LCHF slips into medical mainstream at PHC event! PART 1

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By Marika Sboros

If you harbour any doubt that low-carb, high-healthy-fat (LCHF) diets are becoming medical mainstream, the recent Public Health Collaboration (PHC) annual conference in London dispelled it.

The PHC gathering took place in the stately building of the Royal College of General Practitioners (RCGP). As a venue choice, it was inspired. It has made the RCGP into the strongest orthodox medical endorsement yet for the benefits of LCHF diets.

And it signalled that London is emerging as a global LCHF hub.

Former Australian cricket team doctor Peter Brukner set the tone in his opening address on May 19. It is “almost negligent”, even close to “criminal”, he said, for doctors not to put patients on LCHF diets for diet-related illnesses. That was fighting talk and it resonated with speakers who expressed similar sentiments.

Stellar speakers

But there was another strong sign that LCHF is becoming mainstream.

The stellar list of speakers was another ringing endorsement. Among them were GPs, cardiologists, an endocrinologist, obesity, metabolic and nutrition researchers, a psychologist and a registered dietitian. Delegates also signalled support for rapidly changing nutrition science times. They included medical, dietetic and nutrition experts, students and more ordinary mortals from across the UK, Europe and globally.

In Part One of a two-part series, Foodmed looks at who and what are driving the changes.

There were some echoes in the august chamber of the RCGP building. One was that an LCHF diet can reverse type 2 diabetes, or at least put it into remission. Another was that obesity is not from gluttony and sloth. Rather, it’s from a ubiquitous “obesogenic environment” – that promotes weight gain and is not conducive to weight loss.

There was a consensus that physical activity is vital for health. But there was also a consensus that it’s just not a great weight loss tool.

Along with those echoes came the harsh spotlight on the “usual suspects”: sugar, grains, refined, processed foods and vegetable oils. And of course, unscientific dietary guidelines that promote these ingredients came in for a sound drubbing.

British public health and obesity researcher Dr Zoë Harcombe laid waste to the “eat less, move more” guideline that conventional organisations regularly dispense. Among them are the British Dietetic Association (BDE), the Department of Health (DOH), NICE (National Institute for Clinical Excellence) and the NHS (National Health Service).

Dr Zoë Harcombe. Picture: Andy Harcombe

CICO? ‘Bollocks!

The “eat less, move more” idea is based on CICO (Calories In = Calories Out) principle, Harcombe said. It is also based on a formula: “To lose 1lb of fat you need to create a deficit of 3,500 calories.”

Where do the organisations get the formula from? Nowhere. Harcombe showed that promoters of CICO don’t understand the laws of thermodynamics.

“We invented the weight conversion and we got it wrong,” Harcombe said.

Therefore, she showed that CICO is unscientific – in a word, “bollocks”. CICO doesn’t work for either gain or loss, Harcombe said. A calorie isn’t a calorie, the body isn’t a “cash machine” for fat and humans aren’t “bomb calorimeters”. The body can and does adjust and weight is ultimately all about storing and unstoring fat.

Brukner was equally scathing about official dietary guidelines. He elaborates on that in his new book, A Fat Lot Of Good,  How the Experts Got Food and Diet So Wrong and What You Can Do to Take Back Control of Your Health

Establishment pushback

In his opening address, he cited statistics showing that Britain is the “fat man of Europe”. Two-thirds of British adults are overweight and millennials are “the fattest generation”. It’s also official, Brukner said, that Britain has the “worst diet in Europe”. Life expectancy in the country has fallen so far that “a million years of life could disappear by 2058”.

Excess sugar and intake of “ultra-processed” foods are major culprits. Brukner showed a slide describing ultra-processed foods as “a chemical sh*tstorm”.

copyright Dr Zoe Harcombe

He showed that LCHF benefits more than just obesity, diabetes and heart disease. Brukner gave evidence for LCHF and ketogenic (very-low-carb, very-high-fat) diets in treatment of cancer, dementia and autism. He showed how Big Food and Beverage companies copy Big Tobacco’s “playbook”.

One of his slides showed British Nutrition Foundation’s conflict of interests in links with food and beverage companies (see left).

In closing, Brukner acknowledged LCHF pioneer “heroes” who face stiff establishment attack.  Brukner has also faced attack for his anti-sugar, pro-LCHF stance. He said that Australian sports nutritionist and RD Louise Burke has openly stated that he and South African scientist Prof Tim Noakes “should be in jail” for their opinions.

Sugar – the  ‘new tobacco’

Malhotra gave the opening address on the second day of the conference. He showed why he is the bête noire of medical and dietetic establishments and food (particularly sugar) and drug industries.

He opened with a quote by American-Canadian Dr David Sakett, a pioneer of evidence-based medicine: “Half of what you learn in medical school will be shown to be either dead wrong or out of date within five years of your graduation. The trouble is nobody can tell you which half. The most important thing to learn is how to learn on your own.”

Malhotra said that vested interests have hijacked evidence-based medicine and made it difficult for “honest doctors to practise honest medicine”. The result: “an epidemic of misinformed patients and doctors and a complete healthcare system failure.”

