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.

Low-carb is heart healthy

Low-carb is heart healthy

Anybody following the discussions in these pages know that: Limiting carbohydrate intake reduces risk for coronary heart disease and heart attack.

First of all, why do conventional diets advocate restricting saturated and total fat? From the standpoint of surrogate markers of cardiovascular risk, cutting saturated and total fat reduces total cholesterol; reduces calculated LDL cholesterol; and may reduce c-reactive protein modestly (an index of inflammation). It also increases blood sugar and HbA1c (reflecting the prior 60 days blood sugars), increases glycation of the proteins of the body leading to cataracts, arthritis, and hypertension.

Problem: Total cholesterol is a combination of HDL cholesterol, an estimate of VLDL cholesterol (triglycerides), and LDL cholesterol. It is a composite of both "good" things (HDL) and "bad" things (LDL and VLDL). Cutting saturated and total fat results in reduced HDL, increased VLDL/triglycerides, and a reduction in calculated LDL. Pretty weak stuff. The last item, i.e., reduction in calculated LDL, is not even a real phenomenon. In fact, the net effect in most genotypes (genetic types) may be negative: increased heart disease risk.

In contrast, what is the effect of reducing carbohydrate without restricting fat? (In the approach I use, we start with elimination of the most destructive of carbohydrates, wheat, followed by reducing exposure to other carbohydrates, especially cornstarch and corn products, sugar, and oats.) If, say, we cut carbohydrate intake into the range of a truly low-carbohydrate diet of 10-15 grams per meal ("net" carbs, or total carbohydrates minus fiber), then we witness a number of metabolic transformations:

Reduced fasting triglycerides and VLDL
Reduced postprandial (after-eating) triglycerides, chylomicrons, and chylomicron remnants
Increased HDL and shift towards large HDL particles (presumably more protective)
Reduced small LDL particles
Reduced glycation and oxidation of small LDL particles
Reduced hemoglobin A1c
Reduced c-reactive protein and other inflammatory markers
Reduced blood pressure

By slashing carbohydrates, we also witness weight loss from visceral fat, reversal of pre-diabetes and diabetes, and reduced phenomena of glycation. And, if the wheat-free part of low-carb is maintained, you can also see marked improvement in gastrointestinal health, relief from joint pains, relief from leg edema, relief from migraine headaches, improved behavior and ability to concentrate in children with impaired learning, ADHD, and autism, better mood, deeper sleep. You will see multiple inflammatory and autoimmune diseases improve or completely relieved, such as rheumatoid arthritis and ulcerative colitis.

Having personally gone down the diabetic path and back by cutting the fat in my diet, now maintaining a HbA1c of 4.8% with fasting glucose 84 mg/d; (without medications), there should be no remaining doubt: Low-carb diets, especially if wheat-free, dramatically reduce the factors leading to heart disease; low-fat diets worsen the factors leading to heart disease.

Comments (88) -

  • Henk Poley

    1/4/2012 6:58:20 AM |

    You'd say with all these claims it should be doable to prove or disprove scientifically. Why is there so much controversy around food?

  • Might-o'chondri-AL

    1/4/2012 7:20:41 AM |

    Hi Dr. Davis,
          I want to thank you for educating me about lipid profiles and think the following data might show readers  how some of your ideas play out (all varied experimentation coincided with a daily high protein intake).

    Innocent  Jan. 2011 1st ever NMR lipo-protein analysis was done after  4 months of  consistent home food prep of pretty low fat (only olive oil  and 1 tablespoon coconut oil daily) but plenty of whole wheat and  half  potatoes:
    * LDL # of particles (P) = 1,676 in nmol/L------------being a LDL cholesterol (C) reading of 139 mg/dL
    * small LDL  # P           = 1,021 nmol/L   ---------------yikes! you advise smLDL be less than 117 nmol/L
    * HDL # of particles      =      28.8 umol/L --------------being a HDL C reading of 45 mg/dL
    * Triglycerides               =      90 mg/dL     -------------- true,  I never struggled with my weight

    (B) May 2011 2nd NMR after another 4 months but added in more fat (1 teaspoon highly concentrated fish oil daily, 90% chocolate, handfulls of nuts, more olive oil and kept coconut oil at 1 tablespoon daily for a controlled experiment), added 500 mg Niacin 3 times a day (in stages up to1,500 mg. total daily), 6000 IU daily vitamin D, deliberately cut out all grains except for social politeness  and substituted in daily Koji fermented brown rice (rustic Amazake):
    ** LDL # P...............=   976 nmol/L -------------------------------- being LDL C of 100 mg/dL
    ** small LDL # P .... =     96 nmol/L -------------------------------- nice surprise
    ** HDL # P ............ =     27.3 umol/L ------------------------------being an increase to  HDL C of 64 mg/dL
    ** Triglycerides ......  =    42 mg/dL -------------------------------- despite daily carbs over 150 gr. daily

    (C) Dec. 2011 3rd NMR after another 7 more months thinking Doc's advice is worthwhile I added in yet more fat (mainly daily 2 tablespoons of coconut oil, more 90% chocolate), bumped Niacin up to 1,000 mg twice a day (2,000 mg. total daily), cut out the Amazake, kept up the vitamin D adding daily vitamin K & daily ate main mid-day meal out as lunch on spicy Thai & Chinese fish/shrimp/soup/rice meals (my next control):
    *** LDL # P .......... = 764 nmol/L ---------------       being LDL C of 107 mg/dL  ( 2x coconut's  saturated fat)
    ***small LDL # P... = less than 90 nmol/L --------surprised me NMR can't count lower
    ***HDL # P .........   =   41.4 umol/L -------------------- being an increase to HDL C of 88 mg/dL
    *** Triglycerides ....=  43 mg/dL -------------------     daily carbs below ~ 120 gr.  &  lost  too much weight

  • Janknitz

    1/4/2012 7:23:37 AM |

    Dr John McDougall is coming out with a new book called "the Starch Solution" which advocates  NO fat and Little protein and eating a minimum of 900 grams of starch each day.  In the 80's he had a local call in talk radio program and I remember callers saying they followed the diet religiously but their triglycerides were sky high. He would tell these callers to stop eating fruit. Not much left when you can't have fat, much protein, or fruit.  He'd also tell callers that giving your child cow's milk guaranteed them to have diabetes and advocated sweetened rice milk instead.

    I'd love to see a well-designed study comparing your approaches.  Just don't ask me to be a test subject for his approach.

  • Stephanie

    1/4/2012 12:38:53 PM |

    I find that I garner all the benefits you list from following this dietary approach with the exception of one -- better sleep.  When I reduce my carbohydrate count, my energy soars and I suffer from terrible insomnia.  I have read that your body adjusts in, but I have not found this to be the case personally.  After 10 days of little sleep, I do notice that my fasting blood sugars are up 10-15 points and concentration starts to suffer (as well as patience).

    Do you have any suggestions for battling low-carb induced insomnia?  If I raise my carbs above 100, my sleep improves, but weight loss ceases (I still have more weight to lose) and blood sugar creeps a little.  I have tried herb teas and melatonin without success.

    Thanks for all you do!

  • Bill

    1/4/2012 1:01:55 PM |

    Dr. Davis, I'm curious what you make of the research showing big inconsistencies in reported LDL particle size between the various advanced lipoprotein analysis techniques. VAP, for example, apparently reports far fewer people as Pattern A than NMR, GGE, or TGE. Even measured LDL-C seems to vary quite a lot between the techniques.

