The world according to the Wheat Foods Council and the Whole Grains Council


You might get a kick out of what the Wheat Foods Council and the Whole Grains Council recommend for a sample meal plan:

Breakfast: Whole grain raisin toast
Lunch: Sandwich on whole grain
Snack: Rye bread crackers
Dinner: Whole grain pasta with your favorite sauce

Breakfast: Whole grain waffles 
Lunch: Hamburger on whole grain bun
Snack: Graham crackers
Dinner: Whole grain homemade pizza on whole grain pita crust

Remember Morgon Spurlock's documentary movie, Super Size Me? (If you haven't already seen it, Super Size Me is viewable for free on Hulu.) Spurlock conducts a self-inflicted 30-day experiment of eating at McDonald's fast food restaurants every day. In short, the results on Spurlock's weight and health are disastrous. 

How about Wheat Belly: The Movie? We would chronicle our star through a 30-day course of meals served up by the Wheat Foods and Whole Grains Councils, all featuring wonderful wheat products in every meal. We could measure blood sugar, triglycerides, LDL, small LDL, weight, etc.


Any predictions?

Why bananas increase cholesterol

Anything that increases postprandial (after-eating) blood sugar will increase the number of LDL particles in the blood.

An increase in LDL particles is an important factor in causing heart disease: The greater the number of LDL particles, the more opportunity they have to interact with the walls of arteries, contributing to atherosclerosis.

Carbohydrates increase small LDL, especially if postprandial sugar is increased. Here's another way carbohydrates increase LDL particles: The duration of time LDL particles hang around in the blood stream is doubled.

When blood sugar increases, such as after the 30 grams carbohydrates in a medium-sized banana, glycation of LDL particles occurs. This means that a gglucose (sugar) molecule reacts with a lysine residue in the apoprotein B of the LDL particle. This induces a change in conformation that makes it less readily recognized by the LDL receptor. Thus, the glycated LDL particle persists for a longer period of time in the blood stream.

LDL particles are therefore cleared less efficiently, numbers of LDL particles increase.

Plant-based or animal-based?

The ideal diet for heart and overall health restricts carbohydrate intake. I say this because carbohydrates:

Make you fat--Carbohydrates increase visceral fat, in particular.
Increase triglycerides
Reduce HDL
Increase small LDL particles
Increase glycation of LDL
Increase blood pressure
Increase c-reactive protein


Reducing carbohydrates reverses all the above.

But here's a common mistake many people make when following a low-carbohydrate diet: Converting to a low-carb, high-animal product diet.

It accounts for a breakfast of a 3-egg omelette with cheese and butter, 4 strips of bacon, 2 sausages, cream in coffee. Low-carb? It certainly is. But it is a purely high-animal product, no-plant-based meal.

I believe a strong argument can be made that a low-carbohydrate but plant-based diet with animal products as the side dish is a better way to go.

Consider that:

1) Animal products have little to no fiber, while plant-based products like spinach, avocado, and walnuts and other raw nuts have substantial quantities.

2) Plant products are a source of polyphenols and flavonoids--This encompasses a large universe of nutrients, from epigallocatechins in tea, polymeric procyanidins from cocoa, to hydroxytyrosol from olives, and anthocyanins from red wine and eggplant. The inflow of these beneficial compounds needs to be frequent and generous, not piddly amounts taken infrequently.

3) Vitamin C--While it's easy to obtain, the fact that you and I need to obtain vitamin C from frequent ingestion of plant sources suggests that humans were meant to eat lots of plants. While it may require a few months of deficiency before your teeth fall out, imagine what low-grade deficiency can do over a long period.

4) Vitamin K1--Rich in green vegetables, vitamin K1 is virtually absent in animal products.

5) Tocotrienols--I've been watching the data on this fascinating family of powerful oil-soluble antioxidants unfold for 20 years. Tocotrienols come only from plants. (I recently had an extended conversation with the brilliant biochemist, Dr. Barrie Tan, who is incredibly knowledgeable about tocotrienols, having developed several methods of extraction from plants, including his discovery of the highly concentrated source, annatto. Be sure to watch for future conversations about tocotrienols.)

6) Meats and dairy yield a net acid load--While plant foods are net basic. At the very least, this yields risk for osteoporosis, since acids are ultimately buffered by basic calcium salts from the bones. Tissue and blood pH is a tightly regulated system; veering off just a teensy-weensy bit from the normal pH of 7.4 to an acidic pH of, say, 7.2, leads to . . . death. In short, pH control is very important. A net acid challenge from animal products is a lot like drinking carbonated soda, a huge acid challenge that leads to osteoporosis and other health issues.

