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.

Back to basics: Coronary calcium

Back to basics: Coronary calcium

After having my attentions pulled a thousand different directions these past 6 months, with the release of Wheat Belly and all the wonderful media attention it has attracted, I've decided to pick up here with a series of discussions about the fundamental issues important to the Track Your Plaque program and prevention and reversal of coronary atherosclerotic plaque.

I fear the discussions at times have drifted off into the exotic. This is great because this is how we learn new lessons, but we can never lose sight of the basics, else we risk losing control over this disease.

Imagine you've got a beautiful new car. You wax it, gap the spark plugs, rotate the tires, etc. and it looks brand-new, just like it came off the dealer's lot. 50,000 miles pass, however, and you realize you've forgotten to change the oil. Ooops! In other words, no matter how meticulous the attention to transmission, tires, and paint job, neglect of the most basic responsibility can ruin the whole thing. We can't let that happen with heart health.

If we propose to reverse coronary atherosclerotic plaque, we've got to have something to measure. First, it tells us whether we have atherosclerotic plaque in the first place, the stuff that accumulates and blocks flow and causes anginal chest pains, and ruptures like a little volcano and causes heart attacks. Second, it gives us something to track over the years to know whether plaque has grown, stopped growing, or been reduced. Without such a measure, you will be driving without a speedometer or odometer, just guessing whether or not you've gotten to your destination.

Of course, the conventional approach to heart disease and heart attack is not to track atherosclerotic plaque in your coronary arteries, but to track some distant "risk factor" for atherosclerotic plaque, especially LDL cholesterol. But LDL cholesterol is flawed at several levels. First, it is calculated, not measured. The nearly 50-year old Friedewald equation used to calculate LDL cholesterol is based on several flawed assumptions, yielding a value that can be 20, 30, or 50% inaccurate as a rule, only occasionally generating a value close to the real value. (No point in publicizing this problem, of course: Why compromise a $27 billion annual cash cow?) It also ignores the effect of diet. (No, cutting fat does not reduce LDL for real, only the calculated value. Cutting carbohydrates, especially wheat--"healthy whole grains"--slashes measured LDL values like NMR LDL particle number and apoprotein B.)

But all risk factors are, at best, snapshots of the situation at that moment in time. They change from day to day, week to week, month to month, year to year. If you do something dramatic in health, like lose 50 pounds, you can substantially change your risk factors values, like LDL cholesterol and HDL cholesterol. But you may not modify the amount of atherosclerotic plaque in your heart's arteries.

Measuring the amount of atherosclerotic plaque in your heart's arteries is, in effect, a cumulative expression of the effects of risk factors up until the moment of measurement.

There are several stumbling blocks, however, in the concept of measuring coronary atherosclerotic plaque. We cannot measure all the unique components of plaque, such as fibrous tissue like collagen, or degradative enzymes like collagenases, or inflammatory proteins like matrix metalloproteinase, or the debris of hemorrhage and inflammation. We struggle to contemporaneously mix in measures of bloodborne inflammation, coagulation and viscosity, and physiological phenomena of the artery itself, like endothelial dysfunction, medial (muscle) tone, and adventitial fat.

So we are left with semi-static measures of total coronary atherosclerotic plaque like coronary calcium, obtainable via CT heart scans as a calcium "score." No, it is not perfect. It does not reflect that moment's blood viscosity, it does not reflect the inflammatory status of the one nasty plaque in the mid-left anterior descending, nor does it reflect the irritating sheer effects of a blood pressure of 150/95.

But it's the best we've got.

If anyone has something better, I invite you to speak up. Carotid ultrasound, c-reactive protein, ankle-brachial index, stress nuclear studies, myoglobin, skin cholesterol, KIF6 genotype . . . none of them approach the value, the insight, the trackability of actually measuring coronary atherosclerotic plaque. And the only method we've got to gauge coronary atherosclerotic plaque that is non-invasive and available in 2012? Yup, a good old CT heart scan calcium score.

