For the sake of convenience: Commercial sources of prebiotic fibers

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

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

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

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

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

PGX

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

Prebiotin

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

Acacia

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

Isomalto-oligosaccharides

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

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

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

How Not To Have An Autoimmune Condition


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

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

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

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


Wheat and grain elimination

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

Correct vitamin D deficiency

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

Supplement omega-3 fatty acids

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

Eliminate dairy

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

Cultivate healthy bowel flora

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

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

Five Powerful Ways to Reduce Blood Sugar

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

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

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

1) Eat no wheat nor grains

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

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

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

3) Vitamin D

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

4) Restore bowel flora

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

5) Exercise

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

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

Cureality App Review: Breathe Sync



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

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

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

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

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

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

Amber’s Top 35 Health and Fitness Tips

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

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

Amber B.
Cureality Exercise and Fitness Coach

To Change, You Need to Get Uncomfortable

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

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

I want to lose weight but….

I want a six pack but…

I want more energy but….

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

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

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

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

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

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

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

The 3 Best Grain Free Food Swaps to Boost Fat Burning

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

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

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

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

2. Swap potatoes and rice for cauliflower

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

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

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

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

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

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

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

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

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

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

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

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

3 Foods to Add to Your Next Grocery List

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

Microgreens

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

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

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

Cacao Powder

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

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




Shallots


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

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

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

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

3 Band Exercises for Great Glutes

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

Band Step Out

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

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



Band Kick Back

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

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



Band Resisted Hip Bridge

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

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

Self-directed health: At-home lab testing

Self-directed health: At-home lab testing

I have a prediction.

I predict that more and more healthcare can and will be obtained directly by the individual--without doctors, without hospitals, without the corrupt profit-at-any-costs modus operandi of the pharmaceutical industry. I predict that, given the right tools, Joe or Jane Q. Public will have the choice to manage his or her own health using tools that are directly accessible, tools that include direct-to-consumer medical imaging (CT scans, ultrasound, MRI, etc.), nutritional supplements (a loosely-defined term, to our advantage), and direct-to-consumer laboratory testing.

Done responsibly, self-directed healthcare is superior to healthcare from your doctor. While no one expects you to remove your own gallbladder, you can manage cholesterol, blood sugar issues, vitamin D, low thyroid, and others--better than your doctor.

As everyone becomes more comfortable with the notion of self-directed health, you will see new services appear that help individuals manage their health. You will see prices for direct-to-consumer medical imaging and lab testing drop due to competition, something that doesn't happen in current insurance-based healthcare delivery. People are being exposed to larger deductibles and/or draw money from a medical savings account and will seek more cost advantages. Such direct-to-consumer competitive pricing will meet those needs. Overall, the presently unsustainable cost of healthcare will decline.

To help accelerate the shift of human healthcare away from conventional paths and divert it towards the individual, we have launched a panel of direct-to-consumer at-home laboratory tests that we are making available on the Track Your Plaque website.

On your own (except in California, which requires a doctor's order or prescription; and NY, the only state in the nation that prohibits entirely), you can now test, in the comfort of your own home with no laboratory blood draw required, parameters including:

--Thyroid tests--Free T3, free T4, TSH
--Lipids
--C-reactive protein
--Vitamin D
--Testosterone
--Progesterone

and others.

As the technology improves, more tests will become available for testing at home. (Lipoproteins are not yet available, but will probably be available within the next few years. That would be an enormous boon to those of us interested in supercharged heart disease prevention and reversal.)

Anyone interested in our at-home testing can just go to the Track Your Plaque lab test Marketplace.

When I first began the Track Your Plaque program around 8 years ago, I saw it as a way for people to learn how to control or reverse coronary atherosclerotic plaque, and I'd hoped that physicians would begin to see the light and become patient advocates in this process. But I have lost hope that most of my colleagues are interested in becoming your advocate in health. They are too locked into the "call me when you hurt" mentality. I now see Track Your Plaque as a way for people to seize control over coronary plaque with minimal assistance from their doctors. Indeed, some of our Members have achieved reduction of their plaque in spite of their doctors.

This is just the tip of the iceberg of what's to come. Brace yourself for a cataclysmic shift in returning health to you and away from those who would profit from your misfortune.

Comments (20) -

  • Jenny

    3/29/2009 4:14:00 PM |

    Dr. Davis,

    As someone who has used home A1c tests and home Cholesterol tests and found them to produce results so far off lab test results as to be worthless, I wondered if you could show us the data about the accuracy of these tests, some quite expensive, compared to tests run at a hospital lab.