    This seems to call into question the usefulness of such testing, since the results seem to depend mostly on which methodology happens to be chosen. Here's one example that has full text publicly available:

    http://www.clinchem.org/content/52/9/1722.full#_jmp0_

  • JC

    1/4/2012 1:43:55 PM |

    Can you comment on "Forks Over Knives"?

  • Jackie

    1/4/2012 1:46:27 PM |

    Dr. Davis,

    My husband, a patient of yours, has been following the no wheat diet for around 2 months. He also has been limiting his  carbohydrates to around 15 grams per meal.  He runs around 20 miles a week plus bikes around 30 miles a week. He has lost around 20 pounds in the last 2 months. He started at around 160 pounds..... I think he has lost way too much weight for his 6 foot frame. He says, he's just following your guidelines.

    Shouldn't athletes take in more carbohydrates than 15 grams per meal?

    Jackie

  • Todd B

    1/4/2012 2:47:40 PM |

    JC, Dr. Davis can speak for himself; however, if you are looking for a good critique/review of Forks Over Knives, I would recommend this one by Denise Minger:
    http://rawfoodsos.com/2011/09/22/forks-over-knives-is-the-science-legit-a-review-and-critique/

  • Joe

    1/4/2012 4:48:11 PM |

    Jackie, that gives your husband a BMI of 21.9, well within the "normal" range of 18.5 - 24.9.
    Your husband has transformed into a fat burner, and if he's able to continue working out at his current pace, I wouldn't worry about it.  But if he's lost muscle mass, or feels lethargic, he should probably up the carbs a bit, and the protein (perhaps a protein shake, post workouts?).

    A lot of people would love to have your husband's "problem."

  • lconnolly

    1/4/2012 5:18:46 PM |

    Mitochondrial
    Congratulations!
    There are alot of us at Track Your Plaque who are great fans of yours. Wish you would join us.

  • Gene K

    1/4/2012 6:46:19 PM |

    Having taken the same low-carb route and seen all the benefits Dr Davis lists here, I too had good sleep as my remaining frontier. I found the blog of Dr Kruse (http://jackkruse.com) a great addition to Dr Davis's program and a terrific education resource. Please read his sleep-related posts (http://jackkruse.com/category/sleep/) and all the rest for that matter, as all are related. I find it amazing how well these two view points (Dr Davis's and Dr Kruse's) agree. I made these steps to see my sleep improve dramatically: do not eat or exercise after 7:30pm, take a hot shower before bed, go to bed early enough to allow 7.5 hrs to sleep, wear an eye mask during sleep to ensure total darkness, take a capsule of lemon balm herb (Melissa) before bedtime.

  • Jackie

    1/4/2012 8:50:10 PM |

    I get a BMI of 19. On the website that I put in the calculations  it says he is "underweight".

  • Gene K

    1/4/2012 9:28:33 PM |

    And at the same time, the general public can read this: http://www.webmd.com/diet/news/20120104/report-looks-at-best-diets-easiest-to-follow. No comments...

  • Joe

    1/4/2012 10:18:06 PM |

    Jackie, I think I misread your message. I thought he was currently 160 pounds, and apparently he's lost 20 of those pounds, right? If so, this BMI calculator still has him within the "normal" range.

    http://www.cdc.gov/healthyweight/assessing/bmi/

        Underweight = <18.5
        Normal weight = 18.5–24.9
        Overweight = 25–29.9
        Obesity = BMI of 30 or greater

    Anyway, I'd say he's just fine, with the same caveats.  That is, if he's lost muscle mass, eat more protein (especially protein shakes after each workout), and maybe up the carbs a bit if he's feeling weak in any way. I ran the numbers on several other web sites (Mayo Clinic and NIH) and they all say the same. He's within the "normal" range, but just barely.

  • Judy B

    1/4/2012 11:04:28 PM |

    Stephanie,  I found that low carb gave me better sleep except when I took some supplements, etc, at bed time.  Don't know what you are taking, but I found that D3 at night kept me up and recently a new formulation of glucosamine (sp?) did the same (can't figure out what is causing that).  Soo, if you are taking anything in the late afternoon or evening, you might want to experiment and see if taking them earlier helps... Check Seth Roberts for info on D3 scheduling.

  • Might-o'chondri-AL

    1/5/2012 1:16:29 AM |

    Hi Jackie,
    I'm with you on 160 lbs. for 6 footer is too scrawny if the person is healthy . That is also my situation (being  6 feet tall)  if I go  low carb of  (say) fewer than 100 grams carbs daily .There is no current science that  adults being real thin is better than being heavier - just the opposite.
    When I get scrawny there's muscle, but my capacity for day in and day out sustained life style physical exertion is (in my 60 year old body) less than when I weigh more. And a day or two of  missing a good meal & exceptional stress
    or exertion can cause notable dip in weight when I'm eating very low carb.
    Doc has your husband as his  patient,  so there may be other considerations they are considering. I don't wish to confuse BMI with crucial medical goals they are working on. So am speaking of my own monitoring and my lab results (detailed above) are not necessarily what other slim individuals would see.
    I have not tried a months long protracted experiment of  gorging on more dietary fat as an alternative to my eating moderate daily carbs (say,  over 100 grams). Handfuls and handfuls of nuts don't seem to promptly boost me back towards 165 lbs. like augmenting with moderate carbs does.

  • PeggyC

    1/5/2012 4:16:16 AM |

    Stephanie, have you tried Magnesium citrate about an hour before going to bed?  It tends to relax you and help you sleep and it doesn't hurt--Magnesium is one of the one of the things we tend to lose on low carb. I take it to prevent leg cramps and it also helps me get to sleep.

  • PeggyC

    1/5/2012 4:19:59 AM |

    JC, Here is an excellent commentary on Forks over Knives: http://rawfoodsos.com/2011/09/22/forks-over-knives-is-the-science-legit-a-review-and-critique/ I'm sure Dr. Davis will concur with her analysis, though I will let him speak for himself on that.  However, in the mean time, if you haven't checked it out, Denise Minger does a great job of dissecting it.

  • PeggyC

    1/5/2012 6:24:58 AM |

    All I can do is sputter, sputter, sputter.  Talk about ridiculous!  The "diabetes diet" will ensure that a person stays diabetic and dependent on medication.  The "most heart healthy diets" will more than likely cause heart disease rather than prevent it.   The DASH diet also ensures that a person maintains high blood pressure and dependent on medication.  Awful.  But you're right--that's what the general public sees and believes.  Makes me wonder if there is hope.

  • Might-o'chondri-AL

    1/5/2012 8:59:28 AM |

    For Iconnolly & others,
    Doc  has everyone confused why he clinically finds wheat elimination more dramatic on gut fat than just restricting carbs. He decries modern dwarf wheat, yet not all genetic confabulations will have the same lectin protein structure, so this is details how some may play roles in adipose tissue changes. When a lectin has a molecular structure where their folded protein's usual strands coil like a loop, instead of just being strands, then what occupies the loop's center becomes important.

    If the peptide (protein building block) variation has an arginine amino acid leading that lectin's loop it can be a problem. That arginine torques the loop, makes it more flexible overall and gets where it is not supposed to be. It, this type of lectin variation, can itself be used in a pro-inflammatory way. It should be understood this lectin doesn't so much evilly abuse what it touched on the adipose cell as be acting more like a thing (substrate) involved in co-activation.

    Vascular adhesion protein 1 (VAP1) has a lesser known function as an enzyme (VAP1 = semi-carbazide sensitive amine oxidase) and it comes to the surface of adipocytes when there are immunological molecular action. Doc talks about belly fat being prone to inflammatory modulation and obese adipose cells can have macrophages crusting them. (The role of  vascular endothelium VAP1 is not discussed here.)