Comments (42) -

  • cancerclasses

    1/30/2012 4:58:24 AM |

    What about Pulse Wave Velocity (PWV) and Digital Pulse Analysis (DPA)?  
    From the Townsend Letter May 2010 article "Breakthrough in Clinical Cardiology: In-Office Assessment with Pulse Wave Velocity (PWV) and  Digital Pulse Analysis (DPA) by Brian Scott Peskin, BSEE, with Robert Jay Rowen, MD":  http://goo.gl/vihZO
    "This article explores an exciting, noninvasive, easy-to-use, and economical method of assessing patients’ cardiovascular physiologic status that is backed by more than 25 years of advanced research in medical physics. A 2007  Clinical Medicine article points the way to better clinical treatment of CVD, stating: “Arterial stiffness measured by pulse wave velocity (PWV) is an accepted strong, independent predictor of cardiovascular events and mortality.” 1   Anesthesiologists are well aware of this technology, used for monitoring purposes. While pulse oximetry became standard in the operating room and in other critical care areas as a detector of hypoxemia – all pulse oximeters are fundamental photoelectric plethysmographs – PWV has been largely ignored. This is unfortunate, as PWV (plethysmographic) information itself may provide important clues regarding the CV condition of the patient.2  With this advanced technology, cardiovascular science has moved forward, but many physicians have yet to appreciate these advances. As stated in the 1993 issue of the Journal of Hypertension, “Wave reflection is not a subject with which most physicians are familiar and only given mention in undergraduate physiology courses.” Little has changed.

    As this article was going to press, however, “Arterial Stiffness
    and Cardiovascular Events: The Framingham Heart Study,” by
    Gary F. Mitchell, MD, et al. (Circulation. 2010;121:505–511)
    was published and featured on Medscape, stating: “In this
    study, we assessed the incremental value of  adding pulse
    wave velocity [PWV] ... to a risk model that includes standard
    risk factors for a first cardiovascular event. … Adding pulse
    wave velocity led to significant reclassification of risk and
    improvement in global risk prediction. … [W]e need to focus
    our efforts on identifying and implementing interventions that
    can prevent or reverse abnormal aortic stiffness in order to
    prevent a marked increase in the burden of disease potentially
    attributable to aortic stiffness.”  The specific intervention/
    solution will be given later in this article."

    Also, "This video is a preview of a lecture given at the 2010 18th international A4M conference in Orlando."  http://goo.gl/S1xth

    Disclosure: I have no known conflicts of interests in conveying this information, I do not own stock or any financial interests in any of the companies making or distributiing this equipment.

  • Anne

    1/30/2012 5:55:03 AM |

    Hi Dr. Davis, I had a CT scan done about 5 years ago and the results were frightening, it was 1050. I was shocked because I ate healthy, low fat, plenty of healthy  wheat, how could this happen. My Dr. sent me for an EKG ultrasound and ever test possible and all  the tests were perfect. As you know I have changed to no wheat, high fat, low carb way of eating and I gained 5 lbs but my triglycerides came down to 61, LDL is 153 . My other numbers are high but I read that can happen when you have hypothyroidism c reactive protein is 0.7 MG/L. My Dr. said that the clinic that tested my CT scan are no longer in business in Michigan so I don't know if the plaque improved or got worse, any suggestions?

  • Donald Kjellberg

    1/30/2012 7:58:51 AM |

    I have been thinking about the subject of getting back to the basics a great deal lately.

    Trying to synthesize everything into one concept made me realize how complex this whole process of prevention is. I too have been peering into windows on the road of better health.  What a complex and wonderful set of the diversity our homeostatic responses convey.

    What are the basics to me now? I'll serve it up in one word, food . . .

    What we eat determines profoundly how our body responds to the many factors contributing to heart disease (and other systems dysfunctions). One thing I learned along the way is over 50 different species of bacteria have been identified in arterial plaque (in addition to other pathogens).

    Going back to the basics tells me to eat foods that not only reduce markers associated with heart disease but also considers dietary factors that may optimize immune responses and pathogen suppression. Cutting out wheat provides great capital in healing the gut. It sets the groundwork for improved cellular communication and neurological feedback mechanisms.

    . . . and that's getting back to the basics. It sure isn't simple, but learning to prepare and serve up the right type of foods sure can sweeten the journey even if it gets us of track every now and then.

  • JC

    1/30/2012 1:06:30 PM |

    I have a friend who had a 16 slice scan and had a 0 calcium score.Several week after the scan he had a heart attack.Can you point out some studies which show the correlation of calcium scores to cardio incidents?What is the data to suggest it's a better marker than the others such as cholesterol,CRP,etc.

