Tag: LCHF

DIABETES: TIME FOR DOCTORS TO LOOK AT IT UPSIDE DOWN

 Scottish GP Malcolm Kendrick has a wonderful way with words about diabetes – and lots else besides. Here’s an oldie but goldie from Kendrick. In it, he argues why so many endocrinologists have got it so wrong about effective treatment for type 2 diabetes. Why they, in effect, look at type 2 diabetes from the wrong way round.

Upside down, if you like.

Kendrick says that insulin is not really the key hormone. It is ‘merely’ the subservient hormone.  The body produces it counter the effects of too much of another hormone, glucagon.

 He’s not saying that insulin isn’t important, just that it is far from essential. He is also saying that drug treatment for diabetes misses the mark. And while useful, metformin is not a wonder drug. If you don’t follow Kendrick, do so. On his blog, he has written a fascinating 40-part series on heart disease. – Marika Sboros



CARNIVORE QUEEN: HACKER O’HEARN ON MAGIC OF MEAT

VITAL SIGNS

By Marika Sboros

Today, Foodmed launches Vital Signs, an occasional series of Q&A interviews with those forging new paths in nutrition science globally. Along with top doctors and scientists, we also feature ordinary mortals. These are the brave lay people who make up the wisdom of the crowds. They usher in bottom-up change from eminence-based to genuinely evidence-based medicine.

First up is Canadian-born US-based carnivore and artificial intelligence hacker L Amber O’Hearn who lives in Colorado. O’Hearn is a data scientist by profession. She is also a singer, writer, mathematician who has been researching and experimenting with ketogenic and evolution-based diets since 1997.

O’Hearn has put her day job aside to focus on researching, writing, and speaking about nutrition. She is an author at The Ketogenic Diet For Health and Empirica and has no qualms about going carnivore. And yes, she eats some of her meat meals raw. And no, she’s not aggressive as a result of being a dedicated carnivore. Here’s what drives her dietary habits:



KENDRICK ON INUIT, NOSEBLEEDS, NO HEART DISEASE

Scottish GP Dr Malcolm Kendrick says there is good reason that the Inuit of Canada had frequent nosebleeds but zero heart disease. Kendrick is an author and a sceptic. He has also studied cardiovascular disease for decades.

Thus, he knows as much, if not more, about heart disease than many cardiologists. He knows all the theories of causes and best treatment options.

Consequently, he is no fan of cholesterol-lowering drugs called statins.

Kendrick wroteThe Great Cholesterol Con. If you haven’t read it, I advise you to do so now for your heart’s sake. Here’s why Kendrick says that the diet-heart and lipid hypotheses are ‘the perfect shapeshifters’.  – Marika Sboros



DR EVELYNE BOURDUA-ROY: IS SHE CANADA’S TIM NOAKES?

By Marika Sboros

Quebec family physician Dr Èvelyne Bourdua-Roy looks set to become “Canada’s Tim Noakes”. Bourdua-Roy’s regulatory body, the Quebec College of Physicians, is investigating her for comments on diet and nutrition she made on a radio talk-show.

Nutritionists who may be members of Dietitians of Canada (DoC) lodged complaints with the College, claiming that Bourdua-Roy made  “inappropriate declarations”.

They also claim that she gave “medical opinions” that could “mislead the public on low-carb, high-fat (LCHF)/ketogenic diets”. (Ketogenic diets are very low-carb, very high-fat but low-to-moderate protein).

The parallels with Bourdua-Roy and  Prof Tim Noakes are striking even as there are differences. 



NOAKES: ‘HPCSA WILL LOSE NEW WAR AGAINST ME!’

By Marika Sboros

The Health Professions Council of South Africa (HPCSA) is back on the warpath against Prof Tim Noakes. It has also thrown down legal gauntlets to Pretoria advocate Joan Adams.

Adams chaired the HPCSA’s Professional Conduct Committee that heard the charge of unprofessional conduct. She delivered the comprehensive, 60-page, four-to-one not-guilty verdict in Cape Town on April 21, 2017. The HPCSA announced its decision to appeal in early May but only gave grounds in August.

The HPCSA effectively claim that the committee, including three medical doctors, didn’t know what they were doing. They “fundamentally misconstrued their role in evaluating the evidence”. And they “erred and misdirected themselves on the law and the facts”. The HPCSA believe there’s a “reasonable chance” their Appeal Committee will overturn the entire verdict. They don’t just want a guilty ruling. They want a whole new “rehearing”.

Noakes calls that “malicious”. He says that the HPCSA face “five rather large roadblocks in its case against him”. Those include compelling new evidence of collusion between a dietitian on the HPCSA and the dietitians who reported him.