    For example, the home A1c tests told you that the result was accurate to between plus or minus .5%, but you didn't learn this until you'd purchased the test, and that margin made the test useless to those of us who control our blood sugars. There is a huge difference between 6.0% and 7.0% but it was possible to have an actual, lab 6.5% and get either result with that home test.

    So what are the margins of error in the tests you provide?

  • JPB

    3/29/2009 4:23:00 PM |

    Excellent post!  I totally agree with your prediction but there are several things that will need to happen for it to occur:

    1.  People will need to take responsibility for their own health and decisions regarding maintaining that health.
    2.  The correct information needs to be available.  The amount of bad info and bias in nutritional recommendations is unbelievable plus the drug companies have been busy promoting and selling products that have questionable benefits at best.
    3.  The for-profit model of medical care must be abandoned. It is obscene for someone to profit from another person's medical problems. (I am not talking about paying decent salaries to doctors and medical care workers but rather, profits to shareholders and top executives.)  

    Our current medical care system is a disgrace but there will be many howls of protest from the vested interests when these changes are even suggested.  Unfortunately this system will fail unless reforms are made.  We cannot afford the relentless rise in costs anymore nor the overall deterioration of our citizens' health!

  • Anonymous

    3/29/2009 9:59:00 PM |

    I agree that this will catch on. Costs for self-directed testing are already coming down due to laboratory competition, and will fall even further with the rise of home testing.

    I think that taking control of your diet and overall health, a la Track Your Plaque, naturally leads to a desire for more information, without the added hassle and cost (and potentially, resistance or refusal) of a doctor's involvement up-front.

    How lucky am I then, to have moved from New York, where your home testing is not available, to California, where it's also not available.

    Fortunately, there are alternatives, at least in California, such as www.directlabs.com, www.mymedlab.com and www.medlabusa.com.  You have to go through an extra step of going in for a blood draw, but at least  you can get the testing.

  • rabagley

    3/29/2009 9:59:00 PM |

    When will LabCorp release the subfraction data to non-doctor requested NMR lipid panels?

    Supposedly it's the best lipid test out there, but I can't get to all of the results because of a policy that I'm completely and utterly unable to get to the bottom of.

  • Dr. William Davis

    3/29/2009 10:13:00 PM |

    Hi, Jenny--

    We've had the same problem with many of the at-home tests.

    For that reason, all the testing now offered is run at ZRT Labs with data and quality essentially identical to that obtained through conventional laboratories. In other words, while the samples are obtained at home as finger stick blots on paper, the tests are not run at home but at ZRT Labs.

    Their quality control policies are listed athttp://www.zrtlab.com/Page.aspx?nid=413.

  • Rich

    3/30/2009 1:27:00 AM |

    Jenny -

    While I've heard that a number of the home tests are not very accurate, there is a least one A1C test (which you mail into a lab) which is quite accurate.

    It is from Heritage Labs, and is sold as "ReliOn A1C" by Walmart for $9.00:
    www.walmart.com/catalog/product.do?product_id=10575934#ShortReviewTitleBar

    or by the name "Appraise Diabetes A1C Test" in other drug stores, such as CVS, etc. (usually around $19.00 - so Walmart is much cheaper).

    It is the same fingerprick test under both names.

    David Mendosa blogged about this test and its accuracy here:
    www.mendosa.com/blog/?p=339

    Heritage Labs is certified by the National Glycohemoglobin Standardization Program (NGSP), and they have only certified 78 labs worldwide.  Only 4 Quest labs in the US are certified (none that my blood goes to) and no Labcorp’s at all. The list of NGSP certified labs can be found here:
    www.ngsp.org/prog/labs.pdf

    I did the ReliOn bloodspot test and mailed it in to Heritage Lab in Kansas, and my 5.2 result was consistent with Labcorp and Quest A1c's from the past few years.

    During my appointments in the past with Dr. Bernstein, he tested my A1C using a device in his office also, but at the time I was still relatively diabetically-uninformed, so I did not take note of model he used.

    Rich

  • Anonymous

    3/30/2009 10:01:00 AM |

    I think this collection of tests are a wonderful addition to TYP.  Thanks for offering them.  I enjoy taking control of my health and when possible staying away from the doctor's office too.  It's frustrating going to the hospital.  Medical personal all to often try to make me feel like I'm the low man on the totem pole for my health care - even though I'm the customer!  I will be taking advantage of the home test.  

