America: The world’s diet laboratory

Low-fat, low-carb, high-protein, Pritikin, Ornish, Atkins, South Beach, Sonoma, Sugar-Busters, Weight Watchers, vegetarian . . . Have Americans tried them all?

We’ve witnessed the relative success of diet habits in selected regions world-wide: the longevity of the Japanese on a spare soy and fish-based diet; the reduced heart disease incidence of the French despite an indulgent food-centered culture; the extreme heart disease-free lives of the Cretan Greeks.

Contrast this with the startling failure of the American diet experiment: We’re all (speaking for the collective whole) fat, diabetic, and miserably mired in the diseases of obesity. We’ve experimented with every possible iteration of diet from grapefruit or cabbage only, to calorie deprivation (a al Weight Watchers), to restricting this or that element of diet. The “official” organizations have made their contributions, as well: the American Heart Association’s Therapeutic Lifestyle Changes (formerly Step I and II diets), a program eerily similar to what Americans are already eating and resulting in failure; the American Diabetes Association diet, incomprehensibly embracing carbohydrates when they are the root of the nutrition-habit-gone-wrong that caused the disease in the first place; the USDA and their Food Pyramid, encompassing a design that contains the germ of wisdom but is so heavily overweighted in grains that it is a sure-fire way to increase weight and heart disease were you to follow their recommendations.

What have we learned from our grand experiment, our nationwide misadventure in nutrition?

I believe that we’ve learned how not to eat: Processed snack foods, meals delivered in a fast-food setting with the offer to “super-size” your order, make-believe food ingested in your car eaten for the sake of staving off the inevitable hunger pangs. Few would argue that these are certain paths to obesity and poor health.

Certainly, if we’ve learned how not to eat, can we extrapolate just how to eat? And not just for weight loss, since most diets focus just on that, but on health, particularly heart health?

If Americans have so far failed to learn the lessons of the nutritional world, we certainly have not failed at talking about it. From books to blogs, websites, information gurus to infomercials, we certainly celebrate the capacity to share our experiences, our grief over our nutritional “misfortune,” despite a world of plenty.

Yet we swim in a sea of information. Can we sift through the chaff to discover the essential truth?

Let me articulate an extreme (extreme meaning closer to the truth, I hope) interpretation of nutritional wisdom:

--If it requires a label or nutritional analysis, reject it. The wondrous green pepper, or bottle of olive oil, for instance, require no such qualifications. Some exceptions: milk, yogurt, cottage cheese (unless, of course, you purchase straight from a local producer). I am always impressed with the contortions and frustrations people experience trying to decipher labels. Ironically, the healthiest foods don’t even require labels.

--If it is ingested in a rush, it’s likely to add to poor health. True food is meant to be consumed at leisure, not in haste to satisfy some irrational, unthinking impulse.

--Search for natural, whole foods. Natural, whole foods require no marketing. You pay a premium for a company to adorn a product with glitz, glamour, and appeal. Repackage Cocoa Puffs as chocolate flavored, round overly-processed wheat flour, sans marketing spin, and what is left? Processed foods are?intentionally?addictive. They are added to, modified, high-fructose corn syruped, etc. to increase desirability, but also create addiction. Eliminate them just as a smoker eliminates cigarettes.

--A corollary to the above issue: purchase foods that appear as if you had grown it or raised it yourself. If you were to grow corn in your backyard garden, you would eat it on the cob or some similar way. You would not grind it, pulverize, process it, nor serve it as cornstarch and add to a pile of chemicals to make breakfast cereal. Eat foods in their natural state, not the highly processed food-product that requires a colorful package and advertising to sell.

--Don’t keep bags of chips, boxes of breakfast cereal and crackers, frozen dinners, all “just in case.” Don’t allow yourself that opportunity because you will more than likely seize it. An alcoholic who keeps a secret bottle of gin hidden in the cabinet is well aware that it’s there and will eventually give in to impulse.

