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I first discovered lower carbohydrate diets about 15 in the past -- before their recent popularity. Very first introduction was by to a book entitled "The Endocrine Control Diet." As the Atkins Diet and other low carb diets for that matter, it was based on the severely restricted carbohydrate intake -- as compared to 50 grams of carbs per day. You put your body into a situation of ketosis and force it to burn fat rather than glucose.
Dehydration: As the patient is constantly excrete high amount of water he becomes dehydrated. Dehydration presents with sunken eyes, dry lips, loss of skin turgidity, etc.
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The body is an amazing machine. Generally take proteins and fats and convert them into glucose on top of that. So when you restrict your carbohydrates on the Atkins diet, you essentially force method to burn proteins and fats. Much more why it is vital to eat fat for this diet.