For the sake of convenience: Commercial sources of prebiotic fibers

Our efforts to obtain prebiotic fibers/resistant starches, as discussed in the Cureality Digestive Health Track, to cultivate healthy bowel flora means recreating the eating behavior of primitive humans who dug in the dirt with sticks and bone fragments for underground roots and tubers, behaviors you can still observe in extant hunter-gatherer groups, such as the Hadza and Yanomamo. But, because this practice is inconvenient for us modern folk accustomed to sleek grocery stores, because many of us live in climates where the ground is frozen much of the year, and because we lack the wisdom passed from generation to generation that helps identify which roots and tubers are safe to eat and which are not, we rely on modern equivalents of primitive sources. Thus, green, unripe bananas, raw potatoes and other such fiber sources in the Cureality lifestyle.

There is therefore no need to purchase prebiotic fibers outside of your daily effort at including an unripe green banana, say, or inulin and fructooligosaccharides (FOS), or small servings of legumes as a means of cultivating healthy bowel flora. These are powerful strategies that change the number and species of bowel flora over time, thereby leading to beneficial health effects that include reduced blood sugar and blood pressure, reduction in triglycerides, reduced anxiety and improved sleep, and reduced colon cancer risk.

HOWEVER, convenience can be a struggle. Traveling by plane, for example, makes lugging around green bananas or raw potatoes inconvenient. Inulin and FOS already come as powders or capsules and they are among the options for a convenient, portable prebiotic fiber strategy. But there are others that can be purchased. This is a more costly way to get your prebiotic fibers and you do not need to purchase these products in order to succeed in your bowel flora management program. These products are therefore listed strictly as a strategy for convenience.

Most perspectives on the quality of human bowel flora composition suggest that diversity is an important feature, i.e., the greater the number of species, the better the health of the host. There may therefore be advantage in varying your prebiotic routine, e.g., green banana on Monday, inulin on Tuesday, PGX (below) on Wednesday, etc. Beyond providing convenience, these products may introduce an added level of diversity, as well.

Among the preparations available to us that can be used as prebiotic fibers:

PGX

While it is billed as a weight management and blood sugar-reducing product, the naturally occurring fiber--α-D-glucurono-α-D-manno-β-D-manno- β-D-gluco, α-L-gulurono-β-D mannurono, β-D-gluco-β- D-mannan--in PGX also exerts prebiotic effects (evidenced by increased fecal butyrate, the beneficial end-product of bacterial metabolism). PGX is available as capsules or granules. It also seems to exert prebiotic effects at lower doses than other prebiotic fibers. While I usually advise reaching 20 grams per day of fiber, PGX appears to exert substantial effects at a daily dose of half that quantity. As with all prebiotic fibers, it is best to build up slowly over weeks, e.g., start at 1.5 grams twice per day. It is also best taken in two or three divided doses. (Avoid the PGX bars, as they are too carb-rich for those of us trying to achieve ideal metaobolic health.)

Prebiotin

A combination of inulin and FOS available as powders and in portable Stick Pacs (2 gram and 4 gram packs). This preparation is quite costly, however, given the generally low cost of purchasing chicory inulin and FOS separately.

Acacia

Acacia fiber is another form of prebiotic fiber.  RenewLife and NOW are two reputable brands.

Isomalto-oligosaccharides

This fiber is used in Quest bars and in Paleo Protein Bars. With Quest bars, choose the flavors without sucralose, since it has been associated with undesirable changes in bowel flora.

There you go. It means that there are fewer and fewer reasons to not purposefully cultivate healthy bowel flora and obtain all the wonderful health benefits of doing so, from reduced blood pressure, to reduced triglycerides, to deeper sleep.

Disclaimer: I am not compensated in any way by discussing these products.

How Not To Have An Autoimmune Condition


Autoimmune conditions are becoming increasingly common. Estimates vary, but it appears that at least 8-9% of the population in North America and Western Europe have one of these conditions, with The American Autoimmune Related Diseases Association estimating that it’s even higher at 14% of the population.

The 200 or so autoimmune diseases that afflict modern people are conditions that involve an abnormal immune response directed against one or more organs of the body. If the misguided attack is against the thyroid gland, it can result in Hashimoto’s thyroiditis. If it is directed against pancreatic beta cells that produce insulin, it can result in type 1 diabetes or latent autoimmune diabetes of adults (LADA). If it involves tissue encasing joints (synovium) like the fingers or wrists, it can result in rheumatoid arthritis. It if involves the liver, it can result in autoimmune hepatitis, and so on. Nearly every organ of the body can be the target of such a misguided immune response.

While it requires a genetic predisposition towards autoimmunity that we have no control over (e.g., the HLA-B27 gene for ankylosing spondylitis), there are numerous environmental triggers of these diseases that we can do something about. Identifying and correcting these factors stacks the odds in your favor of reducing autoimmune inflammation, swelling, pain, organ dysfunction, and can even reverse an autoimmune condition altogether.

Among the most important factors to correct in order to minimize or reverse autoimmunity are:


Wheat and grain elimination

If you are reading this, you likely already know that the gliadin protein of wheat and related proteins in other grains (especially the secalin of rye, the hordein of barley, zein of corn, perhaps the avenin of oats) initiate the intestinal “leakiness” that begins the autoimmune process, an effect that occurs in over 90% of people who consume wheat and grains. The flood of foreign peptides/proteins, bacterial lipopolysaccharide, and grain proteins themselves cause immune responses to be launched against these foreign factors. If, for instance, an autoimmune response is triggered against wheat gliadin, the same antibodies can be aimed at the synapsin protein of the central nervous system/brain, resulting in dementia or cerebellar ataxia (destruction of the cerebellum resulting in incoordination and loss of bladder and bowel control). Wheat and grain elimination is by far the most important item on this list to reverse autoimmunity.

Correct vitamin D deficiency

It is clear that, across a spectrum of autoimmune diseases, vitamin D deficiency serves a permissive, not necessarily causative, role in allowing an autoimmune process to proceed. It is clear, for instance, that autoimmune conditions such as type 1 diabetes in children, rheumatoid arthritis, and Hashimoto’s thyroiditis are more common in those with low vitamin D status, much less common in those with higher vitamin D levels. For this and other reasons, I aim to achieve a blood level of 25-hydroxy vitamin D level of 60-70 ng/ml, a level that usually requires around 4000-8000 units per day of D3 (cholecalciferol) in gelcap or liquid form (never tablet due to poor or erratic absorption). In view of the serious nature of autoimmune diseases, it is well worth tracking occasional blood levels.

Supplement omega-3 fatty acids

While omega-3 fatty acids, EPA and DHA, from fish oil have proven only modestly helpful by themselves, when cast onto the background of wheat/grain elimination and vitamin D, omega-3 fatty acids compound anti-inflammatory benefits, such as those exerted via cyclooxygenase-2. This requires a daily EPA + DHA dose of around 3600 mg per day, divided in two. Don’t confuse EPA and DHA omega-3s with linolenic acid, another form of omega-3 obtained from meats, flaxseed, chia, and walnuts that does not not yield the same benefits. Nor can you use krill oil with its relatively trivial content of omega-3s.

Eliminate dairy

This is true in North America and most of Western Europe, less true in New Zealand and Australia. Autoimmunity can be triggered by the casein beta A1 form of casein widely expressed in dairy products, but not by casein beta A2 and other forms. Because it is so prevalent in North America and Western Europe, the most confident way to avoid this immunogenic form of casein is to avoid dairy altogether. You might be able to consume cheese, given the fermentation process that alters proteins and sugar, but that has not been fully explored.