Conversely, a pure plant-based diet has its own set of problems. Eating a pure plant-based diet can lead to deficiencies of vitamin B12, omega-3 fatty acids (no, linolenic acid from flaxseed will NOT cut it), vitamin K2, carnitine, and coenzyme Q10.

So, rather than a breakfast of 3-egg omelet with bacon, sausage, cream, and cheese, how about a handful of pecans, some blueberries, and a 2-egg omelet made with basil-olive oil pesto? Or a spinach salad with walnuts, feta cheese, and lots of olive oil?

Fat is not the demon

So my patient, Dane, generously volunteered to be on the Dr. Oz show, as I discussed previously.

What we didn't know, nor did the producer who contacted us mention, that Dane would be counseled by low-fat guru Dr. Dean Ornish on a strict low-fat diet. The teaser introduction essentially tells the entire story.

Ironically, that is the exact opposite of the dietary program that I advocate. I rejected the 10% fat diet long ago after I became a type II diabetic, gained 30 lbs, and suffered miserable deterioration of my cholesterol values on this diet. I also witnessed similar results in many hundreds of people, all following a strict low-fat diet. In fact, elimination of wheat--whole, white, or otherwise--along with limitation or elimination of all other grains has been among the most powerful health strategies I have ever witnessed.

I now regret having subjected my patient to this theatrical misinformation. Dane is a smart cookie--That's probably why he was not allowed more than a "yes" or "no" during Dr. Oz's monologue, else Dane might have pitched in about some ideas that would have tripped Oz and Ornish up.

In their defense, if we took 100 Americans all following a typical 21st century diet of fast food, white bread buns, Coca Cola and other soft drinks, chips, barbecue sauce, and French fries, converting to a plant-based, high-carbohydrate, grain-rich diet is indeed an improvement. People will, at first, lose weight and enjoy an initial response. (The occasional person with the Apo E4 genetic pattern, heterozygote or homozygote, may even enjoy long-term benefits, a topic for another day.)

But the majority of people, in my experience, after an initial positive response to an Ornish-like low-fat, high-carbohydrate diet will either plateau (stay overweight, have low HDL, high triglycerides, plenty of small LDL, and high blood sugars) or deteriorate, much as I did.

Thankfully, Dane has been a good sport about this, understanding that this is essentially show business. I believe he understands that the information was all well-intended and, after all, we are all working towards the same goal: reduction of heart disease risk.

By the way, regardless of which diet you follow, it is, in my view, absurd to believe that diet alone will do it. What about vitamin D normalization, thyroid normalization (thyroid disease is incredibly common), omega-3 fatty acids from fish oil, identification of hidden sources of risk (something that is unlikely in Ornish, since small LDL particles skyrocket on a low-fat diet), postprandial glucoses, etc., all the pieces we focus on to gain control over coronary plaque? Eating green peppers and barley soup alone is not going to do it.

Near-fatal brush with nattokinase

Here is precisely why I have spoken out against nattokinase: People may put faith in this "supplement" when there are virtually no data to support its use in such dangerous conditions as pulmonary embolism.

Pulmonary embolism occurs when a large volume of blood clots in the veins of the pelvis, abdomen, and into the legs. A clot breaks off and lodges in the pulmonary arteries of the lungs. This can be fatal within minutes to hours, the victim struggling to breathe, since oxygen is not transferred to the blood and it causes terrible pain in the chest.

The treatments are fairly obnoxious: intravenous anticoagulants (blood thinners), followed by oral blood thinners like warfarin. While they carry risk of bleeding and other long-term risks, it's better than dying.

Would you bet that a "nutritional supplement" manufacturer's vague claims and lack of data are sufficient proof to treat a life-threatening condition? You're a fool if you are.

Anyone reading these pages knows that I am a vigorous supporter of nutritional supplements. I even consult for the nutritonal supplement industry. But I am also an advocate of TRUTH, not BS.

Here is a woman from England who inquired whether she should stop her husband's warfarin in favor of nattokinase. This is precisely the sort of thing that can happen because of the campaign of misinformation behind nattokinase.


Dr. Davis,

Thank you for your very interesting blogs, which I came across searching for natural alternative treatments to warfarin.

My husband has been following the low carb, high fat, real food regime over the past few years. He got off all the blood pressure and cholesterol drugs and never felt better. He even got his blood sugar down from a recorded high that we are aware of 13 nmol/L (234 mg/dol) to 6.1 nmol/L 109.8 mg/dl).

