Why do we so often have trouble following through with the way we want to be and act? Unfortunately for me, I face this question all the time. Having made a study of habits and motivation, I have an almost endless supply of tools and tricks to get myself out of a bad mood, figure out what to do next, or get on track–yet even though these tools and tricks have made a huge positive impact in my life, I still manage to be far from perfect. Sometimes I’m late despite knowing exactly how not to be late; sometimes I become disorganized despite having terrific organizational systems at my disposal; and sometimes I fall short on goals or fail to change in the way I’d like to. Why? It seems to come down to three kinds of problems: not knowing, not believing, or not caring.

Here’s an example: recently I’ve been doing some reading that brings me to believe that the advice we’ve been given for decades about how to fend off heart attacks and strokes and all of that is completely wrong (see my recent article “Wait–Eating Lots of Fat Is GOOD for Your Heart?“). Once I’ve decided that what I’ve read is compelling enough to act on, why wouldn’t I become instantly and completely compliant with all of the new guidelines I’ve learned? After all, it could be literally a matter of life and death.

Don’t know: Before I started reading up on the “fats good, sugars bad” perspective, I had lots of misinformation that was fed to me–and that continues to be fed to me–by mostly well-meaning nutritionists, government officials, and doctors. If I don’t have good information, I can’t very well act on it. It’s very hard to change a habit, for instance, without knowing how habits work (by the way, this site has a number of clear, specific, and carefully researched articles on that subject).

Don’t believe: There are different versions of the belief problem, but one example is plain old doubt. For instance, I might find Dr. Peter Attia’s posts about fat very compelling, but still be nervous to switch to a fat-driven diet because I have a hard time believing that almost all of the information I’d received on the subject in the past was wrong.

Worse, and perhaps even more common, is lack of belief in ourselves. If I don’t believe I can make a change in my life, then all of my efforts in that direction will begin to seem pointless, and it will be very hard to keep myself going.

My belief might be from old information I’m having trouble letting go of, or new and conflicting information, even if it’s from the same old sources or if I know the information I already have is better. Maybe I have friends, family members, coworkers, teachers, colleagues, or role models who don’t believe what I believe, and that’s making sticking to my guns harder.

Don’t care: Perhaps worst of all is when I know what to do and I believe it will make a difference, but I just don’t care at that point. Maybe I’ve had a rough day or a bad night’s sleep and don’t feel as though I can put the effort into one more thing. Maybe I’m concentrating on the things I don’t like about what I’m doing or on things that I can’t or shouldn’t do if I want to pursue that goal instead of on what I can be doing next or on what inspires me. Sometimes I might just not be able to get up any enthusiasm for working on a goal that might never be realized, or that would only have an effect in the distant future. Or it could be that I’m just distracted, preoccupied with other things and not able to spare the attention and interest.

Regardless of which of these problems I have, realizing that I’m faced with a problem in knowledge, belief, or caring makes an instant improvement. Asking myself what I don’t know can lead me to the information I need, and realizing I’m having trouble believing or caring can lead me back to whatever inspired me to believe or care in the first place. When these kinds of obstacles are addressed, then the problem vanishes as if by magic, and suddenly I’m back on track.

Photo by Sharon Morrow.

The common knowledge about heart health is that fat is the enemy. In recent years we’ve tweaked that idea with the concept of “good fats” in moderation, but basically “low fat” has been the wisdom we’ve heard from doctors, the media, and the government.

Peter Attia is a surgeon with an extensive background in mathematics and statistics who has been intensively researching heart health, weight loss, and many related physiological processes for the last several years. The problem, Attia, says, is that the actual scientific research points in completely the opposite direction: it fingers carbohydrates, especially sugar, as the heart killer, the clogger of arteries and generator of flab. Fat, according to the research he’s talking about, is not just benign–it’s crucial, because we still need a source of energy in our diet, and if we cut out fats and carbohydrates we have nothing left but protein, which isn’t a great source of energy and is comparatively very expensive to boot.

So the idea is to eat enough fat to feel sated and to keep consumption of carbohydrates, especially sugar (and especially especially high-fructose corn-syrup, a.k.a. HFCS) low.

If you find yourself thinking that Attia is some kind of obsessed weirdo with unscientific ideas about fats, I suspect you may change your mind if you read some of the in-depth, highly analytical posts on the subject he has on his Web site, eatingacademy.com. (It’s just an informational site, by the way: he’s not selling anything.) Though come to think of it, it might make the case a little more clearly and effectively if you just take a look at the guy. Does he not look like he understands something about weight loss, heart health, and physiology?

So I encourage you to take a look at his site. If you’re concerned about cholesterol, which was the main thing that got me interested in Attia’s writing, here are a few key points as I understand them:

• Cholesterol is an important material our body uses to repair cells, and without it we’d die–yet as we know, it can cause heart attacks, strokes, etc.
• Almost every cell in our body can manufacture cholesterol, and the great majority of cholesterol in our bloodstream is cholesterol our bodies have made.
• Very little of the cholesterol we eat stays in our body: most of it isn’t absorbed. (Attia explains the how and why of this at length.)
• Therefore, the amount of cholesterol we eat doesn’t have much to do with heart health at all.
• By contrast, carbohydrates–especially sugars–tend to cause cholesterol to embed itself in artery walls and build up there, a condition called Atherosclerosis.
• It’s not the total amount of cholesterol in a person’s bloodstream that indicates danger of Atherosclerosis, but rather the number of cholesterol particles, because the particles can be different sizes and carry different amounts of cholesterol, and it’s the smallest ones that are most dangerous.
• The usual “cholesterol test” most of us have been given measures only the total amount of cholesterol and are therefore fairly useless in predicting Atherosclerosis and related conditions.
• Less common tests that measure the number of cholesterol particles in our blood are much better indicators of heart health. (By the way, yes, “good” versus “bad” cholesterol still comes into play.)

Don’t take this from me, because I’m no expert: Attia has a lot more information on it at his site. However, I’m hoping the above conveys the idea well enough for you to decide whether or not you’re interested in hearing more about it on Attia’s site. He’s obsessed with this topic, and for good reason.

I’m not saying, by the way, that I know all this to be true and accurate. However, I’ve found the evidence compelling enough to have shifted from a low-fat diet to a low-carbohydrate (and high-fat) diet over the past couple of months. Since medical tests have revealed I have the beginning of plaque buildup in my arteries, in a way I’m literally betting my life that Attia’s right. If he is, that would explain why greatly limiting my cholesterol intake didn’t seem to help my cholesterol count, and why years of eating just the kind of diet the traditional “wisdom” on the subject dictates led me to the beginnings of Atherosclerosis.

An important, related note: if you do switch to a much lower-carb, higher-fat diet, please, please do so in a way that takes into account your carbon footprint. Red meat, for example, makes a much worse impact on climate change than plant-based foods–unless you’re getting pastured or grass-fed meat, which is close to carbon neutral . It doesn’t matter if you’re as healthy as a horse if ten years from now you and your family are drowned in the latest superstorm, or are starving due to a global famine brought on by changing climate, droughts, floods, and pests. I don’t mean to be a wet blanket here, but it’s important for me to mention it. If you’re interested in becoming part of the solution to climate change rather than the problem, check out the things I’m posting at www.faceclimatechange.com and consider switching to much more local food sources; see www.localsource.me .