--When you eat meat, try to find free-range, organic products. Even better, purchase from a local producer who you trust.

--For anyone with patterns like low HDL, small LDL, high triglycerides, and blood sugar >100 mg/dl, following a diet that is as free of wheat products as possible will yield enormous benefits. Wheat is a part of all breads, virtually all breakfast cereals, pretzels, crackers, bagels, cookies, cupcakes, pancakes, waffles, etc. Going wheat-free is also a surprisingly effective weight loss strategy.

That’s just a few thoughts. The approach we use in the Track Your Plaque program helps achieve weight loss, but also helps correct lipoprotein patterns, often dramatically.

Many diets have failed to keep pace with the changing nutritional habits of Americans. In 1960, we ingested close to zero high-fructose corn syrup. We’re now approaching 80 lbs per year per American. Breakfast cereal in 1950 consisted of a handful of products, eaten intermittently; today, it is a staple with enough products to fill a modern supermarket’s entire aisle. Meats have changed, thanks to the factory farm phenomenon feeding its animals corn in inhumanely restricted conditions, a dietary shift for livestock that has modified the fat composition to something far different than 50 years ago, not to mention the antibiotics and other chemicals used to accelerate growth and fight off infection from the artificial, overcrowded conditions.

The American nutritional shift, along with rampant obesity, have also caused a relatively new cause of coronary heart disease to explode: small LDL particles. The contribution of small LDL has been enormously underestimated, since most physicians don’t know what it is, don’t know how to check for it, and don’t know what to do with it. Yet it has emerged as the number one cause for heart attack and heart disease nationwide.

Stay tuned for our rewritten New Track Your Plaque diet to be released as a Special Report on the www.cureality.com website in future.

Comments (14) -

  • jpatti

    10/23/2007 2:34:00 AM |

    I agree wholeheartedly!

    I've been very heavily studying diet the past few months - reading widely from a lot of sources with a lot of different biases.

    The main conclusion I've come to is that hardly anyone one eats enough fresh low-sugar fruits and non-starchy vegetables; they should be the bottom of everyone's food pyramid.  

    We eat so much junk that you can't tease out what the problems are.  For instance, people say if there were a problem with artificial sweeteners, we'd have discovered it by now.  Well, we *have* discovered increasing rates of obesity, diabetes and heart disease.  We can't know it's the artificial sweeteners specifically anymore than we can know that it's any of the other individual things that have changed in the diet in the past 50 years or so.  Maybe some are worst than others, who knows?  There's too many changes to be able to tell exactly what the problems are in detail.  But we do know that all these lifestyle diseases increased tremendously when we all began eating so many highly-processed foods.  

    I think a lot of the problems in the typical western diet are additive - lost good effect from an unknown micronutrient in real foods plus bad effects from highly-processed stuff.

    So... maybe aspartame is perfectly safe, but I quit the Diet Pepsi for stevia-sweetened lemonade and limeade anyway.  Cause I *do* know that real whole foods are healthy, so I don't have to know the ultimate truth about aspartame.

  • Anonymous

    10/23/2007 4:24:00 AM |

    Excellent post, and you are quite right about high-fructose corn syrup.

    Michael Pollan's book "The Omnivore Dilemma's" has quite a lot of information about corn in the US.

    --Michael G.R. / michaelgr.com

  • Sue

    10/23/2007 8:11:00 AM |

    I agree with all this food tips.

  • Peter

    10/23/2007 8:29:00 AM |

    Hi Dr Davis,

    The only information I have been able to find on soy intake in Japan estimates that in men it is 8.00 g/d and in women 6.88g/d. I realise that quoting two decimal places from a food frequency questionnaire is a bit silly. The standard deviation is around 5g/d. This does not seem like very much to me. To suggest that 8g per day is associated with longevity makes soy protein powerful stuff, literally beyond belief. Are there any better data than this?

