More on the American Heart Association Check Mark program 11. June 2007 William Davis (3) Take a look at the list of foods on the American Heart Association's (AHA) Check Mark endorsement program (below). After I saw the list, I was convinced either that the people who designed the program are either startlingly ignorant, or the AHA simply does this for money.Many of these foods have nothing to do with health, heart or otherwise. In fact, many of these foods are prominent culprits that contribute to the American epidemic of obesity. There are cured meats with sodium nitrite (a potent cause of colon cancer). Some of these companies have been accused of unhealthy food manufacturing practices. Tyson Foods, for instance, has been in court many times defending their brutal factory farm practices and were the focus of a federal investigation for paying bribe money to USDA Secretary, Mike Espy. (Espy was acquitted but two Tyson executives were convicted, only to be later pardoned by then President Bill Clinton.)This is a smarmy list to be included on. Though there are some rare healthy exceptions on the list, from the Track Your Plaque viewpoint, this is a list of shame, foods that have no place in a genuinely heart healthy nutrition program. 8th Continent, LLC8th Continent Fat Free Premium Original Soymilk8th Continent Fat Free Premium Vanilla Soymilk8th Continent Light Chocolate Soymilk8th Continent Light Original Soymilk8th Continent Light Vanilla Soymilk8th Continent Premium Chocolate Soymilk8th Continent Premium Original Soymilk8th Continent Premium Vanilla SoymilkAmerican Italian Pasta CompanyGolden Grain Mission Whole Grain Penne RigateGolden Grain Mission Whole Grain RotiniGolden Grain Mission Whole Grain SpaghettiHeartland Whole Grain PenneHeartland Whole Grain RotiniHeartland Whole Grain SpaghettiHeartland Whole Wheat Angel HairHeartland Whole Wheat Elbow MacaroniHeartland Whole Wheat PenneHeartland Whole Wheat RotiniHeartland Whole Wheat SpaghettiMueller's Whole Grain PenneMueller's Whole Grain RotiniMueller's Whole Grain SpaghettiAtalanta CorporationCelebrity 99% Fat Free Premium Imported Healthy HamBeefmaster Cattlemen, L.P.Nolan Ryan's All Natural Ground Beef Round 96/4, 4% FatBimbo Bakeries USABimbo's 100% Integral/Bimbo 100% Whole Wheat BreadMrs. Baird's 100% Whole Wheat BreadOroweat 100% Whole Wheat BreadOroweat Country 100% Whole Wheat BreadOroweat Double Fiber BreadOroweat Original Health Nut BreadBoar's Head Provisions Company, Inc.Boar's Head Aroastica Seasoned Boneless Skinless Chicken BreastBoar's Head Blazing Buffalo Style Boneless Skinless Roasted Chicken BreastBoar's Head Branded Deluxe 42% Lower Sodium HamBoar's Head Cracked Pepper Mill Smoked Turkey BreastBoar's Head Golden Classic Oven Roasted Boneless Skinless Chicken BreastBoar's Head Hickory Smoked Black Forest Turkey Breast - 43% Lower SodiumBoar's Head Hickory Smoked Boneless Skinless Chicken BreastBoar's Head Italian Style Oven Roasted Seasoned Beef with Classic Braciole SeasoningBoar's Head Lemon Pepper Boneless Skinless Roasted Chicken BreastBoar's Head Londonport Top Round Seasoned Roast BeefBoar's Head Maple Glazed Honey Coat Cured Turkey BreastBoar's Head Mesquite Wood Smoked Skinless Roasted Breast of TurkeyBoar's Head Our Deluxe Low Sodium Low Fat Oven Roasted Choice Beef Cap Off Top RoundBoar's Head Our Premium Oven Roasted 47% Lower Sodium Turkey Breast - SkinlessBoar's Head Our Premium Oven Roasted 50% Lower Sodium Turkey BreastBoar's Head Ovengold Roast Breast of TurkeyBoar's Head Ovengold Roast Breast of Turkey - SkinlessBoar's Head Pastrami Seasoned Turkey BreastBoar's Head Salsalito Roasted Breast of TurkeyBryan Foods, Inc.Bryan 97% Fat Free Butcher Fresh Pork TenderloinBumble Bee Foods LLCKirkland Signature Solid White Albacore Tuna in WaterMember's Mark Solid White Albacore Tuna in WaterCalifornia GiantCalifornia Giant StrawberriesCalifornia Strawberry CommissionCalifornia Fresh StrawberriesCalifornia Frozen StrawberriesCampbell Soup CompanyCalcium Enriched V8 100% Vegetable JuiceCampbell's Chunky Healthy Request Chicken NoodleCampbell's Chunky Healthy Request Classic Chicken Noodle Microwaveable BowlCampbell's Chunky Healthy Request Grilled Chicken and Sausage GumboCampbell's Chunky Healthy Request Grilled Chicken and Sausage Gumbo Microwaveable BowlCampbell's Chunky Healthy Request Hearty Beef BarleyCampbell's Chunky Healthy Request New Englad Clam ChowderCampbell's Chunky Healthy Request Old Fashioned Vegetable BeefCampbell's Chunky Healthy Request VegetableCampbell's Healthy Request Condensed Chicken Noodle SoupCampbell's Healthy Request Condensed Chicken Noodle Soup (Food Service)Campbell's Healthy Request Condensed Chicken Rice SoupCampbell's Healthy Request Condensed Cream of Celery SoupCampbell's Healthy Request Condensed Cream of Chicken SoupCampbell's Healthy Request Condensed Cream of Mushroom SoupCampbell's Healthy Request Condensed Homestyle Chicken NoodleCampbell's Healthy Request Condensed Minestrone SoupCampbell's Healthy Request Condensed Tomato SoupCampbell's Healthy Request Condensed Vegetable Beef SoupCampbell's Healthy Request Condensed Vegetable SoupCampbell's Healthy Request Tomato JuiceCampbell's Low Sodium Tomato JuiceCampbell's Select Healthy Request Chicken and Egg NoodlesCampbell's Select Healthy Request Italian Style Wedding Microwaveable BowlCampbell's Select Healthy Request Italian-Style WeddingCampbell's Select Healthy Request Mexican Style Chicken TortillaCampbell's Select Healthy Request Mexican Style Chicken Tortilla Microwaveable BowlCampbell's Select Healthy Request Savory Chicken and Long Grain RiceCampbell's V8 Fusion Strawberry BananaCampbell's V8 Fusion Tropical OrangeCampbell's V8 Regular Vegetable JuiceCampbell's V8 V.Fusion Light Peach MangoCampbell's V8 V.Fusion Light Strawberry BananaCampbell's V8 V.Fusion Pomegranate BlueberryEssential Antioxidants V8 100% Vegetable JuiceLow Sodium V8 100% Vegetable JuicePrego Heart Smart Mushroom Italian SaucePrego Heart Smart Traditional Italian SauceCargill Meat Solutions96/4 All Natural Extra Lean Ground BeefExcel's Tender Choice 97% Fat Free Pork TenderloinsExcel's Tender Choice Extra Lean Boneless Pork LoinOur Certified 100% Pure All Natural Ground Beef 96/4Sterling Silver Extra Lean Pork Tenderloins - 12% MarinationSterling Silver Lean Boneless Pork Loin - 12% MarinationChiquita Brands Company, N.A.Chiquita BananasClearwater Seafoods Limited PartnershipClearwater Frozen Arctic Surf ClamsCliffstar CorporationDeerfield Farms No Sugar Added 100% Grape Juice (Purple)Safeway 100% Grape Juice (Purple)Sam's Choice 100% Grape Juice (Purple)Walgreens 100% Grape Juice (Purple)Clougherty Packing CompanyFarmer John® California Natural® 4% Fat Extra Lean Ground PorkFarmer John® California Natural® Premium Extra Lean Boneless Pork TenderloinsMinute Maid Premium Blends - Orange Passion Calcium Juice-FrozenMinute Maid Premium Blends - Orange Tangerine Calcium Juice - FrozenMinute Maid Premium Country Style Orange JuiceMinute Maid Premium Country 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BreadCoolham Holdings, Inc. DBA SunMilk Dairy Co.SunMilk-Fat Free Milk with Sunflower Oil (The Taste of 1%)SunMilk-Fat Free Milk with Sunflower Oil (The Taste of 2%)Cooper FarmsCooper Farms All Natural Turkey Breast FilletCrider, Inc.Kirkland Signature Premium 99% Fat Free Chunk Chicken BreastDare Foods IncorporatedBreton Reduced Fat & Sodium Wheat CrackersEl Aguila Food Products, Inc.El Aguila Stoneground Corn TortillasEurofresh Inc.Eurofresh Campari TomatoesFPL Foods, LLC96/4 All Natural Extra Lean Ground BeefFarmland FoodsFarmland 97% Fat Free Fresh Ground PorkFarmland Nutrition Wise 97% Fat Free Boneless Center Cut Pork Loin FiletFarmland Nutrition Wise Boneless Butterfly Cut Pork Loin ChopsFarmland Nutrition Wise Boneless Center Cut Pork LoinFarmland Nutrition Wise Boneless Center Cut Pork Loin ChopsFarmland Nutrition Wise Boneless Center Cut Pork Loin RoastFarmland Nutrition Wise Boneless Pork Chops - America's CutFarmland Nutrition Wise Boneless Pork TenderloinFarmland Nutrition Wise Boneless Pork Top Round RoastFarmland Nutrition Wise Boneless Pork Top Round SteakFarmland Nutrition Wise Boneless Sirloin Tip Pork RoastFarmland Nutrition Wise Pork Cube SteakFarmland Nutrition Wise Pork CubesFarmland Nutrition Wise Pork ScallopiniFarmland Nutrition Wise Pork StripsFieldale Farms CorporationJewel All Natural 99% Fat Free Boneless Skinless Chicken Breasts with Rib MeatJewel All Natural 99% Fat Free Chicken Breast TendersOur Premium 98% Fat Free Boneless Skinless Breast with Rib Meat - 15% MarinationSpringer Mountain Farms All Natural 98% Fat Free Boneless Skinless BreastsFlorida's Natural GrowersFlorida's Natural Calcium & Vitamin D No Pulp Orange JuiceFlorida's Natural Growers Style Most Pulp Orange JuiceFlorida's Natural Home Squeezed Calcium & Vitamin D with Pulp Orange JuiceFlorida's Natural Home Squeezed with Pulp Orange JuiceFlorida's Natural Original No Pulp Orange JuiceFoodTech InternationalVeggie Patch California Veggie BurgersFoster Poultry FarmsFoster Farms 98% Fat Free Honey Roasted & Smoked Breast of TurkeyFoster Farms 98% Fat Free Oven Roasted Breast of TurkeyFoster Farms 98% Fat Free Oven Roasted Chicken BreastFoster Farms 99% Fat Free 100% Natural Boneless & Skinless Breast FilletsFoster Farms 99% Fat Free 100% Natural Boneless & Skinless Breast SteaksFoster Farms 99% Fat Free 100% Natural Boneless & Skinless Breast TendersFoster Farms 99% Fat Free Honey Roasted & Smoked Turkey BreastFoster Farms 99% Fat Free Oven Roasted Turkey BreastFoster Farms All Natural 99% Fat Free Boneless & Skinless Chicken Breast Tenders (8% Marination)Foster Farms Fresh & Easy 99% Fat Free 100% Natural Boneless & Skinless Breast FilletsKirkland Signature/Foster Farms 99% Fat Free 100% Natural Boneless & Skinless BreastsKirkland Signature/Foster Farms All Natural 99% Fat Free Boneless & Skinless Chicken Breasts (8% Marination)Fresh Express IncorporatedChiquita Apple BitesFresh Express American SaladFresh Express Hearts of Romaine SaladFresh Express Italian SaladFresh Express Triple Hearts SaladGFA Brands, Inc.Smart Balance Smart 'N Healthy Deluxe Microwave PopcornSmart Beat Healthy Fat Free Non-Dairy Slices - 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Apple CinnamonKashi Heart to Heart Instant Oatmeal - Golden Brown MapleKashi Heart to Heart Instant Oatmeal - Raisin SpiceKashi Heart to Heart Oat Flakes & Wild Blueberry ClustersKellogg USA, Inc.Kellogg's All-Bran Bran BudsKellogg's All-Bran Extra FiberKellogg's All-Bran OriginalKellogg's Frosted Mini-Wheats - Strawberry DelightKellogg's Frosted Mini-Wheats - Vanilla CremeKellogg's Frosted Mini-Wheats Big BiteKellogg's Frosted Mini-Wheats Bite SizeKellogg's Frosted Mini-Wheats Maple & Brown SugarKellogg's Smart Start Antioxidants - OriginalKellogg's Smart Start Healthy Heart - Maple & Brown SugarKellogg's Smart Start Healthy Heart - OriginalKellogg's Smart Start Healthy Heart Cinnamon RaisinKing SoopersGround Beef 96/4 Extra LeanKroger Company, TheKroger Moist & Tender Silver Platter Pork TenderloinLaura's Lean Beef CompanyLaura's Lean Beef - Beef Pot Roast Au JusLaura's Lean Beef - Shredded Beef with Barbecue SauceLaura's Lean Beef 4% Fat Ground RoundLaura's Lean Beef 4% Ground SirloinLaura's Lean Beef Sirloin SteakLiDestri Foods, Inc.Francesco Rinaldi No Salt Added Traditional Pasta SauceLido Veal & Lamb Inc.Veal USA Boneless Veal Shoulder Roast from Lido VealVeal USA Low Fat Ground Veal from Lido VealVeal USA Veal Leg Cutlets from Lido VealVeal USA Veal Stew from Lido VealM & I Seafood Manufacturing Inc.Chesapeake Bay Gourmet Crab CakesMW Polar FoodsPolar All Natural Chunk Light Tuna in WaterPolar All Natural Solid White Albacore in WaterPolar Chunk Light Tuna in WaterPolar Solid White Albacore Tuna in WaterMalt-O-Meal CompanyMalt-O-Meal BalanceMalt-O-Meal Crispy RiceMalt-O-Meal Frosted Mini SpoonersMalt-O-Meal Honey & Oat BlendersMalt-O-Meal Honey Nut ScootersMalt-O-Meal Hot Wheat Cereal - ChocolateMalt-O-Meal Hot Wheat Cereal - Maple & Brown SugarMalt-O-Meal Hot Wheat Cereal - OriginalMalt-O-Meal Maple & Brown Sugar Mini SpoonersMalt-O-Meal Mom's Best 100% Natural Quick OatsMalt-O-Meal Mom's Best Instant Oatmeal - Apples & CinnamonMalt-O-Meal Mom's Best Instant Oatmeal - Maple & Brown SugarMalt-O-Meal Mom's Best Instant Oatmeal Variety Pack - Maple & Brown Sugar/Apples & Cinnamon/Cinnamon & SpiceMalt-O-Meal Raisin BranMalt-O-Meal ScootersMaple Leaf Consumer FoodsMaple Leaf Sodium Reduced 98% Fat Free Cooked Ham with Natural JuicesMaverick Ranch AssociationMaverick Ranch 96/4 Extra Lean Grass Fed Organic Ground BeefMaverick Ranch 96/4 Extra Lean Natural Ground BuffaloMaverick Ranch 96/4 Extra Lean Natural Ground Pork SirloinMaverick Ranch Free-Range Chicken-All Natural Air Chilled Boneless Skinless Chicken BreastMaverick Ranch NaturaLite 96/4 Extra Lean