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<!--Generated by Squarespace Site Server v5.9.2 (http://www.squarespace.com/) on Fri, 12 Mar 2010 06:48:07 GMT--><feed xmlns="http://www.w3.org/2005/Atom" xmlns:dc="http://purl.org/dc/elements/1.1/"><title>PāNu Blog</title><subtitle>PāNu Blog</subtitle><id>http://www.paleonu.com/panu-weblog/</id><link rel="alternate" type="application/xhtml+xml" href="http://www.paleonu.com/panu-weblog/"/><link rel="self" type="application/atom+xml" href="http://www.paleonu.com/panu-weblog/atom.xml"/><updated>2010-03-12T06:47:56Z</updated><generator uri="http://www.squarespace.com/" version="Squarespace Site Server v5.9.2 (http://www.squarespace.com/)">Squarespace</generator><entry><title>The argument against cereal grains II</title><id>http://www.paleonu.com/panu-weblog/2010/3/12/the-argument-against-cereal-grains-ii.html</id><link rel="alternate" type="text/html" href="http://www.paleonu.com/panu-weblog/2010/3/12/the-argument-against-cereal-grains-ii.html"/><author><name>Kurt G. Harris MD</name></author><published>2010-03-12T06:35:01Z</published><updated>2010-03-12T06:35:01Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p><span style="color: windowtext;">&nbsp;<span class="full-image-block ssNonEditable"><span><img src="http://www.paleonu.com/storage/220px-Wheat_seed.jpg?__SQUARESPACE_CACHEVERSION=1268376015102" alt="" /></span></span><br /></span></p>
<p><span style="color: windowtext;">So to refresh your memory, here is a drawing of a wheat seed (Genus Triticum) that I have lifted from Wikipedia.</span></p>
<p><span style="color: windowtext;">I covered some of this at a general level in <a href="http://www.paleonu.com/panu-weblog/2009/6/23/the-argument-against-cereal-grains.html">Part I</a>, but perhaps its well to repeat some of it for emphasis now.</span></p>
<p><span style="color: windowtext;">It&rsquo;s hard to beat up on wheat too much, after all.</span></p>
<p><span style="color: windowtext;">To relate the anatomical parts to food, wheat germ is the embryo &ndash; the dormant baby-in-waiting of the next generation of this annual grass. Found in the germ is wheat germ agglutinin (WGA), which is a defensive secondary compound known as a &ldquo;lectin&rdquo;. WGA binds to such a wide variety of proteins in our bodies that it is used in biological science and laboratory medicine for exactly that purpose &ndash; to label proteins. When eaten, WGA has effects (bad effects) on the gut and gut permeability separate from those caused by gluten proteins. Once it leaks through or around the gut barriers, it also seems to diminish leptin sensitivity and bind insulin receptors &ndash; both effects that can help make you fat.</span></p>
<p><span style="color: windowtext;">The bran is the relatively indigestible hull of the seed, which is supposed to be good for us for exactly that reason, I am told. I don&rsquo;t doubt we evolved to get a small amount of fiber along with the veggies, primordial fruit and odd tubers we have eaten along our evolutionary path, but I still can&rsquo;t see the need to refine the inedible parts of plants and eat them on purpose &ndash; especially inasmuch as the hulls of grass seeds will have the highest concentrations of the lectins that plants have evolved to be herbivore defenses. As we are not herbivores, nor even descended from them, (even vegetarian-leaning omnivorous chimps do not eat grass seeds) I think it is best to not eat like them. I recommend avoiding wheat bran. Sawdust would be both cheaper and safer. Don&rsquo;t laugh - some whole wheat breads have been &ldquo;fortified&rdquo; with cellulose.</span></p>
<p><span style="color: windowtext;">Finally we get to the largest part of the seed by volume, the endosperm. The endosperm plays egg to the seeds embryo, with the endosperm analogous to the yolk and white of a bird egg. </span></p>
<p style="padding-left: 30px;"><span style="color: windowtext;"><em>Sidebar: The eggs of birds are the perfect food. Not so the &ldquo;egg&rdquo; of a grass plant. Why not? The egg of a vertebrate contains all the proteins, vitamins and minerals necessary to grow a baby vertebrate from a handful of cells to the point where it can peck or bite it&rsquo;s way out of the shell, and start eating on its own. So that makes it a pretty reliable source of nutrients for vertebrate predators like us. Not so the egg of a grass seed. Besides the antinutrient issue, the complement of amino acids and fat soluble vitamins in the endosperm is not enough to grow or feed a human without supplementation from other sources.</em></span></p>