  • JC

    1/30/2012 1:17:26 PM |

    I'm on a near vegan diet as recommended by Dr Joel Fuhrman.It did not solve all my medical issues but it did tame my blood glucose(from the 130s to the low 80s)and my blood pressure(from 210/110  to 125/70).When I tried a diet heavy in meat and fat and low in carbs(50G/day)my blood pressure went up to 150/85.I have a type of salt sensitive hypertension(low renin) that may be a factor.Comments?

  • nina

    1/30/2012 7:57:37 PM |

    I have a friend who has had a stent, bypass and several cardiac incidents.  I find it tough to persuade him to follow your regimen and he's terrified that areas of his heart muscle have died and that there is no hope for him.

    Do you have examples of people who have successfully recovered from such a dire state of health in their 60's?  

    Nina

  • Ronnie

    1/31/2012 1:07:20 AM |

    My 54-year old husband also received a score of 0 on his 64-slice CT scan.  He's had no heart issues, however, he is overweight, has hypertension, he's insulin resistant and he has low HDL and elevated ApoB and LDL-P.  Because of his 0 score he feels he's not at risk.  How can I convince him otherwise?

  • Dr. William Davis

    1/31/2012 2:27:23 AM |

    Yes, I have, Nina. But the answers cannot be found in conventional healthcare with yet more procedures and drugs.

  • Dr. William Davis

    1/31/2012 2:29:13 AM |

    There's no comparison. Coronary calcium scores as a measure of coronary atherosclerosis wins, hands down.

    But it is not perfect. While heart attacks at a score of zero are distinctly uncommon, they can happen.

    For a full discussion of the studies documenting this, I would invite you to read the Track Your Plaque book available through the www.trackyourplaque.com website.

  • Dr. William Davis

    1/31/2012 2:29:49 AM |

    Hear, hear, Donald! You are singing my tune.

  • Dr. William Davis

    1/31/2012 2:30:54 AM |

    Hi, Anne--

    Yes, simply find another center that performs heart scans. They are actually done fairly widely now. It's often not advertised since, like mammograms, they don't make any money.

  • Dr. William Davis

    1/31/2012 2:31:49 AM |

    HI, Cancer-

    You are getting in to issues like endothelial dysfunction that are beyond the scope for this discussion.

    Perhaps something to talk about in future.

  • cancerclasses

    1/31/2012 9:22:08 PM |

    Well to me it''s kinda all the same but I''m also not a practicing cardiologist, and I may have been influenced by this: http://goo.gl/lfsQ7
    "Endothelial dysfunction is thought to be a key event in the development of atherosclerosis and **predates** clinically obvious vascular pathology by many years. This is because endothelial dysfunction is associated with reduced anticoagulant properties as well as increased adhesion molecule expression, chemokine and other cytokine release, and reactive oxygen species production from the endothelium, all of which play important roles in the development of atherosclerosis. In fact, endothelial dysfunction has been shown to be of prognostic significance in predicting vascular events including stroke and heart attacks. Because of this, endothelial function testing may have great potential prognostic value for the detection of cardiovascular disease, but currently the available tests are too difficult, expensive, and/or variable for routine clinical use."  

    I know tests have real costs associated with them, but is seem like DPA/PWV  plus the 64 slice MDCT plus coronary calcium would give a fairly complete picture.  I notice two of the three used in this report with the DPA performed at a later date. http://goo.gl/MS6Gp

  • cancerclasses

    1/31/2012 10:32:21 PM |

    The Oxidized LDL Triple Marker test?

  • PeteKl

    2/1/2012 3:02:01 AM |

    Hi Nina,

    It is hard to say what your friend''s future might hold without knowing how much damage has been done by his "cardiac incidents".  However assuming he is not bedridden, I wouldn''t call his situation hopeless.  If he can still walk around and climb a flight of stairs, I would guess there is still a reasonable amount of heart function left to enable him to live a mostly normal life.  He just needs to avoid losing even more.

    I am younger than your friend (48), but I also had a (very unexpected) MI and emergency bypass a little over a year ago.  My MI was rather mild, but it definitely did some damage.  I am well aware of the fear and sense of hopelessness that your friend is feeling.

    I started following the Doctor''s program about 10 months ago.  I can''t say for sure whether it will help or not, but it definitely makes my numbers look good so I am optimistic.  I would like to have a heart scan to track my own situation, but most places won''t do them if you have already had bypass so I am flying a little blind (BTW Doctor, has there been any change in this situation?).  I also started cardiac rehab a few weeks after my surgery and now exercise at least an hour a day 5-6 times a week.