Ground Beef RoundMaverick Ranch NaturaLite Beef - 96/4 Extra Lean Ground Beef ChuckMaverick Ranch NaturaLite Beef - 96/4 Extra Lean Ground Beef SirloinMaverick Ranch Natural Beef Cubed SteakMaverick Ranch Natural Beef Top Sirloin SteakMaverick Ranch Natural Buffalo Top Sirloin SteakMaverick Ranch Natural Center Cut Pork Loin ChopsMaverick Ranch Natural Lite 96/4 Extra Lean Natural Ground BeefMaverick Ranch Natural Pork 4% Fat Extra Lean Pork TenderloinMaverick Ranch Natural Skinless Chicken DrumsticksMaverick Ranch Natural Skinless Chicken ThighsMaverick Ranch Organic Air-Chilled Boneless Skinless Chicken BreastsMayoli Inc.Mayoli All Natural Reduced Fat Mayonnaise Dressing with Pure Olive OilMcNeil Nutritionals, LLCLACTAID® Calcium-Fortified Fat Free MilkLACTAID® Fat Free MilkMeijer Distribution, Inc.Meijer Purple Grape JuiceMichael Foods, Inc.All Whites Egg Whites - White CheddarBetter 'n Eggs Ham & CheeseBetter 'n Eggs PlusBetter 'n Eggs Three CheeseKirkland Signature Egg StartsKroger Break-Free 100% Liquid Egg WhitesKroger Break-Free Real Egg ProductPapetti Foods All Whites - 100% Liquid Egg WhitesPapetti Foods Better 'n EggsMills Family FarmsMills Family Farms Green Cascade Mix-Baby Romaine & Baby Green LeafMills Family Farms Wholeaves Sandwich & Salad Lettuce - Green LeafMills Family Farms Wholeaves Sandwich & Salad Lettuce - Red LeafMills Family Farms Wholeaves Sandwich & Salad Lettuce - RomaineMilton's Baking CompanyMilton's Baking Classics Cinnamon Raisin Wheat BreadMilton's Baking Classics Corn BreadMilton's Baking Classics Oat Bran BreadMilton's Baking Classics Wheat BreadMilton's Healthy Multi-Grain Plus BreadMilton's Healthy Whole Grain Plus BreadMilton's Original Healthy Multi-Grain BreadMilton's Whole Grains 100% Whole Wheat BreadMotts LLPYoo-hoo Lite Chocolate DrinkMurray's Free Roaming Chicken, Inc.Murray's Extra Lean 99% Fat Free Boneless & Skinless ChickenNew World Pasta CompanyRonzoni Healthy Harvest Multi-Grain Pasta-FusilliRonzoni Healthy Harvest Multigrain Pasta - Spaghetti StyleRonzoni Healthy Harvest Whole Wheat Blend Extra Wide Noodle - StyleRonzoni Healthy Harvest Whole Wheat Blend Pasta - LinguineRonzoni Healthy Harvest Whole Wheat Blend Pasta - Penne RigateRonzoni Healthy Harvest Whole Wheat Blend Pasta - RotiniRonzoni Healthy Harvest Whole Wheat Blend Pasta - Spaghetti StyleRonzoni Healthy Harvest Whole Wheat Blend Pasta - Thin SpaghettiRonzoni Healthy Harvest Whole Wheat Blend Pasta-LasagnaRonzoni Healthy Harvest Whole Wheat Blend Wide Noodle - StyleNonna's Kitchen, Inc.Columbus Reduced Sodium Turkey BreastNorth American Beverage CompanyChocolate Moose - All Natural Premium Milk Chocolate DrinkChocolate Moose - Cookies & Cream Premium Milk Chocolate DrinkMega Moose Energy Drink-Strawberry BlastNulaid Foods Inc.Nulaid ReddiEgg Real Egg ProductOberto Sausage CompanyKirkland Signature Premium Brisket Roast BeefOld Orchard Brands LLCOld Orchard 100% Grape JuiceOld Orchard 100% Grape Juice - Frozen ConcentratePOM Wonderful, LLCPOM Wonderful Fresh Pomegranate ArilsPOM Wonderful Frozen Pomegranate ArilsPOM Wonderful PomegranatesPackerland Processing Co., Inc.Meijer Extra Lean Ground Beef 96/4Peco Foods, Inc.Member's Mark All Natural Boneless Skinless Chicken Breasts with Rib MeatMember's Mark All Natural Boneless Skinless Chicken TenderloinsPepperidge Farm, Inc.Pepperidge Farm 100% Natural 100% Whole Wheat BreadPepperidge Farm 100% Natural 9 Grain BreadPepperidge Farm 100% Natural German Dark Wheat BreadPepperidge Farm 100% Natural Honey Flax BreadPepperidge Farm 100% Whole Wheat BagelsPepperidge Farm 100% Whole Wheat English MuffinsPepperidge Farm 100% Whole Wheat Hearty Texture Whole Grain BreadPepperidge Farm 100% Whole Wheat Mini BagelsPepperidge Farm 15 Grain Hearty Texture Whole Grain BreadPepperidge Farm Farmhouse Soft 100% Whole Wheat BreadPepperidge Farm Golden Harvest Grains Hearty Texture Whole Grain BreadPepperidge Farm Light Style 7 Grain BreadPepperidge Farm Light Style Soft Wheat BreadPepperidge Farm Oatmeal Hearty Texture Whole Grain BreadPepperidge Farm Soft Honey Oat Smooth Texture Whole Grain BreadPepperidge Farm Soft Honey Whole Wheat Smooth Texture Whole Grain BreadPepperidge Farm Very Thin Soft 100% Whole Wheat BreadPepperidge Farm Whole Grain Multi-Grain BagelsPepperidge Farm Whole Grain Swirl Bread - CinnamonPepperidge Farm Whole Grain Swirl Bread - Cinnamon with RaisinsPerdue Farms, Inc.Perdue Individually Frozen All Natural 99% Fat Free Chicken TenderloinsPerdue Tender & Tasty 99% Fat Free Individually Frozen Boneless Skinless Chicken BreastsPerdue Tender & Tasty 99% Fat Free Individually Wrapped Boneless Skinless Chicken BreastsPerdue/Kirkland Signature Individually Frozen All Natural 99% Fat Free Boneless Skinless Chicken BreastsPilgrim's Pride CorporationEat Well Stay Healthy Chicken Breast SaladEat Well Stay Healthy Fresh Boneless Skinless Chicken Breasts with Rib Meat (15% Chicken Broth)Eat Well Stay Healthy Fresh Boneless Skinless Chicken Thin Sliced Breasts with Rib Meat (15% Chicken Broth)Eat Well Stay Healthy Fresh Chicken Breast Tenderloins (15% Chicken Broth)Eat Well Stay Healthy Fully Cooked Rotisserie Skinless Chicken Split Breasts - Garden HerbGold Kist Farms 100% Natural 99% Fat Free Boneless Skinless Chicken BreastGold Kist Farms All Natural 99% Fat Free Boneless Skinless BreastsGold Kist Farms/Kirkland Signature All Natural 99% Fat Free Boneless Skinless BreastsHyVee/Country Pride 97% Fat Free Boneless Skinless Chicken Breast Fillets with Rib Meat (15% Chicken Broth)HyVee/Country Pride 97% Fat Free Skinless Split Chicken Breasts with Ribs (12% Chicken Broth)HyVee/Country Pride 99% Fat Free Boneless Skinless Chicken Breast Tenderloins (15% Chicken Broth)Meijer Fresh Boneless Skinless Chicken Breast Tenderloins (15% Marination)Meijer Fresh Boneless Skinless Chicken Breasts with Rib Meat (15% Marination)Pilgrim's Pride Eat Well Stay Healthy Grilled Chicken Breast FilletsPilgrim's Pride Eat Well Stay Healthy Grilled Chicken Breast StripsPilgrim's Pride Eat Well Stay Healthy Italian Style Grilled Chicken Breast FilletsPilgrim's Pride Eat Well Stay Healthy Key Lime Flavor Chicken Breast FilletsPilgrim's Pride Eat Well Stay Healthy Kids Fully Cooked Breaded Chicken NuggetsPilgrim's Pride Eat Well Stay Healthy Kids Fully Cooked Breaded Popcorn ChickenPilgrim's Pride Eat Well Stay Healthy Lemon Herb Chicken Breast FilletsPilgrim's Pride Eat Well Stay Healthy Savory Chicken Breast FilletsPilgrim's Pride Eat Well Stay Healthy Szechwan Chicken Breast TenderloinsPilgrim's Pride Fresh Boneless Skinless Chicken Breasts with Rib Meat Individually Wrapped (15% Chicken Broth)Pilgrim's Pride Fresh Chicken 100% Natural Boneless Skinless Breasts with Rib MeatPilgrim's Pride Fresh Chicken 100% Natural Boneless Skinless Breasts with Rib Meat (15% Chicken Broth)Pilgrim's Pride Fresh Chicken 100% Natural Breast TenderloinsPilgrim's Pride Fresh Chicken 100% Natural Breast Tenderloins (15% Chicken Broth)Pilgrim's Pride Fresh Chicken 100% Natural Skinless Split Breasts with RibsPilgrim's Pride Fresh Chicken 100% Natural Skinless Split Breasts with Ribs (12% Chicken Broth)Pilgrim's Pride Fresh Chicken Breast Tenderloins Individually Wrapped (15% Chicken Broth)Pilgrim's Pride Individually Frozen Fully Trimmed 99% Fat Free All Natural Boneless Skinless Chicken Breasts (15% Chicken Broth)Schnucks 99% Fat Free Chicken Breast TenderloinsSchnucks 99% Fat Free Skinless Chicken Breast FilletsSchnucks 99% Fat Free Thin Sliced Skinless Chicken Breast FilletsQuaker Oats Company/Tropicana Products, Inc., TheCrystal Wedding OatsOld-Fashioned Quaker OatsQuaker Cinnamon LifeQuaker Essentials Oat BranQuaker Essentials Oatmeal Squares - 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Golden MapleQuick 1 Minute Quaker OatsTropicana Pure Premium Calcium + Vitamin D No Pulp Orange JuiceTropicana Pure Premium Fiber Some Pulp Orange JuiceTropicana Pure Premium Golden No Pulp Grapefruit JuiceTropicana Pure Premium Grovestand Calcium + Vitamin D Lots of Pulp Orange JuiceTropicana Pure Premium Grovestand Lots of Pulp Orange JuiceTropicana Pure Premium Healthy Heart No Pulp Orange Juice with Omega 3Tropicana Pure Premium Homestyle Some Pulp Orange JuiceTropicana Pure Premium Light 'n Healthy Calcium No Pulp Orange JuiceTropicana Pure Premium Light 'n Healthy Calcium No Pulp Orange JuiceTropicana Pure Premium Low Acid No Pulp Orange JuiceTropicana Pure Premium Original No Pulp Orange JuiceTropicana Pure Premium Ruby Red Some Pulp Grapefruit JuiceR.A.B. Food Group LLCManischewitz Premium 100% Grape JuiceRader Farms, Inc.Rader Farms Nature's Three BerriesRed Gold, LLCSacramento Tomato Juice from Concentrate with Enhanced Tomato FlavorRuprecht CompanySommers 100% Organic Extra Lean Beef BurgersSal & Judy's Products, LLCSal & Judy's Heart Smart Italian SauceSealord North America, Inc.Sealord Deep Sea Dory FilletsSealord Orange Roughy FilletsSetton International Foods, Inc.Setton Farms Heart Healthy MixSimmons Foods, Inc.Member's Mark All Natural 99% Fat Free Boneless Skinless Chicken BreastSmithfield Lean Generation CutsSLG: All Natural Pork TenderloinSLG: Marinated Hickory Sweet Center Cut Boneless Pork LoinSLG: Marinated Hickory Sweet Pork ChopsSLG: Marinated Hickory Sweet Pork Loin FiletSLG: Marinated Hickory Sweet Pork TenderloinSLG: Marinated Peppercorn & Garlic Pork TenderloinSLG: Marinated Pork Loin Fillet - Peppercorn & GarlicSLG: Self-Basting Boneless Pork Loin Center Cut ChopsSLG: Self-Basting Boneless Whole Pork LoinSLG: Self-Basting Pork TenderloinSmithfield Lean Generation DeliSLG Deli: 98% Fat Free Canadian Brand Maple HamSLG Deli: 98% Fat Free Cooked HamSLG Deli: 98% Fat Free Honey Cured HamSLG Deli: 98% Fat Free Tavern HamSLG Deli: 98% Fat Free Virginia Brand HamSmithfield Premium CutsSmithfield: Self-Basting Pork TenderloinSolis Brands, Inc.ZOIC Belgian Chocolate Nutrition DrinkZOIC French Vanilla Nutrition DrinkSpringerhill Ranch Meat ProductsSpringerhill Ranch Brand All Natural 98% Fat Free Beef Tenderloin SteaksSpringerhill Ranch Brand All Natural Ground Beef-98% Lean 2% FatStarKist Seafood CompanyStarKist Chunk Light Tuna in WaterStarKist Chunk White Albacore Tuna in WaterStarKist Gourmet Choice Albacore Tuna Fillet in WaterStarKist Gourmet Choice Chunk Light Tuna in WaterStarKist Gourmet Choice Solid Light Tuna Fillet in WaterStarKist Low Sodium Chunk Light Tuna in WaterStarKist Solid White Albacore Tuna in WaterStarKist Very Low Sodium Chunk White Albacore Tuna in WaterSunrise Growers, Inc.Sunrise Growers California StrawberriesSwift Foods dba Swift & CompanyExtra Lean Ground PorkSwift Boneless Pork Sirloin CutletsSwift Natural Fresh Pork-Boneless Pork Center Cut Loin ChopsSwift Natural Fresh Pork-Boneless Pork Leg for London BroilSwift Natural Fresh Pork-Boneless Pork Top Loin RoastSwift Natural Fresh Pork-Pork Strips for BarbecueSwift Pork Center Cut LoinSwift Pork Sirloin Tip RoastSwift Pork TenderloinSwift Premium Guaranteed Tender Pork-Boneless Bottom RoundSwift Premium Guaranteed Tender Pork-Boneless Center Cut Loin ChopsSwift Premium Guaranteed Tender Pork-Boneless Pork Loin FiletSwift Premium Guaranteed Tender Pork-Boneless Pork TenderloinSwift Premium Guaranteed Tender Pork-Boneless Sirloin CutletsSwift Premium Guaranteed Tender Pork-Boneless Strips for BarbecueSwift Premium Guaranteed Tender Pork-Pork Top RoundSwift/Kirkland Signature Pork Sirloin Tip RoastTrader Joe's Butcher Shop - Pork Sirloin Tri TipTrader Joe's Butcher Shop Boneless Center Cut Pork Loin CutletsTrader Joe's Butcher Shop Natural Pork-Boneless Pork Loin ChopsTrader Joe's Butcher Shop Natural Pork-Pork Shoulder Boneless StripsTrader Joe's Butcher Shop-Pork TenderloinT. J. Kraft, Ltd.Hawaiian Pacific Ahi Tuna SteaksTaylor Packing Co., Inc.Century Farm 96/4 Extra Lean Ground BeefThe BakerThe Baker 7-Grain Sourdough Whole Wheat BreadThumann's IncThumann's All Natural Black Forest Brand HamThumann's All Natural Capless Roast BeefThumann's All Natural Oven Roasted Gourmet Chicken BreastThumann's All Natural Oven Roasted Gourmet Turkey BreastThumann's Buffalo Style Oven Roasted Chicken BreastThumann's Capless Roast BeefThumann's Golden Roasted Filet of Turkey - Rotisserie FlavorThumann's Golden Roasted Gourmet TurkeyThumann's Our Short Cut Deluxe Cooked Ham - Lower SodiumThumann's Oven Roasted Premium Chicken BreastTony Downs Foods CompanyMember's Mark 98% Fat Free Premium Chunk Chicken Breast in WaterTopco Associates, LLCFood Club Individually Frozen Boneless Skinless Chicken Breasts-15% Seasoned Chicken BrothFood Club Individually Frozen Chicken Tenderloins-15% Seasoned Chicken BrothTumaro's Inc.Tumaro's Chipotle Chili & Peppers Healthy Flour TortillasTumaro's Garden Spinach & Vegetables Healthy Flour TortillasTumaro's Honey Wheat Healthy Flour TortillasTumaro's Jalapeno & Cilantro Healthy Flour TortillasTumaro's Pesto & Garlic Healthy Flour TortillasTumaro's Premium