Archive for the ‘Diet’ Category
Dr. Dwight Lundell and Healthy Humans Foundation
Came across a fascinating site from retired cardiac surgeon Dr. Dwight Lundell. He retired from his cardiology practice with a flurry. In his scathing mea culpa, he basically says the entire cholesterol hypothesis in connection with heart disease is a croc. Here are a few choice excerpts:
I trained for many years with other prominent physicians labeled “opinion makers.” Bombarded with scientific literature, continually attending education seminars, we opinion makers insisted heart disease resulted from the simple fact of elevated blood cholesterol.
The only accepted therapy was prescribing medications to lower cholesterol and a diet that severely restricted fat intake. The latter of course we insisted would lower cholesterol and heart disease. Deviations from these recommendations were considered heresy and could quite possibly result in malpractice.
It Is Not Working!
These recommendations are no longer scientifically or morally defensible. The discovery a few years ago that inflammation in the artery wall is the real cause of heart disease is slowly leading to a paradigm shift in how heart disease and other chronic ailments will be treated.
Recommend reading the entire article.
While he doesn’t appear to continue to actively blog (most recent blog entry from February 2009 at this writing), take a look at the last blog entry referencing a recent report released by the American Heart Journal. The study reported on the lipid levels in connection with over 230,000 hospitalizations from over 500 hospitals where patients presented with heart attacks. Readers of this blog won’t find the results shocking, but the conventional wisdom folks might:
- 75% of those patients had LDL-cholesterol levels below the current guidelines of the National Cholesterol Education Program (NCEP) of 130 milligrams.
- 50% had LDL-cholesterol levels below 100 milligrams.
- 17% had LDL-cholesterol levels below 70 milligrams, which is the new, more stringent guidelines.
In the face of these numbers, instead of questioning the lipid hypothesis altogether, the authors of the study put forward this amazing conclusion:
These findings may provide further support for recent guideline revisions with even lower LDL goals and for developing effective treatments to raise HDL.
However, Dr. Lundell asks the indelicate question:
How Much Lower Must We Go Before Admitting There Is No Correlation Between Lowering Cholesterol And Heart Attack Risk?
Maybe we just need to have –0- LDL in order to be healthy. Oops, wait, we need cholesterol to survive. Can’t do that.
Prime example of how little science survives in a world where there is a central dogma (i.e. cholesterol level/heart disease correlation) standing in the way.
Micronutrient Triage Theory
What could be a major key to understanding how we progressively acquire disease, endure chronic conditions and face decline as we age is laboring in obscurity. For my money, it is as cogent an explanation as any I’ve heard for the broad spectrum of ailments, conditions, diseases (pick your terminology) that seem to creep up on us, seemingly out of nowhere, as we age.
The triage hypothesis posits that the risk of degenerative diseases associated with aging, including cancer, cognitive decline, and immune dysfunction, can be decreased by ensuring adequate intake of micronutrients: the 40 essential vitamins, minerals, amino acids, and fatty acids. The hypothesis was first put forth by Dr. Bruce Ames, a Biochemistry professor at University of California at Berkeley. If the name sounds familiar, it’s because he’s one of the most prolific (and some would say controversial) scientists around. Here’s an hour interview that gives you a pretty good sense of his views.
Perhaps a post on another day would muse about his views regarding pesticide residue in food and the affect of exposure to environmental toxins. This day, though, we’ll let him speak for himself regarding his micronutrient triage hypothesis (from the seminal article):
I propose DNA damage and late onset disease are consequences of a triage allocation response to micronutrient scarcity. Episodic shortages of micronutrients were common during evolution. Natural selection favors short-term survival at the expense of long-term health. I hypothesize that short-term survival was achieved by allocating scarce micronutrients by triage, in part through an adjustment of the binding affinity of proteins for required micronutrients. If this hypothesis is correct, micronutrient deficiencies that trigger the triage response would accelerate cancer, aging, and neural decay but would leave critical metabolic functions, such as ATP production, intact. Evidence that micronutrient malnutrition increases late onset diseases, such as cancer, is discussed. A multivitamin-mineral supplement is one low-cost way to ensure intake of the Recommended Dietary Allowance of micronutrients throughout life.