We were on holiday in the Caribbean. Just before our return home, we did a trip to a neighbouring island that included non-alcoholic fruit punches. They tasted great, but were very sweet. I broke my normal refusal to drink these things, but only had a couple of glasses. (After all, we were on holiday!) My husband believes he consumed around 1.5 litres of the stuff and now realises he was feeding his body a very toxic product – fructose. That night, he had an incredible toxic response and we only got him onto the plane with a visit to the hospital and a pain killer injection.

The symptoms of pulmonary embolism only showed 2 weeks later . . . and warfarin treatment was started. We would both like to use an alternative therapy if we can find someone with experience to provide the support.Do you know of any studies that support alternative options?

Do you know of any practitioners in the England who support a non-drug approach with an understanding of nutrition who we may be able to receive advice and support?

FB
York, England

Glucophobia: The Novel

Just kidding: No novel here. However, there is indeed a story to tell that should scare the pants off you.

If you haven't yet gathered that carbohydrates are a macronutrient nightmare, let me recount the list:


Carbohydrates increase small LDL particles
Or, in the cholesterol-speak most people understand, "carbohydrates increase cholesterol." It's counterintuitive, but carbohydrates increase LDL substantially, far more than any fat.


Carbohydrates increase blood sugar
Eggs don't increase blood sugar, nor do chicken, raw almonds, onions or green peppers. But a bowl of oatmeal will send your blood sugar skywards.


Carbohydrates make you fat
Carbohydrates, whether in the form of wheat flour in your whole wheat bread, sucrose in your ice cream, fructose in your "organic Agave nectar," or high-fructose corn syrup in your dill pickles. They all provoke de novo lipogenesis, or fat formation. They also stimulate insulin, the hormone of fat storage.


Carbohydrates cause glycation
High blood sugar, like the kind that develops after a bowl of oatmeal, triggers glycation, or modification of proteins by glucose (blood sugar). This is how cataracts, kidney disease, and atherosclerotic plaque develop. Small LDL is 8-fold more glycation prone than large LDL, providing a carbohydrate double-whammy.


Your glucose meter remains the single best tool to gauge the quality of your diet. Many people have horror stories of the shocking experiences they've had when they finally get around to checking their postprandial glucose.

Drama with the Dr. Oz Show

A producer from the Dr. Oz show recently contacted my office. They asked whether we could supply them with a volunteer patient from either my practice or the Track Your Plaque program who would be willing to appear on the show and discuss heart disease prevention. They needed someone to commit within 24 hours.

Despite the short notice, we identified a volunteer. He flew to New York the following week where he was interviewed along with several other men and women, all of whom had heart disease (heart attacks, stents, etc.). However, as this young man is very slender and follows most of the Track Your Plaque principles (e.g., vitamin D and omega-3 fatty acid supplementation; no wheat, cornstarch, or sugars, no restriction of fat, etc.), he apparently received less attention than the overweight, I-know-nothing-about-diet interviewees.

Then there was an odd turn of events: Dr. Dean Ornish, apparently a friend of Dr. Oz, will be providing the dietary counseling. The producer had made no mention of Dr. Ornish.

Now that's an odd collision of philosophies: Our Track Your Plaque version of low-carb with the guru of low-fat, Dr. Ornish.

The following week, Dr. Ornish called me and graciously asked whether I was okay with this. I'm not sure just how much he knew about the philosophy I advocate, nor how much I have bashed his program as a destructive approach to diet, nor whether he knew that I gained 30 lbs on the Ornish diet, along with a drop in HDL to 27 mg/dl, increased triglycerides to 350 mg/dl, and type II diabetes that I've talked about on this blog and the Track Your Plaque book and website. I suspect he knew little to none of this.

Anyway, I tried to diplomatically explain that my patient's cause for coronary plaque was small LDL particles that he expressed despite his very slender build, likely from excessive carbohydrates, controlled with carbohydrate restriction. Dr. Ornish maintained his usual arguments: Grains are good, provided they are whole grains, heart disease is "reversed" with his diet program, etc. (I didn't want to challenge him in a phone call and tell him that he never actually reversed coronary plaque, but just reversed endothelial dysfunction. But, as Dr. Ornish is not a cardiologist, I wasn't sure how far his understanding of these issues went.)

We agreed to disagree. This leaves my poor patient in an odd position: Being asked by Dr. Ornish and the Dr. Oz show to follow a low-fat program for the sake of entertainment, or adhering to the advice we follow that has so far served him well, given his small LDL particle size tendencies.

We'll see where this little drama leads.

Response from Nature Made

Here's the response from Nature Made when I emailed them about my concern that there appears to be no vitamin D in their vitamin D gelcaps.

It is the usually CYA corporate-speak that says nothing. The grammatical errors make it clear that this was a "canned" response.



