Carbs and Fat: Friends After all?
Once upon a time…
Here’s a true story… On a fitness message board, a member cautioned another against having peanut butter with his oatmeal. “Why not?” asked the confused youth. The pseudo-educated guy answered, “This is bad, never, especially while cutting, do you mix carbs and fats. PWO should be pro/carb.” I had to go into that thread and straighten things out. Yes, I’ll admit that I get kick out of breaking up a good bro-down. This incident was in 2004, and the last time I checked, we’re dangerously close to half a decade past that. Believe it or not, people still parrot this guideline.
Context-switching & oversimplification
In the same absolutist vein that The Zone Diet warns against consuming carbs without fat along with it, some of you may be aware of the opposite recommendation to avoid combining fats and carbs. It’s been suggested that when insulin levels are high, dietary fat in circulation has a better chance of making into the storage depots. This is misleading because it’s assumes a singular transient event will develop into the multi-factorial condition of over-fatness. Furthermore, it mistakenly ordains insulin as the almighty agent of fat gain (or inhibition of fat loss). Let’s clear up this mess, shall we?
How did this start?
Despite small fluctuations, the Standard American Diet (SAD) has traditionally been higher in carbohydrate (52%) and fat (33%), with protein (15%) taking up the least dietary space [1]. Since the prevalence of obesity has risen to belt-popping proportions in the US over the last three decades, it’s easy to claim that the high-carb/high-fat combination will keep you nice and plump. However, fitness buffs are typically on a high-protein/anti-carb kick, so the separation of carbs and fat in this population would have minimal impact either way. Still, the no-carbs-with-fat dictum has been adopted by many individuals in search of the edge; the magic secret.
A little horse sense
One of the biggest logical flaws of the “don’t mix carbs with fat” philosophy is that it’s extremely rare for individuals consuming more than one or two meals per day to be in a truly fasted state aside from waking in the morning. For most of us, there’s a constant meal absorption overlap that keeps insulin, glucose, amino acids, and lipids in the blood above fasting levels. Since we spend most of our waking hours in the ‘fed state’, it’s flat-out silly to think we can avoid this overlap by simply separating our carb and fat intake by a few hours. So, is this mixture of substrates in circulation a bad thing for fat loss in the first place? Buckle up, here comes the cold, hard data.
Separation anxiety
One thing that really bugs me is when someone makes an adamant claim about how the body works, but has no objective evidence to back it up. Such is the case with claiming that mixing fats and carbs is the ticket to fat gain (or fat retention). To my knowledge, there’s only a single study directly comparing the separation of carbs and fats versus their combination [2]. Both groups lost a significant amount of bodyweight. Although not to a degree of statistical significance, the combination group had greater weight and fat loss. The researchers concluded that despite popular belief, the separation of macronutrients (carbs and fat in particular) had no metabolic benefit over consuming them together.
More proof that having fat with carbs won’t hinder fat loss
A relatively recent trial examined the effects of 3 diets consisting of roughly 1400 kcals each for 8 weeks, followed by 4 weeks of maintenance [3]. The diets had the following macronutrient proportions: a) very low fat (70% carb, 10% fat, 20% protein), b) high unsaturated fat (50% carb, 30% fat, 20% protein), and c) very low carb (4% carb, 61% fat, 35% protein). Since none of the groups were told to separate their fat and carb intake, the high unsaturated fat group should have lost the least amount of fat because of all that dreadful mixing, right? On the contrary, no significant differences were seen in total weight loss, or loss of bodyfat percent. And here’s the kicker: this lack of difference in bodyfat reduction was seen despite the distinctly different effects each diet had on fasting insulin levels.
Another recent trial compared two 1500 calorie diets, a non-ketogenic diet and a ketogenic one [4]. Insulin sensitivity was equally improved between the groups. No inhibition of fat loss was seen in the non-ketogenic diet despite the fact that it was moderate in both fat (30%) and carbs (40%). In fact, the non-keto group lost more bodyweight and bodyfat than the keto group, although neither of these effects was statistically significant. It appears that any threat of fat/carb combining slowing fat loss is imagination-based.
Nails in the coffin, anyone?
The current body of research focuses on obese, deconditioned, or untrained subjects. And still, the moderate-carb/fat-combining fails to show a fat loss disadvantage over carb-restricted or carb-separated conditions. Putting athletic subjects through the same conditions would show even LESS of a difference. Since fit folks have far better glucose and insulin metabolisms than the unconditioned obese, nit-picky combination or separation would be a nonfactor for fat loss.
The bottom line is that as long as you’re aware of your macronutrient targets for the day, go ahead and sludge that peanut butter into your oatmeal if your little heart desires it. Leave the neurotic eating behaviors for those with a lot of faith in fairy tales.
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Alan Aragon has over 15 years of success in the fitness field. He earned his Bachelor and Master of Science in Nutrition with top honors. Alan is a continuing education provider for the Commission on Dietetic Registration, National Academy of Sports Medicine, American Council on Exercise, and National Strength & Conditioning Association. He maintains a private practice designing programs for recreational, Olympic, and professional athletes, including the Los Angeles Lakers, Los Angeles Kings, and Anaheim Mighty Ducks.
Alan is a contributing editor to Men’s Health magazine, where he has a monthly column called “Ask the Weight Loss Coach”. Alan also writes a monthly research review covering the late-breaking aspects of training, nutrition, and supplementation. More of his material can be found at his website.
To find our more about Alan because he is the mack daddy bomb, seriously, please check out his Research Review here or his website here where you can get his fantastic book Girth Control.