<p><span style="color: windowtext;">The endosperm stores carbohydrate and a dizzying variety of proteins to be used as the sources of energy and structural growth for the embryo during its germination, when the embryo must grow into enough of a plant to be able to collect energy and nutrients from the environment, and stand on its own plant feet. It is worth reminding ourselves that this assemblage of protein and carbohydrate is meant to serve the structural and fuel needs of the baby plant, and is in no way a gift from the plant to feed us. </span></p>
<p><span style="color: windowtext;">Picture a kernel of wheat, along with its mates, attached to the tip of a slender blade of grass whose sole purpose was to stick the seed up high enough for the wind to blow it somewhere and have the whole cycle start over again. Can you see how plants that evolved mechanisms to protect the tiny germ and its vulnerable, metabolically costly bundle of proteins and starch (the endosperm) would have a better chance of survival?</span></p>
<p><span style="color: windowtext;">Shall I remind you of the dictum: &ldquo;Favor food that is defenseless when dead&rdquo;.</span></p>
<p><span style="color: windowtext;">The corollary of this might be &ldquo;beware food that appears defenseless while alive&rdquo;.</span></p>
<p><span style="color: windowtext;">So the endosperm represents an investment by the grass, a lifetimes&rsquo; worth of plant 401-K meant to be passed on to the next plant generation. The hull therefore contains an array of molecules known as secondary compounds, including lectins and other antinutrients, such that, should an opportunistic animal eat the seed, the animal will be induced, to use the vernacular &ndash; to have the shits. This state of affairs will give the seed a fighting chance for the seed to be shat out before digestion occurs, and might also serve as a learning opportunity for the animal, to the mutual benefit of both organisms in the future.</span></p>
<p><span style="color: windowtext;">Basically there is one class of animal that has fought the evolutionary arms race with grass seeds enough to be evolved to eat a fair amount of them. These animals are called birds.</span></p>
<p><span style="color: windowtext;">A lot of people think herbivores are seed eaters. Not really. Herbivores that are ruminants are turning cellulose in the grass stems into fatty acids and are not getting the lion&rsquo;s share of their nutrition from the seed. See <a href="http://www.paleonu.com/panu-weblog/2009/5/18/6s-and-3s-and-the-logic-of-grain-avoidance.html">6s and 3s and the logic of grain avoidance</a> to see why even vegetarian herbivores like cattle are not designed to eat predominantly seeds.<br /></span></p>
<p><span style="color: windowtext;">So back to the endosperm. We&rsquo;ve got a picture of the endosperm as this succulent rich storage depot of protein and starch that the plant has invested its whole life into creating for the benefit of the next generation of the plant.</span></p>
<p><span style="color: windowtext;">Sometime in the past (10,000 or 25,000 years ago &ndash; who cares exactly &ndash; our argument is based first on current medical science, not paleo re-enactment, remember?) after millions of years of no significant caloric contribution from grass seeds in the hominin diet, and only birds being really adapted at all, some homo sapiens hanging around the Levant (middle east) figure out that some of the local grass seeds can be ground up with stone tools, and after soaking with water and cooking, can serve as a source of starch and protein. </span></p>
<p><span style="color: windowtext;">In a process of cultural and biological co-evolution, after a few thousand years some of the grasses have been artificially selected to the point where they cannot really reproduce that well naturally without their human cultivators, but the fundamental mechanical operation is the same:</span></p>
<p><span style="color: windowtext;">The seed is mechanically crushed, and whether the bran and germ are left in the mix (whole wheat) or separated out (white four) the endosperm contents are made accessible to further processing to make them just edible enough by humans that it enables the founding of what we now call civilization.</span></p>