    I also enjoy spreading the word about TYP and had an idea about that.  Many companies offer company shirts.  It's basically free advertising for the firm.  Just a humble idea to pass along, thought it would be neat if TYP offered shirts that listed  different main concepts of the TYP program.

  • Dr. William Davis

    3/30/2009 11:32:00 AM |

    Thanks, anonymous. Great idea.

  • Anonymous

    3/30/2009 12:53:00 PM |

    Barkeater here.

    I would like to see more patient empowerment, and availability of good patient controlled testing is crucial.  Power to you, Doc.

    But, I am concerned that the future may not be bright.  California and New York have restrictions.  We are at this moment in a postion when more regulation seems like a great answer to all problems, rather than more freedom.  Certainly, that is coming in health care.

    The other 48 states probably have not made a careful decision to not regulate, but rather they are not as "advanced" in their thinking as Cal and NY.  

    Then, of course, there is the problem of insurance.  If only I could use my health care dollars as I see fit, but right now I spend $17k per year for insurance to participate in a system that often frustrates me.

    I can afford another few hundred to buy good health, but others aren't so lucky.

    Barkeater

  • Trinkwasser

    3/30/2009 3:25:00 PM |

    I once had the thought that if I won the lottery I'd start a business called The NHS PLC with a fleet of vans set up with lab test equipment which could come round door to door in the way that you can get your car serviced in your own drive.

    Yours is probably a better plan!

    They have just announced this

    http://news.bbc.co.uk/1/hi/health/7968734.stm

    almost certainly a cut off at the knees version, in many places the tests you supply are unavailable for cost reasons already, like officially I can only get TChol when I need the Full Lipid Panel, a friend can only get TSH when she needs T3 and T4.

    It seems these guys

    http://www.grassrootshealth.net/

    accept oversease customers, any chance of you doing the same?

  • mike V

    3/30/2009 3:56:00 PM |

    Dr Davis:
    My own doubts about the limits of curative medicine began to take root in 1962 when in hospital for six months (in the UK) with a fractured femur. There was a 13 year old boy in the ward who had in addition to polyomyelitis, a resistant Staph infection. (even then!)
    The treatment available was to cycle him through the available antibiotics of the time. He was given less than a year to live.
    My next need for a hospital came in 1993 when I needed to get rid of my gall bladder (some say this may have been one of the results of the "low fat" dietary era.)
    I realized around this time that I knew more about maintaining my high mileage cars than I did about personal nutrition and wellness, and resolved to make a change.
    I can report that since that time (1993) I have not had a single infection, and have reduced colds and flu essentially to zero. I have seen doctors only for "routine inspections".
    In my opinion, hospitals are one of society's  major health hazards, and here we all recognize that prescription drugs are a very slippery slope. (obviously one has to make exceptions for major trauma.)

    Many friends and contemporaries have been lost to or damaged by MRSA and other resistant infections in recent years.

    I very much appreciate the endorsement and weight you, your patients, and your members bring to healthy preventive measures, many learned independently over years by some of us.
    The close associations between heart disease, diabetes, auto-immune disease, Alzheimer's disease, hormonal disfunctions and lifestyle variables suggest that you are absolutely on the right track. Many of the responses to your blog posts reflect this.
    My close friend of 30 years now has simultaneous cardiomyopathy, diabetes, and AD with at times the mentality of a (terrible) 2 year old. What a difference TYP prevention might have made.

    Has it perhaps occurred to you that TYP may also be a surprisingly sensitive indicator of general health status?

    I would like you to know that your ethics and a genuine concern for your fellow man shine through, in all your writings.

    Thank You.
    Mike V

    Re: Home testing update. FYI:
    My first Grassroots Health 25(OH)D result was 50 after about 4+ months at 6000 iu Carlson's. Age 73. Location South Carolina. Winter UV exposure minimal.

  • Dawn

    3/30/2009 5:03:00 PM |

    Another option for ordering tests, where you go to a lab located near you is HealthCheckUSA. And for a few more dollars, you can also request a doc to do an interpretation of your results as well.

    http://www.healthcheckusa.com/

    BTW- LOVE LOVE LOVE your blog.

  • Dr. William Davis

    3/30/2009 6:18:00 PM |

    Thanks for the encouragement, Mike V and Dawn.

  • Anonymous

    3/30/2009 8:05:00 PM |

    Dr.
    This will never happen and will actually be illegal when this Universal Health care scheme becomes law.
    What you have described here Dr. Davis is about freedom and UH is the total opposite of freedom.

    Oh, and how long do you think it will be before nutritional supplements are illegal without government prescriptions? I predict within a year of UH as law.