LOW-FAT: EXPERTS KEEP ZOMBIE MYTH ALIVE

The low-fat diet for heart disease, weight loss and much else besides is a zombie myth. Those who keep it alive remain devoted to the diet-heart hypothesis that saturated fat causes heart disease.

No one has yet proved the hypothesis. Thus, it is currently unscientific. 

You wouldn’t know it from the reaction of many doctors and dietitians to the PURE study. Although associational, PURE is yet another nail in the low-fat coffin. Yet many ‘experts’ have a vested interest in keeping the low-fat myth alive. Here, Australian GP Dr Joe Kosterich speculates on why. And shows why it’s time to give it a decent burial. – Marika Sboros



‘PURE’ PROOF FATS DON’T KILL, DIETARY GUIDELINES WRONG?

By Marika Sboros

Major new research, the PURE study, is creating controversy about dietary guidelines globally. It shows that the more fat you eat, including saturated fat, the lower your risk of dying from heart disease.

And the more carbohydrates you eat, the higher your risk of premature death.

PURE (Prospective Urban Rural Epidemiology) cohort study,  is the largest ever investigating links between carbs, fats, cardiovascular disease (CVD) and death. Thirty-seven researchers looked at dietary habits of 135,335 people in 18 countries over five continents with an average follow-up of 7.4 years. They are calling for changes to the guidelines. They say that the much-disputed cap on dietary saturated fat (no more than 10% of energy intake) is wrong.

Critics say PURE proves that low-fat diets are as lethal for hearts as low-carb experts claim. Others say PURE shows no need for change and doesn’t exonerate saturated fat.



KOSHER LOW-CARB LIFESTYLES: BEGINNER’S PATH TO BETTER HEALTH

By Marika Sboros

If you are Jewish and kosher then this book is for you. Even if you aren’t Jewish or kosher, it’s still for you. Tasty Healthy Easy LCHF Kosher Low-Carb Cooking for Beginners is a reader-friendly, basic introduction to the world of low-carb lifestyles.

The author is Israeli Dina David. Never was it more needed as obesity, type 2 diabetes and heart disease rates are rising rapidly in that country.

David is a rare breed in Israel, a trained low-carb, high-fat (LCHF) nutrition therapist. She is one of few voices advocating for LCHF lifestyles.

David has yet another innate advantage that makes her book attractive: She was born in Sweden, a country that leads the fight against fat demonisation and carb glorification. That gives her a dual perspective on adapting Jewish cuisine and tradition to LCHF lifestyles.



Low-Carb Companion: a new best friend for life

By Marika Sboros

Low-carb books are not yet a dime a dozen but they are weighing down shelves in bookstores and in cyberspace. The Low-Carb Companion should fly off those shelves.

The author is reason enough to buy it. Zimbabwean Dr Austin Jeans is a specialist sport, exercise and lifestyle medicine physician in Harare.

He has been involved in lifestyle aspects of orthodox medicine for over 25 years. However, it took his own deteriorating health and family history of type 2 diabetes to drive him in new directions.

It set him on the journey of discovery that he documents in this book. Like many doctors, he swallowed whole the dogma on diet and disease that he learned at medical school. And when he came across compelling evidence to the contrary, he did the decent scientific thing. He admitted that he had it all wrong. If something about his story sounds familiar that’s because it is.



Lifestyle medicine: front in Big Religion’s war on red meat?

By Marika Sboros

Lifestyle medicine sounds benign enough. It may be a new front that Big Religion has opened in its war on red meat, says Dr Gary Fettke.

Fettke is an Australian orthopaedic surgeon with a special interest in evidence-based nutrition. He spoke at the CrossFit health summit in Madison, Wisconsin on August 2, 2017.

His talk was on nutrition’s central role in everything. In other words, in health, politics, education, economics, environment and beliefs.

In the first of a two-part series, Fettke raised the taboo topic of religion and nutrition science. His focus was the Seventh-Day Adventist Church and its medical evangelism. In Part 2 here, Fettke looks at “unique” partnerships Adventists use to spread a belief-based anti-meat agenda.

The spectrum of partners is disparate. It veers from relationships with extreme animal rights groups to the World Health Organisation (WHO). It also now includes “lifestyle medicine”.



Medical evangelism: a hand out for bad diet advice?

By Marika Sboros

If nutrition science proves anything these days, it is that Karl Marx was right. Religion really is the “opium of the people”. It is a reason that bad dietary advice has spread globally, says Australian orthopaedic surgeon Dr Gary Fettke.

It’s why nutrition guidelines are increasingly vegetarian, or “plant-based” as some doctors and dietitians now call it. That distances them from overtly religious associations with vegetarian diets. That’s despite robust evidence on health risks of vegetarian and plant-based diets, says Fettke.

Fettke was a keynote speaker at the CrossFit Health Conference in Madison, Wisconsin on August 2, 2017. The title of his talk: The Central Role of Nutrition in Our Health, Education, Economics, Politics, Environment and Beliefs. (Scroll down for a link to his talk.)