    On the adipocyte it's VAP1 (a folded glyco-protein molecule) is configured in a way that it's enzymatic function part is down a channel like groove with a leucine amino poking in that pathway sort of  like a goalie. This goalie leucine (Leu469 position) keeps random triggers from getting past it to tag upto where the actual VAP1 activation spot is and provoke stray responses.

    Franken-wheat, as per Doc's opinion,  with an arginine looped lectin can torque/slip past that VAP1 leucine goalie &  get to dock. If the genetic wheat leads with another amino at a lectin loop then it usually (can't say never, since maybe there is a rare amino lectin loop able to dock) basicly won't be able to navigate past the VAP1's  leu469 and engage catalytic action. And, looking at the other end,  there are likely individuals whose VAP1 engender a variation other than leu469 in the goalie placement that actually is less selective and lets some lectins without an arginine led loop slip down the alley to dock  and engage.Thus different world wide batchs of wheat and individual adipose tissue surface responses to lectins in general can vary, as we see.

    Once the franken-lectin with arginine docks into the adipose VAP1's activation center the enzyme  uses that lectin to perform a function. The vulnerable NH2 group of that lectin's arginine amino binds to that VAP1's  molecule called topa-quinone. Then a transitional enzymatic driven state (Schiff base) occurs and, as the Schiff base is not permanent, it segues into a kind of half way oxidation phase (for geeks the VAP1 amine oxidase oxidized the arginine's amine into an aldehyde with a byproduct of hydrogen peroxide, & some ammonium).

    Here, as a consequence of that modified oxidative change over, hydrogen peroxide (H2O2) is put out on the apidocyte cell in a generally speaking small amount. H2O2 is reactive but, it should be remembered,  also a signaling molecule in it's own right. Individual adipocyte conditions will dictate how some react and being gaseous H2O2 can penetrate cells and diffuse to play out it's roles . In general, H2O2  produced by enzymes outside/on the cell (as opposed to H2O2 generated inside cell cytosols or cell mitochondria) alters conditions setting things up for even more local immunological activity (most understand VAP1's classical adhesion function is to snag immune cell's rolling by in the circulation so they can get into a cell that is imperiled and use H2O2 to innately kill infectious agents).

    If one eats franken-wheat  with a lectin arginine loop and one's VAP1 leu469 gate-keeper is in place (to let it by) you still aren't absolutely doomed to an auto-immune like assault with  reactive H2O2 plaguing your adipose tissue. An unusual genetic quirk down in the  VAP1's enzyme activation site can have a variation of  the usual tyrosine amino in the 471 position (tyrosine471). Without tyrosine471 in the enzymatic well then no topa-quinone is made from  tyrosine and then instead the franken-lectin loop's arginine will just meet up with a phenylalanine molecule instead. And,  conveniently nice for those without topa-quinone down there in that VAP1 enzymatic site no Schiff reaction even starts to go forward &  so no H2O2 on the outside of  that adipose cell instigates the pro-inflammatory circumstances Doc traces back to wheat .

  • steve

    1/5/2012 3:33:27 PM |

    Might-O-Al:
    You said you take no meds, but Niacin at the doses you take would be viewed as a  med, and sexert powerful influence on lipids  in lowering them, and affecting the size of LDL particles.  It also increases the HDL.  I think you experienced all of this, so how much is from carb restriction vs

    Dr Davis:  From my reading it seems unclear that when you lower LDL particle count to say 800 or below, how important the mix is between large and small particles.  I believe this is even stated on the NMR report: "Small LDL-P and LDL size are associated with CVD risk, but not after LDL-P is taken into account".  I believe the writings of many lipidologists seems to say that at low levels of LDL Particles in line with your recommendations, the mix of small and large is not important.
    Might you elaborate on this?

    Thanks,

  • Might-o'chondri-AL

    1/5/2012 5:26:55 PM |

    Hi Steve,
    I don't think I am eating "low" carb - just not a naturally thin person eating unlimited carbs. In fact Doc, a fan of "very" low carb, seems to have been very tolerant of me here when elaborate any  contrarian comments.  I probably simply don't over-eat for my activity level.
    I did try Doc's suggestion to use the finger stick  home blood glucose meter to test how different carb amounts I was including in some of my experimental meals played out. And , putting  credence to his admonition about post prandial glucose "excursions" (spike), reduced some of my core meals' total carbs .
    In those examined daily staple meals (or thin me specifically)  I generally found I felt fine with the reduced carbs and the post prandial blood glucose tests examined at 15 minute intervals showed a more modulated excursion. But when I tried to go with very low carb (15 gr./meal) or even low carb (maybe barely 100 gr. daily) I became gaunt  (so apparently my  hold steady weight/strength is closer to  120 gr. carbs daily).
    I wanted last trial months to be less about precise control in home eating and more to see if modest dining out in the world (I usually work overseas & NMR test not available)  would adversely affect my lipo-protein fractions that Doc's other protocols (fish oil, niacin, vit. D, skip wheat) had started improving. I settled on cheap daily oriental restaurant lunch since cup of rice & fish/veggie cooked in vegetable oil  (with some sugared spice) is pretty much the best I have available to eat in developing countries.
    Agreed, that daily niacin of 2,000 mg is a self-dosing amount & yet is in Doc's upper range for unsupervised use (another practice I thank him for showing me here). To orientate any readers I'd like to be clear that  this is not to say I am blindly recommending such a high dosage.
    After 4 months on 1,500 mg. daily niacin I deliberately had some liver enzyme tests, SGOT (a.k.a. AST) & SGPT (a.k.a ALT), to make sure  I was not provoking unknown damage. When  taking 1,500 mg. daily niacin my  SGOT = 20 Iu/L (ideal = less than 40) & SGPT = 17 (ideal less than 55) makes me feel confident that the last 7 months of  taking 2,000 mg. daily niacin has also been safe, for me.

  • Joe

    1/5/2012 8:27:10 PM |

    @ Might: "There is no current science that adults being real thin is better than being heavier – just the opposite."

    Please define "real thin" and "heavier" and "gaunt" in clinically relevant terms.

    The BMI, while not perfect, provides a pretty good baseline.  In fact, the original studies included smokers (and artificially thin), which biased the results (of course smokers will have a higher mortality rate!) against the low side of "normal."

    "I’m with you on 160 lbs. for 6 footer is too scrawny if the person is healthy"

    I just don't understand a comment like that., Might.  If a person is, by definition, healthy, how or why can he be "too scrawny"?  By what measure?

  • jim

    1/5/2012 9:20:01 PM |

    Hi Might-o'chondri-AL,
    You must have a great job, I cannot afford the NMR so frequently. If you found a cheaper way to get that done, let us know ;)

  • steve

    1/5/2012 10:38:52 PM |

    Might O Al:
    Thanks for your detailed response.  Sounds like you have things under control.  How large are your LDL particles?  For me, mine seem to run on the low side- at 20.6 per NMR and without  very large carb restriction i generate lots of small LDL whether on low or high carb.  Not sure what is going on with the liver or the metabolic issue i might have.  Normal weight at 144 at 5'6", normal thyroid, D, so with a family history of CAD I take a statin and Zetia to control the level of my LDL particles which at last count were 560, but small of 400 with TRGS of only 52.   HDL of 55.  and HDL particles of 35.  Maybe a bit more fat will help the profile.

    From some of what i have read, as LDL particles get to a low level, size does not seem to matter. That is at least to Dr. Dayspring and others.
    Regards,

  • Ronnie

    1/6/2012 12:46:39 AM |

    I originally posted this question in the wrong place.  I know that low carb diets benefit all genotypes, but I've read that APOE 3/4's also need to consume LOW fat diets to lower their heart disease risk (as opposed to moderate fat diets for other genotypes).  Do you agree?