Date: April 9, 2010
From: Marissa Reyes, Consumer Affairs Department
Subject: Reference #346236

Dear William Davis, MD:

We recently received your e-mail regarding Nature Made products. We regret to
hear that the quality standards of our company. [?]

Our company is called Pharmavite, and we manufacture Nature Made nutritional
supplements. We have been in business since 1971. We are committed to quality
control, and have very high quality standards. Our Quality Control personnel
sample and test all raw materials as they enter our plant, and again assay the
finished product, before final packaging.

Dietary Supplements are regulated under the FDA through DSHEA (Dietary
Supplement Health & Education Act of 1994). The United States Pharmacopoeia
(USP) establishes standards for the composition of drugs and nutritional
supplements. This voluntary non governmental organization was set up in 1820
and has officially been recognized by federal law since 1906. Standards
established by USP for products are legally enforceable by the FDA. At
Pharmavite we participate in the USP Dietary Supplement Verification Program
(DSVP). Many of our products have earned the DSVP seal and additional products
are currently being evaluated. Our DSVP certified products will have the DSVP
seal on the product label.

Our Nature Made Vitamin D 400 IU tablets have been reviewed by the USP and bears
the DSVP symbol on the label. Although the USP has not reviewed all of the
Nature Made Vitamin D supplements, all of our products go through the same
rigorous quality testing at Pharmavite. The products which have earned the seal
help us to demonstrate the high quality of our products.

We would like to look into the product(s) your patients have been using. If you
could provide the UPC and lot numbers of the product(s), we will be happy to
review our records. In addition, if you would like us to test the product(s)
that you currently have, we will be pleased to send a prepaid postage mailer so
you may return the product(s) to us so that our Quality Control Department can
examine it. Please let us know if you would like us to send you the prepaid
postage mailer.

We thank you for contacting us and hope that you will continue to use and enjoy
Nature Made products with complete confidence.

Sincerely,
Marissa Reyes
Consumer Affairs Coordinator
Pharmavite, LLC
MR:346236-10



Patients who come to the office do not provide me with the bottles nor lot numbers. In past, when I've gone to the trouble of doing this (with other companies, not Nature Made), it has come to nothing helpful. The information gets passed on to the company and we hear nothing and never learn if there was a problem, or receive some more corporate-speak letter saying everything was fine. This is obviously a liability-avoidance tactic: Admitting that something was wrong would open them up to legal risk. So, frankly, I can't be bothered.

So we are left with the unsatisfying experience of relying on street-level experiences.

For now, my advice: Avoid Nature Made vitamin D. Too many people have had blood tests demonstrating that they are not obtaining any vitamin D.

By the way, the Nature Made brand of fish oil is among the very few problem brands of fish oil we've encountered. Fish oil should be only mildly fish in smell and generally should not cause stomach upset and excessive belching if properly purified. Nature Made is excessively fishy when you smell it, suggesting oxidation. We've had repeated (dozens) of patients who have experienced difficulties with this brand. Rather than dealing with the frustrating gobbledy-gook of this company, just avoid their products.

What to Eat: The diet is defined by small LDL

I approach diet from the perspective of small LDL particles.

Small LDL particles have exploded in frequency and severity in Americans. It is not at all uncommon to see 70% or more small LDL particles (i.e., 70% of total LDL particle number or Apo B) on lipoprotein testing. (I saw two people today who began with over 95% small LDL.)

Small LDL particles are:
--More likely to persist in the bloodstream longer than large LDL particles.
--More likely to adhere to components of atherosclerotic plaque.
--More likely to gain entry to plaque.
--More likely to be taken up by inflammatory white blood cells which, in turn, become the mast cells that fill coronary plaque.
--More likely to be oxidized.
--More likely to be glycated (8-fold more likely than large)

To add insult to injury, foods that trigger small LDL formation--i.e., carbohydrates--also cause high postprandial blood sugars. High postprandial blood sugars, in turn, glycate small LDL. That combination of events accelerates 1) plaque growth, 2) plaque instability, and 3) aging.

So carbohydrates trigger this sequence, carbohydrates of all stripes and colors. Not just "white" carbohydrates, but ALL carbohydrates. It's all a matter of degree and quantity. So, yes, even quinoa, bulghur, and sorghum trigger this process. I've only recently appreciated just how bad oats and oatmeal are in this regard--really bad.

Foods that trigger small LDL also trigger higher blood sugars; foods that trigger higher blood sugars also trigger small LDL. Small LDL and blood sugar are two different things, but they track each other very closely.