    I''m not sure what to attribute this to (probably a combination of things), but I am pretty much back to normal.  I was never a super athlete, but I feel I can do anything a normal, fit 48 year old man can do and then some.  This was even confirmed by a recent stress test.  

    For example, I am currently on vacation and spent my afternoon swimming in the ocean and walking several miles up and down the boardwalk.  If someone had told me something like this was possible a year ago, I would have told them they were full of it.  Yet here I am.  

    So do I think your friend could recover? Yes I do.  He may not do as well as I have, but I suspect he can likely do much better than he thinks possible.  However it will take time and effort and may require taking  a few chances like trying the Doctor''s program (his own doctors probably won''t be thrilled).  Sitting at home waiting for a miracle likely won''t work.

    One thing I should mention is that resolving your friend''s difficulty may require more than just fixing his heart.  Having a major cardiac event is extremely traumatic.  Depression and anxiety disorders are common afterward.  From what I have heard, as many as 80% experience it.  Unfortunately most doctors won''t tell you this and they definitely don''t want to deal with it.  At best they will prescribe another pill.

    I was fortunate to have a sister who is a professional counselor.  She realized how distraught I was after my surgery and immediately recommend I start seeing someone.  It was great advise.

    The counselor I saw didn''t have any magical advice that suddenly made me feel better.  What she did  was help me work through what had happened and put it in proper perspective.  Once I could  do that, I started finding increasing motivation to get well.  It took a while (I have had at least 30 sessions over that past year), but it works.  BTW, most insurance will usually cover it.

  • Joanna

    2/1/2012 5:12:55 PM |

    I agree with you Pete, my husband, mid-50''s had a very serious MI about four months ago, also completely unexpected as he appeared in great health with no risk factors.  And although we don''t have all the answers yet about how much damage was done, we know it was a lot.  He is exercising at rehab (he was a regular exerciser before) as well as on his own and has been feeling almost like himself - and considering how serious his condition was this is pretty amazing.  He was already doing a number of the things Dr. Davis advocates and has since added more.
    Pete, if I may ask, do you know what your ejection fraction is now and what it was post MI?  We are struggling to get answers at this stage as to whether this will ever improve and how long it may take.  His is still low despite how well he feels.

  • nina

    2/1/2012 8:26:07 PM |

    Many thanks for the responses.  

    I know that conventional treatments aren''t the answer, but convincing my friend of that is another challenge.  I seem to have several friends who think reducing carbs is harmful and unnatural.  (I''m off sugar and grains, substituting almond flour, flax and desiccated coconut without any problem.)

    Nina

  • Ronnie

    2/2/2012 2:29:40 AM |

    Why aren''t most doctors doing calcium scoring tests instead of stress tests that only show late stage blockages?  If heart attacks occur when arteries are slightly blocked, it appears that calcium scoring should be the first test done on high risk patients.  Is it because the medical community is slow to accept change from the usual way of doing things?  Or is it the fault of the insurance companies who are notorious for not paying for new fangled tests?  I''m a total layman, but I''m high risk (APOE4) and the only test I received was a nuclear stress test (which was negative).  If I want to know my calcium score, I would have to pay $500 out of my pocket to Princeton  Longevity Ctr to have them do it as my doctor will not order it.

  • PeteKl

    2/2/2012 6:46:48 AM |

    Hi Joanna,

    As I mentioned, my MI was rather mild and I don''t think my EF ever went down substantially.  During my surgery (which started about 12 hours after my MI) my EF was measured at 55 percent.  A few weeks ago when I had my stress echo I measured 60 percent at rest and 55 percent under stress (to my knowledge these values are considered normal for most people).  I will admit that overall I was luckier than most people in this area.

    However keep in mind EF only gives you part of the picture.  There are many other variables.  A person can have a completely normal EF and still have major problems.  During my surgery my heart rhythm was very unstable.  My surgeon originally wanted to do a triple bypass but he ended up skipping the third one because he decided it was too risky.  On the other hand someone can have a low EF and still live a long and active life.