Cultivate healthy bowel flora

People with autoimmune conditions have massively screwed up bowel flora with reduced species diversity and dominance of unhealthy species. We restore a healthier anti-inflammatory panel of bacterial species by “seeding” the colon with high-potency probiotics, then nourishing them with prebiotic fibers/resistant starches, a collection of strategies summarized in the Cureality Digestive Health discussions. People sometimes view bowel flora management as optional, just “fluff”–it is anything but. Properly managing bowel flora can be a make-it-or-break-it advantage; don’t neglect it.

There you go: a basic list to get started on if your interest is to begin a process of unraveling the processes of autoimmunity. In some conditions, such as rheumatoid arthritis and polymyalgia rheumatica, full recovery is possible. In other conditions, such as Hashimoto’s thyroiditis and the pancreatic beta cell destruction leading to type 1 diabetes, reversing the autoimmune inflammation does not restore organ function: hypothyroidism results after thyroiditis quiets down and type 1 diabetes and need for insulin persists after pancreatic beta cell damage. But note that the most powerful risk factor for an autoimmune disease is another autoimmune disease–this is why so many people have more than one autoimmune condition. People with Hashimoto’s, for instance, can develop rheumatoid arthritis or psoriasis. So the above menu is still worth following even if you cannot hope for full organ recovery

Five Powerful Ways to Reduce Blood Sugar

Left to conventional advice on diet and you will, more than likely, succumb to type 2 diabetes sooner or later. Follow your doctor’s advice to cut fat and eat more “healthy whole grains” and oral diabetes medication and insulin are almost certainly in your future. Despite this, had this scenario played out, you would be accused of laziness and gluttony, a weak specimen of human being who just gave into excess.

If you turn elsewhere for advice, however, and ignore the awful advice from “official” sources with cozy relationships with Big Pharma, you can reduce blood sugars sufficient to never become diabetic or to reverse an established diagnosis, and you can create a powerful collection of strategies that handily trump the worthless advice being passed off by the USDA, American Diabetes Association, the American Heart Association, or the Academy of Nutrition and Dietetics.

Among the most powerful and effective strategies to reduce blood sugar:

1) Eat no wheat nor grains

Recall that amylopectin A, the complex carbohydrate of grains, is highly digestible, unlike most of the other components of the seeds of grasses AKA “grains,” subject to digestion by the enzyme, amylase, in saliva and stomach. This explains why, ounce for ounce, grains raise blood sugar higher than table sugar. Eat no grains = remove the exceptional glycemic potential of amylopectin A.

2) Add no sugars, avoid high-fructose corn syrup

This should be pretty obvious, but note that the majority of processed foods contain sweeteners such as sucrose or high-fructose corn syrup, tailored to please the increased desire for sweetness among grain-consuming people. While fructose does not raise blood sugar acutely, it does so in delayed fashion, along with triggering other metabolic distortions such as increased triglycerides and fatty liver.

3) Vitamin D

Because vitamin D restores the body’s normal responsiveness to insulin, getting vitamin D right helps reduce blood sugar naturally while providing a range of other health benefits.

4) Restore bowel flora

As cultivation of several Lactobacillus and Bifidobacteria species in bowel flora yields fatty acids that restore insulin responsiveness, this leads to reductions in blood sugar over time. Minus the bowel flora-disrupting effects of grains and sugars, a purposeful program of bowel flora restoration is required (discussed at length in the Cureality Digestive Health section.)

5) Exercise

Blood sugar is reduced during and immediately following exercise, with the effect continuing for many hours afterwards, even into the next day.

Note that, aside from exercise, none of these powerful strategies are advocated by the American Diabetes Association or any other “official” agency purporting to provide dietary advice. As is happening more and more often as the tide of health information rises and is accessible to all, the best advice on health does not come from such agencies nor from your doctor but from your efforts to better understand the truths in health. This is our core mission in Cureality. A nice side benefit: information from Cureality is not accompanied by advertisements from Merck, Pfizer, Kelloggs, Kraft, or Cadbury Schweppes.

Cureality App Review: Breathe Sync



Biofeedback is a wonderful, natural way to gain control over multiple physiological phenomena, a means of tapping into your body’s internal resources. You can, for instance, use biofeedback to reduce anxiety, heart rate, and blood pressure, and achieve a sense of well-being that does not involve drugs, side-effects, or even much cost.

Biofeedback simply means that you are tracking some observable physiologic phenomenon—heart rate, skin temperature, blood pressure—and trying to consciously access control over it. One very successful method is that of bringing the beat-to-beat variation in heart rate into synchrony with the respiratory cycle. In day-to-day life, the heart beat is usually completely out of sync with respiration. Bring it into synchrony and interesting things happen: you experience a feeling of peace and calm, while many healthy phenomena develop.

A company called HeartMath has applied this principle through their personal computer-driven device that plugs into the USB port of your computer and monitors your heart rate with a device clipped on your earlobe. You then regulate breathing and follow the instructions provided and feedback is obtained on whether you are achieving synchrony, or what they call “coherence.” As the user becomes more effective in achieving coherence over time, positive physiological and emotional effects develop. HeartMath has been shown, for instance, to reduce systolic and diastolic blood pressure, morning cortisol levels (a stress hormone), and helps people deal with chronic pain. Downside of the HeartMath process: a $249 price tag for the earlobe-USB device.

But this is the age of emerging smartphone apps, including those applied to health. Smartphone apps are perfect for health monitoring. They are especially changing how we engage in biofeedback. An app called Breathe Sync is available that tracks heart rate using the camera’s flash on the phone. By tracking heart rate and providing visual instruction on breathing pattern, the program generates a Wellness Quotient, WQ, similar to HeartMath’s coherence scoring system. Difference: Breathe Sync is portable and a heck of a lot less costly. I paid $9.99, more than I’ve paid for any other mainstream smartphone application, but a bargain compared to the HeartMath device cost.

One glitch is that you need to not be running any other programs in the background, such as your GPS, else you will have pauses in the Breathe Sync program, negating the value of your WQ. Beyond this, the app functions reliably and can help you achieve the health goals of biofeedback with so much less hassle and greater effectiveness than the older methods.

If you are looking for a biofeedback system that provides advantage in gaining control over metabolic health, while also providing a wonderful method of relaxation, Breathe Sync, I believe, is the go-to app right now.

Amber’s Top 35 Health and Fitness Tips

This year I joined the 35 club!  And in honor of being fabulous and 35, I want to share 35 health and fitness tips with you! 

