Veggie Blog

When you start the Atkins diet, the supermarket changes. The old version of this post said that macaroni and cheese, pasta and bread vanish from the shopping list, and that you may feel like a fish out of water for the first few trips. It also gave tips on planning, buying meat in bulk and reading labels. This rewrite keeps those tips, checks them and adds food-safety and label advice.

How do you plan before you leave home?

The old post suggests listing the week’s recipes first, working out what each meal needs, and adding low-carb snacks for between meals. That is good practice for any diet. It also suggests cooking one main dish for the whole family and giving the others a carbohydrate side, such as half a potato next to the meatloaf, so you do not have to cook two dinners. For snack ideas with real carb counts, see low-carb snack ideas for Atkins and other low-carb plans, and for menus see planning for Atkins.

Where should you shop in the store?

The old post advises filling your cart with protein and produce first, so there is less room for anything else, and sticking to the outer edges of the store, where the produce, meat, fish and deli counter usually are. Store layouts vary, and plain frozen vegetables in the middle aisles are fine too. The old post also said to avoid all packaged foods during the first phase, including low-carb products. Our post on what you can eat on Atkins and how to read the label lists the foods that make up most of the plan.

How do you read a label?

Be careful with “low carb” claims on the front of a package. According to a dietitian at Ohio State’s Wexner Medical Center, “net carbs” is a term created by food companies, and neither the FDA nor the American Diabetes Association endorses it. They advise looking at total carbohydrates on the Nutrition Facts label. Net carbs are usually worked out by taking total carbohydrate and subtracting fiber and sugar alcohols, and it can still be useful to know them if you are counting carbs. The old post warned that some products have hidden sugars, which is a good reason to read the ingredient list too. Learn more in the Ohio State article on tracking net carbs.

Is buying meat in bulk a good idea?

It can save money, as the old post says, but only if you store the meat safely. The U.S. Department of Agriculture advises storing raw ground beef at 40°F (4°C) or below and using it within one to two days, or freezing it. Frozen at 0°F, ground beef stays safe indefinitely, though quality drops and USDA suggests using it within about four months. Cook ground beef to 160°F, and never leave raw meat out for more than two hours (one hour above 90°F). That is why the old post’s tip to cook meat in batches fits well: cook it, refrigerate it within two hours and keep it cold. USDA says cooked ground beef keeps for about three to four days in the fridge, or freeze it. Mark packages with the date. Read the details on ground beef and food safety.

What about cheese and fiber?

The old post says cheese can be bought in bulk if you tolerate it, and reminds readers to eat fiber (salad or raw vegetables) with it. Cheese is high in saturated fat, so keep portions reasonable, and low-carb eating can be low in fiber, which is why vegetables matter. Check the labels on shredded or processed cheese too.

How do you keep costs down?

Low-carb shopping is often expensive. Our guide to eating low-carb on a budget explains how planning, bulk buying and freezing, and choosing good-value proteins can trim the bill. With a list, a plan and a little practice, the old post says you will soon be an experienced low-carb shopper, and that part of the advice still stands.

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Many detox programs begin by promising a long list of tests and a plan built just for you. It sounds scientific, but the reality is simpler. Your liver, kidneys, intestines, lungs and skin already remove waste around the clock. What you can do is support them with good habits and avoid anything that could harm you. Here is what a sensible “natural detox” looks like, and what to leave out.

Should you start with a checkup?

Yes, but with your own doctor rather than a detox clinic. If you feel tired, bloated or run down, there are many possible reasons, including too little sleep, low iron, thyroid problems or stress, and a doctor can check them. Ordinary blood tests can show real problems such as a vitamin deficiency or an anemia. Be careful about commercial “toxin” or “mineral” panels sold with a detox package, because they are not a proven way to guide a detox. Also check with your doctor before you change your diet if you take medicine, have diabetes, or have heart or kidney disease.

What should you eat?

The part of detox that works is the food. Build your meals around vegetables, fruit, beans, lentils, whole grains and nuts, drink enough water, and cut back on alcohol, sugary drinks and heavily processed snacks. Fiber helps keep your digestion regular, and psyllium husk is one fiber supplement that some people use. Most healthy people do not need to eat only juice or a few foods for days. A few lighter days with simple vegetable meals will do you no harm, but they do not remove toxins either.

What about exercise, sweating and baths?

Regular exercise is one of the best things you can do. Adults need at least 150 minutes of moderate activity a week, and it improves your mood, sleep and circulation. You will sweat, but sweating is not how the body gets rid of most waste. The kidneys and the liver do that. The National Center for Complementary and Integrative Health lists saunas among common detox methods, and notes that studies of detox programs have been few and of low quality. If you enjoy a sauna, keep sessions short, drink water, and ask your doctor first if you have heart or blood pressure problems. Dry brushing is another popular step. It can feel invigorating, but there is no proof that it draws toxins out of the skin.

Are colon cleanses and enemas a good idea?