    I got my info from the bottom line of table 1 in the results section of:

    Nagata C, Takatsuka N, Kurisu Y, Shimizu H (1998) Decreased serum total cholesterol concentration is associated with high intake of soy products in Japanese men and women. J Nutr. 128(2):209-13

    Peter

  • Alan

    10/23/2007 10:18:00 AM |

    Thanks Doc.

    When choosing foods for purchase I use a fairly simple rule. I try to choose foods that owe more to the farmer than to the chemist for their production, and do as much of the processing as I can in my own kitchen rather than accept the results of a factory kitchen.

    As a diabetic I believe that cooking for oneself improves one's health. That way you get to choose exactly what you eat and there are no hidden surprises.

    You already know my thoughts on the AHA/ADA/USDA nutrition guidelines for cardiac and diabetic patients.

    Thanks for a marvellous post, which I will be passing on to many others.

    Cheers, Alan, Type 2 diabetes, Australia

  • Dr. Davis

    10/23/2007 11:52:00 AM |

    Actually, I'm referring to the epidemiologic data on length of life and incidence of cardiovascular events in Japanese. Obviously, pinpointing the aspect of diet--or other component of lifestyle or genetics--that confers longevity is not revealed by these observations. However, though I like soy products, I don't think they are responsible for the difference.

  • Anonymous

    10/23/2007 1:40:00 PM |

    I think you are a fan of the south beach diet except that he uses too much wheat. What do you think of his south beach diet
    "products" and why do you think he created them?
    Also- can you comment on the use of Splenda.
    Thanks!

  • Dr. Davis

    10/23/2007 5:06:00 PM |

    Yes, the South Beach Diet is a reasonable way to lose weight and improve lipoprotein patterns, provided you don't proceed fully to phase 3, in which grains are added back in abundance. Many people regain their weight in phase 3.

    I doubt Arthur Agatston plays much of a role in developing his packaged products. Nearly all of these are outsourced or licensed products, with which I suspect he has just passing acquaintance. I don't think they are good products, at least the ones I've seen and tried.

  • Dr. Davis

    10/23/2007 7:16:00 PM |

    Also, so far I've not witnessed nor heard of any ill-effects specific to Splenda. So far, so good.

  • Anonymous

    10/23/2007 8:53:00 PM |

    Dr. Davis have you readf the excellent new book Good Calories Bad Calories? If so I would love to hear your oppinion.

  • Dr. Davis

    10/23/2007 9:06:00 PM |

    I'm several chapters into Gary Taubes' book and loving every page. I have to say that many studies I accepted as gospel do indeed appear suspect when recast in his skeptical light. After reading the entire book, I believe a re-examination of the old studies will be necessary.

  • Anonymous

    10/24/2007 5:39:00 AM |

    Is there a practical diet available today that a normal, average person in US can follow to maintain decent health without getting bogged down with the ever increasing "DO NOT EAT" list?

    I think that this is a very tough question to answer; I hope you can share your thoughts on this issue in a future article.

    I have realized lately that people   like me who are conscientious of following a healthy lifestyle, would not realize the impact of religiously following the common
    health options propounded by the food industry.  

    Examples of healthy choices we think we are making:
    - eat more whole wheat, multi grain instead of white bread
    - drink fruit juice (with vitamin attractions) instead of soda pop or other beverages
    - eat more cereals (with vitamin, mineral benefits) and whole wheat, raisin bagels instead of eggs, bacon and cream cheese.

    But thanks to Track the plague research program, we now know that even these cause issues to our health.

    As I read about your total grain elimination diet, I keep wondering - What CAN one *practically* eat from a preventative aspect to maintain decent health?

    If you walk into any cafe, there is an abundance of sandwiches, snacks, pastry etc. What does one do in such cases? It's a common situation that I think we all must be facing from time to time, and I wonder what acceptable choice can we make in such situations?

    I believe that's why there should a new diet approach/guideline that both follows the principles as outlined in Track Your Plague or your blog, and also emphasizes on being practical for an average person. These guidelines will empower the average health conscious public to make healthy  diet choices.