1.  Foam rolling is for everyone and should be done daily. 
2.  Cold showers are the best way to wake up and burn more body fat. 
3.  Stop locking your knees.  This will lead to lower back pain. 
4.  Avoid eating gluten at all costs. 
5.  Breath deep so that you can feel the sides or your lower back expand. 
6.  Swing a kettlebell for a stronger and great looking backside. 
7.  Fat is where it’s at!  Enjoy butter, ghee, coconut oil, palm oil, duck fat and many other fabulous saturated fats. 
8.  Don’t let your grip strength fade with age.  Farmer carries, kettlebells and hanging from a bar will help with that. 
9.  Runners, keep your long runs slow and easy and keep your interval runs hard.  Don’t fall in the chronic cardio range. 
10.  Drink high quality spring or reverse osmosis water. 
11.  Use high quality sea salt season food and as a mineral supplement. 
12.  Work your squat so that your butt can get down to the ground.  Can you sit in this position? How long?
13.  Lift heavy weights!  We were made for manual work,.   Simulate heavy labor in the weight room. 
14.  Meditate daily.  If you don’t go within, you will go with out.  We need quiet restorative time to balance the stress in our life. 
15.  Stand up and move for 10 minutes for every hour your sit at your computer. 
16. Eat a variety of whole, real foods. 
17.  Sleep 7 to 9 hours every night. 
18.  Pull ups are my favorite exercise.  Get a home pull up bar to practice. 
19.  Get out and spend a few minutes in nature.  Appreciate the world around you while taking in fresh air and natural beauty. 
20.  We all need to pull more in our workouts.  Add more pulling movements horizontally and vertically. 
21. Surround yourself with health minded people. 
22. Keep your room dark for deep sound sleep.  A sleep mask is great for that! 
23. Use chemical free cosmetics.  Your skin is the largest organ of your body and all chemicals will absorb into your blood stream. 
24. Unilateral movements will help improve symmetrical strength. 
25. Become more playful.  We take life too seriously, becoming stress and overwhelmed.  How can you play, smile and laugh more often?
26.  Choose foods that have one ingredient.  Keep your diet simple and clean. 
27.  Keep your joints mobile as you age.  Do exercises that take joints through a full range of motion. 
28. Go to sleep no later than 10:30pm.  This allows your body and brain to repair through the night. 
29. Take care of your health and needs before others.  This allows you to be the best spouse, parent, coworker, and person on the planet. 
30.  Always start your daily with a high fat, high protein meal.  This will encourage less sugar cravings later in the day. 
31. Approach the day with positive thinking!  Stinkin’ thinkin’ only leads to more stress and frustration. 
32. You are never “too old” to do something.  Stay young at heart and keep fitness a priority as the years go by. 
33. Dream big and go for it. 
34.  Lift weights 2 to 4 times every week.  Strong is the new sexy. 
35.  Love.  Love yourself unconditionally.  Love your life and live it to the fullest.  Love others compassionately. 

Amber B.
Cureality Exercise and Fitness Coach

To Change, You Need to Get Uncomfortable

Sitting on the couch is comfortable.  Going through the drive thru to pick up dinner is comfortable.  But when you notice that you’re out-of-shape, tired, sick and your clothes no longer fit, you realize that what makes you comfortable is not in align with what would make you happy.   

You want to see something different when you look in the mirror.  You want to fit into a certain size of jeans or just experience your day with more energy and excitement.  The current condition of your life causes you pain, be it physical, mental or emotional.  To escape the pain you are feeling, you know that you need to make changes to your habits that keep you stuck in your current state.  But why is it so hard to make the changes you know that will help you achieve what you want?  

I want to lose weight but….

I want a six pack but…

I want more energy but….

The statement that follows the “but” is often a situation or habit you are comfortable with.  You want to lose weight but don’t have time to cook healthy meals.  So it’s much more comfortable to go through the drive thru instead of trying some new recipes.   New habits often require a learning curve and a bit of extra time in the beginning.  It also takes courage and energy to establish new routines or seek out help.  

Setting out to achieve your goals requires change.  Making changes to establish new habits that support your goals and dreams can be uncomfortable.  Life, as you know it, will be different.  Knowing that fact can be scary, but so can staying in your current condition.  So I’m asking you to take a risk and get uncomfortable so that you can achieve your goals.  

Realize that it takes 21 days to develop a new habit.  I believe it takes triple that amount of time to really make a new habit stick for the long haul.  So for 21 days, you’ll experience some discomfort while you make changes to your old routine and habits.  Depending on what you are changing, discomfort could mean feeling tired, moody, or even withdrawal symptoms.  However, the longer you stick to your new habits the less uncomfortable you start to feel.  The first week is always the worst, but then it gets easier.

Making it through the uncomfortable times requires staying focused on your goals and not caving to your immediate feelings or desires.  I encourage clients to focus on why their goals important to them.  This reason or burning desire to change will help when old habits, cravings, or situations call you back to your old ways.
Use a tracking and a reward system to stay on track.  Grab a calendar, journal or index card to check off or note your daily successes.  Shoot for consistency and not perfection when trying to make changes.  I encourage my clients to use the 90/10 principle of change and apply that to their goal tracking system.  New clothes, a massage, or a day me-retreat are just a few examples of rewards you can use to sticking to your tracking system.  Pick something that really gets you excited.  

Getting support system in place can help you feel more comfortable with being uncomfortable.  Hiring a coach, joining an online support group, or recruiting family and friends can be very helpful when making big changes.  With a support system in place you are not alone in your discomfort.  You’re network is there for you to reach out for help, knowledge, accountability or camaraderie when you feel frustrated and isolated.  

I’ve helped hundreds of people change their bodies, health and lives of the eleven years I’ve worked as a trainer and coach.  I know it’s hard, but I also know that if they can do it, so can you.  You just need to step outside of your comfort zone and take a risk. Don’t let fear create uncomfortable feelings that keep you stuck in your old ways.  Take that first step and enjoy the journey of reaching your goals and dreams.  

Amber Budahn, B.S., CSCS, ACE PT, USATF 1, CHEK HLC 1, REIKI 1
Cureality Exercise Specialist

The 3 Best Grain Free Food Swaps to Boost Fat Burning

You can join others enjoying substantial improvements in their health, energy and pant size by making a few key, delicious substitutions to your eating habits.  This is possible with the Cureality nutrition approach, which rejects the idea that grains should form the cornerstone of the human diet.  

Grain products, which are seeds of grasses, are incompatible with human digestion.  Contrary to what we have been told for years, eating healthy whole grain is not the answer to whittle away our waists.  Consumption of all grain-based carbohydrates results in increased production of the fat storage hormone insulin.  Increased insulin levels create the perfect recipe for weight gain. By swapping out high carbohydrate grain foods that cause spikes in insulin with much lower carbohydrate foods, insulin release is subdued and allows the body to release fat.

1. Swap wheat-based flour with almond flour/meal

  • One of the most dubious grain offenders is modern wheat. Replace wheat flour with naturally wheat-free, lower carbohydrate almond flour.  
  • Almond flour contains a mere 12 net carbs per cup (carbohydrate minus the fiber) with 50% more filling protein than all-purpose flour.
  • Almond flour and almond meal also offer vitamin E, an important antioxidant to support immune function.

2. Swap potatoes and rice for cauliflower

  • Replace high carb potatoes and pasta with vitamin C packed cauliflower, which has an inconsequential 3 carbs per cup.  
  • Try this food swap: blend raw cauliflower in food processor to make “rice”. (A hand held grater can also be used).  Sautee the “riced” cauliflower in olive or coconut oil for 5 minutes with seasoning to taste.
  • Another food swap: enjoy mashed cauliflower in place of potatoes.  Cook cauliflower. Place in food processor with ½ a stick organic, grass-fed butter, ½ a package full-fat cream cheese and blend until smooth. Add optional minced garlic, chives or other herbs such as rosemary.
3. Swap pasta for shirataki noodles and zucchini

  • Swap out carb-rich white pasta containing 43 carbs per cup with Shirataki noodles that contain a few carbs per package. Shirataki noodles are made from konjac or yam root and are found in refrigerated section of supermarkets.
  • Another swap: zucchini contains about 4 carbs per cup. Make your own grain free, low-carb noodles from zucchini using a julienne peeler, mandolin or one of the various noodle tools on the market.  

Lisa Grudzielanek, MS,RDN,CD,CDE
Cureality Nutrition Specialist

Not so fast. Don’t make this mistake when going gluten free!

Beginning last month, the Food and Drug Administration began implementing its definition of “gluten-free” on packaged food labels.  The FDA determined that packaged food labeled gluten free (or similar claims such as "free of gluten") cannot contain more than 20 parts per million of gluten.

It has been years in the making for the FDA to define what “gluten free” means and hold food manufactures accountable, with respect to food labeling.  However, the story does not end there.

Yes, finding gluten-free food, that is now properly labeled, has become easier. So much so the market for gluten-free foods tops $6 billion last year.   However, finding truly healthy, commercially prepared, grain-free foods is still challenging.

A very common mistake made when jumping into the gluten-free lifestyle is piling everything labeled gluten-free in the shopping cart.  We don’t want to replace a problem: wheat, with another problem: gluten free products.