  • Might-o'chondri-AL

    1/6/2012 1:31:56 AM |

    Hi Steve,
    I am not a clinician & since seem endowed with good health  my concerns are different than Doc's patients. People here should remember this is Dr. Davis' blog & he has the cachet to give advice about real medical problems.
    As I've aged there are  physical changes I can detect and some research tells me are silently common. As a  6 foot 136 lb. high school wrestler I hit the mats as  "wiry". At 60, if  my 32 inch waist pants slip, I know  poolside that I look  like a "scrawny" old grey head instead of robustly fit.  
    My work in developing countries show(ed) me I was naturally like the under-privileged locals -  real thin on adequate food intake while working hard.  With age comes vulnerability, so without any body mass reserve (to draw down on) a whip thin "healthy" older person who develops an alarming health problem may (without competent intervention) have to catabolize their muscles for converting into survival energy ; the only thing is, that the aged (unlike the young) are also prone to sarcopenia (muscle loss) .
    I think all can see modern longevity is excellent,  and yet many are even overweight. A 2011 Cordoba Argentina study suggests their older overweight  women had better cognitive function than matched ones with normal BMI . Another  fairly recent report says that older overweight African-american women are more satisfied with their quality of life than matched American females of all  races.
    Doc told us he knows  tri-athalon  competitors who can't train to their satisfaction eating low carb. They would be good models for "health", but apparently they want some reserve -  for at least the upper body strength (all muscle isn't identical) .
    Sorry no precise numbers/definitions were given. If my shaving mirror shows a a tight face hinting at the underlying bones  then I'll eventually weigh myself.  When I get a couple of lbs. back over 160 lbs. I  see some softness in my face, stop looking like am  malnourished & seem to get less easily tapped out using my upper body muscles when life demands it.

  • Might-o'chondri-AL

    1/6/2012 1:53:59 AM |

    Hi Jim,
    $70 NMR online script, your local ( most states legal) blood draw service via iNeedLabs dot com -  not financialy associated. Doc's theories intrigued me .... Since usually am somewhat out in the bush, with rustic medical care, I decided to repeatedly cough up the test money when 1st NMR showed I was way off Doc's mark. I've an abysmal familial cardio-vascular  history that I'd already beat & now feel have a demonstrably (NMR tested) better protocol.

  • Might-o'chondri-AL

    1/6/2012 2:59:41 AM |

    Hi Steve,
    1st NMR (low fat, unmonitored carbs) LDL size = 20.6 (size)
    2nd NMR (up fat, mostly rice, less carbs) LDL "  = 21.1
    3rd NMR (more fat, more niacin, + carbs ) LDL" =   21.3
    (lab calls LDL size of  20.6 to 23 as "large" - so mine got  bigger).

    I don't know if what the doctor you mention is valid. Some investigators contend when LDL gets down to around 60 mg/dL (in that traditional measurement scheme) the conditions are such that LDL can (will?)  be drawn back out  from within the vascular wall intima; and so there is a  mitigation of the amount of cholesterol in that plaque. Maybe this is what Dr. Dayspring is alluding to & presumably the logic would follow that this reduces risk factor ; making LDL cholesterol particle size  irrelevant because even if it is smLDL & prone to cause problems it won't get to accumulate where it shouldn't to the degree it can cause real damage.
    I am not declaring the preceding to be a relevant fact, and have additional issues in light of the following nuance. A  Cochran Group (2009?) independent meta-analysis of years of statin research indcates  that although statins are demonstrably useful helping those who already have had a cardio-vascular event (and survived) the same statins are not statistically proving to prevent someone from having their first cardio-vascular crisis.
    Ideally Doc will address whether LDL particle size can be irrelevant & when.
      .

  • Stephanie

    1/6/2012 1:26:39 PM |

    It is the ketosis that gives me insomnia.  My supplements have been steady for a couple of years and my regimine includes magnesium citrate and citramate.  Does anyone else experience insomnia when in ketosis?  If so, have you found a way to combat it?

  • berger6696

    1/6/2012 3:47:33 PM |

    I really wish this would be addressed in more blog posts.  I will be getting my ApoE results in a few weeks and am highly confident I am not 3/3.   Possibly even 2/4.  Yikes!

  • Gene K

    1/6/2012 3:50:38 PM |

    You can find previous posts on this topic here: http://www.trackyourplaque.com/blog/category/apoprotein-e.

  • Sol y Sombra

    1/6/2012 4:40:20 PM |

    Stephanie, my personal experience is you do not have to be in ketosis to lose weight. Sure, it happens more slowly than while in ketosis, but it does happen. That is, if you keep your carbs between 50 and 100 grams a day (fiber included). What exactly do you mean by "weight loss ceases" - how many pounds do you have to lose and for how long have you plateaued? If it has been less than a month or two since you last saw any weight loss, I don't think you have any reasons to worry just yet. Give your body time to adjust. And maybe start exercising too - try high-intensity interval training and body weight exercises or weight lifting.

  • Joe

    1/6/2012 5:25:29 PM |

    "As a 6 foot 136 lb. high school wrestler I hit the mats as “wiry”. At 60, if my 32 inch waist pants slip, I know poolside that I look like a “scrawny” old grey head instead of robustly fit."

    Again, Might, you seem more concerned with appearance than with health or fitness. Which, of course, you're entitled to do. And so is Jackie. She thinks her husband looks better with 20 more pounds on his frame. Even though he is within the "normal" or "ideal" BMI range, a useful measure of overall health and mortality. That's a good place to be, in my opinion. So I don't see any reason for being concerned about it, which she seems to be (I could be wrong about that, too).

    And if you feel that you look better at the pool with a few more pounds on your own frame, by all means, go for it!

    PS: Just putting a few more pounds (especially if they're just pounds of fat) on your frame won't necessarily keep you from getting "tapped out" when using your upper body muscles, but lifting more weights, more frequently, will.

    PPS: I'd really like to see that study that says African American women are more satisfied with their quality of life than others. It just doesn't compute. Neither does the Cordoba Study, which is refuted by dozens of similar studies.

  • Sol y Sombra

    1/6/2012 5:48:26 PM |

    I'm sorry, you say that if you up your carbs to 100/day, the sleeping problem resolves, but weight loss stops. I think you can try to stick with 100, perhaps up to 120, give yourself time and see if things improve. Many people can lose weight while eating between 100 and 150 g/day.

  • Might-o'chondri-AL

    1/6/2012 7:18:56 PM |

    Hi Joe,
    J. Zilberman, MD, Instituto Cardiovascular de Buenos Aires, Argentina studied 300 post-menopausal Córdoba women, with 52.6 % having obese BMI,  administered Boston Abbreviated Test & Mini-Mental Statement Examination" to  put forth findings "Association Between Menopause, Obesity, and Cognitive Impairment" at Oct. 2011 U. Mississippi conference "Physiology of Cardiovascular Disease: Gender Disparities"  hosted by University of Mississippi  relating that, in +/- 60 year old females those having more BMI correlated with more cognition - including the stipulation that waist width due to obesity (in other words adjusting for limitations of using BMI) postitively, meaning yes in a good way, correlated  with over all cognition. The researchers only speculate the cause of  this female cognitive benefit is because fat holds estrogen ,and so the more fat the more post-menopausal estrogen availability to allay impairment.

    To be clear I am definitely not trying to imply overweight African-american women will have ideal physiological health, yet mental ease has it's benefits for quality of life. If you look at Japan health research you will also find categories beyond raw number measurements. Consider  2011 U. Alabama  report by team of  Dr. T. Cox "Examining the association between body mass index and weight related quality of life in black and white women";  DOI 10.1007/s11482-011-9160-8

    Politely, can I ask you your age?

