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The Atkins diet has generally been considered by most medical and nutritional experts to be unsound or even quackery. Opponents of the diet mention that the initial weight loss upon starting on this diet is a phenomenon common with most diets, and is due to reduction in stored glycogen and related water in muscles, not fat loss. They claim that no evidence has surfaced that any diet will cause weight loss unless it reduces calories below the maintenance level. Reports have also indicated that successful weight loss due to the Atkins diet has been the result of fewer kilojoules (calories) being consumed by the dieter, rather than the lack of carbohydrates. [2]

After the initial two week period, carbohydrate intake is gradually increased until it reaches a level at which the dieter loses weight slowly and can reduce or eliminate the supplements. Once the target weight is reached, carbohydrate levels are again gradually increased until the dieter's weight becomes stable. Each of these carbohydrate levels varies from person to person. Dr. Atkins argues that many eating disorders are the result of hyperinsulinism, or excessive secretion of insulin, which, according to Atkins, causes food cravings and unstable blood sugar levels. Atkins claims that his diet stabilizes insulin and blood sugar levels, eliminating cravings and often reducing appetite.

Proponents of the diet mention that low-carbohydrate diets have been the subject of heated debate in medical circles for three decades [1], but are still "damned knowledge", so much so that until recently no serious research has been done on Atkins or other low carbohydrate diets. They mention that a few small research projects, as well as a great deal of anecdotal evidence, have shown such diets to help participants lose weight.