Typically gluten free products are made with rice flour (and brown rice flour), tapioca starch, cornstarch, and potato flour.  Of the few foods that raise blood sugar higher than wheat, these dried, powdered starches top the list.

 They provide a large surface area for digestion, thereby leading to sky-high blood sugar and all the consequences such as diabetes, hypertension, cataracts, arthritis, and heart disease. These products should be consumed very rarely consumed, if at all.  As Dr. Davis has stated, “100% gluten-free usually means 100% awful!”

There is an ugly side to the gluten-free boom taking place.  The Cureality approach to wellness recommends selecting gluten-free products wisely.  Do not making this misguided mistake and instead aim for elimination of ALL grains, as all seeds of grasses are related to wheat and therefore overlap in many effects.

Lisa Grudzielanek MS, RDN, CD, CDE
Cureality Health & Nutrition Coach

3 Foods to Add to Your Next Grocery List

Looking for some new foods to add to your diet? Look no further. Reach for these three mealtime superstars to encourage a leaner, healthier body.

Microgreens

Microgreens are simply the shoots of salad greens and herbs that are harvested just after the first leaves have developed, or in about 2 weeks.  Microgreen are not sprouts. Sprouts are germinated, in other words, sprouted seeds produced entirely in water. Microgreens are grown in soil, thereby absorbing the nutrients from the soil.

The nutritional profile of each microgreen depends greatly on the type of microgreen you are eating. Researchers found red cabbage microgreens had 40 times more vitamin E and six times more vitamin C than mature red cabbage. Cilantro microgreens had three times more beta-carotene than mature cilantro.

A few popular varieties of microgreens are arugula, kale, radish, pea, and watercress. Flavor can vary from mild to a more intense or spicy mix depending on the microgreens.  They can be added to salads, soup, omelets, stir fry and in place of lettuce.  

Cacao Powder

Cocoa and cacao are close enough in flavor not to make any difference. However, raw cacao powder has 3.6 times the antioxidant activity of roasted cocoa powder.  In short, raw cacao powder is definitely the healthiest, most beneficial of the powders, followed by 100% unsweetened cocoa.

Cacao has more antioxidant flavonoids than blueberries, red wine and black and green teas.  Cacao is one of the highest sources of magnesium, a great source of iron and vitamin C, as well as a good source of fiber for healthy bowel function.
Add cacao powder to milk for chocolate milk or real hot chocolate.  Consider adding to coffee for a little mocha magic or sprinkle on berries and yogurt.




Shallots


Shallots have a better nutrition profile than onions. On a weight per weight basis, they have more anti-oxidants, minerals, and vitamins than onions. Shallots have a milder, less pungent taste than onions, so people who do not care for onions may enjoy shallots.

Like onions, sulfur compounds in shallot are necessary for liver detoxification pathways.  The sulfur compound, allicin has been shown to be beneficial in reducing cholesterol.  Allicin is also noted to have anti-bacterial, anti-viral, and anti-fungal activities.

Diced then up and add to salads, on top of a bun less hamburger, soups, stews, or sauces.  Toss in an omelet or sauté to enhance a piece of chicken or steak, really the possibilities are endless.  

Lisa Grudzielanek,MS,RDN,CD,CDE
Cureality Nutrition & Health Coach

3 Band Exercises for Great Glutes

Bands and buns are a great combination.  (When I talk about glutes or a butt, I use the word buns)  When it comes to sculpting better buns, grab a band.   Bands are great for home workouts, at gym or when you travel.  Check out these 3 amazing exercises that will have your buns burning. 

Band Step Out

Grab a band and place it under the arch of each foot.  Then cross the band and rest your hands in your hip sockets.  The exercise starts with your feet hip width apart and weight in the heels.  Slightly bend the knees and step your right foot out to the side.  Step back in so that your foot is back in the starting position.  With each step, make sure your toes point straight ahead.  The tighter you pull the band, the more resistance you will have.    You will feel this exercise on the outside of your hips. 

Start with one set of 15 repetitions with each foot.  Work on increasing to 25 repetitions on each side and doing two to three sets.



Band Kick Back

This exercise is performed in the quadruped position with your knees under hips and hands under your shoulders.    Take the loop end of the band and put it around your right foot and place the two handles or ends of the band under your hands.  Without moving your body, kick your right leg straight back.  Return to the starting quadruped position.  Adjust the tension of the band to increase or decrease the difficulty of this exercise. 

Start with one set of 10 repetitions with each foot.  Work on increasing to 20 repetitions on each side and doing two to three sets. 



Band Resisted Hip Bridge

Start lying on your back with feet hip distance apart and knees bent at about a 45-degree angle.  Adjust your hips to a neutral position to alleviate any arching in your lower back.  Place the band across your hipbones.  Hold the band down with hands along the sides of your body.  Contract your abs and squeeze your glutes to lift your hips up off the ground.  Stop when your thighs, hips and stomach are in a straight line.  Lower you hips back down to the ground. 

Start with one set of 15 repetitions.  Work on increasing to 25 repetitions and doing two to three.  Another variation of this exercise is to hold the hip bridge position.  Start with a 30 second hold and work up to holding for 60 seconds.

Fat Head, Wheat belly, and the Adventures of Ancel Keys

Comments (22) -

  • Jeff

    3/14/2010 2:13:51 PM |

    I assume you don't agree that the cholesterol hypothesis is "wrong," since you recommend reducing LDL to 60.

  • Steve L.

    3/14/2010 4:18:40 PM |

    Fat Head has been in the back of my mind for awhile, but you've reminded to to go ahead and order it.  I think it will be great to pass on to friends curious about paleo/low-carb without having their eyes glaze over.  Very jealous of the cruise -- gotta get on it next year.

  • Peter

    3/14/2010 4:44:30 PM |

    Most of the people in extreme high carb cultures are Asians before their food started getting westernized.  And they had very low rates of heart disease, diabetes, and obesity  It's a population of billions, not a study of small group.  

    If carbs are bad for me(and I am more and more thinking they are bad for me) why weren't they bad for them?

    I'm not arguing for any particular diet, I'm trying to figure out what to have for dinner.

  • LiPiderman

    3/14/2010 10:09:25 PM |

    Most folks who bash Ancel Keys haven't actually opened any of his books.  They would be surprised to discover he advocated eating organ meats, wild fish and game, and real food.  One of his books has a chapter on choosing the proper wines for dinner.  He was a fan of espresso coffee about 30 years before we all started going to Starbucks.  His dietary advice was not ultra "low-fat" a la Ornish.  In fact, he mainly recommended substituting unsaturated fats for saturated, which is advice you hear from many contemporary sources, including the first "Paleo" proponents like Lorne Cordain.  It's advice that has appeared from time to time on this very blog!

    Keys undoubtedly got a few things wrong.  All scientists and researchers do.  Their mistakes are corrected by those who follow.  That's the way science works.  To blame him for the obesity crisis, or for the "low-fat" marketing strategy that Food Inc concocted in the 80s and 90s, is silly.  As for the lipid theory itself, the naysayers have their own sorting out to do. Some say it's all bunk, others want to keep bits and pieces of it.   When the science behind one of these camps becomes overwhelming, their view will prevail. This takes a while.  Nutrition is an extremely complex subject!

    As for Keys, he lived to be 100 following the Mediterranean diet he advocated for others.  His wife and co-researcher Margaret died at 97. Call that anecdotal evidence if you want.  I call it having the last laugh your critics.

  • moblogs

    3/14/2010 11:51:59 PM |

    I like this trend of documentaries making it to the cinema, beats the butchered remakes of classic films, and the pomp of it attracts a wider audience.
    Michael Moore seems to have started kick-started it all.

