Wheat Belly Revisited

Do you have a wheat belly?

When I first coined this phrase back in July, 2007, I had witnessed the phenomenal health effects of wheat elimination in several hundred patients.

In the nearly two years that have passed since my original post, I have witnessed hundreds more people who have done the same: eliminate pretzels, crackers, breads of all sorts, bagels, pasta, muffins, waffles, pancakes, etc.

If anything, I am convinced now more than ever that wheat is among the most destructive foods in the human diet. At least 70% of people who eliminate wheat from their diet obtain at least one, if not several, substantial health benefits.

Now, if I were trying to sell you something, say, an alternative to wheat, then you should be skeptical. If I tell you that drug or nutritional supplement X is great and you should take it, only to follow it with a sales pitch, you should be skeptical.

What am I selling? Nothing. I gain nothing by telling everyone to avoid wheat. In fact, I wish it wasn't true. Wheat foods taste good. Wheat flour makes great comfort foods. In years past, I spent many hours sitting at the bagel shop reviewing papers over a cup of coffee and a bagel. No longer.

So here, back by popular demand, the original Wheat Belly post:



Wheat Belly

You've heard of "beer bellies," the protuberant, sagging abdomen of someone who drinks excessive quantities of beer.

How about "wheat belly"?

That's the same protuberant, sagging abdomen that develops when you overindulge in processed wheat products like pretzels, crackers, breads, waffles, pancakes, breakfast cereals and pasta.



(By the way, this image, borrowed from the wonderful people at Wikipedia, is that of a teenager, who supplied a photo of himself.)

It represents the excessive visceral fat that laces the intestines and triggers a drop in HDL, rise in triglycerides, inflames small LDL particles, C-reactive protein, raises blood sugar, raises blood pressure, creates poor insulin responsiveness, etc.

How common is it? Just look around you and you'll quickly recognize it in dozens or hundreds of people in the next few minutes. It's everywhere.

Wheat bellies are created and propagated by the sea of mis-information that is delivered to your door every day by food manufacturers. It's the same campaign of mis-information that caused the wife of a patient of mine who was in the hospital (one of my rare hospitalizations) to balk in disbelief when I told her that her husband's 18 lb weight gain over the past 6 months was due to the Shredded Wheat Cereal for breakfast, turkey sandwiches for lunch, and whole wheat pasta for dinner.

"But that's what they told us to eat after Dan left the hospital after his last stent!"

Dan, at 260 lbs with a typical wheat belly, had small LDL, low HDL, high triglycerides, etc.

I hold the food companies responsible for this state of affairs, selling foods that are clearly causing enormous weight gain nationwide. Unfortunately, the idiocy that emits from Nabisco, Kraft, and Post (AKA Philip Morris); General Mills; Kelloggs; and their kind is aided and abetted by organizations like the American Heart Association, with the AHA stamp of approval on Cocoa Puffs, Cookie Crisp Cereal, and Berry Kix; and the American Diabetes Association, whose number one corporate sponsor is Cadbury Schweppes, the biggest soft drink and candy manufacturer in the world.

As I've said many times before, if you don't believe it, try this experiment: Eliminate all forms of wheat for a 4 week period--no breakfast cereals, no breads of any sort, no pasta, no crackers, no pretzels, etc. Instead, increase your vegetables, healthy oils, lean proteins (raw nuts, seeds, lean red meats, chicken, fish, turkey, eggs, Egg Beaters, low-fat yogurt and cottage cheese), fruits. Of course, avoid fruit drinks, candy, and other garbage foods, even if they're wheat-free.

Most people will report that a cloud has been lifted from their brains. Thinking is clearer, you have more energy, you don't poop out in the afternoon, you sleep more deeply, some rashes disappear. You will also notice that hunger ratchets down substantially. Most people lose the insatiable hunger pangs that occur 2-3 hours after a wheat-containing meal. Instead, hunger is a soft signal that gently prods you that it's time to consider eating again.

You will also make considerable gains towards gaining control over your risk for heart disease and your heart scan score, a crucial step in the Track Your Plaque program.