    Even if I had your husband''s full medical record, I can''t tell you exactly what his EF means.  You really need to discuss this further with his doctor.  However the following statement you made I think gives a good indication of where you probably stand:

    “He is exercising at rehab (he was a regular exerciser before) as well as on his own and has been feeling almost like himself – and considering how serious his condition was this is pretty amazing.”

    You are right.  This is pretty amazing.  Based on my own experience at cardiac rehab this doesn''t always happen.  I know it isn''t very scientific, but if he looks good and feels good he is probably doing just fine.  His EF might be low, but it must be high enough or he would be having all kinds of problems.

    While it might be nice to see a higher EF, from what you have described I''m not sure it would make a big difference.  It sounds like he either can or soon will be able to do everything he was capable of pre-MI.  If this is correct, it is fantastic news.  Personally I would probably stop worrying about his EF and instead concentrate on making sure he continues to retain every bit of heart muscle he has left.  

    However I am by no means an expert on all of this.  Perhaps the Doctor can weigh in with some better advice.

  • Renfrew

    2/2/2012 4:40:55 PM |

    Now, the most important question:
    HOW do we get rid of the calcium in our arteries ???
    Does Magnesium help as a calcium  antagonist? Chelation?
    Renfrew

  • Gene K

    2/2/2012 7:44:52 PM |

    Why $500? I paid $85 to have my calcium score heart scan done at a local hospital in the Chicago area. Check with radiology departments in the area hospitals.

  • Gene K

    2/2/2012 7:46:25 PM |

    Read Dr Davis''s Track Your Plaque book, 2nd edition, to get the answer.

  • Renfrew

    2/2/2012 8:04:53 PM |

    Dr. Davis,
    I am living in Germany and cannot get the book. About 6 months ago you said you will make it available in downloadable pdf format. Any progress on this front?
    Thanks.
    Renfrew

  • Ronnie

    2/2/2012 8:50:03 PM |

    I was thinking that the 64 slice CT scan was  the only test that measured calcium score, and Princeton Longevity charges $500 (give or take) for it.  I could get it there without a prescription; I would think I''d need a prescription to get the test at a hospital.  I''ll look into it, thank you.

  • Joanna

    2/2/2012 8:50:11 PM |

    Thanks so much Pete.  And you are right, we are doing everything we can to retain as much heart muscle as we can - unfortunately we have been told that with such a low EF, even if he feels great, he is at much greater risk of sudden cardiac arrest and may need an ICD (an internal defibrillator) implanted - something that is both very expensive and may interfere with some of the work he does.  So we wait.  We have been told that his EF may come up over time but no one will give us any odds of this happening (for some people it seems it never does) or over how long a period of time it may take to improve.  

    I would also like to tell Nina to urge her friend to do cardiac rehab/exercise as this seems to be one of the differences between people who are successful in their recovery and those who aren''t.

  • Gene K

    2/2/2012 9:34:12 PM |

    No prescription was necessary in my case. They sent the results to me directly, and also to the doctor who they asked me to specify.

  • Gene K

    2/2/2012 10:16:57 PM |

    Yes, the book is available for download for TYP members.

  • PeteKl

    2/3/2012 6:12:17 AM |

    Hi Joanna,

    I''m going to make a guess here (and hopefully someone who knows more about this will correct me if I am wrong), but I suspect the issue isn''t so much a low EF by itself, as much as it is that a higher EF indicates greater recovery of the damaged heart muscle.  My understanding is that when an MI causes damage to heart muscle, it usually isn''t the loss of pumping capacity that causes death.  Instead the loss of muscle causes an electrical disturbance in the heart''s rhythm causing it to lose its ability to pump  blood.  This is why even a mild MI like mine can be fatal and explains why my surgeon was so concerned (See http://en.wikipedia.org/wiki/Myocardial_infarction#Pathophysiology).

    I suspect what your husband''s doctor might be concerned about is that he may be having a certain amount of arrhythmia because of the damage to his heart.  Apparently this is quite common after an MI and it is also something doctors don''t typically explain very well (at least mine didn''t).  

    After my surgery I was put on the drug amiodarone to help control my heart rhythm (which it did).  However this drug has some rather nasty side effects so they try to pull you off of it as soon as possible.  I stopped taking it after about a month and almost immediately developed some arrhythmia.  