If this theory pans out, we could see enormous implications on our ability to proactively ensure the optimal set of micronutrients to stave off the scourges of aging. Dr. Ames, in fact, recently published an article homing in on the effects of Vitamin K insufficiency that appears to support the hypothesis.
You’ve got to be in it for the long haul on this one as it will likely take years to build up enough evidence to become mainstream. But, in the meantime, why not fill up you body’s tank of necessary micronutrients with the right diet and appropriate supplementation.
You have very little to lose (a few dollars) and potentially a whole lot to gain.
Vegetarian Myth – fierce truth-telling
Seems a month does not go by, these days, that I find a book that causes me to re-arrange my world view. It might seem a little disorienting to contemplate monthly changes in one’s belief about life, the universe and everything, but it sure keeps things interesting.
The most recent shaker-upper is a truly fascinating book by Lierre Keith (its like Pierre, only with an ‘L’ and, no, there’s no relation
): The Vegetarian Myth. The book is part memoir, part manifesto, part introduction to the study of metabolism and all just paradigm-shattering.
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The Vegetarian Myth: Food, Justice, and Sustainability |
While one might dismiss the title off-hand (especially if one is committed to a veg*an diet/lifestyle), it is noteworthy that Ms. Keith was a highly-observant vegan for 20 years. You can start by reading an excerpt from the book. If you’re not headed to the bookstore or following the above link to buy the book after reading the intro, I’d truly be interested in understanding why not.
From her perspective, she’s is as credible a source as you could imagine to probe these issues with integrity and depth. She identifies major categories of choices that lead many people to choose being vegetarian: Moral Vegetarians, Political Vegetarians and Nutritional Vegetarians.
On the Moral front, she uses detailed, in depth, information to counter the broadly-held assumption that eating only agriculturally-grown foods is morally superior than eating animal protein. For starters, she makes the bold statement that agriculture itself is, without qualification, the most destructive thing humans have done to the planet. Further, she broadens the ‘circle of life’ narrative to make it abundantly clear that no form of life can be sustained without the death of another form of life. To assert otherwise is to show your lack of knowledge (ok, ignorance) of the way nature truly works. The most striking example of this thinking is to acknowledge that any crop one may eat relies on nitrogen for its sustenance. The only truly abundant source of this nitrogen is the decayed organisms in the animal kingdom. That’s right. Plants survive because animals die.
On the Politics front (which is where I have the most trouble following all her assertions), she notes that the practice of agriculture itself was the pre-cursor to imperialism. She goes so far to say that without agriculture, there is no empire (no concentrated political power, no armies, etc.). Here’s where I will diverge in that many of the elements she deems to be endemic to Neolithic (pre-agricultural) societies, occurred in hunter-gatherer societies as well. That said, she truly cracked open the political/economic implications of corporate controlled agriculture which is inherently imperialistic and leaves less-developed countries in a perpetual state of dependence on industrialized countries.
On the Nutritional front, she uses her own very sad and painful story (massive endocrine dysfunction, depression, skeletal problems, etc.) to open your eyes, then she uses some of my favorites (the Eades, Codrain, Taubes) to educate her dear readers on the optimal diet for humans (clue – it’s not only veggies). The one big takeaway that the veg*ians appear not to understand that we are not ruminants (i.e. not able to digest cellulose), that we are ‘from our teeth to our rectums’ designed to eat meat.
Lest you think she has totally abandoned all the ideals that typically lead one to make a veg*an choice, she is unequivocal about her passionate work in favor of a more just and sustainable world. She is in major opposition to factory farming (which, by the way, is not in any way sustainable) and all it’s down-stream negative effects.
I cannot think of anyone who would not be able to benefit greatly from this one. The memoir part of the book was a little bit more than what I’d signed up for, and I would take exception to many of her political views, but please do not let the style get in the way of the content. There is much to learn here for all of us.
