective technique for eliminating gallbladder attacks forever.”
When his study participants eliminated their food allergies, they obtained 100% relief. WOW! So, needless to say, if
your gallbladder’s acting up, give an elimination diet a try. Or, at least avoid the top three primary offenders like
eggs, pork and onions. You know what you’ve got to lose!
The bottom line is you simply must ensure that you will be utilizing all the Smart Fats you will be adding back
into your diet—with or without your gallbladder—for the most complete digestion, assimilation and utilization.
In addition to trying out an elimination diet, you should also be taking a more up-close and personal evaluation
of your stomach acid—meaning, your hydrochloric acid production, or lack there-of. Dr. Wright, who is also an
expert on hydrochloric acid, has found that 90% of his patients suffer from too little hydrochloric acid or HCl.
(In fact, I was one of them. My diagnosis of hypochlorhydria was officially diagnosed at his Tahoma Clinic in
Washington State via the Heidelberg test in which hydrochloric acid secretion is monitored via a special capsule
that is swallowed which sends back pH signals over an hour.)
Low hydrochloric acid levels are dramatically linked to a dysfunctional gallbladder through a cascade of
biochemical events. Ideally, food should pass from your stomach into your small intestine, accompanied by
a steady flow of bile. If you are not secreting enough hydrochloric acid due to a lack of hydrochloric acid
producing nutrients (think sodium, iodine and zinc) OR if you are under stress, the opening to the small
intestine, known as the pylorus becomes spastic.
A spastic pylorus keeps the bile from entering the small intestine, so that it backs up into the liver and
gallbladder. Meanwhile your poor pancreas, which regulates the release of insulin (more about this later), also
suffers from the lack of HCl and bile. The result is not only poor regulation of blood sugar—that can lead to
weight gain—but problems with digestion and appetite.
The gallbladder seems to be especially reactive to emotions and tension. This may be due to its association
with appropriate stomach acid production which can be hampered by stress. Stress can stop hydrochloric acid
production in its tracks. So, needless to say, managing stress is a key defense. Make sure you give yourself
enough time to eat slowly and chew your food thoroughly—as your mother would surely say!
Sometimes, HCl supplements containing betaine hydrochloride with pepsin, or apple cider vinegar mixed in
water during meals is the solution. Other times, adding more salt, iodine and/or zinc to the diet can do the trick
because these nutrients are the precursors to make your own hydrochloric acid. Regardless of which nutritional
strategies you try, stress will always need to be managed.
Then, there’s the matter of aging. Most of us, by the time we hit 40 start to experience plummeting HCl
levels—often up to 50%. Unless you have esophageal corrosion or irritation, or a hiatal hernia, I would highly
recommend a trial of HCl. Besides prompting the gallbladder to secrete fat-emulsifying and toxin-removing bile
A most remarkable substance, it acts as a natural antibiotic, your first line of defense against toxic invaders, and
sets the stage for the proper pH in your gut. Without this, the beneficial bacteria that comprise your microbiome
may become over populated with nasty pathogens rather than friendly flora. Taking probiotics without stomach
acid can often result in more bloating by adding additional bacteria that will trigger gas in your stomach and
small intestine.
As you must surmise by now, you will not be deriving the extraordinary benefits that Smart Fats can bestow
without enough bile.
You will be missing out on the most potent energy source available to the body because gram for gram,
fat yields more than twice as much energy as carbohydrates or protein.
Since fat makes up the membrane of every cell in your body, your ability to process fat will affect every part of
you! By maintaining strong cell membranes, fats help protect against allergens, bacteria and viruses.
Without proper fat absorption, many things can happen in a cascade of unwelcomed side effects. You will be
deficient in utilizing B vitamins for digestion, nerve health, energy and mental well-being. You will be unable
to regulate calcium levels in the bloodstream and transport it to the tissues for strong bones and cramp-free
muscles. You won’t be able to carry and store fat-soluble vitamins such as A, D, E and K for healthy skin,
reproduction and blood clotting. You will be unable to conserve protein to rebuild vital tissues, maintain a
normal body temperature, insulate and cushion your vital organs, nerves, and muscles against shock, heat and
cold, or seal in moisture for healthier skin, hair and nails.
And that’s STILL not all that happens without proper fat utilization.
As the years go by, you can start to experience chronic dry and itchy skin, digestive upsets, a higher likelihood
of constipation and irritability, nervousness and even anxiety.