  • Dr. William Davis

    3/30/2009 9:49:00 PM |

    Mike V--

    You make an important observation that we have also made in the TYP experience: Many of the strategies employed--vit D, omega-3 fatty acid supplementation, wheat elimination, etc.--lead to marvelously improved overall health, in addition to correction of cholesterol patterns and reduction of heart disease risk.

  • katherine

    4/1/2009 12:51:00 AM |

    Dr. Davis,

    I wanted to let you know about a positive experience with the Biotech brand D3 5000 IU capsules.  My latest test showed 80 ng/ml after supplementing for approximately 4 months with 10,000 IU daily (started with 5000, bumped it up to 10,000, will now go back to 5000 to maintain).  This is up from 34 ng/ml.  I know you generally recommend the gelcaps but these seem to get the job done as well.

  • Dr. William Davis

    4/1/2009 2:57:00 AM |

    Katherine--

    Thanks for the feedback. That's helpful.

  • darwinstable

    4/6/2009 4:36:00 AM |

    What a great post. I totally agree and in some respects have done that myself. I just turned against the mass media and did what I knew as an evolutionary biologist was the best thing to do. I can now see the results and this is something I could never have done with weight watchers, jenny craigs, current medical advice etc.

  • cuil

    4/23/2009 5:04:00 AM |

    Its very nice information on this blog, i will really appreciate your efforts for this post.Learn here about sympathy
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  • Nursing homes chennai

    1/6/2011 10:15:07 AM |

    Great informative post. Excellent information and very useful for me. And I also agree with you thoughts.

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Another option for lipoprotein testing

Another option for lipoprotein testing


For those of you who have been frustrated in trying to get your lipoprotein analysis performed, here's another option.

The Life Extension Foundation at www.lef.org provides access to the VAP test, or Vertical Auto Profiler. This is the lipoprotein test run by the Atherotech company in Birmingham, Alabama. The name refers to the method used, a form of centrifugation, or high-speed spinning of your blood (plasma) to separate the various components by density.

This is a fine technique that works well. Though our preferred method is NMR (www.Lipoprofile.com, Liposcience Inc.), the Atherotech VAP is a reasonable alternative.

If you go through the Life Extension process, they will direct you to blood draw sites in your area. They charge $185 for Life Extension members, $247 for non-members. (Membership in Life Extension costs $75.) Drawback: No billing for health insurance reimbursement.

A full description of the significance of lipoproteins can also be found in my article posted on-line at the www.lef.org website at http://www.lef.org/magazine/mag2006/may2006_report_heart_01.htm
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Genetic incompatibility

Genetic incompatibility

Peter has lipoprotein(a), or Lp(a), a genetic pattern shared by 11% of Americans.

It means that Peter inherited a gene that codes for a protein, called apoprotein(a), that attaches to LDL particles, forming the combined particle Lp(a). It also means that his overall pattern responds well to a high-fat, high-protein, low-carbohydrate diet: The small LDL particles that accompany Lp(a) over 90% of the time are reduced, Lp(a) itself is modestly reduced, other abnormalities like high triglycerides (that facilitate Lp(a)'s adverse effects) are corrected. Small LDL particles are, by the way, part of the genetic "package" of Lp(a) in most carriers.

Peter also has another gene for Apo E4, another genetically-determined pattern shared by 19% of Americans. (Another 2% of Americans have two "doses" of Apo E4, i.e., they are homozygotes for E4.) This means that the Apo E protein, normally responsible for liver uptake and disposal of lipoproteins (especially VLDL), is defective. In people with Apo E4, the higher the fat intake, the more LDL particles accumulate. (The explanation for this effect is not entirely clear, but it may represent excessive defective Apo E-enriched VLDL that competes with LDL for liver uptake.) People with Apo E4 therefore drop LDL (and LDL particle number and apoprotein B) with reductions in fat intake.

This is a genetic rock-and-a-hard-place, or what I call a genetic incompatibility. If Peter increases fat and reduces carbohydrates to reduce Lp(a)/small LDL, then LDL measures like LDL particle number, apoprotein B, and LDL cholesterol will increase. Paradoxically, sometimes small LDL particles will even increase in some genetically predisposed people.

If Peter decreases fat and increases carbohydrates, LDL particle number, apoprotein B, and LDL cholesterol will decrease, but the proportion of small LDL will increase and Lp(a) may increase.

Thankfully, such "genetic incompatibilities" are uncommon. In my large practice, for instance, I have about 5 such people.