    I find this analogous to our fuel situation today - Everybody knows that ideally we must stop our fuel consumption and switch over to alternative energy sources.
    Since this is not a feasible option today, an alternative practical approach (eg: hybrid cars) comes into place to start the slow but gradual transition

    Some questions/options that I would expect that this practical diet approach to answer/provide: -

    Breakfast options
    Ideal: Avoid all cereals, grains (But again, what would one eat then instead?)
    Acceptable (while on the road): oats, water, peanut butter on multi-grain bread, cereals, fruit juice
    Avoid: bacon

    Brunch options:
    seeds, nuts

    Lunch options
    Ideal: have lean meat, whole fruit
    Acceptable: fruit juice, sandwitch on multi-grain bread
    Avoid: fried food

    etc...

    If you know of any such guidelines that are published or available, I would be appreciate some pointers.

    Personally for a 28 year old person like me, just trying to stay on multi-grain and not trying any fried foods has been a major challenge for me to follow diet wise, but nevertheless I have still been able to maintain the discipline to continue on this.

    I am glad to know that elimination of all grains will bring a lot of health benefits; however it also reminds me on how gloomy the situation is for me when I have to eat outside; the choices then become extremely limited or in some cases the healthy options become non existent.

    thanks Doc. Keep up the good work!

  • Dr. Davis

    10/24/2007 11:59:00 AM |

    Thanks for the wonderful thoughts.

    The forthcoming new Track Your Plaque Diet will articulate many of the issues you discuss above. However, I need to emphasize that the diet is not meant for the average person to follow. It is meant to be part of an effort to seize control of heart disease risk, while providing an health effect. There is a difference.

    Also, I find it easier to understand food products offered in stores and restaurants when you see them as vehicles for profit, not health. Health claims often parrot the popular issue of the day, but the product is sold for profit.

  • Sue

    10/25/2007 11:59:00 PM |

    Good Calories, Bad Calories is brilliant - I hope a lot more professionals read it.

Loading
The case builds against wheat

The case builds against wheat

Looking back over the past few posts I've made about the adverse health effects of wheat, I was surprised to see just how many people have posted descriptions of their dramatic experiences following this route.

While I've seen it in real life many times, it always helps to have corroboration from others. Here is what a number of Heart Scan Blog readers and commenters have said:



Barbara W said:

It's true! We've done it. My husband and I stopped eating all grains and sugar in February. At this point, we really don't miss them any more. It was a huge change, but it's worth the effort. I've lost over 20 pounds (10 to go)and my husband has lost 45 pounds (20 to go). On top of it, our body shapes have changed drastically. It is really amazing. I've got my waist back (and a whole wardrobe of clothes) - I'm thrilled.

I'm also very happy to be eating foods that I always loved like eggs, avocados, and meats - without feeling guilty that they're not good for me.

With the extremely hot weather this week in our area, we thought we'd "treat" ourselves to small ice cream cones. To our surprise, it wasn't that much of a treat. Didn't even taste as good as we'd anticipated. I know I would have been much more satisfied with a snack of smoked salmon with fresh dill, capers, chopped onion and drizzled with lemon juice.

Aside from weight changes, we both feel so much better in general - feel much more alert and move around with much greater flexibility, sleep well, never have any indigestion. We're really enjoying this. It's like feeling younger.

It's not a diet for us. This will be the way we eat from now on. Actually, we think our food has become more interesting and varied since giving up all the "white stuff". I guess we felt compelled to get a little more creative.

Eating out (or at other peoples' places) has probably been the hardest part of this adjustment. But now we're getting pretty comfortable saying what we won't eat. I'm starting to enjoy the reactions it produces.



Weight loss, increased energy, less abdominal bloating, better sleep--I've seen it many times, as well.