White Healthy Flour TortillasTumaro's Sun-Dried Tomato & Basil Healthy Flour TortillasTyson Foods, Inc.Tastybird Individually Frozen Chicken-Boneless, Skinless Breast Portions with Rib MeatTastybird Individually Quick Frozen Chicken-Boneless, Skinless TenderloinsTyson 100% All Natural Thin 'N Fancy Boneless Skinless Chicken Breasts with Rib Meat (<3% Water)Tyson 100% All Natural Boneless Skinless Chicken Breasts with Rib Meat (<1%/,2% Water)Tyson 100% All Natural Boneless Skinless Chicken Thighs (15% Natural Chicken Broth)Tyson 100% All Natural Chicken Breast Tenderloins (15% Natural Chicken Broth)Tyson 100% All Natural Chicken Breast Tenderloins (<1% Water)Tyson 100% All Natural Premium Boneless Skinless Chicken Breasts with Rib Meat (15% Natural Chicken Broth)Tyson 100% All Natural Skinless Split Chicken Breasts with Ribs (12% Natural Chicken Broth)Tyson 100% All Natural Skinless Split Chicken Breasts with Ribs (>3% Water)Tyson 100% All Natural Thin 'N Fancy Boneless Skinless Chicken Breasts with Rib Meat (15% Natural Chicken Broth)Tyson Ice Glazed Chicken Individually Frozen 99% Fat Free Boneless, Skinless Breast Tenderloins (8% Seasoned Chicken Broth)Tyson Individually Fresh Frozen All Natural 99% Fat Free Boneless Skinless Chicken Tenderloins (8% Water & Kosher Salt)Tyson Individually Fresh Frozen Boneless Skinless Chicken Breasts with Rib Meat (15% Chicken Broth)Tyson Individually Fresh Frozen Chicken Tenderloins (15% Chicken Broth)Tyson Individually Frozen 100% All Natural Individually Wrapped Boneless Skinless Chicken Breasts (15% Natural Chicken Broth)Tyson Individually Frozen All Natural 99% Fat Free Boneless Skinless Chicken Breast Tenderloins (8% Chicken Broth)Tyson Individually Frozen All Natural Boneless Skinless Chicken Breasts with Rib Meat (8% Broth Glaze & 15% Seasoned Chicken Broth)Tyson Individually Frozen All Natural Extra Lean Boneless Skinless Chicken Breast with Rib Meat (8% Chicken Broth)Tyson Individually Frozen Boneless Skinless Chicken Breasts with Rib Meat (15% Chicken Broth)Tyson/Kirkland Signature All Natural 99% Fat Free Boneless Skinless Chicken Breast (8% Water & Kosher Salt)Tyson/Tastybird Individually Frozen Boneless Skinless Breasts with Rib Meat (10% Seasoned Chicken Broth)Tyson/Tastybird Individually Frozen Chicken-Boneless Skinless Breasts with Rib Meat (10% Natural Chicken Broth)Tyson Fresh Meats, Inc.100% Pure Extra Lean Ground Beef 96/496/4 All Natural Extra Lean Ground BeefUnited Food Group, LLCMiller's 100% Pure Ground Beef - 4% FatMoran's All Natural 4% Fat 100% Ground Beef Hamburger PattiesMoran's All Natural 4% Fat Ground BeefTrader Joe's Butcher Shop 4% Fat Ground BeefWelch Foods, Inc.Welch's 100% Grape Juice (Purple)Welch's 100% Grape Juice (Purple) - Frozen ConcentrateWelch's 100% Grape Juice (Purple) - Pourable ConcentrateWelch's 100% Grape Juice Calcium (Purple)Welch's 100% Grape Juice with FiberWelch's Organic 100% Concord Grape JuiceWelch's Organic 100% Concord Grape Juice - Frozen ConcentrateWest Liberty Foods, LLCHoney Roasted & Smoked Breast of Turkey - 98% Fat FreeKirkland Signature All Natural Fully Cooked Sliced Turkey BreastOven Roasted Breast of Turkey Browned in Soybean Oil - 98% Fat Free
More on the American Heart Association 9. June 2007 William Davis (1) I'm very troubled by the American Heart Association's (AHA) willingness to lend its logo and stamp of approval to a multitude of garbage foods like Cocoa Puffs and Berry Kix cereals.So I contacted the AHA and spoke to the manager of the Food Certification Program, Ms. Linda Rupp. Ms. Rupp proved very helpful in helping me to understand.I originally called her to find out just how many products were turned down. In view of 768 products on the approved list, I wondered how many had been rejected to generate this "select" group.Unfortunately, she said that the number of products rejected was not tracked, though she did intimate that it was not a lot. Sometimes, she added, a rejected product will undergo a few "improvements" to help it achieve the criteria necessary for AHA approval.What exactly is considered in an application for the Food Certification Program?A food must have 1)total fat 3.0 grams or less, 2) saturated fat 1.0 gram or less, 3) 20 grams or less cholesterol, 4) 480 mg or less sodium, all per serving.She also pointed out that, given the fact that a food as useless and lacking in health qualitites as jelly beans could meet this criteria, the AHA employs a special "Jelly Bean Rule" that stipulates that 10% of the Daily Value of 6 nutrients (e.g., fiber, vitamins A and C, etc.) must also be contained in a serving.So those are the startlingly lax requirements to gain the privilege of affixing the AHA Heart Check Mark on your product and informing the public that your box of Cocoa Puffs, Cookie Crisp cereal, or Berry Kix is "heart healthy."There is an epidemic of obesity in the U.S. I don't believe that the AHA endorsement helps. In fact, I believe that it has been a contributor to obesity.Pardon me while I eat this bag of M&M's for my heart.
Exercise and blood pressure 7. June 2007 William Davis (0) Stan did everything right. He followed the Track Your Plaque "Rule of 60". He was slender, had run a marathon a few months earlier, in fact. He included fish oil at therapeutic doses. He replenished vitamin D to a blood level of 57 ng/ml 25-OH-vitamin D3. Though ambitious and hard-working, he was a generally happy, optimistic person. Yet his CT heart scan score increased 28% in one year, from a starting score of 379 to 485. What did he do wrong? Well, Stan did nothing wrong. But I suggested to him that one "hole" in his program could be exercise-induced high blood pressure. I've witnessed this effect many times. Blood pressure normal or "borderline" high while seated and relaxed, sky-high with exercise. So we put Stan on a treadmill. Starting blood pressure: 123/76. Blood pressure with exericse (13 mets): 220/78--sky high. That's why Stan's heart scan score went up. A good pressure with this level of exercise: 150/70, but certainly no higher than 170/80. If blood pressure is high with exercise, it's probably high with emotional upset, anxiety, being in a hurry, etc., also, all the irritations and pressures of life. We'll see in future how much of a role reducing Stan's blood pressure will play in gaining better control over his heart scan score. A practical difficulty will be in assessing the adequacy of blood pressure control in Stan, since its full potential only becomes evident with exerise. It means that future blood pressure assessments are more likely to be on a treadmill. It would also explain why Stan's thoracic aorta was mildly enlarged and his aortic valve was mildly leaky when I met him, both potential consequences of intermittent high blood pressure.
Cheese and vitamin K2 6. June 2007 William Davis (5) If you've been following the Track Your Plaque conversation, you know that, contrary to prevailing opinion among many cardiologists, there is an emerging notion that coronary calcification is an active process, a true part of the disease. Vitamin D3 is an important aspect of this question. So is vitamin K2. Not to be confused with K1 that plays a role in blood coagulation, K2 has an important role in calcium metabolism. Thus, vitmain K2 deficiency is related to osteoporosis and to coronary calcification. Getting K2, like getting D, is difficult from food sources. The choices for K2 sources includes:--Natto--generally, an impalatable choice. I've had it and it was intolerably gooey and weird-tasting. It is, nonetheless, the most concentrated food source of K2.--Pate--Though liver products have the potential for containing many other unhealthy things, like pesticide residues, since the liver acts as a filter for the blood.--Fermented cheeses--Since K2 is a product of fermentation of cheese, as it is in Natto. For years, we've advised people to avoid or minimize cheese because of saturated fat or cholesterol content. I think that there's reason to re-think this advice based on the emerging data. How can you tell the difference between fermented and non-fermented cheese? First, look for the holes in the cheese. The holes are the remnants of gas pockets created during fermentation. Second, look for the word "cultures" on the label, meaning organisms for fermentation were added. If "processed cheese" is anywhere on the label, this is a dairy product that has been chemically coagulated and is not fermented. Fermented cheeses are generally "gourmet" cheeses, not eaten a pound at a time on a pizza, but meant to be eaten in small portions. How much fermented cheese is necessary for its presumed inhibitory benefits on coronary calcification and osteoporsis? Are some fermented cheeses better than others? These issues remain unsettled. Stay tuned.
Vitamin D disappointment ahead 5. June 2007 William Davis (9) Anyone following the Track Your Plaque conversation know that we are rabid fans of normalizing blood vitamin D blood levels (25-OH-vitamin D3).A wonderful report on vitamin D was aired this morning on the NBC Today show. The interviewed guests did a good job of describing the health effects of vitamin D, thought the focus was on some new data on the use of vitamin D for breast and prostate cancer. I learned that shiitake mushrooms have some vitamin D--I didn't know that! (They contain 260 units per 4 mushrooms.) Unfortunately, the closing comments from the guests, among whom was nutritionist and author, Joy Bauer,MS, was that you should get vitamin D from your multivitamin or your calcium with vit D. That is absolutely wrong. When you check blood levels of vitamin D, as we do in everybody we see, you quickly learn what works and what doesn't. Vitamin D in multivitamins is very poorly absorbed, if at all. Likewise, about 90% of the D in most calcium preparations is not absorbed. The vast majority of tablet or powder preparations, such as those in calcium tablets, are not absorbed to any significant extent. Take all you want and you remain vit D-deficient with osteoporosis, growing coronary plaque, low HDL, and exposed to risk for prostate and colon cancer. If you take vitamin D in supplement form, it must--MUST--be in an oil-based capsule. The tablets are simply much too poorly and erratically absorbed to be reliable. There's nothing more frustrating to take, for instance, 4000 units of vitamin D in tablet form, only to have a blood level of 12 ng/ml--severe deficiency. Take the same 4000 unit dose in capsule form and blood level skyrockets to 58 ng/ml. And it's no more expensive.One other thing: If you want to waste time and money, take the prescription vitamin D prescribed by many doctors. This is vitamin D2, also known as "ergocalciferol". Why use the synthetic vitamin D2 when D3 is the form your body needs? Because the D2 is patent-protectable and profitable to the drug manufacturer, similar to using Premarin (horse estrogens) when human preparations would suffice--or be superior. I saw a woman today taking 50,000 of prescription D2 once per week. Her blood level of 25-OH-vitamin D3? 17 ng/ml--severe deficiency. Don't waste your time with this garbage.
In search of truth 4. June 2007 William Davis (2) I am continually amazed at the amount of time and energy we all expend in the search for truth. Rely on your hospital and you will be steered towards strategies that, at worst, aim to increase your use of hospital procedures. At best, they steer you towards physicians who are often under their employ. How about your doctor? This is a source of immense frustration. Doctors remain interested in treating the catastrophic illness. They remain lukewarm towards prevention and self-empowerment. Thus, supplements are dangerous, everything requires a doctor's endorsement. Drug companies? That's like relying on a used car salesman for truth. Exagerration, slick talk, and plain deception might be better descriptions of what you can count on from the drug manufacturers. The internet? Perhaps, if you're selective. WebMD? An obvious voice-box for the drug industry. Just look at the proliferation of drugs ads that accompany each report. In fact, the majority (80%) of WebMD's revenues come from drug manufacturers. The profit motive has created a mountain of good information. It has also created a sea of mis-information, all created to provide personal financial enrichment. But I continue to be optimistic that the internet will also become a forum for truth, particularly through its capacity for networked interaction among participants. As our collective wisdom permits us to more effectively separate the wheat from the chaff in looking for the truth, I believe that we will zigzag towards a system of healthcare that is self-empowering, self-directed, and resorts to hospitals and procedures only in the most dire circumstances, saving billions of dollars every year.