He expanded on the “obesogenic environment”. It includes hospitals that have become “branding and marketing opportunities for junk-food companies”.

Malhotra supported the idea of sugar as “the new tobacco”. He said that diet has more of an impact on health than tobacco, alcohol and physical inactivity combined.

No apology

Malhotra also identified two major public-health scandals. One is regulators who fail to prevent misconduct by pharmaceutical and medical device companies. He called it “corporate crime”. The other: doctors, institutions and journals who collude with industry for financial gain.

He showed how establishment attacks against him have intensified after publication of The Pioppi Diet, which he co-authored with Donal O’Neill. One source of those attacks: BDA spokespersons Sian Porter and Duane Mellor.

He ended with a quote attributed to Gandhi: “Many people, especially ignorant people, want to punish you for speaking the truth… Never apologize for being correct or for being years ahead of your time. If you’re right and you know it, speak your mind. Even if you are a minority of one, the truth is still the truth.”

Prof Tim Noakes (left) during one of two standing ovations with Dr Aseem Malhotra (centre) and Dr Peter Brukner (right). Picture taken by Dr Zoe Harcombe

And with that, the assembled conference audience gave him a lengthy standing ovation.

Noakes also received a standing ovation after his talk on the second day. (That was the second. The first was when Brukner called him a “superhero” for surviving establishment onslaughts.)

In his talk, he presented compelling evidence for LCHF and ketogenic diets for diabetes treatment. He said that people “don’t die from diabetes”, they “die from its (mis) management”.

Nutrition on trial

His talk was mostly about the ongoing Health Professions Council of South Africa (HPCSA) trial against him. He presented dramatic new evidence suggesting that the trial was a set-up from the start. Noakes and I document the case in our book, Lore of Nutrition, Challenging Conventional Dietary Beliefs.

Johannesburg dietitian Claire Julsing Strydom was president of the Association for Dietetics in South Africa (ADSA) when she started the case by reporting Noakes to the HPCSA for a single tweet in 2014. In it, he said that good first foods for infants are LCHF.  It turned into full-blown multi-million Rand trial (estimated at around £1million) that has dragged on for more than four years.

In April 2017, the HPCSA’s committee found Noakes comprehensively not guilty on all 10 aspects of the charge against him.

In February 2018, the HPCSA held an appeal against the not guilty verdict. The appeal committee chair promised a ruling “some time before the end of March”. There has still been no ruling.

Breaking the silence

Noakes paid tribute to the three experts who flew in to give evidence in his defence: Harcombe, US science journalist Nina Teicholz and South African-born New Zealand dietitian academic Dr Caryn Zinn. He also acknowledged his legal team: Pike, advocate Michael van der Nest (SC) and Dr Ravin “Rocky” Ramdass.

He ended his talk with a quote from Martin Luther King –  “Our lives begin to end when we become silent about things that matter” – and followed it with the Liverpool Football Club anthem, You’ll never walk alone.

At that, the audience rose in spontaneous applause and in a highly charged, emotional moment that left many in tears.

Award-winning British NHS GP Dr David Unwin has emerged as another pioneer who is making LCHF mainstream. He spoke on low-carb diets to achieve remission of type 2 diabetes. He said that the fastest case of remission he had seen was just 38 days.

However, his talk was titled Low Carb – It’s not just about diabetes. In it, Unwin focused on the effects of insulin and glucose in the body, how it leads to fat and eventually non-alcoholic fatty liver disease (NAFLD).

The liver’s  ‘silent scream’

Hepatologists speak of the liver’s “long silent scream” for at least 10 years before a diagnosis of NAFLD, Unwin said. That raises the question: “Why aren’t doctors talking about (NAFLD) and how low-carb can intervene?”

Dr David Unwin

Unwin gave an impassioned plea to colleagues to join him and other doctors who are ” getting patients off insulin, giving them hope, choice and control”. He described it as “wonderful” that some patients “no longer need doctors to manage and put their diabetes into remission”.

British diabetes expert Dr David Cavan echoed those sentiments in his talk on Reversing Type 2 Diabetes in the Real World. Cavan was a diabetes consultant at the Bournemouth Diabetes Centre and from 2103-2016, Director of Policy and Programmes at the International Diabetes Federation in Brussels.

He has also spent time transforming public health in Bermuda.

Cavan said that a “diabetogenic environment” has turned Bermuda into a “diabetes factory”. Not surprisingly, the country now “ticks all the boxes” for increased risk of type 2 diabetes, he said. These include a staple diet of starch – rice and peas – as well as a high intake of sugary soft drinks, easy availability of low-cost junk food, high cost of healthy foods, and sedentary living.

Weight loss

In 2017, Cavan set up a Diabetes Reversal Program in Bermuda in association with Bermuda Diabetes.

Of 30 participants on the program after the first 12 months, all but four lost weight and waist circumference. Six are now in pre-diabetic range and off all medication. Eight stopped all diabetes medications and 11 reduced some diabetes medication. And five reduced blood pressure medication.

Cavan said that the evidence was clear that type 2 diabetes results from modern lifestyles. Consequently, adopting a healthier lifestyle can help reverse the condition, “even in the most diabetogenic environments”. As well, environments must change “to halt the inexorable rise in type 2 diabetes”.

