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<blockquote data-quote="Sean_Raymond" data-source="post: 2354079" data-attributes="member: 403497"><p>I cannot say enough that I am not discarding anyone's personal experience, reasons or explanations - that is not how I am wish to come across at all. Clearly my view is that the insulin hypothesis doesn't stack up whilst many here do. That is my view and in a way I am here testing it with you all because I would not disregard all of your evidence, some of which conflicts with my opinion. I see the people here as experts and do not wish to appear to be lecturing people who obviously know best their experience with their condition and diet. I am not doubting what people have done or achieved. </p><p></p><p>I am aware of the limitations of my profession and that people here may have found some of my peers to be unhelpful (I have my own battle with Dr's/HCP's in my professional and personal life too). I am governed by a best practice policy and must use solid evidence and clinical guidelines which can straightjacket our approaches. Sadly the low carbohydrate approach still falls outside of what some would prescribe despite increasing evidence for them. This attitude is changing, I could better get away with guidance on a low carbohydrate diet than a few years ago (some departments/trusts less easily so) although I'd possibly lose my job if I trialled a keto diet for weight loss/blood glucose control. If I recommended a paleo diet I will have just committed career suicide. There can be a delicate balance between personal views, demand to adhere to professional clinical guidance and trying to be flexible and offer people safe alternative options whilst making sure I do not have my licence taken away! I am sorry if people in my profession haven't been helpful or disrespectful to what you have done.</p></blockquote><p></p>
[QUOTE="Sean_Raymond, post: 2354079, member: 403497"] I cannot say enough that I am not discarding anyone's personal experience, reasons or explanations - that is not how I am wish to come across at all. Clearly my view is that the insulin hypothesis doesn't stack up whilst many here do. That is my view and in a way I am here testing it with you all because I would not disregard all of your evidence, some of which conflicts with my opinion. I see the people here as experts and do not wish to appear to be lecturing people who obviously know best their experience with their condition and diet. I am not doubting what people have done or achieved. I am aware of the limitations of my profession and that people here may have found some of my peers to be unhelpful (I have my own battle with Dr's/HCP's in my professional and personal life too). I am governed by a best practice policy and must use solid evidence and clinical guidelines which can straightjacket our approaches. Sadly the low carbohydrate approach still falls outside of what some would prescribe despite increasing evidence for them. This attitude is changing, I could better get away with guidance on a low carbohydrate diet than a few years ago (some departments/trusts less easily so) although I'd possibly lose my job if I trialled a keto diet for weight loss/blood glucose control. If I recommended a paleo diet I will have just committed career suicide. There can be a delicate balance between personal views, demand to adhere to professional clinical guidance and trying to be flexible and offer people safe alternative options whilst making sure I do not have my licence taken away! I am sorry if people in my profession haven't been helpful or disrespectful to what you have done. [/QUOTE]
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