We suggest that you skip them. The same agency says there is limited evidence for colon irrigation and that cleansing procedures can have side effects, some serious, especially in people with bowel disease, kidney disease, heart disease or past colon surgery. Strong laxatives can cause diarrhea, which can lead to dehydration. Read the NCCIH fact sheet on detoxes and cleanses before you buy any cleansing product.

How do rest and relaxation help?

Sleep, massage and quiet time will not clear toxins, but they do help you cope with stress, and stress can affect how you eat and sleep. Adults need about 7 to 9 hours of sleep a night, according to the National Institute on Aging. Gentle yoga and breathing exercises can help you wind down. Choose a pace and a practice that fit your life, and think of them as habits to keep rather than a one-off cleanse.

The bottom line

A natural detox that makes sense is really just a healthy lifestyle: a plant-rich diet, plenty of water, less alcohol, regular exercise, enough sleep and a way to relax. Anything that asks you to stop eating, spend a lot of money on powders or capsules, or undergo a procedure to “flush” your body deserves a close look first. For more, see our posts on body detox the easy way, how to judge body detox products before you buy, what the evidence says about cleansing the body and a 5-day body detox plan.

When you feel drained, achy and low on energy, the idea of a detox is tempting. We are told that a cleanse will give us clearer skin, a sharper mind and a stronger immune system. It is worth knowing what actually happens in your body before you try one, because the gentlest options are also the ones with the best track record.

What does your body already do?

Detoxification is something your body does all day, every day. The liver breaks down and packages waste, the kidneys filter the blood and make urine, the intestines clear solid waste, the lungs breathe out gases, and the skin loses some waste through sweat. You do not need to “switch this on.” What you can do is avoid overloading it, and give it what it needs to work well.

Are juice and water fasts a good place to start?

Many detox plans start with a juice fast or a water fast. The idea is that giving the digestive system a rest will let the body clean itself. In reality, there is little evidence for it. The National Center for Complementary and Integrative Health explains that juice and detox diets can lead to a quick initial weight loss because of the very low calorie intake, but people tend to regain weight when they return to normal eating. Fasting can also cause headaches, fainting, weakness and dehydration, and drinking large amounts of water and herbal tea without food for several days can cause dangerous electrolyte imbalances.

There are other risks. Juice that has not been pasteurized can carry harmful bacteria, which is a particular problem for children, older people and anyone with a weak immune system. Some juices are high in oxalate, which can matter for people prone to kidney stones, and anyone with diabetes should not change their eating without talking to their health team. You will also see claims that you can lose 30 to 40 pounds on a 30-day juice fast, but that kind of weight loss is neither healthy nor lasting.

What helps lower the load on your body?

The simplest step is to cut back on things that put a strain on your body: cigarettes, alcohol, and too much sugar and saturated fat from fast food and processed snacks. Use household and personal care products as directed on the label and keep your home ventilated. You cannot remove every chemical from your life, and you do not need to, but the habits above make a real difference to your health.

Which gentle habits are worth trying?

Change what is on your plate. Replace packaged and fast food with whole grains, fruit, vegetables, beans and nuts, which are rich in fiber and nutrients and low in fat and sugar.

Sweat a little, if you like. Saunas are used in many cultures, and some people find them relaxing. They are not proven to remove chemicals from your cells. If you have heart disease, low blood pressure or are pregnant, ask your doctor first, and always drink water.

Try skin brushing as a pleasant routine. A soft, natural-bristle brush used on dry skin before a shower can remove dead skin cells and feel stimulating. There is no good evidence that it moves toxins or “stimulates the lymph” in a meaningful way, and you should not use it on broken or irritated skin.

Practice yoga. Gentle yoga has been linked to better mood, sleep and stress, according to the NCCIH review of yoga. Twists and stretches will not “wring out” your organs, but they do relax you and keep you moving.

What is the bottom line?

If you want to feel better, the plan is not exotic. Eat more plants, drink water, sleep, move, and limit alcohol and tobacco. Read the full NCCIH guide to detoxes and cleanses if you are considering a program. Our posts on body detox the easy way, detox herbs, balancing pH and detox and body cleansing and detox for body and mind go into more detail.

Atkins is a low-carbohydrate way of eating, and the foods you choose depend on which phase you are in. The old version of this post gave a muddled description of the “Atkins pyramid” and told readers to rely on the diet’s own products. This updated guide sticks to what Atkins itself publishes, and adds what independent sources say about labels and balance.

What does an Atkins plate look like?

The Atkins company describes the plan in terms of net carbohydrates, which it defines as total carbohydrate grams minus fiber grams, and in its low-carb foods also minus sugar alcohols. Protein foods such as meat, poultry, fish and eggs, together with fats such as olive oil and butter, are the base of each meal. Carbohydrates come mainly from what Atkins calls “foundation vegetables,” which are non-starchy vegetables such as leafy greens, asparagus, peppers, celery, cucumbers and cruciferous vegetables like broccoli and cauliflower. Avocados and olives count too. Root vegetables such as potatoes, sweet potatoes, parsnips, carrots and beets are not foundation vegetables. You can see the list on the Atkins healthcare professionals page on foundation vegetables.

Which foods are limited at the start?