The message: If you witness paradoxic responses that don't make sense or follow the usual pattern, e.g., reductions in LDL particle number, apoprotein B, and small LDL with reductions in their dietary triggers (i.e., carbohydrates, especially wheat), then consider a competing genetic trait such as Apo E4.

Comments (29) -

  • Anonymous

    1/10/2011 5:57:47 PM |

    How do you test for it?

    Nina

  • Anonymous

    1/10/2011 7:35:25 PM |

    I am APOE 3/4.

    1. When you say fat is not good, do you mean all fats, or does the research indicate that MUFA's are helpful? Or PUFA's

    2. Does Niacin affect the negative impact of the APOE 4?

    3. Is it wise with APOE 4 to eat low fat, high carb? And take the niacin, and increase exercise? Or better to stay low carb higher fat and use the niacin?

    Thank you.

  • Anonymous

    1/10/2011 8:35:06 PM |

    General question. For the past year I've been trying to correct my lipid levels. One thing i've done for lunch every day is to make a shake with an apple, banana and orange, plus add a scoop of protein powder from Sam's Club. My triglycerides have skyrocketed even with taking 2 grams fish oil, healthy diet, etc. Should I not each so much fruit every day? Thanks.

  • David

    1/10/2011 9:30:59 PM |

    Anon,

    That's a lot of fruit. Add it up, and assuming that you're eating medium/average sizes of those three fruits, you're drinking down almost 50 grams of sugar at every lunch (not including the starch in the banana, which also breaks down into glucose). The fructose alone adds up to about 24 grams, which is excessive, in my view, and I don't think there's any mystery as to why your triglycerides have skyrocketed. Back off on the fruit. Eat it only occasionally, and/or pick low-fructose varieties like berries.

    David

  • David

    1/10/2011 9:38:32 PM |

    P.S. As a point of reference, a can of Coca-Cola has 23 grams of fructose.

  • Travis Culp

    1/10/2011 10:40:45 PM |

    If those were the only carbs that he's eating for the entire day, it's not that bad, although I would split it up so that he's eating a piece of fruit with each meal. There's no way someone would go from the SAD to paleo with 3 pieces of fruit and have triglycerides shoot up as a result. It would be a dramatic decrease in average blood glucose and carb intake.

  • Dr. William Davis

    1/10/2011 11:23:05 PM |

    Nina--

    Apoprotein E needs to be specified, usually (though not necessarily) with lipoprotein analysis.


    Anonymous with apo E questions--

    We will be covering this issue in more detail on the Track Your Plaque website near-future (www.trackyourplaque.com).

  • Patricia

    1/11/2011 3:12:40 AM |

    @Travis Culp

    Concerning Anonymous you say, "If those were the only carbs that he's eating for the entire day, it's not that bad."

    Apparently for Anonymous it *is* that bad or his trigs would not have "skyrocketed."  Clearly what he means by "healthy diet" is suspect if he believed a fructose bomb for lunch was a good idea whilst "trying to correct my lipid levels."  So, perhaps he is eating oatmeal and whole wheat bread as part of the "healthy diet" as well, thus contributing even more to said skyrocketing triglycerides.  

    However, given what he actually wrote, IMHO David's comments are spot on.

    Fruit is often and easily given a pass as "healthy" when it is definitely not, particularly vis-a-vis triglycerides.

  • Anonymous

    1/11/2011 3:56:06 PM |

    This last post by Dr. Davis leads to a question about the genetic profile of our blog community?

    And I would love to be wrong about my logic.

    Here we go.

    Fats are apparently not good for APOE 4's which Dr Davis offers is about 19 per cent of general population. Fats make an APOE 4 worse.

    But isn't the reader of this blog more likely to be an APOE 4 than 1 in five, since they are far more likely to have lipid disorders and heart plaque?

    Is it not more likely our blog population has a higer percentage of APOE 4's or 2's than the general population?  So, the advice should tilt toward those genetics not the cardio protected 3/3 who should eat more fats?


    Is this blog's "eat more fats, more nuts"  advice  targeted at the least likely patients to be here--meaning the APOE 3/3 who really dont have as much plaque? The ones who lipids genetics are normal and cardio protective anyway.

    So should not the advice be tilted the other way around, and not toward the rarer reader and blogger who is normal 3/3 who should eat more fats? But toward the rarer (in general population) but more likely reader in a lipid disordered population who should not eat more fats?

    Would it be more helpful to presume that the reader is a APOE 4or AOPE 2?

    And shouldn't every one here get tested because if we are APOE 4 then we could be making ourselves worse by eating more fats? Our attempts at self protection could be hurting us badly?