  • Dr. William Davis

    3/15/2010 12:48:14 AM |

    Hi, Steve--

    Not knowing what to expect when Jimmy Moore invited me to join his cruise, I didn't tell everyone about it.

    However, now having had the experience, I can recommend it wholeheartedly to anyone desiring a fun informative experience for the low-carbohydrate eating viewpoint. Jimmy seems to have a talent for appealing to speakers who come from a diverse panel of perspectives, all who contribute something unique to the low-carb conversation.

  • Anonymous

    3/15/2010 1:55:07 AM |

    Too much hype for me, I'm afraid ...
    and the "humor" wears thin pretty quickly. The message is obscurred by
    this guy trying too hard to be folksy.

    What ever happened to the "Keep It
    Simple Stupid" approach to things.

  • sonagi92

    3/15/2010 2:28:28 AM |

    "Most of the people in extreme high carb cultures are Asians before their food started getting westernized. And they had very low rates of heart disease, diabetes, and obesity It's a population of billions, not a study of small group.

    If carbs are bad for me(and I am more and more thinking they are bad for me) why weren't they bad for them?"


    I lived more than a decade in Korea and China and made several visits to Japan and Southeast Asia.  The only high-carb food on the table is a bowl of rice or noodles.  The other dishes contain non-starch veggies, legumes, and some animal protein.  The liquid on the table is water or unsweetened tea.  Traditionally Asians don't snack between meals and rarely eat sweets although young people are picking up these habits and it shows.  Fruit is expensive, consumed only in season.  The SAD probably contains more easily digested carbs than traditional Asian diets.  

    True obesity is rare, but type II diabetes is not, and neither are cardiovascular diseases.  Americans are much more likely to get heart attacks while Asians are more likely to have strokes.

  • Lou

    3/15/2010 2:45:05 AM |

    Peter,

    You'd have to travel to Asian countries to fully understand what their diet is all about. It's not what you think. The BIGGEST problem is that we eat way too much of carbs.

    I just saw documentaries of North Korea and pretty much every single person is skinny. Only the "president" of NK looked to be overweight.

    What else... oh yeah, Asian people tend to eat rice, not wheat/corn starch/fructose. Probably not as much rice as you'd think. American people consume unbelievable amount of wheat/cornstarch/fructose. They are everywhere in USA. 95% of food at stores are from them...

  • Matt Stone

    3/15/2010 1:39:07 PM |

    Ancel Keys dazzled me as well when I actually took the time to review his work.  Reading his 1385 page The Biology of Human Starvation was quite an enlightening experience, and highlighted the integrity of Keys as a laboratory scientist.  Sure, he rushed to conclusions with the lipid hypothesis, but can you blame him?  I'm sure it seemed obvious and irrefutable at the time that he noticed cholesterol in the arteries of heart attack victims while noticing that fat tended to raise cholesterol levels.

    But it wasn't any more flawed than blaming carbohydrates for all of mankind's problems either, as the biggest carb-eaters on earth remain the healthiest and longest-lived peoples, and high-carb/low-fat diets continue to drop fasting insulin and glucose levels in clinical study.    

    And Keys lived the good life until the ripe age of 100. It's unlikely that any low-carb author/blogger will live more quality years than Keys.

  • Anonymous

    3/15/2010 4:19:59 PM |

    There were several things I liked about the Fathead documentary. It pointed out the weaknesses of Supersize Me, it outlined many of the problems of the lipid hypothesis, it presented a clear explanation of why low-carb can be effective for both weight loss and cardiovascular health.

    Things I didn't like? Fathead had a clear agenda - to promote Libertarian politics and ways of thinking. As such, Naughton was obligated to place primary blame for all problems on government. Sure, government has a role to play. But if the scientific community had it's act together, government would follow. If we talk about other public health issues (smallpox, tuberculosis, goiter), then we must acknowledge that government can do things right sometimes.  

    Also, there was a disconnect between the 'common sense' of the people and the scientific explanation that was offered. Sure, people know that fast food meal has more calories than a carrot. So what?  If people have that common sense, why is obesity, diabetes, and heart disease so prevalent? I don't think he really answers that. Does common sense tell people that a large plate of pasta is equivalent to eating a cup or two of sugar? Does 'common sense' also tell them that saturated fat is bad, or that to lose weight, they simply need to eat less and exercise more?

  • Anonymous

    3/15/2010 6:13:34 PM |

    This may be a simplification for why Asians may have less heart disease, but it simply could be because of the use of red yeast rice in many of their foods?

  • sonagi92

    3/15/2010 9:20:23 PM |

    Curcumin is a component of turmeric.  Koreans and Japanese don't consume it, except in fast-food type curry dishes.  Most of China's major cuisines do not use the spice either.  It is South and Southeast Asians who use it, and Indians have notoriously high rates of heart disease and diabetes.

    As for North Korea, the semi-starving country dependent on foreign aid isn't exactly representative of Asia.  Prosperous neighbors Japan and South Korea have the lowest obesity rates in the OECD.

  • Neonomide

    3/17/2010 1:09:32 AM |

    Very fascinating info on raising Vitamin D status and CAD below. People who had their 25(OH)D up to 30 ng/ml from 19 ng/ml got the benefits and in the other study 43 ng/ml level seemed optimal yet extra benefits were not seen in, say, 60 gn/ml:

    http://www.webmd.com/heart-disease/news/20100315/vitamin-d-supplements-lower-heart-disease-risk?src=RSS_PUBLIC

  • moblogs

    3/17/2010 10:54:35 AM |

    There was, perhaps, a misunderstanding on Ted's part. We're from England where we term Asian as Indian, Pakistani or Bangladeshi and call the Japanese, Chinese and Koreans individually.

    The core reason of increased heart disease in South Asians probably is partly vitamin D deficiency caused by a conservative dress sense in a sunny climate. India also has a lot of air pollution.

    Many Asian foods (and I mean all of Asia now) use similar ingredients; in fact one Japanese dessert looks and tastes exactly like a Indian/Pakistani one (how that came to be - I don't know). South Asians though eat chapattis (wheat) quite commonly, and from what I gather there isn't a large wheat consumption in East Asians.

  • Anonymous

    3/17/2010 3:26:35 PM |

    Yes, as Anonymous above mentions, Naughton's political ideology  
    distorts his views. That actually seems more important to him than the issue of diet in Fat Head, which is why he expends so much effort defending Fast Food companies. Witness the part where he holds a huge bucket of French fries
    (think about how many carbs are in that!) and rants something to the effect of:
    "If they want to sell me a huge bucket of fries for 50 cents, and I want to buy it, it's no one's business to tell
    us we shouldn't."
    I'd imagine most readers of this blog are interested in diet and health, not political ideology, so overall Fat Head will probably not appeal to them.

  • Anonymous

    3/17/2010 10:49:21 PM |

    "I'd imagine most readers of this blog are interested in diet and health, not political ideology" ~ Anonymous above

    I used to be uninterested in anything political until I got interested in diet and health care.  The idea that a nanny government could dictate what I can and cannot eat is quite frightening, especially when you consider what the establishment thinks is healthy.  I personally do not want to eat french fries but if we don't object to the government making french fries illegal, who is going to stop the government from banning "artery clogging" coconut oil or outlawing meat?

  • Anonymous

    3/19/2010 12:47:40 PM |

    >> who is going to stop the government from banning "artery clogging" coconut oil or outlawing meat?

    Yeah, that is the paranoia talking. After 40+ years of research showing the dangers of smoking, tobacco is still legal. Government is not going to outlaw meat, and I question the good judgment of anyone who suggests that they might.

