• WHOLE vs Processed •
What one has to consider in reviewing foods is how natural it is and is it whole or refined. Not all Whole Foods are healthy specially if they are highly processed. The idea is to eat least processed food. For example let us talk about corn. The following list summarizes various options available in order of increased processing and refinement.
1. Corn on the cob (least processed)
2. Frozen corn
3. Corn Meal
4.Whole corn flour
5. Corn Starch
6. Popcorn
7. Corn flakes
8. Corn Oil
9, High fructose corn syrup. This is most processed and refined and most harmful.
The last item here is the most unhealthy. This is what get used in most packaged products to sweeten the taste as it is much cheaper than sugar. Most sugary beverages like Coke and Pepsi use HFCS instead of sugar. It is banned in several European countries.
One’s goal should be to eat least processed and refined food. For example if you have on a buffet table corn on the cob (Bhutta) and corn tortillas and corn flakes eat Bhutta. Of course if you do not like Bhutta but love tortillas then have tortillas (since they are very close in the grade). But if you say I love corn flakes, the answer would be NO.
•CHANGES: Big & Small•
When changes you make to your diet and lifestyle are significant, the improvements you experience are also significant and you notice them. Not only you, but your friends and family around you also notice them, and pay you compliments.
This has a reinforcing effect on you and you try even harder. This gets you into a positive feedback loop and there is no turning back. You cross over the hump and become self confident.
Remember the words of wisdom. “Nothing Succeeds like Success”. An inflection point comes in life and there is no turning back. PBWF/IF/10K diet and lifestyle is one such habitual change which can help you get to that inflection point. Those who are over weight will find that they are shedding weight without any portion control.
One another motivational source is visualization. After morning shower when you are standing in front of mirror, try to visualize where you want to be. Remember your younger years. It is not difficult to get back there. I did it and I know many others in my health groups have done it. It is actually possible to reverse your physical age. It has been proven and currently lot of research is devoted to that field. I will discuss it later.
Many people are skeptical about what I recommend in such groups. So they only make minor changes. When the changes we make in diet are small, the health benefits are also small and often not noticeable. As a result one looses faith and drops those changes also. It becomes a self fulfilling prophecy.
•• Anecdotal Evidence ••
I recommend all to be very careful when looking at anecdotal evidence and always be sensitive to the issue of causation vs. association. For example George Burns a famous Hollywood actor lived to be 100 and smoked a cigar every day. It would be wrong to conclude that smoking cigars is healthy. May be if he did not smoke cigars he migh have lived to be 110.
I come across many people who say my grandfather had 1/2 liter milk every day and only ate desi ghee and he lived to be 80. This example does not mean any thing. It is possible that if he had green juice instead of milk and ate olives and flaxseeds for fat he might have lived for another 10 years. Our ancestors really did not live a long life. I remember in 1950’s, if some body lived beyond 75-80 his death was celebrated as life well lived. Today I shudder with that thought. 50 years ago people in Blue Zones lived past 90 as a routine and many lived to be 100 - 110.
••• Nutrition Training •••
The curriculum for medical colleges does not include even a single course in nutrition during their 4 year college or internship. There have been many requests by some PBWF doctors to add one course in nutrition but this request has been turned down repeatedly. It makes one wonder why?
My view on this is that the students who enter medical colleges are some of the brightest people and most conscientious also. If they were taught nutrition, they are not only less likely to prescribe as many medications but also advised against animal and processed foods. This would affect the business of Pharma and food industry.
On the other hand we as patients have a tendency to put the doctors on a pedestal, as the ones who knows it all, and we are constantly asking them for advice on what to eat and what to avoid. Many doctors who are my family members or friends, have confided in me that they are at a loss when asked such advice. They simply resort to the general knowledge they have acquired from the media. We will discuss later how the articles in the media get published and influenced. The result is that the doctors also become the propagator of the lies the food industry wants us to believe.
I am posting below a blog by Dr. Jason Fung who is a nephrologist in Toronto and from whom I learned about intermittent fasting years ago before it became mainstream. 👇
Quoting Dr. Jason Fung
“Does your doctor talk about nutrition? My guess is no. My feeling, as a physician, is that most doctors know very little about nutrition. Why not? We are in the midst of a huge paradigm shift in the entire way we look at health and disease. It’s happened so gradually that most doctors are not even aware of it. The physician’s path has been corrupted over the last few decades from ‘The person who keeps you healthy’ to ‘The person who gives you drugs and surgery’. Let me explain.
A physician’s job has always been to heal the sick and give advice on how to stay healthy. There were medical treatments, to be sure – leeching, purging, and my personal favorite – eating ground up powdered mummies. Yes. You read that correctly. For thousands of years, eating the ground up mummified remains of long-dead embalmed human beings was considered good medicine. That’s what they taught at them ancient medical schools. The demand for powdered mummies was so great that sometimes hucksters would simply grind up dead beggars and plague victims and sell them as mummies.
The history of medicine is the history of the placebo effect. This mummy-eating practice died out in the 16th century was was replaced by other equally useless procedures – such as the lobotomy to cure mental illness. Hey, let me shove this ice pick through your eyeball and mash up parts of your brain like I’m mashing a potato. The inventor of this procedure received the 1949 Nobel Prize for Medicine. This was the cutting edge of medicine circa 1949. Any criticism of this mashed-brain strategy could be legitimately met by “Did YOU win a Nobel Prize, buddy?”