American Heart Association stamp of approval 2. June 2007 William Davis (8) The American Heart Association (AHA) has a program called the Heart-Check Mark, an "approval" process that permits a food manufacturer to affix the AHA logo and stamp of approval on various food products. A company simply makes application to the AHA. The application and product details are reviewed and then approved or turned down. To date, 106 companies have obtained the AHA stamp of approval on 768 products. What kinds of products are on the approved list? Here's a sample:--Honey Bunches of Oats--Kellogg's Frosted Mini-Wheats --Cocoa Puffs cereal--Cookie Crisp cereal ("The great taste of chocolate chips in every bite!")There are 764 others. If you doubt this, just go to the store and take a look at the product containers. What the heck is going on here? Most of us with any judgment know that these products are pure sugar. They may contain "no more" than 15-40 grams sugar per sugar, but the principal products--corn, wheat, fructose--mean that these products are, in effect, nearly pure sugar. Yet they carry the AHA stamp of approval. What do products like this cause? It's a long list but the major effects include:--Obesity--Diabetes--Drop in HDL--Rise in triglycerides--Small LDL particles--Heightened inflammation (i.e., C-reactive protein)--Mental cloudinessNeed I go on? Why are products like these and many others deserving of the AHA heart-check approval? Because they lack high fat and saturated fat (3.0 grams, 1.0 grams respectively, by AHA criteria). In other words, just lacking these ingredients means that, to the AHA, they qualify as "heart healthy." By that same line of reasoning, many candy bars are "heart healthy", as are many cookies and cupcakes. What's the reason behind this extraordinary absurdity? Is the AHA stupid? There may be many reasons, but one very suspicious fact bec All posts by william-davis Toggle navigation Home Blog Home Archive Join Now Log in All in the family--What to do if there's heart disease in your family 3. April 2006 William Davis (0) What should you do if a close relative of yours is diagnosed with coronary disease?This question came up recently with a patient of mine. The patient--a strapping, 47 year old businessman who looked the absolute picture of health--was undergoing bypass surgery. Although I'd met him for the purposes of plaque reversal, he was already having symptoms and his stress test was flagrantly abnormal, all discovered after a heart scan score of 765. On the day after the patient's bypass, the patient's brother came to me. Understandably concerned about his own health, he asked what he should do. The answer: get a heart scan.Measure the disease with the easiest test available. If his heart scan score is zero, great--he's at exceptionally low (near zero) risk for heart attack. A modest program of long-term prevention is all that's necessary. What if his score is like his brother, should he get in line for his bypass? No, absolutely not! But he will need two things: 1) a stress test to ascertain whether or not he's safe (60% likelihood a stress test would be normal), and 2) an effort to determine how the heck he got so much plaque. (We favor lipoprotein testing, of course, for greatest diagnostic certainty.) Message: Learn from the lessons your own family provides. Don't let this valuable information go to waste. Newer posts >> Newer posts12...113114115116117118119120121122Older posts All posts by william-davis Toggle navigation Home Blog Home Archive Join Now Log in Wheat-free and weight loss 13. October 2007 William Davis (14) With a heart scan score of 1222, Leslie could be in deep trouble in short order. At 64 years old, Leslie had gained nearly 40 lbs since she'd given up a lot of her activities caring for a husband who'd developed psychological difficulties and stopped contributing to the household duties. A tall woman at 5 ft 9 inches, she held her 202 lbs well, but her lipoprotein patterns were a disaster: --LDL particle number 2482 nmol/l--an equivalent LDL cholesterol of 248 mg/dl (drop the last digit)--HDL 38 mg/dl--Triglycerides 241 mg/dl--90% of LDL particles were small--Lipoprotein(a) 240 nmol/lBlood sugar was in the pre-diabetic range at 112 mg/dl, C-reactive protein was high at 3.0 mg/l, blood pressure was somewhat high at 140/84. Now, with the exception of lipoprotein(a), these patterns are exquisitely weight-sensitive. A reduction in weight would yield effects superior to any medication I could give her. Processed wheat products were a big problem for Leslie: whole wheat bread, pretzels for snacks, whole wheat pasta. Yes, they sound healthy, even endorsed by the American Heart Association, often bearing "heart healthy" labels on the packages. Don't you believe it. In particular, Leslie had the number one cause for heart disease in America: small LDL particles, a pattern that is magnified 30-70% by wheat products. Endorsed by the Heart Association? (As I often tell people, if you want heart disease, follow the diet advocated by the American Heart Association.)Leslie was skeptical, worried that she would be hungry all the time and would have virtually nothing left to eat. Instead, when she returned to the office three months later, she reported that eating was easy, finding healthy foods not containing wheat was easier than she thought, she felt great, finding more energy than she'd had in years. She'd also shed 30 lbs. Leslie's lipoprotein patterns also reflected the weight loss. She achieved her 60:60:60 Track Your Plaque lipid targets, small LDL shrunk dramatically, blood sugar and blood pressure were back in normal ranges. I see results like Leslie's several times every week. For those of us with patterns like Leslie's, or just obesity that accumulates in the abdomen, going wheat-free is among the most powerful single strategies I know of. If you need convincing, try an experiment. Eliminate--not reduce, but eliminate wheat products from your diet, whether or not the fancy label on the package says it's healthy, high in fiber, a "healthy low-fat snack", etc. This means no bread, pasta, crackers, cookies, breads, chips, pancakes, waffles, breading on chicken, rolls, bagels, cakes, breakfast cereal. I find elimination of wheat easier than just cutting back. I believe this is because wheat is powerfully addictive. It's very similar to telling an alcoholic that a drink now and then is okay--it just doesn't work. They need to be alcohol-free. Most of us need to be wheat-free, not just cut back. You won't be hungry if you replace the lost calories with plenty of raw almonds, walnuts, pecans, sunflower and pumpkin seeds; more liberal use of healthy olive oil, canola oil and flaxseed oil; adding ground flaxseed and oat bran to yogurt, cottage cheese, etc.; and more lean proteins like lean beef, chicken, turkey, fish, and eggs.The majority of people who go wheat-free lose weight, sometimes dramatically. Most people also feel better: more energy, more alert, better sleep, less mood swings. Time and again, people who try this will tell me that the daytime grogginess they've suffered and lived with for years, and would treat with loads of caffeine, is suddenly gone. They cruise through their day with extra energy.Even without weight loss, going wheat-free usually raises HDL, reduces the dreaded small LDL dramtically. It also reduces triglycerides, blood sugar, C-reactive protein, blood pressure. Blood sugar control in diabetics is far easier, with less fluctuations and sharp rises in blood sugar.Success at this also yields great advantage for your heart scan score control and reversal efforts. Collective wisdom 12. October 2007 William Davis (5) As public consciousness and knowledge about health issues grows, thanks to the internet and other media, I predict that:1) Hospitals will recede into a role of acute and catastrophic care ONLY, dropping the charade of providing health, which they do NOT. 2) Doctors and other health professionals will begin to see themselves as providers of acute and catastrophic care, also. They will stop providing day to day care, such as treating high blood pressure, cholesterol, breast exams, and other preventive maintenance. 3) Instead, preventive care will be self-provided. The public will have acquired sufficient savvy and know-how to manage issues like blood pressure themselves. They will need the assistance of helpful information resources, web-based for the most part. Much preventive care can, in fact, be algorithm-driven, just like following a simple recipe. All the worries about runaway health care costs will be much reduced, since excessive testing driven by liability worries will disappear, repeated office visits for day-to-day issues will go away. Yes, you will need a doctor and hospital for a broken leg, car accident, unexpected cancer, or non-compliance or neglect of prevention. But osteoporosis, high blood pressure, nutrition, weight loss, hormone management, cholesterol issues, minor complaints will all be managed by people themselves with the assistance of web-based knowledge systems. I already sense this sort of phenomeonon developing, though in its infancy, in venues like the Track Your Plaque Forum and other health portals, places where the information being discussed exceeds the quality of information you can obtain from your doctor. Over and over again, for instance, the sophistication and knowledge demonstrated by our Track Your Plaque Forum discussions shows that the public is capable of far more understanding of health issues than many previously believed. Most of our members could carry on a credible conversation with trained lipid experts. The knowledge base of our members exceeds that of 98% of most of my colleagues when it comes to heart scans, lipoproteins, and nutrition. I am in awe of Wikipedia, the popular online encyclopedia. Five 20- and 30-somethings have created a knowledge base that has now eclipsed Encyclopedia Britannica in size and scope, with equivalent accuracy, and relatively little cost. I'd like to see the same phenomenon occur in health care information, helping to usurp the current paternalistic "I'll tell you what to do" model. Success--Slow but sure 12. October 2007 William Davis (5) John is a gentleman. At age 76, he continues to teach at a local college. He's a delight to talk to, having written several scholarly books on religious topics. He's a fountain of knowledge on religious history and the roots of faith. John is one of those incurably optimistic people, always greeting me with a smile and a warm handshake. I can't help but linger for a hour or so to talk with John, unfortunately disrupting my office schedule miserably. John is another Track Your Plaque success story. Though he didn't set any records in reduction of his heart scan score, he did it simply by adhering to the program over a period of two years, succeeding slowly but surely. John's first heart scan score: 1190, a score that carries as much as a 25% annual risk for heart attack. Among the list of causes was an LDL cholesterol in the 170 mg/dl range, along with an LDL particle number that verified the accuracy of LDL. Among John's suggested treatments was a statin drug, since I was not confident he could reduce LDL with diet and nutritional modifications sufficiently to safely reduce both LDL and his risk for heart attack. But he proved terribly intolerant to any dose of any statin, with incapacitating and strange side-effects, like head-to-toe itching, abdominal cramps and diarrhea. It was clear: John needed to do the program without benefit of a statin drug.I therefore asked John to maximize all efforts that reduce LDL, 70% of which were small LDL paricles despite his very slender build. He used oat bran and ground flaxseed daily, raw nuts, a soy protein smoothie every morning, and eliminated wheat and other high-glycemic index foods (including the Oreos he loved to snack on). Because the mis-adventures with statin drugs wasted nearly a year, I asked John to undergo another heart scan. Score 2: 1383, a 16% increase. I asked John to keep on going. Thankfully, he did manage to tolerate fish oil, niacin (though it required over a year just to get to a 1000 mg per day dose), and vitamin D. With all these efforts, he did reduce LDL to the 80-90 mg/dl range. Of course, John's unflagging optimism was crucial. He did express his occasional anxiety over his heart scan score, but dealt with it in a logical, philosophical way. He understood that there was no role for prophylactic stents or bypass, and he accepted that much of his program rested on his ability to adhere to the strategies we advised. Another year later, a 3rd heart scan: 1210, a 12% reduction. I'm very proud of John and his success. When you think about it, he succeeded in conquering heart disease with some very simple tools, minus statin drugs. It can be done, but requires consistency and patience--and an optimistic outlook. Vitamin D and octagenarians 10. October 2007 William Davis (28) Roger practically bounced in his chair vibrating with energy. "It must be the vitamin D! I haven't felt like this in years. I can work around the yard all day and still have energy left over."At age 84, Roger started out with pretty good health, despite a prosthetic valve and bypass surgery 5 years earlier. He looked 74, perhaps younger. I've seen this effect now in about 20 octagenarians. A Track Your Plaque Member mentioned this same effect in his father-in-law in a discussion in our Forum. Most are taking around 6000-8000 units per day (gelcap, of course). The average dose of vitamin D tends to be higher in this age group, since by age 80, you've essentially lost the capacity to convert 7-hydrocholesterol to active vitamin D3 in the skin. Most octagenarians start with 25-OH-vitamin D3 levels of 10 ng/ml or less--profound deficiency. I believe the effect is real, having now witnessed it multiple times. Unfortunately, my observations are too informal to qualify as a study. (I wouldn't even know how to quantify this. I suppose some sort of muscle and coordination testing might yield quantifiable measures.) However, there are some data emerging that show less fractures, falls, improved coordination, and perhaps improved memory and mentation with vitamin D supplementation, though doses often used in studies tend to be lower than what we are using in practice. I haven't been so excited about the effects of a nutritional supplement in a long time. Vitamin D continues to yield surprises every day in its array of positive and powerful effects. Could we say that vitamin D restores youthfulness? NY Times Jane Brody misses the mark 9. October 2007 William Davis (6) NY Times' health columnist, Jane Brody, recently wrote a bit of fluff for her paper: "CT Scans of the Heart Come With Trade-Offs In her report, she says:Coronary CT scans are being sold directly to the public, and they have found a market in health-conscious people who can afford them. But screening exams can have downsides. They can cause needless worry, and they sometimes reveal other potential conditions that require invasive procedures like biopsies to diagnose.I soon learned that among the strongest proponents of CT scans of coronary arteries were physicians with financial ties to drug companies that make statins and others connected to imaging centers that would profit directly from widespread CT screenings.She then goes on to discuss how the Framingham scoring calculation can tell you whether or not you are at low-, intermediate-, or high-risk for heart disease. She therefore concludes that heart scans are therefore irrelevant for the majority of people. She then proceeds to take a statin agent. This sort of nonsense continues to get published, despite the clear lack of real "digging" for the truth. She clearly fell for the conventional arguments that continue to mis-guide the majority of people, myths like: --the Framingham scoring system is reliable--Reliable it is NOT; it is susceptible to substantial "misclassification" bias, meaning people who appear low risk can actually be high risk, and people at high risk can actually be low risk. Among the latest studies that question the scoring system is Family history of premature coronary heart disease and coronary artery calcification: Multi-Ethnic Study of Atherosclerosis (MESA). This study pointed out how the Framingham scoring system, which leaves out family history, can cause people classified as low risk to actually have substantial heart scan scores. This is crucial. A heart scan gets beyond the uncertainties and shows with >95% certainty whether or not hidden coronary atherosclerotic plaque is present.