Cavan is author of Reverse Your Diabetes, The Step-by-Step Plan to Take Control of Type 2. His latest book is: Take Control of Type 1 Diabetes: A comprehensive guide to self-management and staying well.

 

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13 Comments

  1. Well done all,now make health affordable to all.
    Start at school meals level ??????????
    Clinics, hospitals, companies,
    empower us teach us.
    Make health yummy and affordable
    And easy -oooh
    Thank you again ?

    • You’ll likely want to contact your local, state and federal representatives to get those initiatives started; I would think that those attending the conference have their hands full keeping up with the research and spreading awareness of the dietary changes needed to improve our health. Then again, as a group, they’ve done far more to improve the lives of those of us who followed the mainstream advice than any politician ever did. That said, it’s us pushing our elected officials to make the necessary changes that will get this knowledge into the clinics, hospitals and companies you mentioned.

  2. I absolutely loved all of this, the speakers, the organisation.. Everything about it, having put my Type 2 Diabetes into remission with a LCHF way of eating. I do wish they would stop calling it a diet as if it were for weightloss, when we all know we have to eat this way for the rest of our lives.

    I think that in the same way Gluten free has become mainstream, low carb will also be recognised, I just hope it happens quickly.

    In my mind there are two types of people, Carb Tolerant and Carb Intolerant. And it is the latter that makes up the bulk of the medical / health budget. Hopefully soon we will be rid of all those stupid health warnings and like Celiacs, Carb Intolerant folks can select a range of Carb Free food.
    I’ve no doubt Big Food are working on this, as we know Big Pharma are working on a Fasting Tablet having seen the benefits it can bring along with LCHF. I’m 72yo, the healthiest I have ever been in my life and I can only hope I see these changes in my lifetime.

  3. From Mike Eades, M.D. “Think about this the next time you hear a pediatrician recommend that babies who are being weaned start out on some sort of Pablum or other processed cereal for infants. And they virtually all recommend it. Our grandchildren’s pediatrician recommended it, but my wife Mary Dan and I interceded after the first feeding. From then on they all got pureed turkey, pork, chicken or other meat along with pureed vegetables. They had no grain.”

  4. We’re getting closer to that magic day when the Schopenhauer Effect kicks in; and we suddenly find the Enemies of LCHF on our side of the lines.!

  5. Re the comment that the HPCSA “has a plan” for Noakes. Is there any evidence that the original tweet from the mother re weaning foods, was part of the plan?

    • No evidence, Bev. Just speculation. It can seem like just a huge coincidence that Pippa Leenstra tweeted the question when she did. And that two ADSA dietitians, Marlene Ellmer and the other ADSA president Claire Julsing Strydom, were ready and waiting to spot it and pounce. And that Strydom was memorably so ‘horrified’ that she felt she had no other option but to report Prof Noakes without providing any research to back up the ‘horror’ she was feeling. My information since is also that Leenstra’s breastfed infant (which by the way doesn’t show up in the tweet) was not six months’ old as Strydom first suggested. Rather, her son was already a year old and was not her first child. And Leenstra has a dietitian in her extended family. Since she tweeted that she preferred Ellmer and Strydom’s info, it’s a bit odd that she didn’t know about good first foods for weaning. But then, I’m just a cynical (prefer to describe myself as sceptical) journalist.

      • Marika, it ‘may’ be coincidence… but I’d handle that gun as being red-hot, not just smoking.
        – Wonder what she fed her PREVIOUS child when she weaned it…?
        As always, the ‘back-story’ tells you more than the up-front rubbish.

        And you’ve got to love Zoe’s perfect summation of CICO. 🙂

  6. Thanks so much for this. I was absolutely stunned to read: “Brukner has also faced attack for his anti-sugar, pro-LCHF stance. He said that Australian sports nutritionist and RD Louise Burke has openly stated that he and Noakes “should be in jail” for their opinions.” In jail?! Louise Burke should be fired and censured for making such an outrageous, slanderous comment. And to also learn that the email chain between Strydom, Gallagher and their colleague showed they had it in for Prof Noakes BEFORE the infamous 2014 comments about LCHF to the young mother? It gave me chills – the bad kind of chills. There’s a lot more dirty business/conflicts of interest going on in the world of health and nutrition than I ever imagined possible. I can’t thank you ALL enough for ‘going rogue’ and telling us the truth so that those of us who ended up with all of the chronic illnesses possible from following the ridiculous mainstream dietary advice can have a chance at good health again before our days come to an end. I came very close to dying in my 50’s overweight, prediabetic, dangerously high BP, “mysterious” skin conditions, achy joints, lack of energy, depression, anxiety that got so bad that I became agoraphobic and couldn’t leave my home for 8 agonizing years and generally little will to live. Now, just think of the opposite of all that and you have a description of me today, happily following a ketogenic diet and a healthy lifestyle in every way, thanks to you all. xx

  7. Excellent summary. The speakers at the conference were outstanding and the audience were extremely well informed.

    This many slim adults haven’t gathered in one place since about 1980.

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