Dotslady said:

I was a victim of the '80s lowfat diet craze - doc told me I was obese, gave me the Standard American Diet and said to watch my fat (I'm not a big meat eater, didn't like mayo ... couldn't figure out where my fat was coming from! maybe the fries - I will admit I liked fries). I looked to the USDA food pyramid and to increase my fiber for the constipation I was experiencing. Bread with 3 grams of fiber wasn't good enough; I turned to Kashi cereals for 11 years. My constipation turned to steattorrhea and a celiac disease diagnosis! *No gut pains!* My PCP sent me to the gastroenterologist for a colonscopy because my ferritin was a 5 (20 is low range). Good thing I googled around and asked him to do an endoscopy or I'd be a zombie by now.

My symptoms were depression & anxiety, eczema, GERD, hypothyroidism, mild dizziness, tripping, Alzheimer's-like memory problems, insomnia, heart palpitations, fibromyalgia, worsening eyesight, mild cardiomyopathy, to name a few.

After six months gluten-free, I asked my gastroenterologist about feeling full early ... he said he didn't know what I was talking about! *shrug*

But *I* knew -- it was the gluten/starches! My satiety level has totally changed, and for the first time in my life I feel NORMAL!


Feeling satisfied with less is a prominent effect in my experience, too. You need to eat less, you're driven to snack less, less likely to give in to those evil little bedtime or middle-of-the-night impulses that make you feel ashamed and guilty.



An anonymous (female) commenter said:

My life changed when I cut not only all wheat, but all grains from my diet.

For the first time in my life, I was no longer hungry -no hunger pangs between meals; no overwhelming desire to snack. Now I eat at mealtimes without even thinking about food in between.

I've dropped 70 pounds, effortlessly, come off high blood pressure meds and control my blood sugar without medication.

I don't know whether it was just the elimination of grain, especially wheat, or whether it was a combination of grain elimnation along with a number of other changes, but I do know that mere reduction of grain consumption still left me hungry. It wasn't until I elimnated it that the overwhelming redution in appetite kicked in.

As a former wheat-addicted vegetarian, who thought she was eating healthily according to all the expert advice out there at the time, I can only shake my head at how mistaken I was.


That may be a record for me: 70 lbs!!


Stan said:

It's worth it and you won't look back!

Many things will improve, not just weight reduction: you will think clearer, your reflexes will improve, your breathing rate will go down, your blood pressure will normalize. You will never or rarely have a fever or viral infections like cold or flu. You will become more resistant to cold temperature and you will rarely feel tired, ever!



Ortcloud said:

Whenever I go out to breakfast I look around and I am in shock at what people eat for breakfast. Big stack of pancakes, fruit, fruit juice syrup, just like you said. This is not breakfast, this is dessert ! It has the same sugar and nutrition as a birthday cake, would anyone think cake is ok for breakfast ? No, but that is exactly the equivalent of what they are eating. Somehow we have been duped to think this is ok. For me, I typically eat an omelette when I go out, low carb and no sugar. I dont eat wheat but invariably it comes with the meal and I try to tell the waitress no thanks, they are stunned. They try to push some other type of wheat or sugar product on me instead, finally I have to tell them I dont eat wheat and they are doubly stunned. They cant comprehend it. We have a long way to go in terms of re-education.

Yes. Don't be surprised at the incomprehension, the rolled eyes, even the anger that can sometimes result. Imagine that told you that the food you've come to rely on and love is killing you!


Anne said:

I was overweight by only about 15lbs and I was having pitting edema in my legs and shortness of breath. My cardiologist and I were discussing the possible need of an angiogram. I was three years out from heart bypass surgery.

Before we could schedule the procedure, I tested positive for gluten sensitivity through www.enterolab.com. I eliminated not only wheat but also barley and rye and oats(very contaminated with wheat) from my diet. Within a few weeks my edema was gone, my energy was up and I was no longer short of breath. I lost about 10 lbs. The main reason I gave up gluten was to see if I could stop the progression of my peripheral neuropathy. Getting off wheat and other gluten grains has given me back my life. I have been gluten free for 4 years and feel younger than I have in many years.

There are many gluten free processed foods, but I have found I feel my best when I stick with whole foods.