    Is this a good question? Or two?

    Does this make sense?

  • Onschedule

    1/11/2011 5:10:52 PM |

    @Anonymous regarding APOE 4 and this blog population:

    Dr. Davis writes: "Thankfully, such "genetic incompatibilities" are uncommon. In my large practice, for instance, I have about 5 such people."

    I would expect the population of Dr. Davis blog readers who have this genetic incompatibility to be less, not more, than this ratio. Certainly Dr. Davis's patients are "more likely to have lipid disorders and heart plaque" than the more random pool of readers. Dr. Davis's patients are his patients because they have heart-related issues. The population of blog readers, on the other hand, likely includes people interested in avoiding future heart problems, people with a general interest in health, etc. - all of which would tend to lower the ratio of people with these genetic incompatibilities who read this blog...

  • Anonymous

    1/11/2011 6:05:26 PM |

    Dear Onschedule:

    But if 19 per cent have APOE 4 and it causes plaque issues, why would Dr Davis have only  5 patients in many years in such a huge patient population?  

    Why wouldn't he have at least 19 per cent? 1 in 5?

    Why would it be rare in a heart doctor's office...... and 19 per cent, which is not rare at all, in the general population?

    Am I misunderstanding this?

    Does Dr. Davis test every patient for APOE ?  

    If APOE 4 causes lipids issues and plaque, I tend to think there would be lots of heart patients with APOE 4 genes, not less in his pool.  But either way, at least somewhere near 19 per cent, right?

    Unless I misunderstand the math?

  • Anonymous

    1/11/2011 6:13:49 PM |

    OOPS

    I amend my own comment about how common the "APOE 4 dont eat fats" patients ought to be in this blog population. It is even less rare than we thought !

    I was thinking that the APOE 4 was at 19 per cent....but Dr. Davis actually states 21 per cent.

    So, my argument has more weight, not less, with the corrected percentage. APOE 4 is not rare if 21 per cent have it.

    Now I am confused by this.

    Any help?

    Why wouldnt this reader blog have the same 21 per cent as the general population, and actually more if we figure that lipid disorders ( very high in APOE 4's) drive more to this site than general.

    " Peter also has another gene for Apo E4, another genetically-determined pattern shared by 19% of Americans. (Another 2% of Americans have two "doses" of Apo E4, i.e., they are homozygotes for E4.)"

  • David

    1/11/2011 6:57:16 PM |

    Dr. Davis wasn't saying that he only has 5 patients who are ApoE4. He was saying that he only has 5 patients who have the specific combination of ApoE4 with this particular kind of Lp(a) pattern.

  • Gene K

    1/12/2011 4:50:46 AM |

    I would like to hear what other people with ApoE 4 have to eat. I am now both low carb and low fat. Still consuming a handful of almonds a day, hummus, and natto - these are not low-fat foods, so my next NMR won't be pretty. Also, should fish oil be counted towards daily fat intake?

  • Anonymous

    1/12/2011 6:49:30 PM |

    Gene asks a great question.

    I too would love to know what ApoE 4's should eat. Pufa, mufa, no fats?

    No carbs?

    Does post exercise mitigate the harm after eating offending foods?

    Thanks

  • Gene K

    1/13/2011 5:04:58 AM |

    My understanding is that PUFA or MUFA makes no difference in this case as long as it is fat (I am talking about those with ApoE 4 here). I would rather see somebody more qualified to comment on this, though.

    As to mitigating the effect of offending foods after exercise, you'll have to prick your finger to find out. At least it is what I have gathered from posts and discussions on this blog.

    In my pre-TYP life, I absorbed all existing advice on diet and exercise for people with risk factors for heart disease. It is commonly believed that there is a 30-40 min-long carbohydrate window after an intensive exercise session, during which you can and should consume carbohydrates. I am not qualified to argue this point, but to know your specific response, you should check your BG.

    For one, I checked my BG to see whether I can eat a spaghetti squash dinner. One night (I), I did it after gym, and next night (II) without gym, but after a 25-min walk from the train station. The meal was the same both nights. Results:

    (I) Before dinner: 84, 1hr PP: 114
    (II) 88 and 129 respectively.

    My conclusion: Although exercise helps, I should avoid this food.