    Fortunately the type of arrhythmia I developed (PVC''s) are usually considered benign.  But it was still extremely disconcerting since no one really explained to me what was going on.  The only thing I was ever told (or at least ever heard) was probably the same thing you have heard 50 times – “if you have any chest discomfort or shortness of breath, go to the emergency room” (needless to say this is not comforting advice).

    I am still having some PVC''s, but they have become increasing less frequent.  The bottom line is that the heart can essentially rewire itself, but it takes time.  Part of the point I am trying to make is that this might occur even if his EF doesn''t change.  

    Again this is a guess since I don''t have much information, but I suspect your husband''s doctors may be waiting to see how well your husband''s heart repairs itself (which may take a year or more) and they will then decide if he needs an ICD.  I''m also guessing they are currently controlling his heart rhythm with some type of drug (there are many) and they eventually want to take him off of it.

    Unfortunately it is my understanding that all you can do is wait.  There is currently no way of predicting who will fully recover and who won''t.  There are simply too many variables.

    However I think there are several factors in your husband''s favor.  The first is that he is young and most of his body''s natural repair mechanisms (which are considerable) are still functional.  

    He is also enthusiastic about doing his cardiac rehab.  The gradual stress of exercise essentially helps remodel and strengthen the heart.  Oddly enough many people don''t do this.  I''m sure your husband has already noticed that many patients quit cardiac rehab (and most likely stop exercising)  at the end of Phase II (about 12 weeks).  Just the fact that your husband is willing to continue with an exercise program puts him in a completely different class.

    Finally he is willing to modify his lifestyle.  He is changing the way he eats and, unless you are withholding something, probably doesn''t smoke or have some other equally bad habit.  When I was recovering from my surgery, my younger brother was in one of the waiting rooms when another patient, who had obviously also recently had heart surgery, was wheeled into the room next to him and started a conversation.  At some point during the conversation the man turned to my brother and said “I really hope when I get out of here they will let me smoke again”.  Like I said, your husband is in a completely different class.

    I know there are at least a few supplements out there that may help heal a heart''s electrical system.  Magnesium and CoQ10 are two that I have heard might help (try googling them for more info).  I doubt they will cause a miraculous recovery, but they might give him that little extra kick that helps him avoid the ICD.  I''m sure there are others on this site that know a hundred times more than I do.  Assuming what I have discussed is even roughly correct, perhaps a few of them can make an even better recommendation.

    I know all of this is frustrating, but try not to give up hope yet.  Four months is still early in the recovery process.  I remember being told that recovery would take at least a year and that turned out to be about right.  Also keep in mind (as I''m sure you have already discovered) that the recovery process is typically a series of two steps forward and one step back.

    BTW, no matter what might happen, please remember your husband is extremely fortunate to have you by his side.  There are many people who don''t have a person they can rely on to help figure this all out.  I doubt my recovery would have been as successful as it has been without the help I received from my partner and my family.  I now understand why so many people simply give up.  The recovery process simply becomes too overwhelming.

  • Roger

    2/4/2012 10:01:12 PM |

    I''ve gotten my calcium score for $50 at a DFW hospital with a 50% off coupon.  The result didn''t take 10 minutes to come out: a big zero! I will be back in 5 years.

  • Ronnie

    2/5/2012 2:47:57 PM |

    Gene, how was your score if you care to share?

  • Gene K

    2/5/2012 6:49:23 PM |

    No secret here, but unless zero, the dynamics are more important than the absolute number. At least, if I understand the whole TYP program correctly. My score was 213 in Feb 2010 and 191 this time, in Sep 2011.

  • Ronnie

    2/5/2012 10:05:46 PM |

    You''re going in the right direction, Gene.   That''s great!

  • Dr. William Davis

    2/7/2012 3:59:06 AM |

    Hi, Renfrew--

    We make the Track Your Plaque Guide available to our members without charge (except our membership fees to cover the costs of operating the website).

  • Dr. William Davis

    2/7/2012 3:59:40 AM |

    Hi, Ronnie--

    The laws differ from state to state. You can always call a center and ask.

  • Stan (Heretic)

    2/9/2012 3:25:12 AM |

    @JC,

    I hope Dr. Davis will respond, and I hope you don''t mind if I respond meantime. (Dr. Davis, please  correct me if my post is not accurate enough)

    I am not a doctor but 150/85 that you had on a high meat, fat and low carb, seems still OK!   Its not clear to me why did you have to change that diet?   Have you not quit a LC diet too prematurely  perhaps?  Experiences of other high fat low carb nutrition proponents in Europe (see especially  books by Dr. J.K.)  have shown that it takes about 2 years to see a significant effect upon cardiovascular health for patients with advanced arteriosclerosis.      