So, in the Track Your Plaque approach to diet, we craft diet based on these simple principles:

1) Eliminate wheat, cornstarch, and sugars--These are the most flagrant triggers of small LDL, blood sugar, and, therefore, LDL glycation.
2) The inclusion of other carbohydrates, such as oatmeal, quinoa, rye, etc. depends on individual sensitivity. Individual sensitivity is best gauged by assessing one-hour postprandial glucose.

Stay tuned for more in this series. Also, Track Your Plaque Members: We will be having an in-depth webinar detailing more on thees principles in the next couple of weeks.

Is it or isn't it vitamin D?

Jackie takes 10,000 units of vitamin D(3) per day as a gelcap.

Her starting 25-hydroxy vitamin D blood level was 18.1 ng/ml. Severe deficiency, no surprise.

On her 10,000 units per day, Vitamin Shoppe brand, her 25-hydroxy vitamin D level was 76.2 ng/ml--perfect. It stayed in this range for about two years.

She then changed to the Nature Made brand gelcaps she picked up at Walgreen's. Repeat 25-hydroxy vitamin D level: 23 ng/ml.

This has now happened with five different people, all taking the Nature Made brand.

If you are taking this brand of vitamin D, please be on the alert. You might consider a 25-hydroxy vitamin D blood level to be sure it actually has the vitamin D it's supposed to have.

Or, change brands.
Are humans meant to be omnivores?

Are humans meant to be omnivores?

Are humans meant to be omnivores?

Does the ideal human diet include animal products like meat, fish, cheese, eggs, and dairy products?

Or should the ideal diet be devoid of all animal products?a vegetarian diet?

Though the argument is distorted by modern food processing methods (e.g., factory farming, long-term administration of antibiotics), convenience foods, and pseudo-foods crafted by food manufacturers, there are, obviously, proponents of both extremes.

The Atkins’ diet, for instance, advocates unrestricted intake of animal products, regardless of production methods or curing (sausage and bacon). At the opposite extreme are diets like Ornish (Dr. Dean Ornish’s Program for Reversal of Heart Disease) and the experiences of Dr. Colin Campbell, articulated in his studies and book, The China Study, in which he lambasts animal products, including dairy, as triggers for cancer and heart disease.

So which end of the spectrum is correct? Or ideal?

For the sake of argument, let's put aside philosophical questions (like not wanting eat animal products because of aversion to killing any living being) or ethical concerns (inhumane treatment of farm animals, cruel slaughtering practices, etc.). Does the inclusion of animal products provide advantage? Disadvantage?

The traditional argument against animal products has been saturated fat. If we accept that we’ve demoted the saturated fat question to a place far down the list of importance (though this is yet another argument to discuss another time), several questions emerge:

• If humans were meant to be vegetarian, why do omega-3 fatty acids (mostly from wild game and fish) yield such substantial health benefits, including dramatic reduction in sudden death from heart disease?

• Why would vitamin K2 (from meats and milk, as well as fermented foods like natto and cheese), obtainable in only the tiniest amounts on a vegetarian diet, provide such significant benefits on bone and cardiovascular health?

• Why would vitamin B12 (from meats) be necessary to maintain a normal blood count, prevent anemia, keep homocysteine at bay, and lead to profound neurologic dysfunction when deficient?


Omega-3 fatty acids and vitamins K2 and B12 cannot be obtained in satisfactory quantities from a pure vegetarian diet. The consequences of deficiency are not measured in decades, but in a few years. The conclusion is unavoidable: Evolutionarily, humans are meant to consume at least some foods from animal sources.

That's not to say that we should gorge ourselves on animal products. Gout (excessive uric acid) and kidney stones are among the unhealthy consequences of excessive quantities of meats in our diets.

It pains me to say this, since I’ve always favored a vegetarian lifestyle, mostly because of philosophical concerns, as well as worries about the safety of our factory farm-raised livestock and rampant inhumane practices.

But, stepping back and objectively examining what nutritional approach appears to stack the odds in favor of optimal health, I believe that only one conclusion is possible: Humans are meant to be omnivorous, meant to consume some quantity of animal products in addition to vegetables, fruits, nuts, and other non-animal products.

The question is how much?

Comments (24) -

  • Francis

    9/28/2008 4:55:00 PM |

    From the title I thought the debate would have been omnivore vs carnivore instead of omnivore vs vegetarian. Any solid arguments against a carnivorous lifestyle?

  • GK

    9/28/2008 6:21:00 PM |

    Hm, fingering meat as a cause of gout again?  Peter's Hyperlipid blog had some fairly convincing arguments that fructose may be worse.  See http://high-fat-nutrition.blogspot.com/2006/12/which-drink-causes-gout.html and http://high-fat-nutrition.blogspot.com/2008/02/fructoase-and-gout.html

    --GK

  • Jeremy

    9/28/2008 9:09:00 PM |

    The comment about gout is not true. Loren Cordain, author of the Paleo Diet, has reviewed the literature on gout in his Paleo Diet Newsletter, Volume 2, Number 4.