  • yuma

    1/6/2012 7:45:00 PM |

    Hi Dr. Davis,
    you recommend 40-50 grams of carbohydrates per day, 13-16 per meal, assuming 3 meals per day.
    If I only had 2 meals per day (i.e. intermittent fasting) would I still have only 13-16 C per meal or 20-25?
    If I only had 1 meal per day (i.e. intermittent fasting) would I still have only 13-16 C per meal or 50?
    In other words, does the fasting period compensate for the impact of higher carbs per meal?

    Thanks!

  • TheArcher

    1/6/2012 8:31:52 PM |

    Greetings, Dr. Davis and Track Your Plaque readers,

    I’m a 57-year-old lady who just stopped eating wheat in pursuit of a 40-pound weight loss and more energy. My husband and I like many foods on a low-carb diet.  I don’t miss wheat at the moment, and my husband is coping okay wheatless; but he wonders, in the absence of bread, what he can use to sop up sauces, olive oil, etc. at dinnertime. Surely he’s not the only person who became accustomed to using bread this way.

    I can’t think of a grain-free low-carb substitute. Can anyone else suggest one?

  • steve

    1/6/2012 8:52:07 PM |

    Dr Davis:
    Can you clarify and give us your view as to how important LDL particle size is when total LDL particles are 600 or less?  Thanks.

  • Janknitz

    1/6/2012 9:22:37 PM |

    I miss bread for that particular reason too!   It's about the only time I really, really miss bread.  
    .  I use this recipe http://247lowcarbdiner.blogspot.com/2011/11/bacon-avocado-grilled-cheese-sliders-on.html?m=0 for the coconut "bread" and it's savory and does a good job sopping up all those delicious sauces.

  • Janknitz

    1/6/2012 9:29:16 PM |

    Just had my lipid panels done after about 7 months wheat free and low carb:

    Total Cholesterol:  235
    Triglycerides: 71
    HDL: 79
    LDL: 142 (calculated)
    Pretty darn good, though I'll keep working on getting the Triglycerides down even more.  I didn't have baseline numbers, but I suspect that they were really bad as I'm severely insulin resistant, obese, and was totally inactive before starting.  Insulin resistance is still not where I'd like it to be, but my HbA1C is not bad at 5.8.  All these numbers are 100% due to my wheat free, low carb diet, plus fish oil and Vitamin D3 supplementation.  I'm THRILLED.  

    Added bonus:.  Skeletal pain that was 7 on a scale of 10 every moment is GONE (doctor said it was aging).  Low back pain is gone, and I don't think it really left UNTIL I cut out the wheat.  GERD gone, asthma under the best control ever.  I can walk 2 miles now, I couldn't even walk across a room 6 months ago.  

    It works, it works, it works, it WORKS!

  • Joe

    1/6/2012 10:33:09 PM |

    This works for me:

    http://www.youtube.com/watch?v=DX7wrTX8ybQ

    Especially for soaking up egg yokes.

    It also tastes great when toasted, buried in butter and carb-free pancake syrup, with a little cinnamon sprinkled on top.

  • Joe

    1/6/2012 11:02:05 PM |

    Yes, Might, I found the study, and question the results, in light of so many studies that suggest just the opposite is true.  Additionally, it doesn't say anything about men.

    Regarding Alabama study? It concluded pretty much what I expected it to conclude, that "  obesity not only increases risk for morbidity/mortality, but also impacts the quality of life of obese individuals." Yes, I think African American women are more comfortable with obesity and being overweight (a cultural artifact?) than white women (which is probably why they are less healthy and suffer higher rates of mortality than white women), but you suggested this translated to a better "quality of life," and I don't think that's necessarily the case. Too much of a leap, I think.

    About my age?  Sure. Do you want my biological age? That would be 70. So I'm entering my eighth decade on this planet, and feel like I'm still in my 30s. That's mostly because I now look a lot like I did in my early 30s (less most of the hair!), while I was still smoking and still led an active, physical life. I'd rather not talk about my late 30s, 40s, 50s and early 60s, when the wheels came off, and before "I saw the light." Smile

  • Might-o'chondri-AL

    1/7/2012 3:21:42 AM |

    Kudos Joe,
    So you'll like this: in the pool the other day I met a fellow in his early 90's who eventually asks me my age. I tell him 60 & he deadpan's: "I got shoes older than you!"

  • TheArcher

    1/7/2012 8:23:42 AM |

    Thanks for sharing that link. I'll try it. I'll also post back any other solutions I may find.

  • TheArcher

    1/7/2012 8:24:47 AM |

    Many thanks for that, Joe, and also for the other serving suggestions. I'll gladly try it.

  • Might-o'chondri-AL

    1/7/2012 9:09:37 AM |

    Zero body fat is not ideal because healthy adipose tissue gives us adiponectin in circulation. In skeletal muscles adiponectin turns out to increase the skeletal muscle enzyme LPL (for geeks: adiponectin upregulates AMPK, which increases PGC-1alpha & also PPAR alpha leading to increased lipoprotein lipase). This essentially gives the enzymatic ability to break apart VLDL for freeing up some of the triglycerides VLDL carries to bring in it's fatty acids to "burn" in the skeletal muscle cell's  mitochondria for ATP.

    Healthy adipose sending out adiponectin can actually increase the number of mitochondria being made (mitochondrial bio-genesis response is from increased AMPK) and up the potential for "burning" fatty acid  in that muscle cell; this essentially lowers the amount of lipids in muscle tissue; so having some body fat can still help keep muscles mass lean.

    Doc has to oversimplify blogging about carbs and body fat, yet I like his gist. Here's why: high blood glucose causes an intermediate molecule (succinate,  & then it's derivations ) to form that blocks  +/- 25% of  adiponectin from forming  ideally ( in that adipose cell's endoplasmic reticulum). This is detrimental because then target skeletal muscle cells have to make do on less than 10% of  the ideal high molecular weight (HMW) adiponectin than those with healthy adipose get to work with.

    To phrase it simpler,  those whose carb derived blood glucose load is too much for their physiology end up living with a low level of   ideal (HMW) adiponectin (ex. those with metabolic syndrome, obese, type II diabetic). And then there's sparse skeletal muscle LPL  for setting up the steps to get maximal "burning" of one's fats in their skeletal muscle (ie: stamina suffers).

    But then it turns annoying since, as Doc warns, too high a blood glucose (from dietary carb load one can't use up) makes the liver get driven by the carbohydrate response element binding protein (ChREBP) to turn  those excess carbs into triglycerides. And furthermore,  that high level of ChREBP  put into play also causes the person's adipose fat cells to boost expression of  their specific adipose tissue LPL (ie: body switches off skeletal muscle LPL, but turns on adipose LPL). In this situation the result is a lot of  triglycerides end up getting shunted inside of the body's adipose fat tissue cells so fat cells swell.

    At the same time adipose tissue is sucking up triglycerides skeletal muscle LPL is (for the most part) not showing up to work. So most of the post-prandial made triglycerides the VLDL is trying to unload from circulation over to skeletal muscles for use can't be plucked in by their skeletal muscles. One way to look at elevated triglyceride lab results is it (high trigs) indicates that body's adipose tissue isn't forming adiponectin "normally" enough to perform out & about in the other parts of the body. Doc has specified that human body fat (adipose) isn't a victim that passively receives goops of fat, but rather an actor  - like how it should send adiponectin to help skeletal muscles.