    I hope Dr. Davis can step in to, clarify this.  I know you are above retirement and male but it may help to provide your exact age and a history of your hypertention.  Even if you were practicing some sport and have clear coronary arteries, your peripheral arteries may still be partially occluded creating a condition conjusive towards a hypertention.   AFAIK it is possible to have clear coronary (heart) artieries and at the same time have occluded peripheral arteries.   Also your pre-diabetes may have been a factor too on the SAD since high insulin makes arteries less flexible.
    Stan

  • JC

    2/9/2012 1:40:33 PM |

    Thanks Stan,I looked at my old blood pressure readings to refresh my memory and many of the readings were in the low 170s/90 but the median score was around 156-160/85-88.The rapid rise scared me but it was fun while it lasted because I love butter,meat,cheese,and tons of fat.I don''t know how my low renin hypertension fits into this but I am very sensitive to sodium/salt.The only salt/sodium I get is that found naturally in vegetables,beans,nuts,and potatoes.
    Many years ago (around 2006) you posted some data that correlated blood pressure with cornary events and the link was not as strong as you would expect given all the hysteria about blood pressure.I would have to be convinced blood pressure in the 170s and 180s was not that serious before I would go back to the paleo style diet again.My near vegan diet has also tamed my blood glucose which is now consistently below 85.Before that in was in the 97-99 range.A number of years ago before I lost about 80 lbs it was in the mid 130s.

    So going back to a plaeo style diet I would have to accept higher blood pressure and blood glucose levels....170sBP and high 90s FBG.If I am convinced that those levels are safe it would change my perspective.

  • David

    2/12/2012 8:08:15 AM |

    Dr. Davis,

    Can you clarify the issue of measuring soft plaque?  My understanding is that soft plaque is more unstable and therefore more of a concern that hard plaque.  Does a Ca score infer soft plaque so gives us some sense of soft as well as hard plaque, or gives us no indication at all of soft plaque?  Would the PLA2 test be a better marker of soft plaque than the Ca score?

    Thanks for your great work!
    David

  • David

    2/22/2012 5:09:52 AM |

    Followup to my last question:
    wouldn''t a carotid ultrasound give us a better sense of soft plaque?  Combined with results for PLA2?

    David

  • Emidio

    3/12/2012 11:33:53 PM |

    Another form of very dangerous form of LDL...the glycated one:
    http://diabetes.diabetesjournals.org/content/60/7/1973.full

  • Dr. William Davis

    3/16/2012 12:34:28 AM |

    Absolutely. See the several blog posts back some time about this.

    Also a full length Special Report on the Track Your Plaque website will be coming out.

  • Joanie

    2/8/2013 8:46:56 PM |

    Can someone clarify which CT scan is the recommended "coronary calcium score"? I have been told by 2 medical centers here that they perform BOTH 1.) a "coronary calcium score" CT scan which costs (approximately) $150 and uses no contrast material. In that test, they scan the area from the top to the bottom of the heart, and visualize calcium that may exist in that field. This would include part but not all of the lungs, plus all of the heart.

    2.} a coronary calcium scan CT which costs (approx) $1,700 and does use contrast material, injected into a vein. The scan visualizes the heart aided by the contrast in the vessels. This also is a way to measure calcium.

    WHICH test does Dr. Davis recommend? I've been searching the blog and find repeated mentions of "calcium score" but must have missed a way to discriminate which CT test is the right one? Would appreciate any help with this. Thanks!

  • patricia sage

    3/13/2014 10:49:16 PM |

    I take Calcium with Vitamin K2.
    Vitamin K2 helps direct calcium to the bones and teeth(where it belongs), keeping the calcium from attaching itself to the arteries.
    Natural sources are Natto, egg yolk, butter...problem is I don't like the cholesterol in egg yolk and butter and I don't like the taste of Natto.
    I found this online and order it online as well http://tinyurl.com/q8fjc93
    It is made in USA; head office is in California. That's why delivery and shipping is free in USA. Delivery took about 3 to 7 days.  It has Omega 3+ as well as CoQ10 and Vitamin K2 and it is Extended release(long-term effect).

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