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Fiber

  • Fiber works as a metabolic brake by slowing carbohydrate absorption
  • It is the ‘antidote’ for the ‘poison’ of fast carbohydrates
  • Refining removes fiber and fat, leaving only naked carbohydrate behind
  • With TKB, the role of fiber is supportive, not essential
  • The toxicity is in the processing, not in the food itself

Fiber forms a special component of plant-based nutrition. It provides hardly any energy itself but influences the absorption and processing of nutrients.


The role of fiber as an ‘anti-nutrient’

Section titled “The role of fiber as an ‘anti-nutrient’”

Fiber is unique because it does not nourish, but rather restrains.

EffectMechanism
Delayed gastric emptyingSoluble fiber
Reduced absorptionOf carbohydrates in small intestine
Lower peaksGlucose and insulin after meals

Natural balance: Mother Nature’s ‘package’

Section titled “Natural balance: Mother Nature’s ‘package’”

Unrefined plant foods naturally contain fiber, fat, and protein in a balanced ratio.

PopulationsCarbohydrate intakeMetabolic diseases
Okinawans70-80% energy from carbohydratesNone
Kitavans70-80% energy from carbohydratesNone

The reason: the intact matrix of their food — fiber and fat remained preserved.


Refining removes:

ComponentReason
FiberFor texture
Natural fatsFor shelf life
MicronutrientsAs a byproduct
EffectResult
Satiating effect lostEating more
Glycemic index risesFaster blood sugar rise
Chronically elevated insulinInsulin resistance and fat storage

Diet typeDiabetes risk
High-GI, low fiber+75-200% increased
High-GI, high fiberRisk virtually neutralized

The balance between ‘poison’ (fast carbohydrates) and ‘antidote’ (fiber) determines the metabolic outcome.


With therapeutic carbohydrate restriction, carbohydrates are limited to 20-130 g/day.

Role of fiberExplanation
Not necessaryFor metabolic control
But useful forSatiety, gut health, slower glucose absorption
  • Vegetables with low glycemic load
  • Nuts
  • Chia and flax seeds
  • Fermented products

Clinical application in metabolic dysfunction

Section titled “Clinical application in metabolic dysfunction”

For patients with insulin resistance or type 2 diabetes:

AdviceExplanation
Fiber-rich vegetables as bufferWith mixed meals
Avoid juices and smoothiesFiber is removed or destroyed
With constipation during TKBIncrease water and salt intake
ConsiderSmall amounts of psyllium or chia gel

With hyperinsulinemia, reduction of total carbohydrate intake remains essential.


No.Advice
1Eat unprocessed plants in their entirety, not in powder form
2Combine fiber with fat and protein (e.g., vegetables with olive oil or fish)
3Avoid ‘fiber-rich’ processed products
4Listen to satiety: fiber fills mechanically, true satiety comes from protein and fat

Veelgestelde vragen

What does fiber do for metabolism?

Soluble fiber slows gastric emptying and reduces carbohydrate absorption in the small intestine. This leads to lower glucose and insulin peaks after meals. Fiber functions as an antidote for fast carbohydrates.

Why is refining harmful?

Refining removes fiber, natural fats, and micronutrients. This causes the satiating effect to be lost, the glycemic index to rise, and insulin levels to become chronically elevated, leading to insulin resistance and fat storage.

Is fiber necessary with TKB?

With therapeutic carbohydrate restriction, extra fiber is not necessary for metabolic control but can contribute to satiety, gut health, and slower glucose absorption. Recommended sources: vegetables, nuts, chia and flax seeds.

What are the best fiber sources?

Eat unprocessed plants in their entirety, not in powder form. Vegetables with low glycemic load, nuts, chia and flax seeds, and fermented products. Avoid industrially processed fiber additions.


Medische Disclaimer: De informatie van Stichting Je Leefstijl Als Medicijn over leefstijl, ziektes en stoornissen mag niet worden opgevat als medisch advies. In geen geval adviseren wij mensen om hun bestaande behandeling te veranderen. We raden mensen met chronische aandoeningen aan om zich over hun behandeling goed door bevoegde medische professionals te laten adviseren.

Medical Disclaimer: The information provided by Stichting Je Leefstijl Als Medicijn regarding lifestyle, diseases, and disorders should not be construed as medical advice. Under no circumstances do we advise people to alter their existing treatment. We recommend that people with chronic conditions seek advice regarding their treatment from qualified medical professionals.