Convinced? I certainly hope so. These Smart Fats we all so desperately need can boost every aspect of health—
especially your brain to encourage clear and calm thinking and focus. The brain is made of 60% fat. If your
body is NOT receiving, digesting or assimilating high quality Smart Fats, your cells will be woefully lacking the
raw materials they need for high quality brain function.
What are some of the screaming signs that your body is not properly digesting fats?
Also, keep in mind that if you have been following a low-fat or non-fat diet for a while, your gallbladder has
been on vacation. It will need some time to adjust to actually working again the way Mother Nature intended
when adding back the Smart Fats. Simply put, the gallbladder is an organ that requires you use it or else you
will lose it (quite literally in this case).
Sadly, over the last several decades so many of us have been brainwashed to trade in our “bad” saturated butter
for processed margarine or polyunsaturated vegetable oils. The truth is that low-fat diets or diets filled with
these hydrogenated or transfats do not stimulate the gallbladder to release bile properly as only the Smart
Fats can.
Get a Smart Start
It’s time to wipe the slate clean because in the next pages you will be introduced to the various Smart Fats and
learn how they function and help you to reprogram your fat cells to slim, once again!
If you’re going to be adding more Smart Fats to your diet—one to two tablespoons of coconut oil, a couple of
pats of butter, a tablespoon of cream—then by all means, do make sure you’re digesting them properly.
In the meantime, try some of my personal liver and gallbladder tune-up tricks to set the stage for the most
efficient Smart Fat utilization that will help you lose weight by also balancing your metabolism, stress, appetite
and sex hormones. Please refer to the Smart Supplement section for some recommended brand names and
dosages of specific dietary supplements.
1. Remember, bile is beautiful! For those of you without a gallbladder, with gallstones, or who are exhibiting
signs of poor fat metabolism, a bile extract (known as bile salts) would be my choice to provide the missing bile
to help emulsify fats. There are several bile supplements available on the market today. An ox bile supplement
is considered a daily “must” for those of you who have had your gallbladder removed. You may also have to
2. Beets can’t be beat. Beets thin out and move bile. Beets are chock full of betaine which is a supercharged
bile rebuilder. These can be roasted, steamed or taken as beet root powder. Beets can also be grated raw in
salads or juiced in a combo along with carrot, celery and cucumber juice. Beet root concentrate can also be
taken in a tablet form.
3. Add some artichokes. Artichokes are a wonderful bile-producing food and also support overall liver
function.
4. Load up on lecithin. Lecithin, from non-GMO soy or sunflower seeds, is one of the primary emulsifying
or detergent-like agents in bile. It breaks down fats and makes them easy to digest. It also keeps cholesterol
moving through the bloodstream and prevents blockage.
5. Opt for orthophosphoric acid. This liquid substance is a natural remedy to help dissolve gallstones and
remove blockages, providing relief from discomfort.
6. Drink hot water with lemon first thing in the morning. This daily Fat Flush ritual helps thin bile to get it
moving. It is also a great way to gently cleanse your liver and detoxify your system.
7. Enjoy apple cider vinegar. A miracle in a bottle that cures all sorts of woes, apple cider vinegar contains
malic acid, which aids in digestion and thins out bile.
8. Consider HCl supplementation. Start at moderate doses as low as 250 mg per capsule and work your way
up according to tolerance. HCl is best combined with pepsin, another stomach digestive aid and sometimes is
formulated with ox bile for more complete digestion.
9. Look for lipase. For most efficient absorption and assimilation of Smart Fats, you might consider adding
lipase. This is a digestive enzyme secreted by the pancreas, which breaks down fats and oils into small particles.
In my testing, lipase is one of the most highly deficient enzymes for just about everybody.
10. Try taurine. This is a very important amino acid commonly deficient in those with allergies and multiple
environmental sensitivities. It is required by the liver for the removal of toxic chemicals, drugs and metabolites
from the body. It is a key component of bile acids made in the liver. It is commonly deficient in vegetarians
because it derived from organ meats and other animal proteins.
11. Get clear about choline. While typically used for cognitive improvement and muscular endurance,
this vitamin is key for regenerating the part of your liver that makes bile. Choline functions as a powerful
emulsifying agent making fats easier to digest. And, it is a most outstanding nutrient to remedy a fatty liver.
Moving Forward
When it comes to weight loss, there are no quick fixes but Eat Fat, Lose Weight comes close. I have searched
way beyond the conventional answers to uncover the root causes of unexplained weight gain. Hopefully
my investigative nature will pay off huge healthy dividends. Many years of hands-on experience and avidly