Ann has a different reason (gluten enteropathy, or celiac disease) for wanting to be wheat-free. But I've seen similar improvements that go beyond just relief of the symptoms attributable to the inflammatory intestinal effects of gluten elimination.



Wccaguy said:

I have relatively successfully cut carbs and grains from my diet thus far.

Because I've got some weight to lose, I have tried to keep the carb count low and I've lost 15 pounds since then.

I have also been very surprised at the significant reduction in my appetite. I've read about the experience of others with regard to appetite reduction and couldn't really imagine that it could happen for me too. But it has.

A few weeks ago, I attended a party catered by one of my favorite italian restaurants and got myself offtrack for two days. Then it took me a couple of days to get back on track because my appetite returned.

Check out Jimmy Moore's website for lots of ideas about variations of foods to try. The latest thing I picked up from Jimmy is the good old-fashioned hard boiled egg. Two or three eggs with some spicy hot sauce for breakfast and a handful of almonds mid-morning plus a couple glasses of water and I'm good for the morning no problem.

I find myself thinking about lunch not because I'm really hungry but out of habit.

The cool thing too now is that the more I do this, the more I'm just not tempted much to do anything but this diet.



Going wheat-free, along with a reduction in processed sugary foods like Hawaiian Punch, sodas, and candy, is the straightest, most direct path I know of to lose weight, obtain all the health benefits listed by our commenters, as well as achieve the lipoprotein corrections we seek, like reduction of small LDL particles and rise in HDL, in the Track Your Plaque program.

Comments (21) -

  • Anonymous

    10/29/2007 12:27:00 PM |

    Is the problem wheat in and of itself?  or is it with the food processing that goes into almost everything nowadays.  I wonder if people would be having the same problems if they ate a steady diet of Grandma's homemade bread instead of stuff off the supermarket shelf.

  • Dr. Davis

    10/29/2007 12:41:00 PM |

    Good point. In general, unprocessed is far better than processed. However, with wheat flour foods, I'm finding no difference. Both create weight gain, fatigue, increased blood sugar, small LDL etc.

  • Anonymous

    10/29/2007 1:26:00 PM |

    I am wondering which is better to use butter vs. a non-hydrogenated "smart balance" type of margarine. Can you address this? I am on a statin and trying to reduce my weight and raise my HDL while normalizing my other numbers.I would like to get off this statin (lovastatin - generic I think)Thanks! Greg

    PS- I use olive oil too and for awhile I was taking my local orgainic butter and mixing it half and half with organic olive oil for my own "blend" what do you think? That can also be done with organic canola oil for those who think olive oil is too strong of a tast.
    Thanks again!

  • Anonymous

    10/29/2007 3:42:00 PM |

    I wonder also if problems relate somewhat to modern forms of wheat, which has been adapted over the years for high yields, pest tolerance, etc. We have a daughter with celiac disease, and I read an article that maintained that the peptide chain implicated is not present in ancient forms of the grain, so they would be ok for celiacs. As far as processing goes, the article also suggested that the more time-consuming methods of making bread, like for sourdough, yield healthier bread. In short, it's what the modern world has done to wheat, not just wheat itself.

  • Anonymous

    10/29/2007 3:55:00 PM |

    Here's the article I mentioned in my last comment:

    http://www.westonaprice.org/moderndiseases/gluten-intolerance.html

  • Paul Anderson

    10/29/2007 5:55:00 PM |

    I can certainly concur with the comments made here.

    After a brief flirtation with wheat reduction i eliminated all grains from my diet and, almost effortlessly lost about 28lbs.  I also experienced an almost total elimination of bloating, tiredness and my bowell habits improved.

    I do wonder if going one step further and eliminating any food that casues cravings might also be a good idea.  For me that seems to be the case with cheese and milk products, chocolate and cashew nuts (possibly containing lactose in the flavouring).  Its seems to be one of life's ironies that we crave foods for which we seem to have an intolerance.