--"Coronary risk" is a dynammic phenomenon, subject to changes in a person's life. What if, for instance, a person smoked for 20 years, quit 10 years ago, lost 30 lbs, dropped their blood pressure as a result of the weight loss, then relied on the Framingham Risk Calculator to determine risk. They would likely be classified as low- risk, since risk factors now appear favorable. This person could easily have a heart scan score of 500, or 700, or 1000, levels that carry a cardiovascular event risk of 5-25% per year, hardly low-risk, because much of their risk accumulated earlier in life and is no longer revealed by an assessment of risk factors. --There are sources of risk that have nothing to do with Framingham, such as lipoprotein(a), which is often revealed by family history; the presence of small LDL, which co-varies with HDL and triglycerides, but can behave independently also; and, my favorite, deficiency of vitamin D. This would explain part of the 60-70% of people who are typically mis-classified by Framingham. Where did Ms. Brody get the idea that proponents of heart scans had ties to drug companies? I think she's barking up the wrong tree on that one. Of course, she ends up on a statin drug. For my part, I am a critic of statin drugs. Yes, they play a role, but they are miserably misused and abused by practicing physicians, based on the endless onslaught of drug company-sponsored trials that have served to distort their usefulness. If I were Ms. Brody, I would be quaking in my shoes, not knowing what my true risk for heart disease was, relying on the--at best--30% reduction in heart attack risk of Lipitor or other statin drug. Ms. Brody: You are not cured, you're simply wearing a superficial Band-Aid. If you want to know your true risk for heart attack, and you want a precise value that you can track over time, the answer is simple: Reject the conventional notion and get a heart scan. "There must be a mistake" 9. October 2007 William Davis (2) Neal is our current male record holder for greatest reduction in heart scan score. (Yes, the ladies have the lead!) You may remember that this 40-year old man reduced his heart scan score from 339 to 161--a 51% drop. If you haven't yet read his story, go to http://www.cureality.com/library/fl_07-001nealt51.aspNeal reminded me of the experience he had when he underwent his second heart scan. Both scans had been performed at the same scanning center. At this center, the radiologists provide the added service of sitting down with people and actually going over the images and results. After the scan, the radiologist pulled up the result from Neal's first scan for comparison. "There must be a mistake! This score is lower. Scores never drop." The radiologist was apparently stumped, unable to provide an explanation. However, Neal then proceeded to tell the radiologist that we had warned Neal that this could happen and that he might even be told that it was due to error of some sort. This yielded a puzzled look on the radiologist but no further comment. Of course it's not a mistake. It's something we achieve on purpose. Curiously, I still get comments that this is impossible, heart scan scores never drop, etc. Of course, those of you following this conversation know this is completely untrue. Heart scan scores DO drop, and sometimes drop enormous amounts, as it did for Neal. I would have liked the radiologist to have had the lightbulb of understanding go off in his head when he realized that a reduction in heart scan score is a cause for celebration. Unfortunately, this radiologist's reaction is all too common: disbelief, confusion, dismissal. Heart disease reversal is simply not in the realm of understanding of most doctors, radiologists and cardiologists alike. By conventional thought, if you have it, it just gets worse. "Maybe some high-dose Lipitor might help." Ironically, when they see it right in front of their eyes, plain as day on the computer screen, they don't understand what has happened. It's Greek to them. Should this happen to you, don't be surprised. Just bite your tongue, because you know better. Jimmy Moore Interview: Is saturated fat the villain we thought? 7. October 2007 William Davis (45) Enter "weight loss" or "low carb" in your web search and you can't help but stumble across the prolific and widely-connected Jimmy Moore. On his Blog, Livin' la Vida Lo Carb , Jimmy conducts a wide-ranging and informative discussion of the benefits of a low carbohydrate diet, a la Atkins. Though his initial claim to fame was the 180 lbs he lost in his first year of dieting on this approach, Jimmy has extended the conversation and built a considerable community of like-minded individuals, all of whom are participating in this grand "experiment." Anybody who looks at lipoproteins and associated factors in health will quickly come to the conclusion that processed carbohydrates are the culprits in much of heart disease, diabetes, and heart disease. But I have had a hard time dismissing the ill-effects of saturated fat. After all, we've all been taught--drilled--with the idea that saturated fats cause LDL cholesterol to go higher, cause arterial constriction, growth of atherosclerotic plaque, inflammation, even cancer. But there does indeed seem to be a growing sentinment that this long-held dogma may not be true. So I went to the ever-entertaining and informative Jimmy Moore, an able spokesman for these concepts. TYP: It's certainly impossible to argue with the success you had in weight loss and the health you've regained on your program. I think that the approach we use in diet in the Track Your Plaque program and the nutrition approach you advocate overlap to a great extent. We both emphasize plenty of vegetables, fruits, healthy oils, nuts, etc. The major point of difference seems to lie in saturated fat: We say restrict it, you say don't restrict it. Could you elaborate?JM: Thank you for inviting me to your blog today, Dr. Davis. I have nothing but deep respect and admiration for the work you are doing to help educate others about how to keep their heart health in tip-top shape. Keep fighting the good fight, my friend.While we do agree on probably 99% of the basic tenets of what I describe as "livin' la vida low-carb," the issue of saturated fat to me is one where we indeed do not. It's not a deal breaker regarding my support for what you do just as I'm sure you would say the same regarding your backing of what I do. If we all agreed on everything, then what a boring world this would be!My thinking on saturated fat has evolved since I started eating this way nearly four years ago. Like most people, I was terrified to eat ANY fat at all because of the abject fear that people like Dr. Dean Ornish and other so-called health "experts" instilled in me about how dangerously unhealthy it is to consume it. This fat phobia is arguably the single biggest contributor to the ongoing obesity crisis our world faces today.With that said, you and I both know fat consumption is a part of a healthy lifestyle. There are just too many benefits to the body that come from the consumption of fats and even saturated fats such as coconut oil, butter, lard, nuts, seeds, and animal fat when it is combined with a restricted carbohydrate intake.An intriguing study was presented at a scientific conference in November 2006 by two highly-respected researchers--Dr. Stephen Phinney from the University of California at Davis and Dr. Jeff Volek from the University of Connecticut--who conducted a side-by-side comparison of the amount of saturated fat in the blood of people on a low-carb diet with those following those highly-touted low-fat diets. What they found was the low-carb study participants had "significantly less" saturated fat in their blood than the low-fatties did.Here are the actual numbers from the study:- LOW-FAT/HIGH-CARB DIETERS: lowered saturated fat by 24%- LOW-CARB/HIGH-FAT DIETERS: lowered saturated fat by 57%- Eating 3X the saturated fat cut the amount in the blood in halfIn an interview I conducted at my blog with Dr. Volek last year (here's the link: http://livinlavidalocarb.blogspot.com/2006/09/volek-high-carb-low-fat-diet-useless-to.html), he said the conventional wisdom regarding fat, especially saturate fat, is dead wrong while the significance of carbs is all but ignored by those who claim to understand the metabolic response mechanism.Here's what Dr. Volek said in my interview: "Eating fat does not make you fat, storing fat makes you fat. And carbohydrates play a major role in storing fat. So the level of dietary carbohydrate is really the most important factor to control because it dictates what happens to fat. Carbs are dominant and fat is passive. When carbohydrates are low, fat tends to be burned, and when carbohydrates are high dietary fat tends to be stored. The same holds true for the atherogenic effects of saturated fat. The body handles saturated fat better when carbohydrates are low."Long-time low-carb practitioner and current President of the American Society of Bariatric Physicians (ASBP) Dr. Mary C. Vernon from Lawrence, Kansas confirms the findings of Dr. Volek and Dr. Phinney in a succinct recap of what their research showed.Here's what she said:"Eating fat (whatever kind) does not make you fat. It does not increase blood stream saturated fat. Eating carbs does make you fat. Eating carbs does put saturated fat in your blood stream."To me, as a simple layperson with no medical background, it's all a matter of who you believe. Do we continue to buy into the low-fat propaganda machine and assume that what they are telling us about saturated fat is true? Or do we instead start paying closer attention to the latest research that is coming out about saturated fat that doesn't exactly line up with the edicts of the last three decades? The choice for me is a simple one.And if you haven't read the brand new Gary Taubes book entitled GOOD CALORIES, BAD CALORIES yet, then it is REQUIRED reading to arm yourself with the research studies about fat. After you read that book, it will be almost impossible for ANYONE to believe fat, including saturated fat, is unhealthy.TYP: In our program, we advocate a wheat-free approach for many people, because of the addictive potential of wheat products, as well as the flagrant creation of the small LDL pattern that wheat products create, thereby adding to atherosclerotic plaque growth. However, many people express a concern over a lack of fiber in their diets if they eliminate whole wheat bread, pasta, Fiber One, Raisin Bran cereal, etc. Have you encountered any phenomena of low-fiber on your approach? JM: What an excellent question and I even wrote a humorous blog post about the importance of fiber intake called "Allow Your Bowel To Shake, Rattle, And Roll" (http://livinlavidalocarb.blogspot.com/2006/06/allow-your-bowel-to-shake-rattle-and.html). Fiber consumption is another one of those issues that not everyone who advocates a controlled-carb approach agrees is necessary. I'm on the side that it IS a healthy part of your diet and should be consumed in high enough quantities to keep you regular...something many people think is impossible on a low-carb diet. Not true! I take a fiber supplement like FiberCon, eat plenty of high-fiber vegetables, drink lots of water, and even consume high-fiber, low-carb products that help me maintain high levels of fiber in my diet (see my favorite ones in this post: http://livinlavidalocarb.blogspot.com/2007/04/there-are-plenty-of-low-carb-fiber.html).As for consuming the highly-touted "healthy whole grain" cereals that you mentioned, what a travesty that would be for people trying to manage their weight and health. While the cereal manufacturers have had a heyday in their marketing efforts promoting their whole grain content, it's all just a big fat ruse on the public trying to convince them that these cereals are somehow healthy for their bodies. Sure, they're better than the sugary cereals, but all those grains are metabolized as sugar inside the body, so you might as well be eating Lucky Charms and Fruit Loops!Many of these "healthy" cereals contain as many carbohydrates in a single bowl without the milk as I would eat in an entire day. Raisin Bran, for example, which used to be my favorite cereal before my low-carb lifestye, has a whopping 47 grams of carbohydrates. Needless to say, I don't touch that with a ten-foot pole nowadays because I would surely gain weight and get back on the blood sugar rollercoaster ride that I was on prior to beginning the Atkins diet on January 1, 2004. Plus, all those carbs just make you hungrier sooner, so it's better just to eat some delicious eggs cooked in butter, a couple of slices of sausage, and tomato slices to start your day off right. You'll get enough fiber in your body the rest of your day.TYP: 180 lbs of weight loss in your first year is absolutely astounding. I take it that you've continued this trend and have lost more weight since your early success. What role did exercise play during your first year and subsequently? How are your food choices today different from that first year? JM: Yes, that weight loss was indeed one of the greatest accomplishments I have ever experienced in my life. It was a hard-fought battle that even included a 10-week period where I was stalled with no weight loss. But I knew my chosen diet was the right one for me because I felt better than I ever had on a diet, was never hungry because I ate every 2-3 hours, and could see myself doing this for the rest of my life. So far, so good!It has been close to four years since I began this journey and I am indeed continuing this pathway to better health. My low weight in 2004 was 230 pounds and I currently weigh 225 pounds. As long as I keep my carbs reduced, I am able to maintain my weight right where it is. I've had minor fluctuations in both directions where I got down to as low as 215 pounds at one point (but didn't feel good at that weight) and as high as 252 pounds (when I was allowing myself one too many high-carb foods here and there).There's a balance that people need to find for themselves and it's different for all of us. I am one of the unlucky people who has to keep his carbohydrate intake below 50g daily or I gain. It's just a fact of life that I've come to grips with and realize is a necessity in order to manage my weight for the rest of my life. But I wouldn't have it any other way!Exercise was indeed a part of my low-carb weight loss success in 2004 as I forced myself to do cardio every single day as a commitment to this journey. In hindsight, that was probably not the best thing for me to do since the body has a rather peculiar way of telling you it needs to wiggle and move spontaneously on its own rather than forcing the issue. But I consider the exercise I did to be such an integral part of my success that I dedicated an entire chapter of my book to the subject.Today, my daily cardio routine is out the window and I choose instead to engage in activities outside the gym that let me burn calories and have some fun in the process. I regularly play volleyball, basketball, and referee flag football at my church which all give me quite a workout. I'm very physically active and fit on my 6'3" body and just enjoy burning off all this excess energy that I have been given since losing nearly have my weight! I do want to get into a little more organized resistance training routine soon to try to shape and tone some areas of my body that still show signs of that 410-pound man I used to be (although the loose, hanging skin in my abdomen and inner thighs isn't going to get any better with exercise since the elasticity has been ruined from being stretched out so far). Here is a link to some posts and pictures I have written about this subject:http://lowcarblinks.blogspot.com/2007/04/theme-based-low-carb-links-loose-skin.htmlAs for my food choices today compared to my weight loss year in 2004, they haven't really changed a whole lot. This was a lifestyle change in every sense of the phrase and I've learned to implement this way of eating into a permanent and healthy diet that I can and will gladly live with forever and ever amen. I probably eat more berries, melons, and nuts today than I did then, but otherwise it's the identical diet. TYP: I'm sure that you are as impressed as I am that much of the wisdom in healthy eating doesn't always come from doctors or clinical studies, but from the collective wisdom that emerges from this national experiment (inadvertent, for the most part) in eating. Your Livin' La Vida Low-Carb is, in my view, a perfect example of the sort of wisdom that is helping all of us understand what happened to our health over the last 20 years. Does the approach you advocate today differ in any substantial way from the diet as originally articulated by Dr. Atkins? JM: Actually, my personal diet is precisely based on the teaching of the late great Dr. Robert C. Atkins in his classic bestseller DR. ATKINS' NEW DIET REVOLUTION (DANDR) book. But most people are surprised when they learn I do not necessarily advocate the Atkins diet as the nutritional approach for everyone. Nope, I sure don't!Instead, my philosophy is simple: Find the diet plan that will work for YOU, read and research everything you can about that chosen plan, follow that plan exactly as prescribed by the author of that book, and then KEEP doing that plan for the rest of your life. If you do that, then there's no reason why you can't succeed just like I did.Anyone interested in doing the low-carb lifestyle and needs help finding which plan is right for them, let me HIGHLY encourage you to pick up a copy of Dr. Jonny Bowden's LIVING THE LOW-CARB LIFE (read my review: http://livinlavidalocarb.blogspot.com/2005/05/must-have-book-for-everybody-doing-low.html). It's the perfect overview of low-carb living with a comparison and recap of the major plans.THANK YOU again for allowing me to share my story with you and your readers, Dr. Davis! TYP: And thanks to you, Jimmy! For more on Jimmy Moore's lively and informative discussion of these issues, go to Livin' la Vida Lo Carb Also, watch "Livin' La Vida Low-Carb on YouTube" Join the conversation at Jimmy's new low-carb forum called "Livin' La Vida Low-Carb Discussion" at LowCarbDiscussion.comAlso, Jimmy's 2005 book on his weight loss experience:"Livin' La Vida Low-Carb: My Journey From Flabby Fat To Sensationally Skinny In One Year" Mammogram of the heart 6. October 2007 William Davis (3) Some people have called CT heart scans the "mammogram of the heart." The analogy contains a lot of wisdom.First of all, both--mammograms and CT heart scans--are screening tests, one for cancer, of course, the other for coronary atherosclerotic plaque. Both are performed in specific age groups, mammograms in women 40 years and over (generally), heart scans in women 50 years and over (generally).Mammograms: Left, normal; right, a small mass. (Courtesy Nat'l Institutes of Health and Wikipedia.)Both are also meant to be repeated periodically when normal as a surveillance process.Both use low quantities of radiation of about 0.3-0.4 mSv (the most real-life measure of total body exposure), a modest quantity of radiation.Both are good for their purposes, though not perfect. Can a mammogram performed properly miss a small cancerous mass? Sure it can, but it's still unusual. Can a CT heart scan miss the non-calcified plaque prone to rupture? Sure it can, but this is also unlikely (<5% probability).Given the exorbitant costs of medical tests, both are quite inexpensive. On the flip side, they are both also quite unprofitable for the centers providing the tests. Unfortunately, this means that mammography centers and heart scan centers come and go because of the difficulties of the profit-side of these services.Both tests initially struggled to gain acceptance among the medical community. In 1960, for instance, mammograms were performed on standard x-ray devices, the same as that used to perform chest x-rays--low precision, high radiation back then. In 1969, dedicated mammography devices made the scene. However, it took over 10 years for even these new dedicated devices to become widely used. Use of mammograms has gradually increased over the ensuing 20 years. In other words, 47 years have passed since the introduction of mammography. CT heart scans, of course, have had a shorter history of approximately 20 years, since engineer, Dr. Douglas Boyd, first invented the "ultra-fast" EBT devices, the first devices with sufficient scanning speed to scan the