  • Anonymous

    1/13/2011 2:27:53 PM |

    Wow! anonymous of Jan 11, 2011.  I totally get you! I was thinking the same.  I have had high cholesterol since my eary 20's (now in my 40's)at times >350 with my ldl always high triglycerides never too bad. That puzzled my doctors.  All my doctors have said that I need to take statins or I will die basically. Thought I ate well.  But now I know I could have been eating wrong all these yrs!? Tried a McDougall 2 months ago, but thought it was way too much carbs. No nuts, oils or fish. Felt ok then, crappy as time went on.. Put fish/nuts back in my diet and Surprise, I felt better. But now, after reading @ that APOE stuff, I wonder should I go back to strick vegetarian or not?? I guess I have to get some test first to determine what my break down is, right? I have always wondered since my 20's if this is going to b the year of the big one?  I have a 2 yr old and want to b around for a long time.  My grandfather and Great grandfather live into 90's. Grandma, @78-80. But on my other side, My mom 1st husband(my biological dad) had quadrupal bybass at 42. What test should i get it seems you could be screwed either way you eat, depending on your genetics. thanks

  • Anonymous

    1/13/2011 6:09:09 PM |

    Dear Anon Said:

    With high levels so early, a good idea to ask MD about niacin, statins dont work on ApoE 4.s very well. I dont take them.

    I do exercise after meals, and use pysillium, 1k niaspan, and increase vegetable sources of Omega 3, since some research says that fish oil is not as useful with ApoE 4's either, but I still take fish 2k, and D3 2k daily. Ground flax seed is good source of veg omega3.

    My brother is not just 4/3 but 4/4.

    Would love to see others comment, since we are 21per cent of population.

    Good luck,

    Thanks.

  • Anonymous

    1/13/2011 9:14:07 PM |

    Thanks. In my 20s...My Dr said he had never seen someone so young with my #'s.  Said he would not give Statins because they didnt know the effects on young persons.  
      In 30's...Have been on Lipitor in the past. My Drs said Niacin wouldnt lower it enough.  Lipitor did not do much. It < my ldl at first then it started to lower my hdl too. Remember my triglycerides were never high normal or lower even.  I felt weird/achy on it with brain fog or general stupor feeling. I stopped in my 30's.  Felt better. Found tons of info against statins on internet.
      Also told them a long time ago, my great aunt, my mother and my uncle(moms bro)had a < thyroid.  But as long as my numbers come out ok, thats as far as they go here.  I think I have always been "tweeked" a bit low. Have cold hands/feet, dry hair/skin, hard to very lose weight,tired ect...

    In my 40's...Had my daughter @2yrs ago and Drs wanted me to try Crestor after delivery. I Said No. I know there is a better way. So, I have been trying to do a cross between Asian/Medittarean/Jen's common sense. Here it is...

      I eat fruit/veggies with almost fish exclusively. Occasionally some turkey/chicken real lean.
      Stopped all coffee, drink tea black/green brewed only.
      Stopped all the phoney crap.No artificial sweetners. No hydrogenated oils ect..
      Stopped eating quick oats yrs ago, now trying coarse grind or the steel cut. I mix it with barley adn rye flakes. Use lots of flaxseed in anything I can.
      For a snack I eat a handful of nuts w/o salt mixed with fruit like raisens/cranberries no sugar or the least I can find.
      In the process of stopping wheat products. Almost impossible to find though. Switched to rice/potatoes but exclusively but now I am confused, Dr. Davis says that might b taboo too? Thought rice is a staple in Japan? Hmm..
      Take 1 fishoil High omega3 Sams club daily. And 2-3 times a week starting this winter, a couple 1-3tsp of cod liver oil every other day.
       Bought a bottle of Sloniacin to try if all this doesnt work. I just have to find a doc that will do the right test for lipids. That is the APOE Correct?? Please tell me if I am wrong.  They don't do particle size, always just the basic cholesterol test.  
      Jen in Minnesota

  • sailormom

    1/14/2011 1:53:18 AM |

    very interesting!  My endo thinks I have some genetic cause for high ldl  (ldl particle # > 2000, but HDL  is 90 and trig around 40).  On low carb high fat diet and my ldl just goes up and dr wants me on a statin.  so far I have resisted as I want to try diet/exercise (my weight is at the high range of normal).  I have no wheat, potatoes, rice, sugar etc -- basically fish, fowl, vegetables and dairy (minimal fruit) and nothing proocessed but have not seen any change in lipid profile.  lp(a) is normal so does this sound like  an APOE variant?  What is the best diet?

  • Onschedule

    1/14/2011 1:56:09 AM |

    @Jen in Minnesota

    Have you had a recent heart scan? If not, getting one would give you a baseline with which to compare the effects of future dietary strategies. It will also give you peace of mind when you find that your calcium score (if any) is holding steady or decreasing. Tracking lipids without the scan, IMHO, is less satisfying and less useful.