  • Dr. William Davis

    1/7/2012 3:06:54 PM |

    Nicely done, Might!

    Your experience is a perfect example of what can be achieved with diet and some supplements--no drugs!

    The world has been persuaded that statin drugs are the only answer. Your experience shows that you can achieve values that are SUPERIOR to those achievable with drugs.

    I'm going to post your comment as blog post. Thank you!

  • Dr. William Davis

    1/7/2012 3:08:16 PM |

    Perhaps we should call it the "Don't eat anything diet," or the "Eat only vegetables diet."

    Dr. Jeff Volek and Dr. Ron Krauss are among the investigators who have already provided validation of these issues using lipoprotein analysis.

  • Deb

    1/7/2012 3:20:41 PM |

    I make the 2 min bread recipe using almond flour.  Basically, its
    1/4 c. almond flour, 1/4 tsp baking soda, 1/4 tsp baking powder, pinch of salt, 1 T oil, 2T heavy cream, and 1 egg.  I mix it in a small square pyrex and bake in the microwave for 2 min.  Then I slice it in half to make it thinner and toast it.  Voila!  It passes for bread and makes a great LC sandwich.  Something like this does make being LC and grain free, a whole lot easier!

  • Dr. William Davis

    1/7/2012 3:32:25 PM |

    I wonder if the circadian variation in cortisol is thrown off as you lose weight, e.g. evening surge rather than morning surge.

    Some people in this situation have had success with higher doses of melatonin, e.g., 10-20 mg and/or the Seriphos form of phosphatidylserine.

  • Dr. William Davis

    1/7/2012 3:35:41 PM |

    Yes, Denise Minger does a great job, citing issues that I would have cited, also.

    As always, nutritional thinking falls into this trap: If something or some practice that is bad is replaced with something less bad, then more of the less bad thing must be good. If the standard American diet is replaced with a plant-based, low-fat diet and there are apparent benefits, then this diet must be the ideal.

    False logic. And the notion that the diet advocated by Esselstyn et al reverses coronary disease is a fiction. This is a whole conversation in itself. Perhaps a topic for future!

  • DonOverEasy

    1/7/2012 3:37:14 PM |

    Dr. Davis,
    I have experience so many benefits since I've been following your dietary suggestions for over a year now.  My question is:  What do I say to the veggie-heads and Ornish followers who claim and ask the question:  If low fat diets really worsen the factors leading to heart disease, please explain why  rural China was so unaffected by heart disease in the 80s?  

    I'm not a scientist or a researcher, and I know low-carb sure works for me, but  how do I respond to this question?  I'd like to be able to provide an intelligent, straight-forward answer to this never-ending argument.   Thank You.

    www.amazon.com/review/R2W7KWZKQY6BGJ/ref=cm_cd_pg_pg128?ie=UTF8&cdForum=FxZJ813G2J60B7&cdPage=128&asin=1439190275&store=books&cdThread=TxCB0L17B0KXSQ#wasThisHelpful

  • Dr. William Davis

    1/7/2012 3:38:31 PM |

    Excellent points, Joe. Thank you.

    Also, note that this diet is not calorie-restricted. If you'd like a 3-egg omelet with mozzarella cheese, covered lavishly with olive oil, spinach, mushrooms, and green peppers, have it and go back for seconds.

    Some people who exercise for prolonged periods, however, may require additional carbohydrates, such as a banana or cooked sweet potato or glucose preparation (Goo) in the midst of exercise.

  • Dr. William Davis

    1/7/2012 3:42:51 PM |

    I pay no mind to what Liposcience says, as the data they use and the concepts followed for crafting "reference ranges" is flawed. I like their service (for the most part; they are quite dysfunctional when it comes to customer service), but I do not agree with some of their information.

    There's too much here to cover in a comment, so suffice it to say that we cannot craft "normal" or "desirable" ranges for endpoints based on cardiovascular events, since events will lag or underestimate what the disease itself is doing, i.e, a measure of atherosclerosis. Also, Liposcience often bases their observations, as do many lipidologists, on values within a population, e.g., calling "normal" the median +/- 2 standard deviations. This is a deeply flawed notion of "normal."

  • Dr. William Davis

    1/7/2012 3:43:42 PM |

    No, I do not.

    I believe the cut the fat notion for apo E4 is an oversimplification.

    Perhaps this is worth covering in future.

  • Dr. William Davis

    1/7/2012 3:44:38 PM |

    No, it does not.

    Hyperglycemia and glycation develops after a specific carbohydrate ingestion and has no "memory" for what was or was not consumed earlier.

  • Dr. William Davis

    1/7/2012 3:46:16 PM |

    I post recipes on both www.trackyourplaque.com and the Wheat Belly Blog that accompanies the Wheat Belly book: www.wheatbellyblog.com.

    There are also around 35 such recipes in the Wheat Belly book. The next Wheat Belly book, slated for release in early 2013, will contain 150-200 recipes.

  • Dr. William Davis

    1/7/2012 3:48:03 PM |

    Still important, Steve.

    Note that persistent small LDLs do not occur in isolation, but are often accompanied by postprandial lipoprotein distortions and higher levels of glycation. So persistent small LDL, regardless of the proportion to total LDL, serves as a marker for several metabolic distortions.

    Note that I do not track LDL particle size; I track number of small LDL particles, what I believe is a superior marker.

  • Dr. William Davis

    1/7/2012 3:49:40 PM |

    Excellent, Jank!

    Also, note that the calculated LDL likely overestimates the true value, a common situation as you get healthier. At some point, an NMR LDL particle number or an apo B will show you the real value and I'll bet it's much lower than the calculated value suggests.

    And that's great on the bony pains.

  • Dr. William Davis

    1/7/2012 3:50:54 PM |

    HI, Don--

    A topic for future.

    In the meantime, please be sure to read Denise Minger's reanalysis of the China Study data that essentially debunks the entire argument.

  • Dr. William Davis

    1/7/2012 3:53:39 PM |

    Yes, this is a big problem, Bill.

    None of the lipoprotein testing companies talk to each other, leaving us with variable cutoffs for defining 'pattern A" and "pattern B." And there are next to no data with cross-technology comparisons.

    Until that happens, I ignore the semi-arbitrary and often misleading "pattern A" and "pattern B." Instead, use the total small LDL particle value and divide by total LDL and this gives you proportion or percentage small LDL. On VAP, add LDL3 + LDL 4, then divide by "Real" LDL.

  • DonOverEasy

    1/7/2012 4:24:30 PM |

    Thx doc.  I'm looking forward to understanding this better.  My mind is simple...  low carb is either better or it isn't. I know it is for me...  but apparently some people, for whatever reason, thrive on grains and low fat.  Would love to be able to come up w an answer.  Thank u.   Don

  • Might-o'chondri-AL

    1/7/2012 8:10:40 PM |

    Hi DonOverEasy,
        Next time you want to discuss diet theories with your friends show them  that 4 Jan. data  of mine detailed way above.
    The 1st results were for my long  standing life style  (ie: decades of my adult life) of eating high whole grain & low fat to theoretically prevent cardio-vascular problems my family is prone to. I was  "thriving", decent weight, did hard work and never seriously sick  - so everybody said I was a model for healthy diet. I had no symptoms of any bad reaction to any grains, unlike some get.
        But, according to Doc's preventative cardiology practice I was unknowingly burdened with way too much small LDL, even though I didn't have other metabolic issues (ex: spooky triglyceride levels).  I wanted to think maybe the report print out got messed up.  
       Then show  the 2nd lab results for evidence of how the small LDL improved as an  example of when stop being fanatically low fat &  unlimited whole grain (carb). If they say it was not a fluke show them the even better 3rd lab results after 1/2 year eating yet a higher fat intake.
       Of course individuals will differ & so you should ask them for comparison data from their own  NMR  (Doc's preferred lipo-protein test).  If their small LDL is negligible on their low fat  & grain (carb) based diet then that person is probably that way because of genetics; but you'll never be able to prove that of course & good fortune for them.