heart and coronary arteries. One interesting difference between the two: In a woman between the age of 50 and 60, the likelihood of detecting cancer is 1 in 237. The likelihood of detecting coronary atherosclerotic plaque? About 1 in 4. Coronary disease eventually kills 1 in 3 females, hugely overshadowing breast cancer in frequency. Progress on both fronts, one in cancer detection, the other in atherosclerotic coronary plaque detection. But still lots more progress to go. Dr. Susie Rockway on conjugated linoleic acid (CLA) 5. October 2007 William Davis (7) I’m fascinated by the perspectives that nutritionists (free-thinking ones, at least), food scientists, and biochemists bring on nutrition and nutritional supplements. A few months ago, I met a fascinating nutritionist/biochemist named Susie Rockway, PhD. Dr. Rockway brings a world of experience in the world of nutritional supplements, clinical trials with supplements, and their development. She has special expertise in conjugated linoleic acid (CLA), having been among the scientists who initially developed CLA as a supplement. We are also exploring CLA as a possible addition to the Track Your Plaque program and wanted to get Dr. Rockway’s perspectives. So I asked Dr. Rockway if she’d answer a few questions for us. TYP: Dr. Rockway, we understand that you are particularly excited about the prospects of CLA for FAT loss and perhaps for regression of atherosclerosis. Can you tell us about the origins of your interest in CLA and why you're so enthusiastic? Dr. Rockway: I have been fascinated with this unique fatty acid since the early 1990’s when CLA was first being discussed as nature’s most potent anti-carcinogen. I was then working in the granting/funding section of the National Dairy Council and saw this molecule as truly one of the future functional fats that would likely benefit people (next to omega-3’s!) I think the benefits of CLA have just begun to be investigated—animal studies are extraordinary for showing fat reduction, lean mass (muscle) increases, immune enhancements, blood glucose normalization, anti-inflammatory properties and plaque reduction! Human data to date is very encouraging for fat reduction. As a nutritionist seeing the massive increase in abdominal fat (stomach fat) in the world population and the direct relationship to cardiovascular disease, I see CLA as a great supplement to take to help this. Of course eating lots of vegetables, fruit, lean protein and whole grain products is also a must for maximizing good health. I am studying the impact of CLA in reducing muscle loss in aging women—a condition known as sarcopenia. As we lose muscle with age, we lose strength, falls increase, we become frailer, and eventually many of us lose our independence. Along with the muscle atrophy, most people gain fat—never a good thing! So, if CLA can reduce fat and increase muscle, our bodies are more likely to withstand the hurdles that life throws at us much more efficiently. So, how can you not be excited about this very bioactive molecule? TYP: What are your specific areas of interest in nutrition and health? Dr. Rockway: I strive to understand the role of bioactive molecules that can be taken to improve the aging process and enhance health. As a trained nutritional biochemist, we tend to look at cell metabolism in a very ideal sense: what we learned in our biochemistry texts years ago where all substrates, proteins, enzymes, etc. are made exactly when we need them, where all cells behave as they should. Unfortunately, little research has been devoted to understanding the changes in metabolism as we age. Do we still produce everything as efficiently as when we were 20? I suspect not. So, I think we need a little help, and supplements are a key to getting there. Two nutrients that I think are emerging as “super nutrients” are the fatty acids found in fish oil (EPA and DHA) and vitamin D. Where we know these two nutrients are essential for life, we are seeing that they play a huge role in the QUALITY of life. Mood, depression, PMS, wound healing, bone growth, atherosclerosis, and arthritis are clinical areas where we see a direct benefit with doses of omega-3 and Vitamin D that are probably much greater than the RDA. Our current requirements for nutrients are really based on fixing deficiencies and not maximizing health, and maximizing health is where I’m at. Thus, I am very interested molecules like CLA as mentioned above, and other bioactive ingredients such as plant derived ingredients (phytochemicals) called flavonoids that may well help explain why people who have diets high in fruits and vegetables are less likely to have certain cancers and heart disease. Reducing oxidative stress through foods that provide these active molecules (think colored fruits and veggies) is a new and exciting area of research. TYP:The big "diet experiment" in America has clearly steered people in the wrong direction, usually by 50 or more pounds. As a scientist in nutrition, what are your thoughts? Dr. Rockway: The American Heart Association was keen 20 years ago to promote the low-fat diet for all Americans as the key way to reduce cholesterol levels and decrease chance of heart disease, the number one killer of men and women. However, I must admit the nutritional community bought into this one, too. Unfortunately, the general public took this message to reduce percent fat in their diet (and they did a bit), but increased overall calories instead—and a large portion of the increased calories was from simple carbohydrates. I’m convinced that this in itself has been part of the huge rise in obesity…we simply eat more food and it’s not the healthy kind of food either.When you increase sugar intake beyond what you burn off, you will store some of it as glycogen in the liver and muscles, but you will convert most of the excess into fat—and that we can store very efficiently! The fat that is made in the liver is sent to the blood as VLDL’s which are the precursor to the class of lipids called low density lipoproteins (LDL) that are the “lethal” type of cholesterol circulating in our blood. So, Americans now have to listen to a new message that they need to eat more fruits and vegetables in hopes they will cut down on fast foods—tending to be high in fat (saturated particularly), low in fiber and low in nutrients and other high calorie dense foods. We nutritionists have our work cut out for us, that’s for sure. TYP: We are especially excited that nutritionists are assuming a leading role in shining light on the confusion in diet and nutrition that has characterized the last 40 years. Do you have a sense for the emerging important issues for the next 10 years? Dr. Rockway: Certainly, the scientists in the nutritional field are well aware of the problems facing this nation—it’s in fixing them that we fall short! We aren’t very well coordinated to get a single message out, nor do we all agree on what that message should be. I feel that people need to eat healthy MOST OF THE TIME, exercise all of the time, and take supplements that have clear evidence of benefit. Lots of my colleagues would not concur with supplement use. Our bodies were designed to move a lot and eat a lot…we just do the latter now and are paying the price!One emerging and very exciting area that we have to teach Americans is that all fat is not bad. The different types of fat—omega-6 vs. omega-3, are where we need to focus our education. Decreasing the corn oil we pour on everything needs to go out the window! Consume olive oil and eat fish or take fish oil supplements—we simply have tons and tons of research showing the benefits of reducing the ratio of omega-6 to omega-3. Did you know that cattle that are grass fed actually have less omega-6 in their tissues and more CLA? But most cattle are fed corn-based diets, so we have perturbed their natural selection of food and their fat composition. See, it all comes back to CLA!TYP: Thanks, Susie! Susie Rockway, Ph.D., C.N.S.Dr. Susie Rockway is an experienced scientist with accomplishments in both the academic and food and supplement industry business directing science/technology research. Her background includes faculty appointments at the graduate level in teaching and research at Rush University Medical Center and industrial experience managing basic and applied research studies. Dr. Rockway received her Ph.D. in Nutritional Sciences, Biochemistry from the University of Arizona. Dr. Rockway has authored several publications in journals such as the Physiological Genomics, Journal of Nutrition, the Journal of Food Science, International Archives of Occupational and Environmental Health and has published chapters on nutrition on inflammatory bowel diseases. She is a member of the American Society for Nutrition, American Oil Chemists Society, the Institute of Food Technology, American College of Nutrition and is a Certified Nutrition Specialist.We're also proud to add Dr. Rockway to our panel of Track Your Plaque Experts. Which is better? 4. October 2007 William Davis (12) If you have the common pattern of high LDL particle number (NMR) with small LDL--a pattern highly related to coronary plaque--which is better:Lipitor or a combination of fish oil, vitamin D, and elimination of wheat? Lipitor quite effectively reduces LDL particle number, usually on the order of 40% or so. Effect on LDL particle size: None. Side-effects: plenty, including muscle aches (inevitable in my experience, not the ridiculous 2% they claim) and occasionally mental effects such as impaired short-term memory.Lipitor does seem to exert a modest effect on reduction of C-reactive protein, around 30%. It also reduces cardiovascular events by 30%. A combination of fish oil, vitamin D, and elimination of wheat: Reduces LDL particle number commonly by a similar 40% (though variable, depending on body weight). There is substantial improvement in LDL particle size, a large drop in C-reactive protein, often >50%, a 30% or more reduction in cardiovacular events. On this combination, however, you also:--Lose weight, often substantially. --Improve bone health, esp. osteoporosis and arthritis. --Reduce cancer risk from the vit D supplementation. --Reduce risk of stroke. --Reduce postprandial (after-eating) abnormalities like intermediate-density lipoprotein.--Reduce winter blues. --Experience more energy. --Obtain increased clarity of thought (from elimination of wheat). --Reduce blood pressure. Oh, and there's no muscle aches. << Older posts Newer posts >> Newer posts12...727374757677787980...121122Older posts
All in the family--What to do if there's heart disease in your family 3. April 2006 William Davis (0) What should you do if a close relative of yours is diagnosed with coronary disease?This question came up recently with a patient of mine. The patient--a strapping, 47 year old businessman who looked the absolute picture of health--was undergoing bypass surgery. Although I'd met him for the purposes of plaque reversal, he was already having symptoms and his stress test was flagrantly abnormal, all discovered after a heart scan score of 765. On the day after the patient's bypass, the patient's brother came to me. Understandably concerned about his own health, he asked what he should do. The answer: get a heart scan.Measure the disease with the easiest test available. If his heart scan score is zero, great--he's at exceptionally low (near zero) risk for heart attack. A modest program of long-term prevention is all that's necessary. What if his score is like his brother, should he get in line for his bypass? No, absolutely not! But he will need two things: 1) a stress test to ascertain whether or not he's safe (60% likelihood a stress test would be normal), and 2) an effort to determine how the heck he got so much plaque. (We favor lipoprotein testing, of course, for greatest diagnostic certainty.) Message: Learn from the lessons your own family provides. Don't let this valuable information go to waste.
Wheat-free and weight loss 13. October 2007 William Davis (14) With a heart scan score of 1222, Leslie could be in deep trouble in short order. At 64 years old, Leslie had gained nearly 40 lbs since she'd given up a lot of her activities caring for a husband who'd developed psychological difficulties and stopped contributing to the household duties. A tall woman at 5 ft 9 inches, she held her 202 lbs well, but her lipoprotein patterns were a disaster: --LDL particle number 2482 nmol/l--an equivalent LDL cholesterol of 248 mg/dl (drop the last digit)--HDL 38 mg/dl--Triglycerides 241 mg/dl--90% of LDL particles were small--Lipoprotein(a) 240 nmol/lBlood sugar was in the pre-diabetic range at 112 mg/dl, C-reactive protein was high at 3.0 mg/l, blood pressure was somewhat high at 140/84. Now, with the exception of lipoprotein(a), these patterns are exquisitely weight-sensitive. A reduction in weight would yield effects superior to any medication I could give her. Processed wheat products were a big problem for Leslie: whole wheat bread, pretzels for snacks, whole wheat pasta. Yes, they sound healthy, even endorsed by the American Heart Association, often bearing "heart healthy" labels on the packages. Don't you believe it. In particular, Leslie had the number one cause for heart disease in America: small LDL particles, a pattern that is magnified 30-70% by wheat products. Endorsed by the Heart Association? (As I often tell people, if you want heart disease, follow the diet advocated by the American Heart Association.)Leslie was skeptical, worried that she would be hungry all the time and would have virtually nothing left to eat. Instead, when she returned to the office three months later, she reported that eating was easy, finding healthy foods not containing wheat was easier than she thought, she felt great, finding more energy than she'd had in years. She'd also shed 30 lbs. Leslie's lipoprotein patterns also reflected the weight loss. She achieved her 60:60:60 Track Your Plaque lipid targets, small LDL shrunk dramatically, blood sugar and blood pressure were back in normal ranges. I see results like Leslie's several times every week. For those of us with patterns like Leslie's, or just obesity that accumulates in the abdomen, going wheat-free is among the most powerful single strategies I know of. If you need convincing, try an experiment. Eliminate--not reduce, but eliminate wheat products from your diet, whether or not the fancy label on the package says it's healthy, high in fiber, a "healthy low-fat snack", etc. This means no bread, pasta, crackers, cookies, breads, chips, pancakes, waffles, breading on chicken, rolls, bagels, cakes, breakfast cereal. I find elimination of wheat easier than just cutting back. I believe this is because wheat is powerfully addictive. It's very similar to telling an alcoholic that a drink now and then is okay--it just doesn't work. They need to be alcohol-free. Most of us need to be wheat-free, not just cut back. You won't be hungry if you replace the lost calories with plenty of raw almonds, walnuts, pecans, sunflower and pumpkin seeds; more liberal use of healthy olive oil, canola oil and flaxseed oil; adding ground flaxseed and oat bran to yogurt, cottage cheese, etc.; and more lean proteins like lean beef, chicken, turkey, fish, and eggs.The majority of people who go wheat-free lose weight, sometimes dramatically. Most people also feel better: more energy, more alert, better sleep, less mood swings. Time and again, people who try this will tell me that the daytime grogginess they've suffered and lived with for years, and would treat with loads of caffeine, is suddenly gone. They cruise through their day with extra energy.Even without weight loss, going wheat-free usually raises HDL, reduces the dreaded small LDL dramtically. It also reduces triglycerides, blood sugar, C-reactive protein, blood pressure. Blood sugar control in diabetics is far easier, with less fluctuations and sharp rises in blood sugar.Success at this also yields great advantage for your heart scan score control and reversal efforts.
Collective wisdom 12. October 2007 William Davis (5) As public consciousness and knowledge about health issues grows, thanks to the internet and other media, I predict that:1) Hospitals will recede into a role of acute and catastrophic care ONLY, dropping the charade of providing health, which they do NOT. 2) Doctors and other health professionals will begin to see themselves as providers of acute and catastrophic care, also. They will stop providing day to day care, such as treating high blood pressure, cholesterol, breast exams, and other preventive maintenance. 3) Instead, preventive care will be self-provided. The public will have acquired sufficient savvy and know-how to manage issues like blood pressure themselves. They will need the assistance of helpful information resources, web-based for the most part. Much preventive care can, in fact, be algorithm-driven, just like following a simple recipe. All the worries about runaway health care costs will be much reduced, since excessive testing driven by liability worries will disappear, repeated office visits for day-to-day issues will go away. Yes, you will need a doctor and hospital for a broken leg, car accident, unexpected cancer, or non-compliance or neglect of prevention. But osteoporosis, high blood pressure, nutrition, weight loss, hormone management, cholesterol issues, minor complaints will all be managed by people themselves with the assistance of web-based knowledge systems. I already sense this sort of phenomeonon developing, though in its infancy, in venues like the Track Your Plaque Forum and other health portals, places where the information being discussed exceeds the quality of information you can obtain from your doctor. Over and over again, for instance, the sophistication and knowledge demonstrated by our Track Your Plaque Forum discussions shows that the public is capable of far more understanding of health issues than many previously believed. Most of our members could carry on a credible conversation with trained lipid experts. The knowledge base of our members exceeds that of 98% of most of my colleagues when it comes to heart scans, lipoproteins, and nutrition. I am in awe of Wikipedia, the popular online encyclopedia. Five 20- and 30-somethings have created a knowledge base that has now eclipsed Encyclopedia Britannica in size and scope, with equivalent accuracy, and relatively little cost. I'd like to see the same phenomenon occur in health care information, helping to usurp the current paternalistic "I'll tell you what to do" model.