Comments (24) -

  • Anonymous

    3/23/2009 10:25:00 PM |

    I've lost most of my wheat belly by eating as you suggest. But it seems like there is a last little bit that won't go away, plus I have "wheat breasts". Is there a reason these things don't go away quickly (especially the breasts), and is there something else I can do?

  • Ellen

    3/23/2009 11:08:00 PM |

    Everything sounds right on! except for the low-fat recommendations.  A body needs fat!

  • Anonymous

    3/24/2009 2:35:00 AM |

    ok, but what is the mechanism?

    Please explain why wheat is a problem food.  I am not looking for clinical trials, just a plausible theory that I can align with or not.

    Although I don't impose the burden of data on you, here are a few references with ample data showing remarkable statistical evidence for benefits to vegetarianism:-

    http://www.vegsoc.org/info/health2.html

    http://www.vegetarian-nutrition.info/updates/vegetarian_diets_health_benefits.php

    As a Dr I am sure you would feel bad not presenting a balanced view.

  • Kiwi

    3/24/2009 3:06:00 AM |

    Yes. Think I'd avoid the manufactured oils too and go for more animal fats. Just as nature intended.

  • Anonymous

    3/24/2009 7:27:00 AM |

    It is so true, I have experienced it my self, I never used to eat sweets an cereals, but bread and pasta, have been my main diet, not any more!I used to think I had such a healthy diet as I never ate sweets and refind stuff!!

    "Most people will report that a cloud has been lifted from their brains. Thinking is clearer, you have more energy, you don't poop out in the afternoon, you sleep more deeply, some rashes disappear. You will also notice that hunger ratchets down substantially. Most people lose the insatiable hunger pangs that occur 2-3 hours after a wheat-containing meal. Instead, hunger is a soft signal that gently prods you that it's time to consider eating again."

    The above quote describes me so well, after eliminating wheat from my life!

    Is Rye as bad as wheat?

  • Kipper

    3/24/2009 11:59:00 AM |

    I appreciate your point here, but...

    I've been strictly wheat-free since the start of the year (I've slipped up a bit when I've forgotten to pack my own soy sauce for a sushi outing, and there's probably been some "stealth wheat" in infrequent restaurant meals...otherwise nada). I have some sort of wheat-related enteropathy that provides a strong incentive to be strict. I do eat some non-wheat grain products, but not every day. My sugar intake is also not perfect, but it's still much improved over any point in 2008.

    So I should be looking pretty good about now, right? Well, no. My weight seems to have stabilized down about 5-7lb below my previous stable weight, but any changes from that baseline have been strictly upward (mostly water retention after weight lifting). My waist measurement is unchanged. If there's any legitimate loss (beyond water weight due to the lower carb diet) it hasn't come off there. I'm quite overweight, so this is really a tiny drop in the bucket.

    This near-total lack of improvement has been achieved with a schedule of 4+ hours of intense exercise most weeks.

    So, anyway. Not asking for help, just commenting that the picture is not necessarily as rosy as you depict.

  • bee

    3/24/2009 1:35:00 PM |

    brown rice, corn, quinoa, amaranth, whole barley, millet - there are a whole range of whole grain alternatives to wheat. wheat just seems to be more addictive that other grains.

    thanks for another great post.

  • Missbossy

    3/24/2009 2:15:00 PM |

    Sorry it I've missed this in your other posts... but besides wheat, are there, in your opinion, any safe cereals? I've been almost completely grain/cereal free for a year but am thinking about adding oatmeal to my diet. In your experience, how well do your patients tolerate this? Thanks.

  • D

    3/24/2009 4:27:00 PM |

    I agree with what you say about wheat. I feel much better when I omit it from my diet.

    However, I do have a question. Previous generations ate wheat without having the dire health consequences we have now. Was this due to
    1. not eating nearly as much wheat as people do today? or
    2. not eating transfats and/or tons of sugar, along with the wheat? or
    3. performing hard, physical labor, something most of us don't do?
    Or, perhaps a combination of those things, plus other factors I haven't even considered.