  • buy jeans

    11/3/2010 10:29:32 PM |

    I lived more than a decade in Korea and China and made several visits to Japan and Southeast Asia. The only high-carb food on the table is a bowl of rice or noodles. The other dishes contain non-starch veggies, legumes, and some animal protein. The liquid on the table is water or unsweetened tea. Traditionally Asians don't snack between meals and rarely eat sweets although young people are picking up these habits and it shows. Fruit is expensive, consumed only in season. The SAD probably contains more easily digested carbs than traditional Asian diets.

  • Carl

    3/6/2011 6:45:10 PM |

    I lean heavily toward low carb/paleo and think the "conventional wisdom" is full of holes, but I don't think "Fat Head" does a good job (at all) of advancing the argument to the uninitiated.

    The attack on Morgan Spurlock is misguided, and Naughton's counter-experiment proves nothing.  Spurlock went on an extreme binge which everyone, including Spurlock, expected in advance to cause weight gain and other negative effects ("duh"), which he wanted to document on film.  It was more of an exercise in "performance art" than in science, and meant to simply to provoke the viewer into the thinking a bit about the possible consequences of regularly ingesting the same kind of food over a lifetime.

    Naughton, on the other hand, takes in an actual caloric deficit, with restricted carbs, and regular exercise, and then experiences a weight loss.  How does Naughton's experiment in any way "rebut" Spurlock's?  And, given the fact that Naughton goes on to argue that restricting carbs is more important than lowering calorie intake, his own experiment is useless to prove either strategy, since he cut intake of both calories AND carbs.

    The film is poorly organized and produced, and is undermined at every turn by the injection of sophomoric humor.  In a typically tedious sequence, the snarky Naughton asks people on the street if they have ever collapsed with a heart attack immediately after eating fettuccine alfredo.  Tres dumb.  Especially when you consider that a plate-full of pasta smothered in cream, butter, and cheese is a food that both low carb and low fat eaters would want to avoid eating often.  In one of his failed attempts at humor (in a scene showing his own wife in bed), she asks if he is a moron, and in that moment she seems to speak on behalf of the viewer.

    Worst of all is the ongoing anti-government Libertarian ideology that underscores Naughton's narrative.  He argues that anyone "with a functioning brain" can make proper food choices, but at the same time argues that the public has been deluged with mountains of false information and bad advice for decades.  The film is littered with such logical inconsistencies.  Naughton's gratuitous political agenda shows up in some bizarre assertions, like when he argues that higher tendency toward obesity among the poor is merely the result of a predisposition among non-whites toward "thicker" bodies, and the assertion that court-mandated busing to achieve racial desegregation contributed to overweight school children.  These theories simply detract from the credibility of the diet and health science he eventually discusses.  Naughton is entitled to whatever political views he wishes, but injecting them into a documentary about nutrition and health does nothing to advance an essentially purely scientific subject.

    At his blog and in interviews like the one above, Naughton comes off considerably better than in the amateurish film that he actually made.  If you know anyone "with a functioning brain" that is still clinging to the conventional wisdom that you'd like to convert, showing them "Fat Head" may not be the best way to get them to become more open-minded, thanks to the many mis-guided and unhelpful aspects of the film.

  • Be

    8/4/2011 11:59:09 AM |

    But they are trying to shut down raw milk, continue to protect Monsanto and not include GMO in nutrition labeling, and continue to put up barriers and regulations that effectively hurt small local and sustainable food producers.  The result is that soon all food will be GMO/CAFO!

Loading
Life Extension article on iodine

Life Extension article on iodine

Here's a link to my recent article in Life Extension Magazine on iodine:

Halt on Salt Sparks Iodine Deficiency

Iodized salt, a concept introduced into the U.S. by the FDA in 1924, slowly eliminated goiter (enlarged thyroid glands), along with an enormous amount of thyroid disease, heart attack, mental impairment, and death. The simple addition of iodine to salt ensured that salt-using Americans obtained enough iodine sufficient to not have a goiter.

Now that the FDA, goiters long forgotten from their memories, urges Americans to reduce salt, what has happened to our iodine?

I talk at length about this issue in the Life Extension article.

Comments (25) -

  • Michael

    11/17/2009 1:08:06 PM |

    The link provided is based on the Life Extension search tool and seems broken.  This link works Halt on Salt, Oct 2009.

  • Terry H

    11/17/2009 1:20:13 PM |

    Dr D,

    The link does not work for me. Sends me to a www page that appears unrelated to your post and certainly not the the article you recommend.

  • Jim Purdy

    11/17/2009 1:22:21 PM |

    I don't think that link goes to the magazine article. It seems to go to a product advertisement instead. Did I do something wrong?

  • Daniel

    11/17/2009 3:28:09 PM |

    LE must have changed the link - it sends me to a page where I can purchase pure IGF, which, by the way, I'm surprised people want to take.

  • Anonymous

    11/17/2009 3:29:06 PM |

    I think you want this link

    http://www.lef.org/magazine/mag2009/oct2009_Halt-on-Salt-Sparks-Iodine-Deficiency_01.htm

  • ciphen

    11/17/2009 4:06:49 PM |

    The link you posted doesn't go to your article. Might want to update that.

    Question: what is the best way to test for Iodine levels? I've been taking 400mg kelp iodine for a while, and want to make sure I'm not overdoing it (I'm 28).

  • Sara

    11/17/2009 4:15:05 PM |

    Dr. Davis,

    Clicking the link in the article takes me to the page to buy iodine supplements, not the article itself; I had to search to find the actual article. I think it's because you're linking to search results, and when someone else puts in the same URL without having given it the same inputs, it hiccups. This link should be to the actual article: http://www.lef.org/magazine/mag2009/oct2009_Halt-on-Salt-Sparks-Iodine-Deficiency_01.htm

  • Anonymous

    11/17/2009 4:31:03 PM |

    http://www.lef.org/magazine/mag2009/oct2009_Halt-on-Salt-Sparks-Iodine-Deficiency_01.htm

  • Anonymous

    11/17/2009 4:49:33 PM |

    The article appears to be at this link:

    http://www.lef.org/magazine/mag2009/oct2009_Halt-on-Salt-Sparks-Iodine-Deficiency_01.htm

    Tom

  • Catherine

    11/17/2009 5:59:27 PM |

    Dr. Davis,
    Great article on Iodine (had to use LEF search to get it--link doesn't work).
    I am the perfect example of the healthy-diet person who developed thyroid disease and fibrocystic breasts due to salt and dairy food avoidance.
    I also have that abnormal reaction to iodine now. Iodine causes a hashi flare-up, and as you've stated I have become hyper-sensitive to it now.  But you also stated that in your experience it is a "temporary" reaction which makes me want to try it again--maybe more slowly, very low doses at first?
    Any tips from your experience with this hyper-sensitivity?
    Thanks for addressing this iodine problem with thyroid---many thyroid books and articles say if you have Hashimoto's to just avoid iodine completely so as not to create a flare-up, but that is not healthy for the rest of the body either.
    Warm regards,  
    Catherine

  • jack

    11/17/2009 6:03:53 PM |

    Hi -

    The link to the LEF article pulls up an
    ad for one of their Human Growth Factor
    pills.

    Punching Iodine into their search engine
    did'nt find it - Perhaps I missed it...

  • Jack

    11/17/2009 6:08:15 PM |

    Here it is...

    http://search.lef.org/cgi-src-bin/MsmGo.exe?grab_id=0&page_id=1490&query=iodine%20deficiency%20salt&hiword=DEFICIENCIES%20DEFICIENCYIN%20DEFICIENCYIS%20DEFICIENCYS%20DEFICIENT%20IODINATION%20IODINES%20SALTED%20SALTER%20SALTI%20SALTIN%20SALTING%20SALTMAN%20SALTO%20SALTS%20SALTY%20deficiency%20iodine%20salt%20

  • Anonymous

    11/17/2009 6:40:31 PM |

    It is rather interesting for me to read that post. Thanx for it. I like such themes and anything connected to them. I would like to read a bit more soon.