It was seismic scientifically and ethically. In the first of a two-part series, Fettke raises a taboo in nutrition science: Big Religion. He shines a light on its right arm: medical evangelism.



TIME FOR BIG FOOD TO GET TASTE OF OWN MEDICINE?

By Marika Sboros

There’s something deliciously karmic about giving Big Food a taste of its own medicine.

Years ago, I interviewed the head dietitian for that Big Food stalwart, Kellogg’s. She tried hard to persuade me that Fruity Loops really are good breakfast foods for children.

‘Do you feed them to your children for breakfast,’ I asked, looking her straight in the eye. She stared back. To her credit, she hesitated long and hard before saying: ‘Yes.’ It was an awkward moment because she knew that I knew she was lying.

But then, she had a job to do. In the trade, it’s called ‘eating your own dog food’, or ‘dogfooding’ for short. The software industry adopted it years ago for the process of actually using your own product.

Below, one of my favourite nutrition blogger poses an intriguing question. What if, to rise up in the ranks, managers in food and soft drink companies had to make a simple commitment: to ‘dogfood’ from now on. In other words, Big Food executives would have to take daily doses of their own’medicine’.



Virta Health visionary behind diabetes ‘cure’ of the future

Sami Inkinen

By Marika Sboros

For diabetes treatment of the future, look no further than Virta Health. The US start-up is an online specialty medical clinic with a brilliant app for type 2 diabetics. It is on track to achieve a holy grail: a diabetes ‘cure’ without drugs or surgery.

It’s  the closest that modern medicine comes to a ‘cure’ for the global epidemic.

Virta Health‘s ‘cure’ is safe, sustainable, cheap and accessible. Virta is about to publish research on its method that looks set to be a game-changer. It’s the largest and longest trial using the ketogenic (very low-carb, high-fat) diet to treat type 2 diabetes.

The visionary founder behind Virta is its 41-year-old Finnish-born CEO, Sami Inkinen. He’s a data-driven technology entrepreneur and multi-millionaire philanthropist. His co-founders are the ‘fathers’ of ketogenic diets: Prof Stephen Phinney and Prof Jeff Volek. I call them the ‘kings of ketosis’.

Yet ketogenic diets are still controversial, despite significant and growing anecdotal evidence. Many doctors and dietitians still believe that ketogenic diets will be killers rather than saviours of diabetics.



DID SA, UK SCIENTISTS DO SOMETHING DODGY TO NAIL NOAKES?

By Marika Sboros

Did South African scientists really do something scientifically dodgy just to silence Prof Tim Noakes? The case against them could be building.

The US peer-reviewed journal PLoS ONE is now investigating the Naudé Review, which it published in July 2014. The Health Professions Council of SA used it as key evidence to charge Noakes with unprofessional conduct.

The HPCSA found Noakes not guilty on all points of the charge on April 21, 2017. Thereafter, Noakes’s instructing attorney, Adam Pike, of Pike Law, wrote to PLoS ONE. Senior editor Dr Renee Hoch replied to say that the journal is “conducting a full reassessment” of the review.

All the universities involved have refused to investigate or “reassess” their academics’ role in it. UCT Faculty of Health Sciences deputy dean of research Prof Karen Sliwa said that only one out of the six researchers is from UCT. Four are from Stellenbosch University, one from the Liverpool School of Tropical Medicine. Thus, it would “seem preferable” for Noakes to complain to Stellenbosch.

Noakes says that’s like the Anglican Church saying it won’t investigate paedophilia claims against its priests because the Catholic Church has more claims against its priests.



Why ADSA ‘bullies’ desperately seeking to nail Noakes?

By Marika Sboros

There is so much that is so bizarre about dietitians trying to bully world-famous scientist Prof Tim Noakes into silence that I hardly know where to start. Even more bizarre, say legal analysts, is the Health Professions Council of SA helping dietitians to do that.

The HPCSA tells me it is pursuing its appeal against the comprehensive not guilty verdict for him on April 21, 2017, by its own Professional Conduct Committee. It has yet to come up with grounds except to say that its legal team has identified “significant errors and misdirections in the application of the law and the evaluation of the evidence” by the majority of the committee. Committee chair Pretoria advocate Joan Adams might vigorously dispute that view.

I am co-authoring a book with Noakes on the HPCSA’s trial of Noakes.  Penguin Random House will publish it in November 2017.  In it, we look at the Association for Dietetics in SA’s ongoing war with him. We also look at why ADSA’s former president Claire Julsing Strydom and current president, Cape Town dietitian and Woolworths consultant Maryke Gallagher are still so desperate to nail him.