-References-
1. Briefel RR, Johnson CL. Secular trends in dietary intake in the United States. Annu Rev Nutr. 2004;24:401-31.
2. Golay A, et al. Similar weight loss with low-energy food combining or balanced diets. Int J Obes Relat Metab Disord. 2000 Apr;24(4):492-6.
3. Noakes M, et al. Comparison of isocaloric very low carbohydrate/high saturated fat and high carbohydrate/low saturated fat diets on body composition and cardiovascular risk. Nutr Metab (Lond). 2006 Jan 11;3:7.
4. Johnstone CS, et al. Ketogenic low-carbohydrate diets have no metabolic advantage over nonketogenic low-carbohydrate diets. Am J Clin Nutr. 2006 May;83(5):1055-61.







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Roland
I’m so glad you keep hammering this home.
When I first got into nutrition, no F with C was practically the mantra. Although I KNOW it’s wrong, I still find myself subconsciously limiting my fat when I have carbs. …or guiltily scarfing my cheesecake in secrecy.
I’ll probably still do that… but mostly because I don’t want my kids to know I have cheesecake. I want it and they won’t eat it ’til “later,” only later never comes and then it’s old and I have to throw it away because it’s too old (a crime) and then they think I ate it anyway OR I eat it anyway and that’s when they walk up and say they’re ready to have it. I still tell them I tossed it… mmmm… cheesecake.
September 24th, 2008 at 1:39 pmSinead
Thanks for the very enlightening article!
September 24th, 2008 at 2:16 pmMissy
Very good article – I remember reading Don Lemmon and his saying these absolutes about not mixing certain macros. I thought at the time that at some point they would all still be in the digestive tract together!! But it is funny what will sell and how desperate we are to find that “MAGIC”!!! It all comes to calories in and calories out!
September 24th, 2008 at 5:13 pmMike H.
Great to see you here, Alan!
The “Fit for Life” books have sold millions of copies based on such flawed logic and complete disregard for science and even basic digestion physiology. There is a fundamental problem right out of the shoot in that many foods are a combination of F/P/C to some degree. Then there’s the giant leap that food becomes undigested, putrifies and turns into toxins… the favorite obscurantist buzzterm of crank nutrition “experts”. This of course leads to escess body fat.
Of course the weight people lose on these diets has nothing to do with the ridiculously miticulous and restrictive dietary regime, but rather the “magical” cleansing work of the intestines.
Gotta stop – about to vomit in my mouth.
Great piece, Alan!
Can we look forward to seeing Ms. Peele as a guest author for the research review?
September 25th, 2008 at 8:26 amSheila | Live Well 360°
Great article Alan! Information like this is what needs to be on the front page of the daily news, instead of…”10 Ways How YOU Can Turn Fat Into Muscle!!”.
PS Where do you find these pictures Leigh???
Sheila
September 25th, 2008 at 2:12 pmhttp://www.livewell360.com
Alan Aragon
Thanks for the responses, everyone. This myth has withstood the test of time, so it’s about time to stomp on it.
Mike – yes, I do plan on getting Her Leighness into the AARR.
September 25th, 2008 at 4:45 pmJamie Hale
Here is a little more info the study Alan mentioned concerning mixed vs. food combining. A study conducted by Golay and colleagues compared a diet with equal macronutrient content and substrate percentages; that differed only in how the substrates were consumed (mixed diet vs. food combining). The results were no difference in weight loss. Here are the exact results reported by the researchers. “Results: There was no significant difference in the amount of weight loss in response to dissociated (6.2 +/- 0.6 kg) or balanced (7.5 +/- 0.4 kg) diets. Furthermore, significant decreases in total body fat and waist-to-hip circumference ratio were seen in both groups, and the magnitude of the changes did not vary as a function of the diet composition. Fasting plasma glucose, insulin, total cholesterol and triacylglycerol concentrations decreased significantly and similarly in patients receiving both diets. Both systolic and diastolic blood pressure values decreased significantly in patients eating balanced diets. The results of this study show that both diets achieved similar weight loss. Total fat weight loss was higher in balanced diets, although differences did not reach statistical significance. Total lean body mass was identically spared in both groups. CONCLUSION: In summary at identical energy intake and similar substrate composition, the dissociated (or ‘food combining’) diet did not bring any additional loss in weight and body fat”. Actually looks like a slight increase in fat loss with mixed diet (balanced diet). We have tons of anecdotal evidence that denies the need for food combining. We have evolved on a mixed diet. With all of that said food combining may be beneficial regarding calorie control. Once you eliminate an entire macronutrient from a meal this can go a long way in decreasing total caloric intake. If this is what you need to do to control energy intake feel free to do so.
September 28th, 2008 at 1:26 pmJulia
So I understand that the macro mixing does not inhibit the body’s fat storage one way or another. However, what about your overall macro ratio for the day? Do overall higher protein diets lead to a faster metabolism, since protein requires more energy to be broken down? I’ve been very confused for quite some time in regards to the old age argument of whether or not “a calorie is a calorie”. Could I eat the same amount of calories I’m eating now, but with less protein, and still maintain the same results? I would greatly appreciate your insight with this. Thank you so much for your time and knowledge!
July 14th, 2009 at 7:59 pmMaya
From my own experience I can only say, that food combining helped me to reduce weight. However what hold probably true is, that the switch to a Food Combining Diet probably helped to reduce calories. E.g. eating more proteins combined with fresh vegetables. However: the result is, what counts. Many people should change their diet!
January 5th, 2010 at 11:14 am