  • Dr. William Davis

    1/14/2011 3:08:33 AM |

    I hear the several frustrated comments here.

    The key is to:

    1) be armed with information when talking with your healthcare provider. Just asking about apo E raises the bar considerably.

    2) Start to think about individualized health, i.e., diet fine-tuned to your genetic susceptibilities. There is not a true one-size-fits-all diet approach. Some tweaking is required for various genetic patterns, largely determined by apo E genetic type.

  • Anonymous

    1/14/2011 5:24:19 PM |

    Thanks all, and Dr. Davis...
       It's convincing the Docs that you should get specific tests, beyond the basics. (like total thyroid breakdown, APOE lipids testing, heart scan, Vit D testing).
      At a University Hosp I asked my gp 2-3 yrs ago if I could get a scan to clear up all this cholesterol business to check 4 plack? Said hosp wouldnt allow it. I would have had to private pay everything,(& u can't get one w/o recommendation anyway). Asked the same thing over 10 yrs ago to my clinic dr. Said same thing. It depends if your insurance will cover too. Cant get on partners insurance for family coverage, so I have to pay for all tests w/a high deductable too.
      No big deal though...It is great u can get tests on your own now. Will look into that more, maybe I will save up or join something like "Track your Plack".  Looks like I can maybe get some sort of test for lipids.
    If my breakdown comes out good, and I eat well already, plus take Vit D; then maybe they have had me worried unecessarily for 20 yrs!!HaHa...
    Take care Jen in Mn

  • Kurt

    1/16/2011 4:14:22 PM |

    You've written in the past about the failure of low fat diets to reduce plaque, so I was surprised to read that 19% of people benefit from eating less fat (assuming they don't replace fat with grains). I believe I'm one, because through trial and error - and multiple cholesterol tests - I've found that the less fat I eat, the lower my LDL reading.

  • Anonymous

    1/18/2011 2:01:10 AM |

    Kurt: and then Gene:

    Just wanted to point out---it's not 19 percent, it is 21. That means 1 in 5 should not follow the "increase your fats diet." And they may in fact not be harmed by diets that harm other gene profiles.

    Sure would like to know if niacin balances this all out?

    Keep in mind that ApoE 4 is a very controversial gene test---it is sometimes called the Alzheimers gene, mistakenly; and there is a lot of debate about the ethics of such a test for fear of marking people for a certain fate. Would suggest maybe discuss and research before checking, but it too is a rock and hard place choice.

    "Peter also has another gene for Apo E4, another genetically-determined pattern shared by 19% of Americans. (Another 2% of Americans have two "doses" of Apo E4, i.e., they are homozygotes for E4.)"

    Gene: Thank you so much for posting, I am grateful for freeback and input on this. Suggest trying the exercise after not before you eat. The science says the benefits are about post prandial exercise. I would love to see your results.

  • Lucy

    1/18/2011 2:26:36 AM |

    28 y/o ApoE 3/4 here.  Haven't been tested for Lp(a) yet, but my mom has it and she's also a 3/4.  Definitely frustrated with all the back and forth on whether I should do LC/HF or veg.  Started taking niacin last year, but I'd really like to know what to do with the diet.

    Dr. Davis-  Do you recommend ApoE 4's take fish oil, and if so how much?  I've heart conflicting info.

  • Anonymous

    1/18/2011 2:34:08 PM |

    Lucy:

    Great question !

    Thank you for asking Dr. Davis about fish oil and ApoE 4's. I too take fish oil and wonder if I am making it worse.

  • Gene K

    1/23/2011 5:37:08 AM |

    @Anon

    The science says the benefits are about post prandial exercise.

    Immediate benefits will depend on the kind and amount of food consumed, the type, duration, and intensity of the exercise, and how soon after eating you exercise.

    There are also long-term benefits from regular exercise, and I am not sure you can reduce them to whether you eat and then exercise or exercise and then eat.

    I prefer to have a light meal within 1hr before a workout, and a good meal with lots of protein after my workout. My typical workout includes 30 min cardio + strength resistance the slow burn style.

    Disclaimer. The opinion is my own, and I am not an exercise scientist.

  • Dr. Daniel Chong

    1/24/2013 5:31:02 PM |

    In a case like this, I would continue on a plant based, low fat diet to combat Apo E4, then add in the following to combat the Lp(a) issue:
    Vitamin C titrated to bowel tolerance
    Proline
    Lysine
    Guggul
    Niacin

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