    The back issues of the newsletter are products you must pay for, so I won't discuss the contents in extreme detail. But he argues the body adjusts uric acid execretion in response to purine intake. Meanwhile, he cites studies showing fructose and alcohol for increase uric acid levels in the body.

    He cites a study where a high-protein diet relieved gout in 7 out of 12 patients!

    Jeremy

  • rabagley

    9/28/2008 10:24:00 PM |

    Personally, I find the analysis of the paleolithic diet to be most compelling.  In that analysis, we were almost entirely meat eaters, with the occasional smattering of vegetables, fruits, nuts, etc.

    There have been several indigenous cultures, both modern (Masai) and in recent history (Inuit) that lived long and healthy lives almost entirely free of diseases like diabetes or heart disease while eating almost 100% animal products.  I refer to the Inuit as "recent history" because their modern diet only rarely resembles their historical (and much healthier) diet of seal and whale fat and meat.

    After reading "Good Calories, Bad Calories", I'm convinced of the merits of the position that humans are non-obligate carnivores.  We can fall back to non-animal foods if absolutely necessary, but it's a bigger compromise to our health the farther you go.

    I do agree that the biggest problem with being a modern-day carnivore is the inhumane treatment of meat animals by agribusiness.  I spend quite a bit of money on meat that I trust has come from humanely treated animals.  I know the names and faces of the people who raised those cows, chickens, pigs and lambs.  This is a luxury.  Most people don't have the food budget that I do.

  • JD

    9/29/2008 1:13:00 AM |

    I think a better question is what diet was mankind's genetics formed from over 2 million years. Agriculture is only 10,000 years old. If you read Good Calories Bad Calories by Gary Taubes, there were cultures such as the Inuit and the Masai who basically only ate meat and did not suffer from the diseases of civilization including heart disease, cancer, etc.

  • Stephan

    9/29/2008 3:26:00 AM |

    Hi Dr. Davis,

    I agree there are many animal nutrients that seem important to human health: you mentioned long-chain n-3s, vitamin K2 MK-4, and vitamin B12; I'd also add preformed vitamin A and heme iron to the list.

    I read a paper a while back in the AJCN that analyzed the diet composition of 229 historical hunter-gatherer groups (Loren Cordain's group).  The average percentage of calories from animal foods was about 70%.  Many groups were completely or almost completely carnivorous, while none ate less than about 15% of calories from animal foods.  

    That being said, the diets varied widely, from complete carnivory to plant-rich omnivory.  By all accounts, none of them suffered from the modern diseases of civilization such as cardiovascular disease.  I posted on this study a while back:

    http://wholehealthsource.blogspot.com/2008/08/composition-of-hunter-gatherer-diet.html

  • Peter

    9/29/2008 12:23:00 PM |

    Hi Dr Davis,

    Great post. I have to agree with your concerns about modern meat production techniques and animal welfare as serious issues which need addressing, but we humans have always been pretty awful to our prey. Just thinking of traditional "harvesting" of marine mammals in the Faroes and subsistence whaling techniques here. No excuse for any of us to feel comfortable with these practices or to support factory farming, but humans are humans and we are top level predators after all. Lions are not exactly kind to their prey either.

    To be driven to omnivory acceptance by logic and evidence, against ones basic inclination, shows a great respect for facts and evidence that is seriously thin on the ground in both conventional and more alternative cardiological circles.

    What else can anyone say? Great post.

    Peter

  • Jeanne Shepard

    9/29/2008 3:00:00 PM |

    Vegans say that if the walls of slaughter houses were glass that noone would eat meat. I'm inclined to think that instead, there would be demands for humane animal handling.
    Agriculture kills many small mammals and ground nesting birds, with heavy farm machinery and fertilizers/pesticides. If you want to eat, there is no free lunch, in terms of animals losing their lives.
    As someone who is humane but feels that being a carnivore is essential to my health, I buy locally grass fed beef that is is humanely slaughtered.

  • Anonymous

    9/29/2008 3:32:00 PM |

    I wonder how it would be possible to gather 2000 to 2500 calories' worth of wild plant foods every day to survive.  It would amount to something like a bushel-basket full of stems and leaves and fruits -- every single day, for every member of the group. Maybe 20 pounds a week per person.  The only way around this is to include relatively large amounts of high-fat nuts, or high-starch tubers, or high-starch grass seeds, such as wheat.  And to have to do that ALL YEAR LONG.  Nuts and seeds aren't always available year round.