The paradigm of medicine as a semi-useless and semi-horrifying profession began to shift with the development of antibiotics – starting with penicillin in 1928. Now, all of a sudden, we had an effective treatment for infectious disease, which had been the major medical problem of the 20th century. Doctors, for virtually the first time ever, had something reasonably useful to fight illness. Doctors had something better to offer than mummy extract or shoving sharp metal pointy things in through the eyeball. Yaaayyy!
Similarly, with the advent of modern anesthesia and surgical techniques, we had effective treatments for diseases like ruptured appendices and gallstones and so on. Prior to that, surgery was a grisly sight. There were no effective antibiotics, there was no effective anesthesia, and post operative complications were many. It was really just some guy with a saw, ready to cut your leg off, giving you a rope to bite down on so you didn’t scream. You were just as likely to die of the surgery as of the disease.
Surgery was the last option, because the treatment was just as lethal as the disease. You went into the barber shop to see the guy with the rusty scalpel he just picked up off the filthy bloodstained tray. Many times, you never came back out.
By the middle of the 20th century, this all changed. The concepts of germs and the importance of antiseptics were discovered. Anesthetic agents were discovered. Penicillin and other miraculous antibiotics were discovered. Public hygiene and sanitation were improved. So, the doctor patient relationship changed. Now, physicians saw ourselves as the fix-it guy or fix-it girl.You have a disease, I give you a pill. You get better. Or – you have a disease, I give you surgery. You get better.
This worked really well from the 1940s to the 1980s. Most of the major health issues were infectious diseases. From bacterial pneumonia, to bacteria like H. Pylori, to viruses like HIV, to Hepatitis C – people were getting better. You can see this clearly in the life expectancy of people 65 years and older (this removes the effect of child mortality and wars etc., concentrating on chronic disease).
During this time, medical school training reflected this new role that physicians saw themselves. We wanted to know about drugs, and surgery, and more drugs and more surgery. Obesity, a dietary disease should be treated with, I know, drugs! If that doesn’t work, then, I know, surgery! To the doctor with a hammer, all problems are nails.
Nutrition training is virtually non existent in medical school. During residency (the 5 years of training after medical school) it was completely non existent. We didn’t learn about it, so we didn’t care about it and we didn’t care to learn about it. Nutrition was just not part of the vocabulary. Being a doctor meant “I don’t care about nutrition” because that’s what the medical school taught me (and everybody else in my medical school class) – not overtly, mind you, but we were the fix-it guys and girls. The drugs and surgery gang. Not the nutritionists. Which was fine, as long as the major health problems were infections and surgical problems.
Things changed by the end of the 20th century. The big problems were no longer infectious diseases. Starting in the late 1970s we had a massive obesity epidemic. Then 10 years later, a massive diabetes epidemic. Our drugs and surgery tools were completely inadequate to deal with this new reality. We tried to apply the 20th century attitude to the new 21st century medical problems, which are largely obesity related and metabolic in nature. We tried – You have type 2 diabetes, let me give you a pill (or insulin). It was a dismal failure. We tried – You have obesity, let me give you surgery. It works, kind of. But there are a lot of complications.
So, we, as doctors, were lost. We were reduced to giving simple, puerile, and utterly ineffective advice like “Eat Less, Move More”, or “Count your calories” or “It’s all about the Calories”. We lacked comprehension of the problem. We didn’t understand obesity and its hormonal nature, and we didn’t know how to treat it. So, most of us gave up. We admitted defeat by trying to pretend that type 2 diabetes is a chronic and progressive disease. We pretended that obesity is a natural consequence of aging even though it had never happened on this scale in human history. Both statements, of course, are completely false. Losing weight often reversed type 2 diabetes, so we told people to lose weight, but we didn’t tell them how to lose weight.
Without any training, we gave the only advice we knew – Eat Less, Move more. This is rather ironic, considering that all available evidence from our studies shows that restricting calories is a completely ineffective method of weight control (see article – The Lack of Evidence for Caloric Restriction). We introduced non-physiologic concepts from physics like calories to try to explain weight loss (see article – The Useless Concept of Calories). We knew that about 99% of the time, this Caloric Reduction as Primary strategy failed, but we didn’t care.
It was the best we had, so that’s what we gave.
But there is hope. More and more doctors are starting to recognize that the related conditions of the metabolic syndrome which are all closely related to obesity are treatable, not druggable conditions. This includes obesity, type 2 diabetes, cardiovascular disease, cancer, and Alzheimer’s disease. You can’t treat a dietary disease with drugs. So the weapon of choice for metabolic problems of the 21st century is not a new drug or a new type of surgery, although there are many who try to medicalize a dietary problem. No, the best option is to treat the root cause. Treat the dietary disease with correction of the underlying diet.
The weapon of choice in 21st century medicine will be information. Information far beyond the simplistic notions of calories. Information about the ancient practice of fasting. Information about reducing refined foods especially carbohydrates. Information about the hormonal basis of obesity and type 2 diabetes.
And the great news is that this information is not limited to doctors, but can be found by anybody with an internet connection. That is precisely the point of this blog, its related books and related podcast – detailed discussion about the science of obesity, the science of nutrition, the science of type 2 diabetes. That is precisely the point of our online Intensive Dietary Management program. Nutrition as a therapeutic option for nutritional diseases. That is the future of medicine.”
☝️Dr. Jason Fung has been treating his diabetes patients with intermittent fasting. He is not a PBWF practitioner and recommends keto diet which is quite unhealthy in the long run and opposed by all PBWF doctors. I agree with his IF pitch but not Keto pitch.