    Thanks for a generally excellent blog.

  • Dr. Davis

    10/29/2007 6:42:00 PM |

    Interesting thought!

  • Dr. Davis

    10/29/2007 8:03:00 PM |

    I believe those are very reasonable alternatives to butter. However, the real effect on LDL may depend on the size distribution of your LDL particles. Small, for instance, responds to carbohydrate restriction, not so much to saturated fat restriction.

  • Anonymous

    10/29/2007 8:20:00 PM |

    Thanks for the butter response. I do have borderline small LDL. I had the test done last year at my suggestion after reading the South Beach Diet Heart Program. My physician knew nothing about it and of course said insurance would not pay.I had the test anyway.
    The whole saturated fat/cholesterol in food theories are confusing; science seems to be changing on these long standing beliefs but it sure keeps me confused.
    By the way - do you think the sprouted grain breads are better if one is to eat wheat? Does sprouted wheat behave diffently in the body and have a different effect on particle size of the LDL?
    Thanks- Greg

  • Dr. Davis

    10/29/2007 9:09:00 PM |

    Yes, the Ezekiel bread has a glycemic index of 35, fairly low, and seems to be a better choice than conventional breads.

  • Anonymous

    10/30/2007 1:28:00 AM |

    I've ran accross another interesting effect of wheat. Dr. Loren Cordain, of Colorado State University has found that wheat contains a protein that diminishes vitamin D synthesis in the skin. Here's a link with the info.......
    http://mylonglife.com/blog/index.php/2006/05/16/wheat_made_whites_whiter

  • Dr. Davis

    10/30/2007 1:37:00 AM |

    VERY interesting!

    Loren Cordain has truly been in the forefront of this argument.

  • Bix

    10/31/2007 12:26:00 PM |

    anonymous, Doesn't heat denature lectins ... such as wheat germ agglutinin?  I'm wondering if there are other processes that inactivate these substances, such as fermentation?

  • Anonymous

    11/1/2007 1:08:00 AM |

    Is a diet plan available today that suggests options for a whole wheat/grain free diet?

    As I read Barbara W's comment, I wondered - what does she eat for breakfast? I have stopped eating cereal, and been eating oats instead. It's been working out for me. I have been able to lose 27 lbs and have another 20 lbs to go. But I do get hunger pangs every now and  then, and go offtrack. As Barbara says, eating out has been the biggest challenge.

    I want to give the complete wheat/grain free diet a shot. Can you provide some recommendations on where I can refer for food options for breakfast, lunch and dinner? thanks.

  • Dr. Davis

    11/1/2007 2:40:00 AM |

    Protein and fat rich foods like raw nuts, traditional fermented cheeses, and more liberal use of healthy oils like olive can provide feelings of prolonged satiety. Also, the Paleo Diet and South Beach diets both provide plenty of advice in this nutritional vein.

    Also, watch for our new Track Your Plaque diet due to be out sometime this fall on the www.trackyourplaque.com website.

  • TedHutchinson

    11/1/2007 10:37:00 PM |

    Readers here may be interested to listen to the presentation Loren Cordain gives entitled "Potential Therapeutic Characteristics of Pre-agricultural Diets in the Prevention and Treatment of Multiple Sclerosis"
    http://wildhorse.insinc.com/directms03oct2007
    While the talk is aimed at the MS audience it is interesting to understand the way diet may create autoimmune conditions.
    Some, like the members of the audience may find the science a little difficult, if you click on the slides you can just watch the slides and listen to the talk without the distraction of audience activity.

  • Anonymous

    11/3/2007 1:48:00 PM |

    Dr Atkins
    www.atkinsdietbulletinboaaord.com
    offers tons of great low carb recipes as does Dr Bernstein's Diabetic Sol'n board.