Success--Slow but sure 12. October 2007 William Davis (5) John is a gentleman. At age 76, he continues to teach at a local college. He's a delight to talk to, having written several scholarly books on religious topics. He's a fountain of knowledge on religious history and the roots of faith. John is one of those incurably optimistic people, always greeting me with a smile and a warm handshake. I can't help but linger for a hour or so to talk with John, unfortunately disrupting my office schedule miserably. John is another Track Your Plaque success story. Though he didn't set any records in reduction of his heart scan score, he did it simply by adhering to the program over a period of two years, succeeding slowly but surely. John's first heart scan score: 1190, a score that carries as much as a 25% annual risk for heart attack. Among the list of causes was an LDL cholesterol in the 170 mg/dl range, along with an LDL particle number that verified the accuracy of LDL. Among John's suggested treatments was a statin drug, since I was not confident he could reduce LDL with diet and nutritional modifications sufficiently to safely reduce both LDL and his risk for heart attack. But he proved terribly intolerant to any dose of any statin, with incapacitating and strange side-effects, like head-to-toe itching, abdominal cramps and diarrhea. It was clear: John needed to do the program without benefit of a statin drug.I therefore asked John to maximize all efforts that reduce LDL, 70% of which were small LDL paricles despite his very slender build. He used oat bran and ground flaxseed daily, raw nuts, a soy protein smoothie every morning, and eliminated wheat and other high-glycemic index foods (including the Oreos he loved to snack on). Because the mis-adventures with statin drugs wasted nearly a year, I asked John to undergo another heart scan. Score 2: 1383, a 16% increase. I asked John to keep on going. Thankfully, he did manage to tolerate fish oil, niacin (though it required over a year just to get to a 1000 mg per day dose), and vitamin D. With all these efforts, he did reduce LDL to the 80-90 mg/dl range. Of course, John's unflagging optimism was crucial. He did express his occasional anxiety over his heart scan score, but dealt with it in a logical, philosophical way. He understood that there was no role for prophylactic stents or bypass, and he accepted that much of his program rested on his ability to adhere to the strategies we advised. Another year later, a 3rd heart scan: 1210, a 12% reduction. I'm very proud of John and his success. When you think about it, he succeeded in conquering heart disease with some very simple tools, minus statin drugs. It can be done, but requires consistency and patience--and an optimistic outlook.
Vitamin D and octagenarians 10. October 2007 William Davis (28) Roger practically bounced in his chair vibrating with energy. "It must be the vitamin D! I haven't felt like this in years. I can work around the yard all day and still have energy left over."At age 84, Roger started out with pretty good health, despite a prosthetic valve and bypass surgery 5 years earlier. He looked 74, perhaps younger. I've seen this effect now in about 20 octagenarians. A Track Your Plaque Member mentioned this same effect in his father-in-law in a discussion in our Forum. Most are taking around 6000-8000 units per day (gelcap, of course). The average dose of vitamin D tends to be higher in this age group, since by age 80, you've essentially lost the capacity to convert 7-hydrocholesterol to active vitamin D3 in the skin. Most octagenarians start with 25-OH-vitamin D3 levels of 10 ng/ml or less--profound deficiency. I believe the effect is real, having now witnessed it multiple times. Unfortunately, my observations are too informal to qualify as a study. (I wouldn't even know how to quantify this. I suppose some sort of muscle and coordination testing might yield quantifiable measures.) However, there are some data emerging that show less fractures, falls, improved coordination, and perhaps improved memory and mentation with vitamin D supplementation, though doses often used in studies tend to be lower than what we are using in practice. I haven't been so excited about the effects of a nutritional supplement in a long time. Vitamin D continues to yield surprises every day in its array of positive and powerful effects. Could we say that vitamin D restores youthfulness?
NY Times Jane Brody misses the mark 9. October 2007 William Davis (6) NY Times' health columnist, Jane Brody, recently wrote a bit of fluff for her paper: "CT Scans of the Heart Come With Trade-Offs In her report, she says:Coronary CT scans are being sold directly to the public, and they have found a market in health-conscious people who can afford them. But screening exams can have downsides. They can cause needless worry, and they sometimes reveal other potential conditions that require invasive procedures like biopsies to diagnose.I soon learned that among the strongest proponents of CT scans of coronary arteries were physicians with financial ties to drug companies that make statins and others connected to imaging centers that would profit directly from widespread CT screenings.She then goes on to discuss how the Framingham scoring calculation can tell you whether or not you are at low-, intermediate-, or high-risk for heart disease. She therefore concludes that heart scans are therefore irrelevant for the majority of people. She then proceeds to take a statin agent. This sort of nonsense continues to get published, despite the clear lack of real "digging" for the truth. She clearly fell for the conventional arguments that continue to mis-guide the majority of people, myths like: --the Framingham scoring system is reliable--Reliable it is NOT; it is susceptible to substantial "misclassification" bias, meaning people who appear low risk can actually be high risk, and people at high risk can actually be low risk. Among the latest studies that question the scoring system is Family history of premature coronary heart disease and coronary artery calcification: Multi-Ethnic Study of Atherosclerosis (MESA). This study pointed out how the Framingham scoring system, which leaves out family history, can cause people classified as low risk to actually have substantial heart scan scores. This is crucial. A heart scan gets beyond the uncertainties and shows with >95% certainty whether or not hidden coronary atherosclerotic plaque is present.--"Coronary risk" is a dynammic phenomenon, subject to changes in a person's life. What if, for instance, a person smoked for 20 years, quit 10 years ago, lost 30 lbs, dropped their blood pressure as a result of the weight loss, then relied on the Framingham Risk Calculator to determine risk. They would likely be classified as low- risk, since risk factors now appear favorable. This person could easily have a heart scan score of 500, or 700, or 1000, levels that carry a cardiovascular event risk of 5-25% per year, hardly low-risk, because much of their risk accumulated earlier in life and is no longer revealed by an assessment of risk factors. --There are sources of risk that have nothing to do with Framingham, such as lipoprotein(a), which is often revealed by family history; the presence of small LDL, which co-varies with HDL and triglycerides, but can behave independently also; and, my favorite, deficiency of vitamin D. This would explain part of the 60-70% of people who are typically mis-classified by Framingham. Where did Ms. Brody get the idea that proponents of heart scans had ties to drug companies? I think she's barking up the wrong tree on that one. Of course, she ends up on a statin drug. For my part, I am a critic of statin drugs. Yes, they play a role, but they are miserably misused and abused by practicing physicians, based on the endless onslaught of drug company-sponsored trials that have served to distort their usefulness. If I were Ms. Brody, I would be quaking in my shoes, not knowing what my true risk for heart disease was, relying on the--at best--30% reduction in heart attack risk of Lipitor or other statin drug. Ms. Brody: You are not cured, you're simply wearing a superficial Band-Aid. If you want to know your true risk for heart attack, and you want a precise value that you can track over time, the answer is simple: Reject the conventional notion and get a heart scan.
"There must be a mistake" 9. October 2007 William Davis (2) Neal is our current male record holder for greatest reduction in heart scan score. (Yes, the ladies have the lead!) You may remember that this 40-year old man reduced his heart scan score from 339 to 161--a 51% drop. If you haven't yet read his story, go to http://www.cureality.com/library/fl_07-001nealt51.aspNeal reminded me of the experience he had when he underwent his second heart scan. Both scans had been performed at the same scanning center. At this center, the radiologists provide the added service of sitting down with people and actually going over the images and results. After the scan, the radiologist pulled up the result from Neal's first scan for comparison. "There must be a mistake! This score is lower. Scores never drop." The radiologist was apparently stumped, unable to provide an explanation. However, Neal then proceeded to tell the radiologist that we had warned Neal that this could happen and that he might even be told that it was due to error of some sort. This yielded a puzzled look on the radiologist but no further comment. Of course it's not a mistake. It's something we achieve on purpose. Curiously, I still get comments that this is impossible, heart scan scores never drop, etc. Of course, those of you following this conversation know this is completely untrue. Heart scan scores DO drop, and sometimes drop enormous amounts, as it did for Neal. I would have liked the radiologist to have had the lightbulb of understanding go off in his head when he realized that a reduction in heart scan score is a cause for celebration. Unfortunately, this radiologist's reaction is all too common: disbelief, confusion, dismissal. Heart disease reversal is simply not in the realm of understanding of most doctors, radiologists and cardiologists alike. By conventional thought, if you have it, it just gets worse. "Maybe some high-dose Lipitor might help." Ironically, when they see it right in front of their eyes, plain as day on the computer screen, they don't understand what has happened. It's Greek to them. Should this happen to you, don't be surprised. Just bite your tongue, because you know better.
Jimmy Moore Interview: Is saturated fat the villain we thought? 7. October 2007 William Davis (45) Enter "weight loss" or "low carb" in your web search and you can't help but stumble across the prolific and widely-connected Jimmy Moore. On his Blog, Livin' la Vida Lo Carb , Jimmy conducts a wide-ranging and informative discussion of the benefits of a low carbohydrate diet, a la Atkins. Though his initial claim to fame was the 180 lbs he lost in his first year of dieting on this approach, Jimmy has extended the conversation and built a considerable community of like-minded individuals, all of whom are participating in this grand "experiment." Anybody who looks at lipoproteins and associated factors in health will quickly come to the conclusion that processed carbohydrates are the culprits in much of heart disease, diabetes, and heart disease. But I have had a hard time dismissing the ill-effects of saturated fat. After all, we've all been taught--drilled--with the idea that saturated fats cause LDL cholesterol to go higher, cause arterial constriction, growth of atherosclerotic plaque, inflammation, even cancer. But there does indeed seem to be a growing sentinment that this long-held dogma may not be true. So I went to the ever-entertaining and informative Jimmy Moore, an able spokesman for these concepts. TYP: It's certainly impossible to argue with the success you had in weight loss and the health you've regained on your program. I think that the approach we use in diet in the Track Your Plaque program and the nutrition approach you advocate overlap to a great extent. We both emphasize plenty of vegetables, fruits, healthy oils, nuts, etc. The major point of difference seems to lie in saturated fat: We say restrict it, you say don't restrict it. Could you elaborate?JM: Thank you for inviting me to your blog today, Dr. Davis. I have nothing but deep respect and admiration for the work you are doing to help educate others about how to keep their heart health in tip-top shape. Keep fighting the good fight, my friend.While we do agree on probably 99% of the basic tenets of what I describe as "livin' la vida low-carb," the issue of saturated fat to me is one where we indeed do not. It's not a deal breaker regarding my support for what you do just as I'm sure you would say the same regarding your backing of what I do. If we all agreed on everything, then what a boring world this would be!My thinking on saturated fat has evolved since I started eating this way nearly four years ago. Like most people, I was terrified to eat ANY fat at all because of the abject fear that people like Dr. Dean Ornish and other so-called health "experts" instilled in me about how dangerously unhealthy it is to consume it. This fat phobia is arguably the single biggest contributor to the ongoing obesity crisis our world faces today.With that said, you and I both know fat consumption is a part of a healthy lifestyle. There are just too many benefits to the body that come from the consumption of fats and even saturated fats such as coconut oil, butter, lard, nuts, seeds, and animal fat when it is combined with a restricted carbohydrate intake.An intriguing study was presented at a scientific conference in November 2006 by two highly-respected researchers--Dr. Stephen Phinney from the University of California at Davis and Dr. Jeff Volek from the University of Connecticut--who conducted a side-by-side comparison of the amount of saturated fat in the blood of people on a low-carb diet with those following those highly-touted low-fat diets. What they found was the low-carb study participants had "significantly less" saturated fat in their blood than the low-fatties did.Here are the actual numbers from the study:- LOW-FAT/HIGH-CARB DIETERS: lowered saturated fat by 24%- LOW-CARB/HIGH-FAT DIETERS: lowered saturated fat by 57%- Eating 3X the saturated fat cut the amount in the blood in halfIn an interview I conducted at my blog with Dr. Volek last year (here's the link: http://livinlavidalocarb.blogspot.com/2006/09/volek-high-carb-low-fat-diet-useless-to.html), he said the conventional wisdom regarding fat, especially saturate fat, is dead wrong while the significance of carbs is all but ignored by those who claim to understand the metabolic response mechanism.Here's what Dr. Volek said in my interview: "Eating fat does not make you fat, storing fat makes you fat. And carbohydrates play a major role in storing fat. So the level of dietary carbohydrate is really the most important factor to control because it dictates what happens to fat. Carbs are dominant and fat is passive. When carbohydrates are low, fat tends to be burned, and when carbohydrates are high dietary fat tends to be stored. The same holds true for the atherogenic effects of saturated fat. The body handles saturated fat better when carbohydrates are low."Long-time low-carb practitioner and current President of the American Society of Bariatric Physicians (ASBP) Dr. Mary C. Vernon from Lawrence, Kansas confirms the findings of Dr. Volek and Dr. Phinney in a succinct recap of what their research showed.Here's what she said:"Eating fat (whatever kind) does not make you fat. It does not increase blood stream saturated fat. Eating carbs does make you fat. Eating carbs does put saturated fat in your blood stream."To me, as a simple layperson with no medical background, it's all a matter of who you believe. Do we continue to buy into the low-fat propaganda machine and assume that what they are telling us about saturated fat is true? Or do we instead start paying closer attention to the latest research that is coming out about saturated fat that doesn't exactly line up with the edicts of the last three decades? The choice for me is a simple one.And if you haven't read the brand new Gary Taubes book entitled GOOD CALORIES, BAD CALORIES yet, then it is REQUIRED reading to arm yourself with the research studies about fat. After you read that book, it will be almost impossible for ANYONE to believe fat, including saturated fat, is unhealthy.TYP: In our program, we advocate a wheat-free approach for many people, because of the addictive potential of wheat products, as well as the flagrant creation of the small LDL pattern that wheat products create, thereby adding to atherosclerotic plaque growth. However, many people express a concern over a lack of fiber in their diets if they eliminate whole wheat bread, pasta, Fiber One, Raisin Bran cereal, etc. Have you encountered any phenomena of low-fiber on your approach? JM: What an excellent question and I even wrote a humorous blog post about the importance of fiber intake called "Allow Your Bowel To Shake, Rattle, And Roll" (http://livinlavidalocarb.blogspot.com/2006/06/allow-your-bowel-to-shake-rattle-and.html). Fiber consumption is another one of those issues that not everyone who advocates a controlled-carb approach agrees is necessary. I'm on the side that it IS a healthy part of your diet and should be consumed in high enough quantities to keep you regular...something many people think is impossible on a low-carb diet. Not true! I take a fiber supplement like FiberCon, eat plenty of high-fiber vegetables, drink lots of water, and even consume high-fiber, low-carb products that help me maintain high levels of fiber in my diet (see my favorite ones in this post: http://livinlavidalocarb.blogspot.com/2007/04/there-are-plenty-of-low-carb-fiber.html).As for consuming the highly-touted "healthy whole grain" cereals that you mentioned, what a travesty that would be for people trying to manage their weight and health. While the cereal manufacturers have had a heyday in their marketing efforts promoting their whole grain content, it's all just a big fat ruse on the public trying to convince them that these cereals are somehow healthy for their bodies. Sure, they're better than the sugary cereals, but all those grains are metabolized as sugar inside the body, so you might as well be eating Lucky Charms and Fruit Loops!Many of these "healthy" cereals contain as many carbohydrates in a single bowl without the milk as I would eat in an entire day. Raisin Bran, for example, which used to be my favorite cereal