Pillars of Weight Loss – Life Extension
Life Extension Foundation have done it again. They’ve taken all of the best advice that’s is now emerging on the blood testing, supplement and dietary (well, almost) front and compiled it all together into their Nine Pillars of Successful Weight Loss.
The entire write-up is worth your time – whether or not you think you need to loose weight – because the principles apply to everyone. It’s about optimal overall health. If everything’s in balance, it’s almost hard to put on a lot of fat.
Please do yourself a favor pick up the .pdf from the site. Here is a brief sidebar that gives you a sense of where they’re taking this:
- Simply eating less and exercising more is not enough to help most people remove excess body fat and keep it off. A comprehensive program is necessary to aggressively target the many factors that contribute to excess body fat.
- Excess body fat is not only unsightly, it can be deadly, increasing the risk for heart disease, diabetes, and cancer. Abdominal fat is particularly dangerous.
- A comprehensive fat-loss program includes improving insulin sensitivity, achieving youthful hormone balance, controlling the rate of carbohydrate absorption, controlling the amount of dietary fat absorption, increasing physical activity, normalizing brain serotonin, restoring energy expenditure rate, and adopting a long-term healthy eating strategy.
- Certain nutritional supplements offer important support for reducing appetite, promoting satiety, and enhancing fat-burning.
- The rewards of removing excess body fat go far beyond a slim physique to the promise of a lengthy, disease-free life.
On the dietary side of things, I remain hopeful they’ll get a copy of Good Calories, Bad Calories and begin to step away from the low-fat, calorie restriction premise that still underlies much of their dietary advice. At least this time around, they make a pretty strong statement about the consumption of simple carbohydrates and how the emphasis on low fat approaches quite often result higher consumption of said carbohydrates.
Be Well,
Seattle: Health Summit – I get to speak
For those of you in the Seattle area, I’ve been honored to be asked to speak at
an upcoming “Young Professional Development Summit” held by the Seattle Urban League Young Professionals group. I’ll be speaking on my usual spiel, but will also be joined by two others who have great experience knowledge and insight.
Here are the particulars:
Date: Saturday, May 2nd, 2009
Panel Time: 9:15 – 10:45AM (includes time for Q & A)
Location: Starbucks Corp Headquarters
2401 Utah Ave S
Seattle, WA 98134
Panel Topic: “Taking Charge of your health in times of change.”
Latest ‘OMG’ diet story – Meat’s a killer
I’m sure you’ve seen it by now, in dozens of places. There’s a new study out there saying meat (especially red meat) is gonna kill you. I’ve stopped responding to these kinds of reports directly now that I’ve got a great source who just nails it every time. Once again, kudos to Dr. Michael Eades – he of Protein Power fame (he might have a thought or two about meat)
http://www.proteinpower.com/drmike/fast-food/meat-and-mortality/
Just a few tidbits to get you going:
The study published in the Archives of Internal Medicine (free full text here) is a typical epidemiological or observational study. The reports have it tarted up with a lot of fancy clothes, but it is really nothing but an observational study. And, as we’ve gone over ad nauseum in these pages, observational studies can’t be used to prove causation.
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What I found more interesting than this study (which isn’t interesting or important at all) was the press coverage of it. And I found especially interesting that which the press didn’t report.
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At the same time that this paper appeared, showing increased red meat consumption to be tied to a slight increased risk of death (and showing that those subjects eating white meat had less risk), a couple of other papers came out in the online pre-publication section of the American Journal of Clinical Nutrition (AJCN), arguably the world’s most prestigious nutritional scientific journal. These two AJCN papers saw the light of day at around the same time as this highly-publicized study on meat and mortality, but demonstrated the opposite results. They got no press coverage whatsoever. Which proves what I’ve been saying all along: the press is biased against meat in general, and especially against red meat. Knowing this, careful readers should take anything negative thing the media reports about red meat with an enormous grain of salt.
The whole post is well worth at read.