  • Anonymous

    11/17/2009 7:01:46 PM |

    Good point. I'll make sure to eat spoonfuls of salt Wink But seriously, very important point and people should take their supplements.

    Off-topic: Can you share your thoughts on the virtually zero-fat diet described in the book by Dr. Esselstyn. Thanks.

  • Kevin

    11/17/2009 10:54:45 PM |

    My blood pressure is lower than the average so I ingest a lot of iodized salt.  Also I run a lot of marathons during the summer.  When I need more salt during races I can pour it in my mouth.  If I'm low on sodium it tastes great.  If I'm not in need of salt it just about makes vomit.  

    kevin

  • Dr. William Davis

    11/17/2009 11:14:48 PM |

    Thanks, all, for noting the broken link. I'm not sure what happened.

    It should be corrected.

  • Electronic Medical Records

    11/18/2009 2:58:10 AM |

    I completely agree to the post.Sea salt or rock salt is very good for health but definitely in measures.

  • Future Primitive

    11/18/2009 6:15:12 AM |

    I'm trying to understand what an appropriate dose is.  It seems like iodine dosage in relation to TSH follows a "U" shaped response, where too little iodine results in high TSH and too much iodine can likewise result in high TSH.  There's evidently a sweet spot, BUT it also seems to depend very much on whatever the thyroid is adapted to in terms of the ambient, dietary iodine intake prior to the beginning of supplementation.  That is, a mid-Westerner with a chronically low iodine intake is going to respond quite differently to a 1000 mcg iodine dose than, say, a person who grew up on the Northern coast of Japan... On an immediately related topic, I'm curious to know more about the apparent adaptive down-regulation of T3 in response to caloric restriction and likewise (similarly, it would seem), carbohydrate restriction.  Any thoughts?

  • Runner2009

    11/18/2009 5:42:23 PM |

    Dr Davis:

    My question is on a bit of a tangent to this topic, but on the related issue of what seems to be a situation where maintaining what was considered a "healthy" level now is possibly dangerous:

    "Low triglycerides are risk factor for hemorrhagic stroke"

    http://www.lipidsonline.org/news/article.cfm?aid=8578

    Do you have any insight into this study ? I have been diligently keeping my lipid levels in check .I lowered my triglycerides from a fairly low level of 75mg/dL down to 50 mg/dL. Now I am concerned. (My LDL is 95 mg/dL and HDL is 64 mg/dL). I don't take any drugs , just lots of exercise and diet (Krill oil, almonds, Beta Glucan fiber)

    Thanks

    Thanks

  • Runner2009

    11/18/2009 5:44:22 PM |

    Sorry, forgot the link:

    http://www.lipidsonline.org/news/article.cfm?aid=8578

  • Dr. William Davis

    11/18/2009 10:55:25 PM |

    Hi, Future--

    That is the frustration with iodine: insufficient data on what represents an ideal level of intake. And it may vary from region to region, individual to individual.

    The T3 issue is indeed fascinating, a topic that will be explored more fully in the blog and in the Track Your Plaque website.

  • Dr. William Davis

    11/18/2009 11:18:27 PM |

    Hi, Runner--

    I'm skeptical that this is an important effect that warrants action.

    Primitive cultures typically have triglycerides in very low ranges, since they avoid processed foods. I'd be shocked if achieving physiologic normal levels is the sole explanation behind increased stroke.

  • Anonymous

    12/12/2009 1:29:24 AM |

    mm... good  post

Loading
My bread contains 900 mg omega-3

My bread contains 900 mg omega-3

Phyllis is the survivor of a large heart attack (an "anterior" myocardial infarction involving the crucial front of the heart) several years ago. Excessive fatigue prompted a stress test, which showed poor blood flow in areas outside the heart attack zone. This prompted a heart catheterization, then a bypass operation one year ago.

FINALLY, Phyllis began to understand that her unhealthy lifestyle played a role in causing her heart disease. But lifestyle alone wasn't to blame. Along with being 70 lbs overweight and overindulging in unhealthy sweets every day, she also had lipoprotein(a), small LDL particles, and high triglycerides. The high triglycerides were also associated with its evil "friends," VLDL and IDL (post-prandial, or after-eating, particles).

When I met her, Phyllis' triglycerides typically ranged from 200-300 mg/dl . Fish oil was the first solution, since it is marvelously effective for reducing triglycerides, as well as VLDL and IDL. Her dose: 6000 mg of a standard 1000 mg capsule (6 capsules) to provide 1800 mg EPA + DHA, the effective omega-3 fatty acids.

But Phyllis is not terribly good at following advice. She likes to wander off and follow her own path. She noticed that the healthy bread sold at the grocery store and containing flaxseed boasted "900 mg of omega-3s per slice!". So she ate two slices of the flaxseed-containing bread per day and dropped the fish oil.

Guess what? Triglycerides promptly rebounded to 290 mg/dl, along with oodles of VLDL and IDL.

A more obvious example occurs in people with a disorder called "familial hypertriglyceridemia," or the inherited inability to clear triglycerides from the blood. These people have triglycerides of 800 mg/dl, 2000 mg/dl, or higher. Fish oil yields dramatic drops of hundreds, or even thousands of mg. Fish oil likely achieves this effect by activating the enzyme, lipoprotein lipase, that is responsible for clearing blood triglycerides. Flaxseed oil and other linolenic acid sources yield . . .nothing.

Don't get me wrong. Flaxseed is a great food. As the ground seed, it reduces LDL cholesterol, reduces blood sugar, provides fiber for colon health, and may even yield anti-cancer benefits. Flaxseed oil is a wonderful oil, rich in monounsaturates, low in saturates, and rich in linolenic acid, an oil fraction that may provides heart benefits a la Mediterranean diet.

But linolenic acid from flaxseed is not the same as EPA + DHA from fish oil. This is most graphically proven by the lack of any triglyceride-reducing effects of flaxseed preparations.

Enjoy your flaxseed oil and ground flaxseed--but don't stop your fish oil because of it. Heart disease and coronary plaque are serious business. You need serious tools to combat and control them. Fish oil is serious business for triglycerides. Flaxseed is not.

Comments (8) -

  • John Townsend

    2/15/2007 6:59:00 PM |

    re: " Her dose: 6000 mg of a standard 1000 mg capsule (6 capsules) to provide 1800 mg EPA + DHA, the effective omega-3 fatty acids."

    Excellent blog entry! On fish oil, this dose seems to be very high. Do you recommend this as a typical regimen?

    On another related topic, your views on common statins (eg lipitor, crestor, zocor, etc) would be appreciated. I'm getting strong warnings from knowledgable friends that statins are dangerous for liver function and can cause irreversiable damage. On the other hand I personally have found them to be very effective in bringing my cholesteral numbers in line, more than anything else I've tried. TIA

  • Dr. Davis

    2/16/2007 2:19:00 AM |

    John--
    No. This dose is for treatment of high triglycerides or postprandial disorders. Our usual starting dose is 4000 mg (1200 mg EPA+DHA).

    Regarding the statin issue. I'd refer you to an article I wrote for Life Extension magazine  archived on their website, www.lef.com. The article, entitled Cholesterol and Statin Drugs: Separating Hype from Reality, can be accessed at http://search.lef.org/cgi-src-bin/MsmGo.exe?grab_id=0&page_id=1044&query=davis%20statin&hiword=DAVI%20DAVID%20DAVIE%20DAVIES%20DAVIN%20DAVIO%20DAVISON%20DAVISS%20DAVIT%20STATI%20STATING%20STATINS%20STATIS%20davis%20statin%20

  • Cindy

    2/16/2007 3:24:00 AM |

    I just read your article that you referred to in your previous comment answer.