    Before great grandpa went out to plow the fields, he probably had a breakfast of some kind of meat and/or eggs, biscuits, perhaps gravy, and then he worked really hard for hours. The kids walked to school, maybe several miles, and lunch might have been bread and butter and milk. And when they had recess, they played hard. That generation didn't have obesity and rampant heart disease. If we lived the same way our grandparents and great grandparents lived, might we be able to eat wheat products (not the super-refined junk, but what they had available), without the major health consequences?

  • Martin Levac

    3/24/2009 4:57:00 PM |

    Healthy oils and lean proteins? That idea is derived from the Mediterranean idea which is derived from the observations of Ancel Keys, the father of the lipid hypothesis. It's pure speculation.

    It's rather contradictory. The lipid hypothesis says carbohydrate is good. Thus, we should eat wheat. Yet here you are telling us wheat is actually bad for us. Tell us to eat healthy oils, i.e. vegetable oils like olive oil and canola oil. But then tell us to eat lean meats, implying there's something bad about animal fat, i.e. saturated fat, and something good about vegetable oils, i.e. polyunsaturated fat omega 3/6/9 (without noting that vegetable oils contain many times the amount of omega 6 contained in animal fat). Ancel Keys' lipid hypothesis is based on those assumptions too.

    To cut wheat, yes. But to cut animal fat, where's the justification?

  • Kipper

    3/25/2009 3:32:00 AM |

    @D: I do think exercise offsets a lot of metabolic derangement. It's part of how hockey players (the young serious ones, not slow moving middle-aged folks like me) can get away with eating shockingly poor diets.

    Incidentally, my parents tell me my grandpa had very similar symptoms to mine, before I was old enough to be aware of it myself. I have some sort of intolerance or allergy, though.

  • Kiwi

    3/25/2009 10:38:00 AM |

    reply to D:
    One of the problems with modern bread is the speed it's produced at.
    Starting in the early 1960's bread production was industrialised using "bread improvers". A loaf can now be turned out in just a couple of hours, whereas back in the past it was a long process. Earlier in the nineteenth century and before, bread had to 'prove' using naturally occurring wild yeasts. The time factor is important because of the somewhat indigestible properties of grain. Phytic acid and enzymes in the grain need to be neutralised with a long exposure to yeasts. This can be achieved also by soaking grains overnight or longer.
    Traditional societies prepare their grains this way to make them digestible and to get the full nutritional benefit.
    See 'Weston Price Foundation' for information for grain prep.

  • keith

    3/25/2009 4:12:00 PM |

    My experience supports giving wheat up completely, not just cutting down. My chronic joint pain went away--maybe an autoimmune-related phenomenon. Will be interested to see if it affects my serum C-reactive protein.

  • Shreela

    4/10/2009 11:40:00 AM |

    "You will also notice that hunger ratchets down substantially. Most people lose the insatiable hunger pangs that occur 2-3 hours after a wheat-containing meal. Instead, hunger is a soft signal that gently prods you that it's time to consider eating again."

    My mother, and paternal grandmother were both diagnosed with hypoglycemia (low blood sugar), and were instructed to eat many small meals per day to avoid symptoms of hypoglycemia.

    I started having the same symptoms during junior high, so my mother taught me to eat many small meals to avoid my shakes, headaches, and light-headedness that happened after 3-4 hours without food (except when I ate really large meals occasionally, then I could last longer without food).

    I start following Dr. Davis' blog, and he was blogging about the benefits of fasting from some studies. I commented that I didn't think I could fast because of the hypoglycemia, and he replied to stick it out, and stop the wheat. Coincidentally, I had a borderline H1C at that time.

    But instead of sticking it out, I forced myself to not eat until my hypoglycemic signs started, then I ate veggies, meat, or fruit, with a few nuts here and there. I'd eat as little as possible, then wait until the next episode of hypoglycemic symptoms. Oh, I did continue eating rice or potatoes, but smaller servings, and quit sugar during that time.

    I started noticing I could go a little longer between meals without hypoglycemic symptoms after about 4 days, and I think it was about 7-10 days off wheat and sugar (but still eating a little rice or potatoes) when I went 16 hours without food, and no hypoglycemic symptoms.

    My follow-up HA1C was in the normal range after stretching out my meals, and stopping wheat and sugar.