Cholesterol and Health
If you don’t know about UndergroundWellness.com, you oughta. He’s on my blogroll and I highly recommend all his materials as a source.
Recently, he interviewed Chris Masterjohn (cholesterol-and-health.com) who offered as complete and concise an understanding of cholesterol that I’ve had the pleasure to encounter. It’s over an hour, but by the end of the hour, you’ll be in the 99th percentile of cholesterol knowledge.
Did you know there are the myriad functions of cholesterol in the body?
Did you know that LDL and HDL are not ‘cholesterol,’ but lipoprotiens (Low Density Lipoprotein and High Density Lipoprotein) which are merely the vehicle that delivers cholesterol (and many other fat-soluble nutrients like vitamin K) to your cells?
Did you know the majority of cholesterol in your body is in your brain and adequate cholesterol is needed for optimal brain function?
Did you know cholesterol is a precursor to all sex hormones (progesterone, testosterone, estrogens) and is required for optimal circulating levels of these hormones?
Did you know cholesterol is essential for the synthesis of vitamin D?
Did you know there is no ‘good’ cholesterol or ‘bad’ cholesterol – just cholesterol.
Did you know the real hazard is not the level of LDL in the blood but the level of oxidized LDL. Oxidized LDL is not able to bind with the LDL receptors in the liver inhibiting the ability of the liver to to internalize the LDL.
Did you know to ask your doctor to test for pattern size in your LDL and LDL:HDL ratio (total ‘cholesterol’ is essentially meaningless for most of us)? Small, dense LDL is much more prone to oxidation and more easily penetrates the arterial wall and result in a plaque deposits.
Did you know that while statin drugs inhibit cholesterol synthesis in the liver (probably ‘OK’) that such drugs might also inhibit cholesterol synthesis in other vital organs like, say, the brain?!? (see previous paragraph on cholesterol and the brain)
Did you know statins also have the effect of depleting the vital antioxidant Co Enzyme Q10 – lower concentrations of which are correlated with heart disease?
Believe it or not, there is a lot more covered in this interview. It’s a real keeper:
http://www.blogtalkradio.com/UndergroundWellness/2009/02/11/The-Real-Cholesterol-Story
Men’s Health meeting recap
Well, my first in-person meetup took place today. It was a small and lively group. We covered a wide range of topics that I’d like to touch on in this post. We also had a great suggestion as to how to focus our next few meetings.
As mentioned, we covered pretty wide range of topics, We talked at some length about the simple, straightforward dietary advice. It’s been said before, but my #1 recommended book is Dr. Thompson’s Glycemic Load diet book. It gets you 80% there if you’re currently on a typical North American diet and its advice is very widely applicable.
We also talked a bit about the cycle of glucose and insulin response. For a very brief video description of that process, please reference a YouTube video on Diabetes. There is a more engaging one on UnderGroundWellness.com that I was not able to find … I’ll update when I do.
Also, note that we’re all set for our next get together on Sunday March 8th at the Starbucks in Madison Park.
Hope to see you there!
Blogging to the real world and back
The whole idea for this blog was kicked off by friends asking for more information – so I figured I’d write once.
Writing is great, but I’m also very interested in keepin’ it real. So I started a real live face-to-face get together through meetup.com. You can find the meetup here: http://www.meetup.com/Mens-health.
For those of you in Seattle and environs, check it out.
Appearance by Dr. Rob Thompson
This just in! An appearance by one of our favorite authors scheduled for the Seattle Area. I’m putting it on my calendar! Hope to see you there.
Meet the Author: Dr. Rob Thompson
Fairwood Library
Tuesday, February 10 at 7pm 
Learn how lowering your glycemic load can help you lose weight and reverse insulin resistance without dieting in the usual sense of the word or engaging in strenuous exercise. Dr. Rob Thompson shares over 28 years experience practicing cardiology in his book,
The Glycemic Load Diet.
For more information on A Low Glycemic Load Diet
Here’s the address information in line:
17009 140th Ave S.E.
Renton, 98058
425-226-0522 
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