    I was on statins several years ago. Not only did I experience muscle and joint pains, I also had serious memory problems, depression and sleep problems. I also found that my long-standing "restless legs syndrome" became much much worse. I've also talked to many people who have experienced serious PND (peripheral nerve disorders).

    What I also experinced was a rather significant drop in HDL cholesterol.

    Thoughts?

  • Mike

    2/16/2007 3:37:00 PM |

    "But Phyllis is not terribly good at following advice. She likes to wander off and follow her own path. She noticed that the healthy bread sold at the grocery store and containing flaxseed boasted "900 mg of omega-3s per slice!". So she ate two slices of the flaxseed-containing bread per day and dropped the fish oil."

    Allow me to defend Phyllis. If all she had been told was to take a given amount of omega-3s, then she was following the prescribed path. She should have been educated as to what the various omega-3s are and which type she needed to consume.

  • John Townsend

    2/16/2007 9:31:00 PM |

    Thank you for passing on your article 'Statin Drugs: Separating Hype from Reality'... very informative I must say! Just a quick heads up on your comment about folic acid (ie “always take folic acid and vitamin B12 with niacin to protect against disruption of healthy methylation patterns”), although studies are not conclusive, apparently folate therapy (taking a combination of folic acid, vitamin B6, and vitamin B12) may be harmful after stent placement and probably should be avoided. For those who have this condition it’s advised instead, to try to get enough vitamin B by eating a balanced diet. [ref: Lange H, et al. (2004). Folate therapy and in-stent restenosis after coronary stenting. New England Journal of Medicine, 350(26): 2673–2681]

  • madcook

    2/17/2007 5:32:00 PM |

    I have to chime in here regarding Cindy's comment on statins:

    I dutifully tried for nearly two years to tolerate the various statins prescribed by my doctor.  The deep muscle aches and spasms were nearly unbearable... getting far worse when my "numbers" still weren't right and he decided to DOUBLE my dosage of Vytorin (Zocor + Zetia) from 10/20 to 10/40.  What resulted was a true nightmare for me.  I terminated this med when I had such severe muscle aching, spasms and dis-coordination that navigating up a flight of stairs was nearly impossible.  Not only that, but my memory was (fortunately temporarily) impaired, and I can remember little from a three month period of time.  Interestingly my CK was never elevated and this all happened while taking 200mgs. daily of a very reputable Co -Q10 formulation.  Cessation of the Vytorin saw the aches subside within 2 or 3 days and full mental clarity resumed within a week.  I was lucky.

    My doctor stated that there were three other statins we hadn't yet tried... fat chance doc!

    What chaps me is that the pharmaceutical companies continue to state that there is only a small percentage of patients who have side effects.  In practice, LOTS of people have problems tolerating statins, BUT these things never are reported, certainly mine wasn't by my doctor.

    Side effects can be reported to the UCSD Statin Study, and to the FDA.  The FDA form is unduly cumbersone and frankly, unless you nearly died, it probably isn't worth the time.  The UCSD Statin Study questionnaire is very thorough... and as soon as I get some time I'm planning to report my experiences with statins to them.

    I am not optimistic that doing either of the above will change the statistical misinformation out there on statin side effects.  The pharmaceutical giants have too many billions at stake to ever allow this information to attain credibility.  Their advertising billions shout otherwise...

    Great meds, IF they work for you without problems.  For me they appear to be deadly, so I think I'll just stick with the other strategies, including niacin, fish oil, etc., etc. that I've learned through TYP.

    madcook

  • madcook

    2/17/2007 5:33:00 PM |

    I have to chime in here regarding Cindy's comment on statins:

    I dutifully tried for nearly two years to tolerate the various statins prescribed by my doctor.  The deep muscle aches and spasms were nearly unbearable... getting far worse when my "numbers" still weren't right and he decided to DOUBLE my dosage of Vytorin (Zocor + Zetia) from 10/20 to 10/40.  What resulted was a true nightmare for me.  I terminated this med when I had such severe muscle aching, spasms and dis-coordination that navigating up a flight of stairs was nearly impossible.  Not only that, but my memory was (fortunately temporarily) impaired, and I can remember little from a three month period of time.  Interestingly my CK was never elevated and this all happened while taking 200mgs. daily of a very reputable Co -Q10 formulation.  Cessation of the Vytorin saw the aches subside within 2 or 3 days and full mental clarity resumed within a week.  I was lucky.

    My doctor stated that there were three other statins we hadn't yet tried... fat chance doc!

    What chaps me is that the pharmaceutical companies continue to state that there is only a small percentage of patients who have side effects.  In practice, LOTS of people have problems tolerating statins, BUT these things never are reported, certainly mine wasn't by my doctor.

    Side effects can be reported to the UCSD Statin Study, and to the FDA.  The FDA form is unduly cumbersone and frankly, unless you nearly died, it probably isn't worth the time.  The UCSD Statin Study questionnaire is very thorough... and as soon as I get some time I'm planning to report my experiences with statins to them.

    I am not optimistic that doing either of the above will change the statistical misinformation out there on statin side effects.  The pharmaceutical giants have too many billions at stake to ever allow this information to attain credibility.  Their advertising billions shout otherwise...

    Great meds, IF they work for you without problems.  For me they appear to be deadly, so I think I'll just stick with the other strategies, including niacin, fish oil, etc., etc. that I've learned through TYP.

    madcook

  • John Townsend

    2/17/2007 8:05:00 PM |

    RE: Madcook's comment "Side effects can be reported to the UCSD Statin Study, and to the FDA. "

    I'm wondering if the 'UCSD Statin Study' provide summary reports on submission findings?

    BTW, his note is a very interesting personal account which echos mine to a certain extent, albeit I'm seemingly in the early stages. I'm starting to have pretty severe shoulder pain coming out of nowhere after six mths on Zocor. I've started taking Q-10 (re: your rec) to see if it helps. Previously my reaction to Lipidor was almost immediate with severe skin rash symptoms.

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A used car lot on every street corner

A used car lot on every street corner

Imagine that, every day, a parade of used-car salesmen knock on your front door to sell you a special "deal". Day in, day out they knock, expecting you to hear about their offers openly.

Is there any doubt about their intentions or motives? Of course not. They're just trying to profit from selling you a car.

That's how it is in a medical office nowadays. Drug representatives, 5, 6, or more each and every day, promoting drugs. Except that the profits from drugs are far greater than a used automobile, and there's a third party involved in the transaction: you.

Today, a pushy representative came to my office. My staff and I tried to tell him that I was not interested in speaking to him. But he proved such a nuisance that I finally came out to tell him that I objected to the idea of drug reps just hanging around trying to hawk their wares.

He blurted, "Doctor, do you have patients with angina? Our new drug, ranolazine, is perfect. Forget about nitroglycerin, beta blockers, and all that. Here's the latest study proving it's better." He tried to shove a reprint of the study at me.

Getting to the bottom line, I asked, "What does it cost the patient?"

"Well, the co-pay is between $40 and $60. We're not yet well covered by insurance, so it'll cost patients around $200 a month."

Need I say more? Here's a drug that does little more than help relieve anginal chest pains. It doesn't reverse coronary plaque. It won't avoid heart attack, death, or procedures. It just modestly cuts back on the frequency of chest pain. And all for the cost of a single heart scan--a heart scan that could have prevented the entire cascade of symptoms/procedures/medication/hospitalization etc.

Hospitals, drug companies, medical device manufacturers. They're all businesses that thrive on your doctor's failure to detect and control your coronary plaque. Sometimes, even your doctor is part of this conspiracy to squeeze dollars out of human disease. Don't fall for it.
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