  • DonOverEasy

    1/8/2012 1:25:39 AM |

    Hi Might-o'chondri-AL,
    Thank you for your time and your reply.  I don't doubt you or your numbers.  My story is similar.  My problem lies with the folks who say we are a minority.  

    They say we are a small percentage of pre-diabetics, who will naturally do well on low carb.  My opponents maintain the vast majority of people thrive on whole grains,  low fat, and high fiber, otherwise  rural China  would have been the "heart disease capitol of the world" in the 1980s.

    I'm aware of Denise Minger and how she has shed light on Dr. Campbell's deceptive studies.  And my own story and dietary changes have proven Dr. Campbell is blowing smoke.  Yet there is truth in that, China has subsisted for thousands of years on high grains and low fat.  Rural China did have a low rate of heart disease.  Why is that?

    There's got to be more to this story.  The vegans maintain Americans are obese not because of whole grains and low fat, but because of an addiction to simple carbohydrates and sugars.  Which truly is part of the problem.  But only part of the problem.  They believe simple carbs and saturated fats are what causes the inflammatory response that has contributed to the masses with heart disease, not whole wheat grains.

    So Al (I presume) I hear you, loud and clear.   I too thrive following a paleo way of life.  I've lose 40 lbs and have great numbers.  But are we the minority?  I became sick on a vegan diet back in the 80s (Ornish), but I have friends (more like acquaintences) who appear to be thriving on a vegan lifestyle.  Again... why is that?

    I continue to search for answers.  Thanks for taking the time.
    Don

  • Might-o'chondri-AL

    1/8/2012 2:33:30 AM |

    Hi Don,
    I worked in many rural developing countries worldwide (like yesteryear's China)  and the majority of the people have (had) no food security. So even if the grain bin was full they had to feed their extended family on the realistic minimum (except for seasonal boons, like edible insect time)  or risk absolute if ate all their seed grain when planting time rains hopefully came back on time .  
    In terms of your context this meant they did not overeat assorted types of calories in relation to how hard their daily physical exertion promptly used those available calories. We are not talking about people who are subsidized with food like the  modern societies make possible -   to put them into their actual context  they were (are) eating by the sweat of their brow. I think there is a blogosphere disconnect with only fasting being our link to subsistence level living;  &  to discard any relationship to "calories in, calories out"  as a sound bite just because modern food availability is pervasive..  
    Rural poor did (do) not eat all their livestock or fowl because it's their only source of  cash income at market and so made do with legumes (ex:beans & bushy pidgeon pea) . There is (was) no refrigeration so the vegetable & fruit crop diversification made it practical to just go with what held up reliably  (ex: cabbage) or grew fast (ex: leafy greens). Cooking traditions in rural cultures was not really an art but a means to conserve things from spoiling until got used (ex: fried makes a barrier, sugar preserves, vinegar  conserves, ferments drop pH dissuades bacteria).
    Rural China's low cardio-vascular disease , looked through Doc's paradigm,  is they never had enough shear over-load  of  inappropriately excessive blood sugar to drive the metabolic aberrations which generate the physical changes in lipids (small LDL , triglycerides) that are cardio-vascular culprits. Doc's blogging puts protein source and fat amounts as not a factor in heart related problems, just what we are taught to worry incorrectly about.
    Have your veganites take an NMR even if they are thin for show and tell.

  • Tim Dietz

    1/8/2012 5:43:22 PM |

    Hi Doc,

    I'm an APOE2/4 and would love to have you cover this subject in more detail.

    Thanks,
    Tim

  • edgar@raw food diet

    1/9/2012 4:07:42 AM |

    Hi Dr. Davis,

    Thank you for confirming that low carbohydrate intake can really reduce the risk of heart attack. I agree that 90% of the time drugs don't help, natural healing is the more better road to take. I will have to read this multiple times so that I can absorb --- this is really interesting.

  • Stacie

    1/10/2012 3:18:02 PM |

    Here is a conundrum maybe someone can help with.  My husband, with CAD, follows a low-carb diet.  Has lost 20-25 lbs, blood pressure is fantastic.  However,weight loss has stalled over the last year.  Triglycerides still too high (319), HDL still too low (38).  Low-carb really has not given him the great results I have been hoping for.  Any ideas?

  • Might-o'chondri-AL

    1/10/2012 9:14:45 PM |

    Hi Stacie,
    This is a sleepy thread by now so Iet me inform you that if you read Doc's  old posts I think you will find him repeatedly saying "...cut out wheat " , even if you are already low carb dieting. Look above to my  5 Jan. elaboration  written "For Iconnolly  ..." of how I suggest wheat may be a stumbling block ,  beyond  wheat just it being a carb.  It may motivate your man to give Doc's advice a try.
    Also,  I refer you to the previous post titled "Mocha Walnut Brownies" where 4 Jan. I wrote "For Laura ..."  in response to your guy's same slump. Please know that, despite my commenting alot,  I am not an authorized spokesman for Doc, nor am I a clinician or medical expert.

  • Stacie

    1/10/2012 9:46:44 PM |

    Hi AL:  

       Thanks for the reply,  We are wheat free, as well as grain free.  I did not understand the post about palmitate.  I think you are saying  to eat less of it.  Our doctor(fantastic low-carb doc)hjas recommended that my husband eat smaller portions of fat, and increase vegetable portion size.  He also has begun  K2, D3, and omega-3 supplementation.  His Apo E genotype is also not good (E2/E4).  I do not know anything about genotype, so do not know what it means.

  • Might-o'chondri-AL

    1/10/2012 11:34:54 PM |

    Hi Stacie,
    Doc tweaks fat intake down for ApoE4 individuals, your physician says smaller fat portions & I detailed why palmitic acid (palmitate) dietary fat comes to my mind to focus on for limiting. In conventional research high fat diets are used on mice to give them problems, like high triglycerides and insulin resistance and palmitate  often comes up as indirectly culpable .
    Since we are all designed to make our own palmitate those with genetic &/or food driven high triglycerides might do better just limiting dietary palmitate as much as possible. The desired amount of saturated fat can be obtained from coconut oil & adding more olive oil, due to it's high oleate fat content, will keep the palmitate benign.
    When one is ApoE2/E4 it means they make and use a type 2 & also type 4 variation of the molecule ApoE. Look at next post  "DIet is Superior to Drugs" & my 10 Jan. comment about triglycerides and ApoE  for  now; & use Doc's  search feature for his words.
    10 Jan.'s focus is on carbs & triglycerides relationship with ApoE. In your case just ignore the carb phase minutia & interject  your husband's high triglycerides into the overall dynamic laid out. People can have genetic influences on triglyceride levels & this seems to be what you must deal with.
    ApoE nuances  relationship with triglyceride coping suggests to me getting dietary fat without the palmitate found in meat/whole dairy. Of course that is hard to jibe with the nicer idea of eat all the meat you want; but maybe worth a trial.

  • Stacie

    1/11/2012 8:19:10 PM |

    Thank you Al.  I read those posts.  My understanding, then, is that  because  of the E2/E4, my husband is carb and fat sensitive.  Great combo!  I guess he is busted.  He hates coconut oil,  but olive oil is okay.  We will follow our doctor's advice, eat more vegetables and less meat.  I am also hoping the D3, K2, and fish oil will help.  Here is the bottom line for us:  We will do the best we can diet wise,  not worry or obsess about food, love each other, and above all, trust God.