    Leaf-eating vegetarians, such as the gorilla, have HUGE guts amounting to some 70% of their body volume to process the vast amounts of leaf matter needed to survive.  And they eat pretty much constantly.

    That isn't us.

    If

  • Anonymous

    9/29/2008 5:03:00 PM |

    Man evolved eating lots of animal products, with some vegetation thrown in seasonally for hundreds of thousands of years. Then about 10,000 years ago we began introducing agricultural products into our diet. So rationally, we have evolved to process animal products much better than vegetation.

    Speaking for myself, gout runs in the family (among other things). Eating high animal products/low vegetation, relieves all my pains (gout and arthritic) and solves dozens of my other health complaints. And my bloodwork is the envy of people 1/2 my age.

    My only concern is how the animals are treated and raised. I only buy organic free-range eggs and try to buy organic meats and wild fish.

  • Anonymous

    9/29/2008 5:57:00 PM |

    I think we don't lose the abilities formed as evolving.  We evolved to eat nuts and bugs, then fish, then plants and finally meat. We're a true omnivore with the ability to choose.  I choose not to eat meat because I'm a veterinarian with 25 years experience dealing with unwholesome meatpacking industry.

  • stephen_b

    9/29/2008 7:38:00 PM |

    In my opinion any conversation about vegetarian vs. omnivore diets or low-carb vs. low fat diets need to take into account how the food is prepared. Any diet with high advanced glycation endproduct (AGE) content will be unhealthy.

    StephenB

  • Jeff Consiglio

    9/29/2008 9:11:00 PM |

    Holy synchronicity Batman! This is the exact question I've been mulling over for a long time and have just recently resolved the issue in my own mind, to my satisfaction. Having done and advocated low carb diets for a long time, I no longer do.

    There are numerous traditional cultures that live on a high carbohydrate intake - WITHOUT obesity, diabetes etc. So that inarguable fact always bothered me, when it came to trying to justify extreme low carb.

    For instance, here's a link to a Men's Health article on a tribe in Mexico that thrives on about an 80% carbohydrate diet.

    http://www.menshealth.com/cda/article.do?conitem=3b4b1ca01e91c010VgnVCM10000013281eac____&page=1

    Also, I believe the science is pointing more and more toward fructose being the primary "bad carb" as opposed to starches which are chains of glucose. It is the fructose half of sucrose causing the problems, rather than the glucose.

    Not that eating pure glucose is a good idea. Nor starches that convert too rapidly into glucose.

    But I can tell you from my personal experience that as someone who once was sure that I was "carb intolerant" I now thrive on a high carb diet of WHOLE FOODS.
    I eat legumes, sprouted grain bread, slow cooked rolled oats etc. And yes I eat lean, and minimally processed meats as well.

    And my grocery bill is MUCH cheaper than it was when my wife and I were both living the low carb lifestyle. By the way, I used to suffer from reactive hypoglycemia, yet I thrive on plenty of UNREFINED carbs now.

    Here's a link to an amazing interview with a Dr. Lustig who discusses how fructose causes de-novo lipogensis, insulin resistance and high uric acid levels. he also discusses the Atkins diet and why Asians are able to thrive in spite of high intake of white rice. Ties in very nicely with this topic.

    http://www.abc.net.au/rn/healthreport/stories/2007/2104024.htm

    And here's just one more link that I think ties all this together. it's an seminar by Micheal Pollan who wrote  "In Defense of Food."

    http://www.youtube.com/watch?v=I-t-7lTw6mA

    Having read literally thousands of books and scientific papers on the topic of nutrition, I feel Micheal's is the all time best. It exposes the fallacy of nutritional reductionism - what he calls "nutritionism - the idea that we should study individual macro or micro nutrients, rather than looking at overall eating patterns. He makes a brilliant case for the notion that to discover the "secret" to what constitutes the ideal human diet we need look no further than what traditional healthy cultures eat. Traditional, healthy cultures have all kinds of varying macro-nutrient ratios. But they all eat REAL FOOD.

    And I now believe that explains why totally "opposite" diets like Atkins and vegetarian can both work. Because they are both based on real food!

    Sure, some folks don't do well on high carb intake. Some don't seem to tolerate a lot meat very well. But I do not believe most people need to go to extremes in regards to high/low carb. Forget about macronutrient ratios and just eat real food and avoid sugar and refined carbs.

    And probably take a vitamin D3 supplement since most of us do not get enough sunshine to make it on our own these days.

    Sorry to make this so long, but I just had to get this off my chest.

    Keep up the good work. I enjoy your blog very much.