  • Anonymous

    6/3/2009 7:49:17 AM |

    Does wheat reduction works as well (i.e. eating a slice of bread or 30 grams of pasta or breading your meat instead of eating two big bowls of pasta, a loaf of bread, a slice of pizza, several biscuits and pastries daily) or total removal of wheat from the diet is absolutely required?

  • crowdancer

    7/24/2009 4:10:10 PM |

    I believe that wheat and refined carbs are responsible for the 'muffin-tops' and 'wheat bellies' so many folks are carrying around now.
    I work with people who have gluten addiction all the time and when they eat a Whole foods diet free of gluten, dairy, soy, and sugar the weight falls off them quick. And onlike most other diets the weight falls off the belly first, which is an awesome motivator. Also, there aren't the constant cravings of the low fat diet. My dad went on the gluten, dairy, soy and sugar free diet plan and his blood sugar and blood pressure went from borderline diabetic/high blood pressure to optimal ranges in a few weeks. He is off all medications now and full of energy at 66 years old.

  • buy jeans

    11/2/2010 8:48:53 PM |

    Now, if I were trying to sell you something, say, an alternative to wheat, then you should be skeptical. If I tell you that drug or nutritional supplement X is great and you should take it, only to follow it with a sales pitch, you should be skeptical.

  • Sarah

    5/7/2011 2:53:21 PM |

    I have been low carb for 5 years and cut out wheat from my diet completely. No pasta, no breads of any kind, no breading on my meat, no waffles/pancakes/donuts/etc or any grains at all. I also cut out potatoes and corn.

    I dropped down from 190 to 135, a normal weight for my height, and I have kept it off for 4 years. I completely believe that the grains we eat now are so far removed from what they used to be  (due to refining processes, selective breeding to be more tasty, etc) that they have become a slow acting poison.

    Thank you for this blog!

  • David

    8/29/2011 3:01:03 PM |

    I wish there was a law that would prevent quackery such as this from being published and promoted.  "This food is evil".  "That food is evil".  Aside from junk food that is high in fat and/or sugar, specific foods or food groups are not the problem unless you have an allergy.

  • Donna H.

    8/29/2011 11:34:49 PM |

    David says:
    "I wish there was a law that would prevent quackery such as this from being published and promoted. “This food is evil”. “That food is evil”. Aside from junk food that is high in fat and/or sugar, specific foods or food groups are not the problem unless you have an allergy."

    And I wish there was a law that would prevent the 'ignorant gene' from being passed down from parents to children...

    Thank you Dr. Davis for bringing this to light.  It would seem plausible that genetically modified grains have contributed significantly to our modern illnesses...most notably, inflammation, diabetes and the dramatic rise in the incidence of celiac disease.  As grains have been "pushed" into our daily diets since the 1970's (think low fat, whole grain nonsense), T-2 diabetes has increased exponentially!  And while there is no 'one-size-fits-all' DIET, if the USDA Food Pyramid (the definitive guide on how to eat healthy!) was so great with its ongoing drumbeat of  "EAT MORE GRAINS!", then wouldn't we have LESS diabetes...LESS obesity...and wouldn't we all be slim and healthy?  I guess this is the reason why the standard American diet has the acronym: SAD...

  • Dr. William Davis

    8/30/2011 6:34:36 PM |

    Hi, Donna--

    Well said!

    The status quo has gotten us into a heap of misery, health-wise. I am not willing to accept it!

  • AnnieBee

    9/13/2011 12:49:21 AM |

    FYI:  There is no longer a USDA food pyramid with an emphasis on grains on the bottom of the pyramid.
    It was replaced by "ChooseMyPlate" in August 2011.  It's not perfect.  One fourth of the plate is for grains.  But I am happy to see that half of the plate is for vegetables and fruits.
    http://www.choosemyplate.gov/

  • Ron E

    9/18/2011 9:20:59 PM |

    Are oats and oat and oat bran also bad for you?

  • Dr. William Davis

    9/20/2011 12:42:23 PM |

    We took all oat products out of the diet a while back, due to its extravagant blood sugar-increasing effect.

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