The Dr. Stillman diet, an early predecessor to many modern low-carb plans, is built on a few core principles: high protein intake, low carbohydrate consumption, and minimal fat. This combination is intended to induce a state of ketosis, where the body burns fat for fuel, and to suppress appetite. Success hinges on strict adherence to a very limited list of allowed foods and a rigorous avoidance of restricted items.
Allowed foods on the Dr Stillman diet
The list of approved foods is highly restrictive and focuses almost entirely on lean protein sources and water. Dieters are encouraged to eat six small meals throughout the day rather than three large ones to help manage hunger.
Protein sources
- Lean Meats: This includes all lean meat with all visible fat trimmed off. Acceptable choices are lean beef, veal, and lamb.
- Poultry: Skinless chicken and turkey breast are central to the diet. The skin must be removed to minimize fat intake.
- Fish and Seafood: Lean fish, such as cod, haddock, and perch, are permitted. Most types of seafood are also allowed.
- Eggs: Eggs, preferably hard-boiled, are an approved food. No fat, such as butter or oil, can be used in their preparation.
- Low-Fat Dairy: Non-fat cottage cheese is specifically allowed, along with some other types of low-fat cheese.
Beverages
- Water: Drinking at least eight tall glasses of water a day is mandatory to help flush the system and promote satiety. This requirement gave the diet its nickname, the "Water Diet".
- Tea and Coffee: Both are permitted, but without any cream, milk, or sugar.
- Diet Soft Drinks: Zero-calorie beverages are allowed.
Seasonings
- Herbs and Spices: Flavor can be added using herbs, spices, salt, and pepper.
- Condiments: A small selection of low-calorie sauces like tabasco, ketchup, or horseradish is allowed sparingly. Mayonnaise and salad dressings are strictly forbidden.
Restricted and prohibited foods
The Stillman diet is defined by what it prohibits, which includes nearly all sources of carbohydrates and fats.
Carbohydrates
- Grains: All bread, pasta, rice, and cereal are strictly forbidden.
- Fruits: Fruits are generally off-limits due to their carbohydrate and sugar content.
- Sugar: Added sugars and desserts are prohibited.
- Starchy Vegetables: Vegetables like potatoes, carrots, and peas are not allowed in the initial, stricter phase.
Fats
- Oils and Butter: All cooking oils, butter, and dressings are forbidden. Cooking methods are limited to baking, broiling, or boiling.
- Fatty Foods: Fried foods and fatty cuts of meat are prohibited.
Other restrictions
- Alcohol: Alcoholic beverages are not permitted.
- Most Dairy: Only non-fat cottage cheese is consistently allowed; other dairy products are typically restricted.
A comparison of the Stillman diet with other popular low-carb diets
| Feature | Dr Stillman Diet | Atkins Diet | Keto Diet | 
|---|---|---|---|
| Carbohydrate Restriction | Very low, especially in the initial phase. | Phases through strict restriction and gradual reintroduction. | Very low, aiming for ketosis for sustained fat burning. | 
| Fat Intake | Very low; fats and oils are strictly avoided. | High; encourages healthy fats for energy. | High; fat is the primary energy source. | 
| Protein Intake | High; unlimited consumption of approved lean proteins. | High; balanced with fats and low carbs. | Moderate to high, but not the primary macronutrient. | 
| Cooking Methods | Broiling, baking, or boiling only. | Allows various methods, including cooking with oils. | Encourages cooking with healthy fats and oils. | 
| Typical Duration | Short-term, designed for rapid initial weight loss. | Long-term, phased approach to weight management. | Sustainable long-term for some, with nutritional adjustments. | 
Health considerations and risks
The Dr. Stillman diet, while promising quick results, has faced significant criticism from medical experts for its highly restrictive nature and potential health risks. The severe limitations can lead to nutritional deficiencies, lack of fiber, and an increased risk of elevated serum cholesterol due to the heavy reliance on animal protein. The diet's short-term focus also makes it unsustainable for long-term weight management, often leading to rebound weight gain. For these reasons, medical supervision is strongly advised for anyone considering this plan.
Conclusion
The Dr Stillman diet is a high-protein, low-fat, and low-carbohydrate eating plan that emphasizes rapid weight loss through strict dietary restrictions. The list of allowed foods is limited primarily to lean meats, poultry, fish, eggs, and non-fat cottage cheese, with a strong emphasis on water intake. While followers may experience quick initial weight loss, the diet's restrictive nature and exclusion of entire food groups raise concerns about nutritional deficiencies and long-term sustainability. It is widely regarded by health professionals as a fad diet and is not recommended as a long-term nutritional strategy. Always consult with a healthcare provider before beginning such a restrictive regimen.
American Society for Metabolic and Bariatric Surgery (ASMBS)