And we look at a question that has puzzled me throughout. How did Strydom and Gallagher get the HPCSA to do their bidding quite so easily in this strange scientific saga? I am close to the answer.



Relax: Your meat-eating ‘can beat climate change’!

The next time anyone says that your low-carb meat eating will make climate change worse, quote US physician Michael Eades. Eades is a myth buster. He says that you don’t make a Faustian pact by adopting a low-carb diet.

Here, Eades looks at the science behind the real effect of the removal of animals to help restore the grasslands: It brought about desertification even quicker.

He also shows the cognitive dissonance that overcame many in the wake of the obvious failure in that outcome:

They could not believe that herds of herbivores would actually produce the effect they were removing these same herds to achieve. It was the same kind of thinking that said we should all cut fat and increase carbs to reduce obesity or cure diabetes, Eades says. And it had about the same effect on climate change. 

He explains the seeming paradox of “more animals equals better grasslands equals better climate”. It’s controversial and not everyone is on board. It’s contained in a book called The Grazing Revolution: A Radical Plan to Save the Earth. – Marika Sboros



Who gets type 2 diabetes? Addicts and athletes!

By Marika Sboros

Here’s an intriguing new take on type 2 diabetes. A US bariatric surgeon says that only two groups of people develop it. They are drug addicts and performance athletes.

That’s fighting talk about a life-threatening, lifestyle disease that is sweeping the planet. After all, many type 2 diabetics don’t look like your average junkie or performance athlete.

Dr Robert Cywes is up for the avalanche of criticism that will surely descend on him. Still, his theory makes sense once you know what drug he means.  It’s the drug of choice for both addicts and athletes. It is sugar and other carbohydrate foods.

Cywes is an author of Diabetes Unpacked. It’s another gem from Columbus Publishing and the Noakes Foundation. It is a compelling collection of writings by some of the world’s finest minds in diabetes and diet research. The subtitle says it all: Just Science and Sense, No Sugar Coating.



OBESITY? FORGET FAT – IT’S THE CARBS, STUPID!

 What has obesity to do with hearts? Lots. Icelandic cardiologist Dr Axel Sigurdsson spoke recently at a meeting mostly of cardiologists and endocrinologists.

He discussed, among others, the current status of diet-heart hypothesis that saturated fat causes heart disease. And the possible relationship between fear of dietary fats and the obesity epidemic.

After the meeting, a senior colleague, an old friend and mentor, who Sigurdsson highly respects, lambasted him privately. The colleague said that the mortality from heart disease had dropped dramatically for the last 30 to 40 years. He said that was mostly from dietary changes to lower blood cholesterol. 

He was angry with Sigurdsson for asking: has the emphasis on low-fat food products ultimately steered us into an epidemic of obesity, metabolic syndrome and diabetes? Here, Sigurdsson explains how and why low-fat diets contribute to obesity and a whole lot more. – MARIKA SBOROS



WANT TO LIVE FOREVER? POP OVER TO ICELAND!

By Marika Sboros

The title is one of Queen’s greatest hits: Who wants to live forever. It’s the annual conference of the Icelandic Health Symposium (IHS) in Reykjavik in September 2017. It brings together global experts in health and longevity.

They will reveal what science says about lifestyle for health and lifespan. They will gives talks on how your genes control your fate. And they will show how your species can achieve longevity in a way that harmonises with nature.

That’s the path to a long, sustainable future for both humans and the planet. And what better place to learn about that than Iceland? It is, says Icelandic cardiologist Dr Axel Sigurdsson, home to some of the planet’s strongest,  healthiest humans.



NOAKES ‘ENERGISED, WRATHFUL’ AS HPCSA GOES AFTER HIM AGAIN

By Marika Sboros

So, the Health Professions Council of SA (HPCSA) has appealed the not guilty verdict for Prof Tim Noakes. His lawyers are furious and up for the fight ahead. Noakes is “strangely elated”. He says that it will “allow the exposure of much about which the South African public would otherwise have remained ignorant”.

Of course, an appeal was always on the cards. The HPCSA’s legal team has the right of appeal. However, even die-hard opponents of Noakes see it as a vindictive, stupid move. It may come back to haunt the HPCSA and the lone, “horrified” dietitian who started the case against Noakes. And her organisation, the Association for Dietetics in SA (ADSA). And the many other dietitians, doctors and assorted academics involved in his prosecution.

His lawyers call the case against him a persecution. The appeal lends more credence to that. It also feeds speculation of vested interests behind the HPCSA’s failed bid to silence him on low-carb, high-fat (LCHF). The case has lasted more than three years and cost many millions of rands. If the HPCSA pursues its path, as looks likely, it could go on for years and cost millions more. Noakes’  lawyers see it as “more waste of everyone’s time and money”.

All for a single tweet in which Noakes said that good first foods for infants are LCHF.