In the first phase, Induction, Atkins allows 20 grams of net carbohydrates a day, with 12 to 15 grams coming from foundation vegetables. It asks people to avoid sugar, white flour and other refined grains, whole grains, most fruit (other than avocado, tomatoes and olives), legumes, starchy vegetables and milk. Berries and other foods are added back in later phases. The old post said that fruits are used sparingly in the early stages and whole grains only occasionally, which is in line with this. Our post on Atkins diet basics explains the four phases, and the Induction rules are covered in a separate post on the first two weeks.

Can you rely on low-carb labels?

Not blindly. The old post warned that manufacturers put “low carb” on labels to sell products, and that is a fair concern. The Ohio State University Wexner Medical Center notes that neither the FDA nor the American Diabetes Association endorses the idea of “net carbs” and that they advise people to look at total carbs on the nutrition label. Even so, it can be useful to know net carbs if you have diabetes or are trying to lose weight. A good habit is to read the Nutrition Facts label and the ingredient list, check the serving size, and subtract fiber from total carbohydrate yourself. See the OSU article on tracking net carbs.

How can you plan meals and shop?

Write a list of acceptable foods and keep it with you, so that you are not trying to remember what you can eat when you are hungry. Plan meals for the week and shop from a list. The old post suggested using Atkins cookbooks and online menu planners, many of which are written by companies selling food, so judge them as you would any diet advice. Our posts on planning meals for Atkins, low-carb swaps and eating low-carb on a budget give practical ideas.

Is it a balanced way to eat?

That depends on how you do it. Plenty of non-starchy vegetables, fish, eggs and nuts can be part of a healthy diet, but a plan built on processed meat, butter and packaged low-carb bars may not be. Talk to your doctor or a dietitian before starting, especially if you have diabetes, kidney disease or take medicine for blood pressure or cholesterol. The Atkins site itself says that the weight loss phases should not be used by people on dialysis and that you should consult a doctor before beginning.

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Staying healthy does not need a complicated plan. For most women, a handful of habits and the right checkups do most of the work. Here are the ones with the best backing, with the numbers checked against current guidelines, in place of the long list of tips you may have seen elsewhere.

What should you eat and drink?

Build your meals around vegetables, fruit, beans, whole grains and lean protein, and cut back on foods that are high in saturated fat and added sugar. If you are trying to lose weight, you do not need to follow a strict plan to start: smaller portions and fewer sugary drinks are a good beginning, and our guide to eight habits for losing weight the healthy way shows how. As for water, the often-quoted “eight glasses a day” is not an official target. The National Academies report that women who appear adequately hydrated take in about 2.7 liters (91 ounces) of total water a day from all beverages and foods, and that normal drinking, with thirst as a guide, is enough for most healthy people. Needs are higher in hot weather and during long workouts.

How active should you be?

At least 150 minutes of moderate activity a week plus two days of muscle strengthening is the target for adults. Walking, taking the stairs, playing with your children, yoga and home workouts all count. If you want an easy start, try a gentle morning yoga routine for beginners.

Do you get enough sleep and rest?

The CDC says that adults aged 18 to 60 need 7 or more hours of sleep a night, and that enough sleep helps with stress, mood, weight and heart health. Going to bed and getting up at the same time, keeping the bedroom cool and quiet, and avoiding caffeine late in the day all help. Time with friends, a good book or a walk are fine ways to wind down. If you regularly cannot sleep, speak to your doctor.

How do you protect your skin from the sun?

The American Academy of Dermatology recommends a sunscreen that is broad-spectrum, SPF 30 or higher and water resistant. Most adults need about 1 ounce, roughly a shot glass, to cover the skin that is not covered by clothing, and it should be reapplied about every two hours and after swimming or sweating. Shade, long sleeves and a wide-brimmed hat help too. For a skin routine, see the importance of skin care.

Which bone and calcium habits count?

Women aged 19 to 50 need 1,000 mg of calcium a day and women over 50 need 1,200 mg, according to the NIH Office of Dietary Supplements. Food is the best place to get it. If you take a supplement, it is better to split a large dose into two smaller ones. Vitamin D and weight-bearing exercise such as walking also protect bones. Be wary of claims that calcium or vitamin E prevent menstrual cramps or menopausal hot flashes; I could not find reliable support for those, so ask your doctor instead. For more on calcium, read calcium supplements and how to take them safely.

Which screening tests do you need?

These are worth discussing at your yearly visit. The U.S. Preventive Services Task Force recommends screening for cervical cancer every 3 years with cervical cytology in women aged 21 to 29, and, for women aged 30 to 65, every 3 years with cytology, every 5 years with high-risk HPV testing, or every 5 years with both. It also recommends a mammogram every 2 years for women aged 40 to 74. Both recommendations may be updated, so ask your doctor what applies to you, especially if you have a family history or other risk factors. The USPSTF breast cancer recommendation and cervical cancer recommendation explain the details.

What about smoking and alcohol?

If you smoke, quitting is one of the best things you can do for your health, and it is also good for your bones. Alcohol is best kept low. Your doctor or pharmacist can help you find a plan that works.