before my low-carb lifestye, has a whopping 47 grams of carbohydrates. Needless to say, I don't touch that with a ten-foot pole nowadays because I would surely gain weight and get back on the blood sugar rollercoaster ride that I was on prior to beginning the Atkins diet on January 1, 2004. Plus, all those carbs just make you hungrier sooner, so it's better just to eat some delicious eggs cooked in butter, a couple of slices of sausage, and tomato slices to start your day off right. You'll get enough fiber in your body the rest of your day.TYP: 180 lbs of weight loss in your first year is absolutely astounding. I take it that you've continued this trend and have lost more weight since your early success. What role did exercise play during your first year and subsequently? How are your food choices today different from that first year? JM: Yes, that weight loss was indeed one of the greatest accomplishments I have ever experienced in my life. It was a hard-fought battle that even included a 10-week period where I was stalled with no weight loss. But I knew my chosen diet was the right one for me because I felt better than I ever had on a diet, was never hungry because I ate every 2-3 hours, and could see myself doing this for the rest of my life. So far, so good!It has been close to four years since I began this journey and I am indeed continuing this pathway to better health. My low weight in 2004 was 230 pounds and I currently weigh 225 pounds. As long as I keep my carbs reduced, I am able to maintain my weight right where it is. I've had minor fluctuations in both directions where I got down to as low as 215 pounds at one point (but didn't feel good at that weight) and as high as 252 pounds (when I was allowing myself one too many high-carb foods here and there).There's a balance that people need to find for themselves and it's different for all of us. I am one of the unlucky people who has to keep his carbohydrate intake below 50g daily or I gain. It's just a fact of life that I've come to grips with and realize is a necessity in order to manage my weight for the rest of my life. But I wouldn't have it any other way!Exercise was indeed a part of my low-carb weight loss success in 2004 as I forced myself to do cardio every single day as a commitment to this journey. In hindsight, that was probably not the best thing for me to do since the body has a rather peculiar way of telling you it needs to wiggle and move spontaneously on its own rather than forcing the issue. But I consider the exercise I did to be such an integral part of my success that I dedicated an entire chapter of my book to the subject.Today, my daily cardio routine is out the window and I choose instead to engage in activities outside the gym that let me burn calories and have some fun in the process. I regularly play volleyball, basketball, and referee flag football at my church which all give me quite a workout. I'm very physically active and fit on my 6'3" body and just enjoy burning off all this excess energy that I have been given since losing nearly have my weight! I do want to get into a little more organized resistance training routine soon to try to shape and tone some areas of my body that still show signs of that 410-pound man I used to be (although the loose, hanging skin in my abdomen and inner thighs isn't going to get any better with exercise since the elasticity has been ruined from being stretched out so far). Here is a link to some posts and pictures I have written about this subject:http://lowcarblinks.blogspot.com/2007/04/theme-based-low-carb-links-loose-skin.htmlAs for my food choices today compared to my weight loss year in 2004, they haven't really changed a whole lot. This was a lifestyle change in every sense of the phrase and I've learned to implement this way of eating into a permanent and healthy diet that I can and will gladly live with forever and ever amen. I probably eat more berries, melons, and nuts today than I did then, but otherwise it's the identical diet. TYP: I'm sure that you are as impressed as I am that much of the wisdom in healthy eating doesn't always come from doctors or clinical studies, but from the collective wisdom that emerges from this national experiment (inadvertent, for the most part) in eating. Your Livin' La Vida Low-Carb is, in my view, a perfect example of the sort of wisdom that is helping all of us understand what happened to our health over the last 20 years. Does the approach you advocate today differ in any substantial way from the diet as originally articulated by Dr. Atkins? JM: Actually, my personal diet is precisely based on the teaching of the late great Dr. Robert C. Atkins in his classic bestseller DR. ATKINS' NEW DIET REVOLUTION (DANDR) book. But most people are surprised when they learn I do not necessarily advocate the Atkins diet as the nutritional approach for everyone. Nope, I sure don't!Instead, my philosophy is simple: Find the diet plan that will work for YOU, read and research everything you can about that chosen plan, follow that plan exactly as prescribed by the author of that book, and then KEEP doing that plan for the rest of your life. If you do that, then there's no reason why you can't succeed just like I did.Anyone interested in doing the low-carb lifestyle and needs help finding which plan is right for them, let me HIGHLY encourage you to pick up a copy of Dr. Jonny Bowden's LIVING THE LOW-CARB LIFE (read my review: http://livinlavidalocarb.blogspot.com/2005/05/must-have-book-for-everybody-doing-low.html). It's the perfect overview of low-carb living with a comparison and recap of the major plans.THANK YOU again for allowing me to share my story with you and your readers, Dr. Davis! TYP: And thanks to you, Jimmy! For more on Jimmy Moore's lively and informative discussion of these issues, go to Livin' la Vida Lo Carb Also, watch "Livin' La Vida Low-Carb on YouTube" Join the conversation at Jimmy's new low-carb forum called "Livin' La Vida Low-Carb Discussion" at LowCarbDiscussion.comAlso, Jimmy's 2005 book on his weight loss experience:"Livin' La Vida Low-Carb: My Journey From Flabby Fat To Sensationally Skinny In One Year"
Mammogram of the heart 6. October 2007 William Davis (3) Some people have called CT heart scans the "mammogram of the heart." The analogy contains a lot of wisdom.First of all, both--mammograms and CT heart scans--are screening tests, one for cancer, of course, the other for coronary atherosclerotic plaque. Both are performed in specific age groups, mammograms in women 40 years and over (generally), heart scans in women 50 years and over (generally).Mammograms: Left, normal; right, a small mass. (Courtesy Nat'l Institutes of Health and Wikipedia.)Both are also meant to be repeated periodically when normal as a surveillance process.Both use low quantities of radiation of about 0.3-0.4 mSv (the most real-life measure of total body exposure), a modest quantity of radiation.Both are good for their purposes, though not perfect. Can a mammogram performed properly miss a small cancerous mass? Sure it can, but it's still unusual. Can a CT heart scan miss the non-calcified plaque prone to rupture? Sure it can, but this is also unlikely (<5% probability).Given the exorbitant costs of medical tests, both are quite inexpensive. On the flip side, they are both also quite unprofitable for the centers providing the tests. Unfortunately, this means that mammography centers and heart scan centers come and go because of the difficulties of the profit-side of these services.Both tests initially struggled to gain acceptance among the medical community. In 1960, for instance, mammograms were performed on standard x-ray devices, the same as that used to perform chest x-rays--low precision, high radiation back then. In 1969, dedicated mammography devices made the scene. However, it took over 10 years for even these new dedicated devices to become widely used. Use of mammograms has gradually increased over the ensuing 20 years. In other words, 47 years have passed since the introduction of mammography. CT heart scans, of course, have had a shorter history of approximately 20 years, since engineer, Dr. Douglas Boyd, first invented the "ultra-fast" EBT devices, the first devices with sufficient scanning speed to scan the heart and coronary arteries. One interesting difference between the two: In a woman between the age of 50 and 60, the likelihood of detecting cancer is 1 in 237. The likelihood of detecting coronary atherosclerotic plaque? About 1 in 4. Coronary disease eventually kills 1 in 3 females, hugely overshadowing breast cancer in frequency. Progress on both fronts, one in cancer detection, the other in atherosclerotic coronary plaque detection. But still lots more progress to go.
Dr. Susie Rockway on conjugated linoleic acid (CLA) 5. October 2007 William Davis (7) I’m fascinated by the perspectives that nutritionists (free-thinking ones, at least), food scientists, and biochemists bring on nutrition and nutritional supplements. A few months ago, I met a fascinating nutritionist/biochemist named Susie Rockway, PhD. Dr. Rockway brings a world of experience in the world of nutritional supplements, clinical trials with supplements, and their development. She has special expertise in conjugated linoleic acid (CLA), having been among the scientists who initially developed CLA as a supplement. We are also exploring CLA as a possible addition to the Track Your Plaque program and wanted to get Dr. Rockway’s perspectives. So I asked Dr. Rockway if she’d answer a few questions for us. TYP: Dr. Rockway, we understand that you are particularly excited about the prospects of CLA for FAT loss and perhaps for regression of atherosclerosis. Can you tell us about the origins of your interest in CLA and why you're so enthusiastic? Dr. Rockway: I have been fascinated with this unique fatty acid since the early 1990’s when CLA was first being discussed as nature’s most potent anti-carcinogen. I was then working in the granting/funding section of the National Dairy Council and saw this molecule as truly one of the future functional fats that would likely benefit people (next to omega-3’s!) I think the benefits of CLA have just begun to be investigated—animal studies are extraordinary for showing fat reduction, lean mass (muscle) increases, immune enhancements, blood glucose normalization, anti-inflammatory properties and plaque reduction! Human data to date is very encouraging for fat reduction. As a nutritionist seeing the massive increase in abdominal fat (stomach fat) in the world population and the direct relationship to cardiovascular disease, I see CLA as a great supplement to take to help this. Of course eating lots of vegetables, fruit, lean protein and whole grain products is also a must for maximizing good health. I am studying the impact of CLA in reducing muscle loss in aging women—a condition known as sarcopenia. As we lose muscle with age, we lose strength, falls increase, we become frailer, and eventually many of us lose our independence. Along with the muscle atrophy, most people gain fat—never a good thing! So, if CLA can reduce fat and increase muscle, our bodies are more likely to withstand the hurdles that life throws at us much more efficiently. So, how can you not be excited about this very bioactive molecule? TYP: What are your specific areas of interest in nutrition and health? Dr. Rockway: I strive to understand the role of bioactive molecules that can be taken to improve the aging process and enhance health. As a trained nutritional biochemist, we tend to look at cell metabolism in a very ideal sense: what we learned in our biochemistry texts years ago where all substrates, proteins, enzymes, etc. are made exactly when we need them, where all cells behave as they should. Unfortunately, little research has been devoted to understanding the changes in metabolism as we age. Do we still produce everything as efficiently as when we were 20? I suspect not. So, I think we need a little help, and supplements are a key to getting there. Two nutrients that I think are emerging as “super nutrients” are the fatty acids found in fish oil (EPA and DHA) and vitamin D. Where we know these two nutrients are essential for life, we are seeing that they play a huge role in the QUALITY of life. Mood, depression, PMS, wound healing, bone growth, atherosclerosis, and arthritis are clinical areas where we see a direct benefit with doses of omega-3 and Vitamin D that are probably much greater than the RDA. Our current requirements for nutrients are really based on fixing deficiencies and not maximizing health, and maximizing health is where I’m at. Thus, I am very interested molecules like CLA as mentioned above, and other bioactive ingredients such as plant derived ingredients (phytochemicals) called flavonoids that may well help explain why people who have diets high in fruits and vegetables are less likely to have certain cancers and heart disease. Reducing oxidative stress through foods that provide these active molecules (think colored fruits and veggies) is a new and exciting area of research. TYP:The big "diet experiment" in America has clearly steered people in the wrong direction, usually by 50 or more pounds. As a scientist in nutrition, what are your thoughts? Dr. Rockway: The American Heart Association was keen 20 years ago to promote the low-fat diet for all Americans as the key way to reduce cholesterol levels and decrease chance of heart disease, the number one killer of men and women. However, I must admit the nutritional community bought into this one, too. Unfortunately, the general public took this message to reduce percent fat in their diet (and they did a bit), but increased overall calories instead—and a large portion of the increased calories was from simple carbohydrates. I’m convinced that this in itself has been part of the huge rise in obesity…we simply eat more food and it’s not the healthy kind of food either.When you increase sugar intake beyond what you burn off, you will store some of it as glycogen in the liver and muscles, but you will convert most of the excess into fat—and that we can store very efficiently! The fat that is made in the liver is sent to the blood as VLDL’s which are the precursor to the class of lipids called low density lipoproteins (LDL) that are the “lethal” type of cholesterol circulating in our blood. So, Americans now have to listen to a new message that they need to eat more fruits and vegetables in hopes they will cut down on fast foods—tending to be high in fat (saturated particularly), low in fiber and low in nutrients and other high calorie dense foods. We nutritionists have our work cut out for us, that’s for sure. TYP: We are especially excited that nutritionists are assuming a leading role in shining light on the confusion in diet and nutrition that has characterized the last 40 years. Do you have a sense for the emerging important issues for the next 10 years? Dr. Rockway: Certainly, the scientists in the nutritional field are well aware of the problems facing this nation—it’s in fixing them that we fall short! We aren’t very well coordinated to get a single message out, nor do we all agree on what that message should be. I feel that people need to eat healthy MOST OF THE TIME, exercise all of the time, and take supplements that have clear evidence of benefit. Lots of my colleagues would not concur with supplement use. Our bodies were designed to move a lot and eat a lot…we just do the latter now and are paying the price!One emerging and very exciting area that we have to teach Americans is that all fat is not bad. The different types of fat—omega-6 vs. omega-3, are where we need to focus our education. Decreasing the corn oil we pour on everything needs to go out the window! Consume olive oil and eat fish or take fish oil supplements—we simply have tons and tons of research showing the benefits of reducing the ratio of omega-6 to omega-3. Did you know that cattle that are grass fed actually have less omega-6 in their tissues and more CLA? But most cattle are fed corn-based diets, so we have perturbed their natural selection of food and their fat composition. See, it all comes back to CLA!TYP: Thanks, Susie! Susie Rockway, Ph.D., C.N.S.Dr. Susie Rockway is an experienced scientist with accomplishments in both the academic and food and supplement industry business directing science/technology research. Her background includes faculty appointments at the graduate level in teaching and research at Rush University Medical Center and industrial experience managing basic and applied research studies. Dr. Rockway received her Ph.D. in Nutritional Sciences, Biochemistry from the University of Arizona. Dr. Rockway has authored several publications in journals such as the Physiological Genomics, Journal of Nutrition, the Journal of Food Science, International Archives of Occupational and Environmental Health and has published chapters on nutrition on inflammatory bowel diseases. She is a member of the American Society for Nutrition, American Oil Chemists Society, the Institute of Food Technology, American College of Nutrition and is a Certified Nutrition Specialist.We're also proud to add Dr. Rockway to our panel of Track Your Plaque Experts.
Which is better? 4. October 2007 William Davis (12) If you have the common pattern of high LDL particle number (NMR) with small LDL--a pattern highly related to coronary plaque--which is better:Lipitor or a combination of fish oil, vitamin D, and elimination of wheat? Lipitor quite effectively reduces LDL particle number, usually on the order of 40% or so. Effect on LDL particle size: None. Side-effects: plenty, including muscle aches (inevitable in my experience, not the ridiculous 2% they claim) and occasionally mental effects such as impaired short-term memory.Lipitor does seem to exert a modest effect on reduction of C-reactive protein, around 30%. It also reduces cardiovascular events by 30%. A combination of fish oil, vitamin D, and elimination of wheat: Reduces LDL particle number commonly by a similar 40% (though variable, depending on body weight). There is substantial improvement in LDL particle size, a large drop in C-reactive protein, often >50%, a 30% or more reduction in cardiovacular events. On this combination, however, you also:--Lose weight, often substantially. --Improve bone health, esp. osteoporosis and arthritis. --Reduce cancer risk from the vit D supplementation. --Reduce risk of stroke. --Reduce postprandial (after-eating) abnormalities like intermediate-density lipoprotein.--Reduce winter blues. --Experience more energy. --Obtain increased clarity of thought (from elimination of wheat). --Reduce blood pressure. Oh, and there's no muscle aches.