    Looking forward to your new TYP diet, assuming sat fat won't be as much the enemy???SmileSmileSmile

  • Dr. Davis

    11/3/2007 7:10:00 PM |

    I'm really struggling with the saturated fat issue. I'm having trouble reconciling the "sat'd fat ain't so bad" argument, as skillfully articulated by Gary Taubes and Robert Atkins, with what I see in real life--ill-effects such as substantial hypertensive effects and pro-inflammatory effects.

    Among the difficulties with saturated fat-rich diets, of course, is that they do not occur in isolation. Sat'd fat foods like sausage come along with wheat toast, syrup on pancakes, etc., a smorgasbord of food ingredients.

    Nonethless, I'm going back to some of the old literature again and re-read.

  • gc

    11/3/2007 11:57:00 PM |

    However, sat fats for those reformed low carbers comes along with sausage, eggs, tomatoe and cuc slices......not pancakes.


    .......cup of java with bit of real cream, not skim milk that zooms your bg and cravings.


    My long term doc of 21 yrs asked me to run a group for her overweight diabetic patients and asked me why now could I do this when for the last 20 yr she put me on all these diets and sent me to not these weight loss programs and I couldnt do it then.....

    why now...

    ( low low cal, low low fat, celery, apples, skim milk, grains grains grains, I was starved)

    she asked.

    I said:cause I had fats in my life and didn't get hungry. I cannot lose weight when I am hungry, when I don't have fats I am starved, most diabetics are starved as their bg are bouncing up and down all the time, low bg makes you want to eat a house and hi bg makes you want to  at a house.

    .....having some fats makes you feel satiated and then you don't obsesses about food when you are not hungry.

    Yet initially on Atkins I was eating 2000 cal a day and lost a ton of weight in a few months.

    ...not being hungry means you dont eat pancakes, and all that sugar as you know it will make you crave whereas at brekkie if you still feel hungry you can add an extra sausage, or extra egg and know you don't need to eat again for 5 hr or so as it holds you for the day, your bg don't move or move only a small amt.

    Eventually you chol all comes down eating some sat fats and lots of good fats, so does it contribute that much to inflammation as does the hi carbs???

    Dr A didn't promote sausage and bacon, in fact, he said not allot as it had nitrates,stay away from chemicals and eat whole foods.

    Wish I was more scientific, I can only go by all the tons of material I read and how I feel and what my lab tests reflect.

    I have had some of the tests you recommend but not all the advanced lipo protein.

  • Anonymous

    11/8/2007 7:26:00 PM |

    Dr. Davis, I am a wheataholic.  But if I think back over the course of my life, there have been times in which my wheataholism has been in "remission." The remisions all occured on trips to the coast of Spain/Gibraltar, Haiti, Tucson (AZ), and Gulfport (MS). At the time, I certainly didn't realize what was happening, but after reflection, I can see something out of the ordinary occurred. In each location, I was with a group, so I had to eat what they ate (wheat products) while we all worked or hiked outside. During those times, I cannot remember one time after eating a wheat product did I have cravings, much less uncontrollable cravings. I thought the sun had something to do with it and that it must be the stimulation of Vit. D production in my skin. But then I had to rule that out because upon my return from these areas (and back to office work in Washington DC) I had to curtail my starches because of the resurgance of cravings. Now I have come to believe that the strengh of the sun's light boosted my seratonin levels creating the ability to view food, including wheat and other starches, in a reasonable manner. I know this topic has now past, but if you have any comments on this, it truly would be welcomed.

  • http://www.art-gallery-newzealand.com

    12/31/2008 1:07:00 PM |

    Even though the case against wheat and specifically gluten is so cut and dry, why is it that people have to jump so many hoops to be diagnosed as celiac and there is no real recognition that having gluten antibodies in your bloodstream might be bad - but instead have to rely on TTG tests that only pick up about 80% of celiacs and not gluten sensitvity at all?  
    (I'm really struggling with this lassaiz faire attitude to something that is so toxic to so many people and BTW  thanks for blogging this. Wheat/gluten kills. And it's so insidious, it's in everything, and that can make it difficult for people to avoid it enough to get improved health effects.)

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