  • Ronnie

    1/13/2012 12:30:49 AM |

    I've always been fit and thought I was keeping myself safe from heart disease with my 10 mg Zocor prescription for the past 8 years along with exercise and trying to eat somewhat "healthy"  (TC under 200 with the zocor, triglycerides and LDL's under 100 and HDL around 70; my weight is 109, female, age 60).  But my new doctor did NMR on me and I was shocked.  I found out that I'm APOE 3/4, my ApoB was 100 and LDL-P 1206, HDL 72, TR 115.  Since then I've added Slo Niacin (500 mg to start), my doctor upped my zocor to 20 mg (from what I've read, APOE 4's don't respond as well to statins except maybe for simvastatin), cut my carbs and fat intake.  My next NMR will be in March.  Meanwhile, I sort of feel that as an APOE 4 I'm doomed to some level of heart disease, regardless of my numbers.  I've always been a negative person anyway....can you help allay my fears?

  • Pamela Andrews

    1/13/2012 1:57:34 AM |

    Dr. Davis, After my doctor took me off glimeperide December 16, 2011 my blood sugars rebounded upward even though at the time I was low carb and avoiding wheat.  I never lost but ten to twelve pounds on the Wheat Belly diet but followed your advice anyway because the arthritis symptoms cleared up nicely and also because of so much cardiovascular heritage on my Dad's side of family.  Just this past week I called my doctor again because my blood sugars were very unsatisfactory (FBS of 170 in the morning and 209 between meals).  He allowed me to try just one half of one mg. of the glimeperide.  At about the same time I began to read about Dr. John McDougall on the internet and at first dismissed him but noticed that in his most recent book, the McDougall Plan for Rapid Weight Loss, 1995, he too warns readers to avoid all flour products, breads etc.  So, I have NOT returned to eating wheat but have started trying to avoid meat and fats for a while, just to see what would happen (I have never tried this before, to go without meat).  Some good news:  My fasting blood sugar in less than 72 hours has gone down to 114 and the chest pain and arrythmias have gone away.  Maybe I am sensitive to both carbohydrates AND meats/fats.  Decided to put this on this blog instead of Wheat Belly facebook or blog because of feeling like perhaps I am in a minority.

  • Gene K

    1/13/2012 5:14:37 AM |

    Ronnie,
    I will let Dr Davis answer your question, but I wanted to give you some good news. I am an APOE 3/4 and my family heart disease history is terrible. I started off with an OK lipid profile (according to my PCP; I was taking Lipitor), but my NMR turned out quite bad and getting worse over time. My calcium score at that time (February 2010) was 209. Thanks to Dr Davis, with the correctly tuned diet, supplement, and exercise program, I was able to bring my NMR indicators to a very favorable range, and my calcium score in September 2011 was 191 (10% reduction). And yes, I have to take statins (Crestor 10mg). I can provide more details, but just wanted to encourage you that you are not doomed, simply because you are an APOE 4, so please do not give up!

  • JC

    1/13/2012 1:24:55 PM |

    False logic. And the notion that the diet advocated by Esselstyn et al reverses coronary disease is a fiction. This is a whole conversation in itself. Perhaps a topic for future!

    I can't wait for that conversation.Very soon I hope.

  • Ronnie

    1/13/2012 10:50:45 PM |

    Thank you for that, Gene.  I still haven't gotten over the inital shock of finding out my genotype.  It surprised me because neither one of my parents have/had heart disease.  But my fraternal twin sister has CAD which I attributed to very poor diet and sedentary lifestyle.  I'm guessing she's also APOE 4. Thanks again.

  • Ronnie

    1/13/2012 10:54:05 PM |

    Also, Gene, whatever details you care to share would be helpful and appreciated. Ronnie

  • Gene K

    1/16/2012 3:34:12 AM |

    I described the diet, which took me from my worst NMR in November 2010, to a significant improvement in March 2011, and finally to an excellent NMR in September 2011 (small LDL #P less than 90 nmol/L) and a 10% reduction in my calcium score, in my comment at http://www.trackyourplaque.com/blog/2011/07/the-exception-to-low-carb.html#comment-23722. I followed this diet meticulously. I was taking 2400 mg (EPA+DPA) fish oil, 8000 iu vit D3, 675 mcg iodine in kelp tablets. Following Dr Davis's advice, after finding out in December 2011 that I was APOE 4,3, I added Niacine 500 mg and Crestor 10 mg (all doses are daily). I also significantly reduced plant oils in my diet. Today I am experimenting with my diet trying to add fats such as 100% baking chocolate and coconut oil. (Don't know the results yet.) I also walk for 1 hr every day (from home to train and back, and some during the lunch break) and exercise 3 days a week doing interval training (HIIT) for 20 min and following the slow burn strength resistance program.

  • Gene K

    1/16/2012 3:43:52 AM |

    Please read other comments to that post on 7/31/2011. Especially, pay attention to Dr Jack Kruse's comment. His blog at http://jackkruse.com/jacks-blog/ is very relevant, dense, insightful, and useful. I never miss his posts (nor do I Dr Davis's).

  • Ronnie

    1/16/2012 3:04:44 PM |

    Gene, thank you very much.  I plan to read everything this evening.  Congratulations on all your hard work and effort regarding diet, exercise and supplementation.  I do have a question regarding your fish oil.  In the NMR I received, the notes said that "one study demonstrated ApoE4 patients had a 15.9% increase in LDL cholesterol in response to fish oil.  This needs to be confirmed in a larger study".  Do you know anything about this?  I take 1000 mg fish oil daily.  Also, I have another question which shows my ignorance regarding all of this.  My NMR said I is am 3/4; you write you are 4,3.  Does the order of the numbers make any difference?  Thanks again.

  • Gene K

    1/16/2012 7:08:08 PM |

    Ronnie, I have no background in the medical field, so I am trying to limit the content of my posts to the links to sources from which I learned and the facts of my own experience. I would defer answers to Dr Davis or somebody else who knows.
    The spelling APOE 3,4 is purely mine and I don't know whether the order or punctuation have any meaning here. To me, it doesn't matter.
    To find out more about the fish oil, read earlier posts by Dr Davis here: http://www.trackyourplaque.com/blog/category/fish-oil. You can also find the following post by Dr Kruse (including the comments) useful: http://jackkruse.com/is-fish-oil-good-or-bad/.

  • Ronnie

    1/17/2012 3:33:59 AM |

    A lot of great information on this blog.  Thank you, Gene, for the links and Dr. Davis, for your response.

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  • Bill

    8/15/2012 8:33:36 PM |

    Dr. Davis,
    I read about a Harvard medical study: "Low-carb diets linked to atherosclerosis and impaired blood vessel growth".
    http://news.harvard.edu/gazette/story/2009/08/low-carb-diets-linked-to-atherosclerosis-and-impaired-blood-vessel-growth/
    The article said, "...mice placed on a 12-week low-carbohydrate/high-protein diet showed a significant increase in atherosclerosis, ... The findings also showed that the diet led to an impaired ability to form new blood vessels in tissues deprived of blood flow, as might occur during a heart attack."
    I hope you will read this article and give your opinion about "how" they conducted their test.  
    Thanks

  • adam

    10/10/2012 8:53:33 PM |

    Does anyone know how to reach TYP member Gene K who posted on this thread?   I would like the  link to Gene's diet that he followed for Apoe3/4  but the link that was posted earlier does not work, if you are out there Gene, or anyone, please email me diet at

    dbm1st@airmail.net

    Regards

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