  • Stephanie

    10/1/2008 12:31:00 AM |

    Just to concur with your findings, at a recent 'food aid' symposium at Columbia University, sponsored by Doctors Without Borders, and a WHO conference in Geneva, it was concluded that animal proteins must be included in international food aid in order to save the millions of children who die each year of malnutrition. The standard emergency food distributions of grain-based flours (corn-soya blend) are not working. The milk powder seems to be the essential ingredient that prevents both wasting and stunting in children under 5.

  • Anonymous

    10/1/2008 6:33:00 PM |

    As a vegetarian this sort of thing interests me. I used to think it necessary to supplement with lots of nutrients (such as omega-3 fats) and be careful in order to be healthy. However I'm lately beginning to wonder if a plant-based diet is actually the key to health.

    According to several studies such as the China study, cultures who eat a plant-based diet very low in fat and animal products (even if not expressly vegan very close to it)  tend to be protected from "diseases of civilization" such as obesity, diabetes, and heart disease.  Certain doctors who've researched this like Dr. Ornish have used this type of diet to reverse heart disease. This idea certainly has been attacked, but I'm sure it hasn't been actually refuted.

    If this is true maybe nutrients like K2 and fish oil become less important, (assuming you're getting the required amount of essential fatty acids and other nutrients). Afterall, if you don't have atherosclerosis to begin with you don't need large amounts of special nutrients such as vitamin k2 that fight against it. Still, I guess vitamin B12 is an issue.

  • Anonymous

    10/2/2008 2:43:00 AM |

    I think it's very telling about who stands to profit if Americans embrace a vegetarian or vegan diet.  Soy, rapeseed, and cereal grains are all much easier to make high profits from than factory farmed chickens, cows, and pigs, not to mention properly, humanely raised animals.  I've noticed the push to dissuade Americans from beef, and cattle are some of the hardest animals to fit into a factory farm model, because the calves must live on grass in a field for a while - they can't be jammed up eating grain the whole time.

  • donny

    10/2/2008 1:28:00 PM |

    They did a study in rats where they either fed the rats a certain amount of vitamin k alone, or a certain amount along with Nadh, and then measured gamma-carboxylation of certain proteins. Increased levels of Nadh increased the levels of gamma-carboxylation just as if more vitamin k had been administered.
    Exercise, alcohol, and niacin all increase levels of Nadh. It's possible that something about our modern lifestyles is exaggerating our need for vitamin k2.
    The same goes for b12. Other vitamins like folic acid, b6, etc., either help in the b12 cycle, keeping it in the system, or spare it like b6 which cycles homocysteine into cysteine instead of back into methionine. People with low thyroid who receive replacement therapy have their homocysteine levels go down as well as their triglycerides, almost as if a b vitamin deficiency had been corrected.

    Dean Ornish shows increased bloodflow on his diet, but what is that diet's effect on calcium scores? Just eating a cup of sugar should increase blood flow, in the short term; vasodilation is an acute action of insulin.

  • rabagley

    10/2/2008 4:38:00 PM |

    First, the China Study authors didn't read the China Study data, or they would have noticed that the Chinese only eat about 12g/day of soy (almost entirely of one fermented form or another).  It is far from a dominant staple.  They also might have noticed that only those extremely close to starvation ate a nearly vegan diet.  Anyone who could afford to eat meat, ate meat.

    Second, Ornish is the master of selectively paying attention to study data.  Any study which can be spun to support his goals is blown all out of proportion to its actual significance.  Those studies that directly contradict his goals?  No mention...

    Personally, I know three people who've tried Ornish.  They were incredibly hungry all the time and gained all of the weight back within six months.  Their blood sugars and cholesterol numbers were even worse afterwards than before.  I and one other friend tried paleo (carnivory) instead.  Now one year into our meat-centered diet, we're both stable with moderate BMI's (me 22, him 23), normal hunger, few or no cravings, my blood sugar is way down, HDL is up, triglycerides are down...

    Ornish is a vegetarian activist claiming to be an authority on diet.  Too bad his diets are counter-productive for real people in the real world.

  • ganeshan

    10/3/2008 8:23:00 PM |

    not exactly ,humans can be carnivores too but they must go through the exact working so as to avoid any disease.being an omnivores will make us much safer.
    --------
    ganeshan

    Sreevysh Corp

  • Diana Obesity News Watcher

    10/16/2008 12:02:00 PM |

    Canadian consumers have different dietary needs depending on the end-goal they want to achieve, such as disease prevention, weight control or overall healthier dietary lifestyle. On this principle, the Compliments Balance program was developed in partnership with the Heart and Stroke Foundation's Health Check program to provide consumers with healthier options for managing their personal diets. http://www.phentermine-effects.com

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