I have to agree with everyone about the blood sugar problem. The dietician I saw told me to eat more carbs. Eating that way, I could never get my blood sugars below 170 and that was with medication. I have been off meds for a long time now and my blood sugar is usually in the 90's. I have been eating this way for many years and my cholestrol is very low and my triglygerides have remained around 55. I havent seen any long term effects except continued weight loss and consistantly great blood test results.