<p><span style="color: windowtext;">So refer back to the pencil illustration. Civilization was founded quite specifically on the bit of the drawing labeled &ldquo;endosperm&rdquo;. That is where the nutrition lives, and where two of the three Neolithic agents also are found.</span></p>
<p><span style="color: windowtext;">What&rsquo;s so special (good or bad) about the endosperm of grass seeds like Triticum?</span></p>
<p><span style="color: windowtext;">Firstly, to serve as the &ldquo;egg&rdquo; and storage depot for the germ, it has to be stable over time without rotting, as the seed may not find itself in a favorable germinating environment for a while. The lectins in the hull discourage consumption by everything from bacteria to molds and herbivores and work so well that grass seeds can still germinate after years of dormancy if supplied with the right conditions. It is this quality &ndash; storage of protein and carbohydrate at room temperature- that allowed food to be grown in surplus and stored for later without spoiling. It is this quality &ndash; the molecules that make it stable and resistant to rot and predation- that also leads to diseases of civilization as a result of leaky gut, autoimmune diseases via molecular mimicry, and direct effects of lectins like WGA.</span></p>
<p><span style="color: windowtext;">As a storage depot to feed the growing grass embryo, the endosperm has a relatively complete complement of proteins and nutrients &ndash; not a complete set of amino acids if you are a human, but complete for the plant. So there is a fair amount of protein and carbohydrate in a single package, even if, as we discussed in the sidebar, it is not enough to sustain a healthy life for a vertebrate by itself long-term. So that is good, in the &ldquo;selfish gene&rdquo; sense, in that it allows greater fecundity on a population basis. But that is bad, from an individual health perspective, as these seeds have just enough nutrition to keep you alive, but being designed to grow plants, are not ideal sources of nutrition for us.</span></p>
<p><span style="color: windowtext;">The fat content in the endosperm is biased heavily toward n-6 polyunsaturated fatty acids &ndash; the ratio of 6:3 is an order of magnitude or more higher than found in animal cell membranes. Why is this? I am no botanist, but the predominance of PUFA in plants generally must relate to their needs to store energy. As plants are in most circumstances &ldquo;cold-blooded&rdquo;, it would not do to store lipids as saturated fat. Higher energy density with sat fat would be useless if the fat were so solid that it could not be mobilized or accessed. </span></p>
<p><span style="color: windowtext;">Sidebar: Of course the exception that proves the rule is tropical plants like coconut and palm, which have indeed evolved the capacity to store fat as saturated. They are still cold-blooded but evolved in warm enough environments to get away with it. In fact, by eating coconut you can avoid excess unsaturates (PUFA) even better than by eating pastured butter (even if you get few n-3s).</span></p>
<p><span style="color: windowtext;">So that accounts for the fact that depots of lipid in seeds tend to be PUFA heavy with varying amounts of non-saturated MUFA tossed in. Why this tends to be mostly n-6 rather than n-3 I can only speculate. (Experts on this feel free to chime in) The important point is that if the plant intends to burn it as fuel or beta-oxidize it into two carbon Acetyl-coA units as building blocks for other molecules, the plant does not care that if we eat the seeds or extract the oil it will give us a surfeit of n-6. </span></p>
<p><span style="color: windowtext;">That grass-seed endosperm contains concentrations of oils that can be extracted was first good for industry in making industrial oils, paints and lubricants (like the linseed oil that the &ldquo;food&rdquo; industry likes to call &ldquo;flaxseed oil&rdquo;) for the industrial economy. Then is was good for the post-industrial &ldquo;food&rdquo; industry that marketed seed oils that were fobbed off as food, first as a cheap substitute for lard after catalytic hydrogenation (Crisco was so-called because the name is a contraction of &ldquo;crystallized cottonseed oil&rdquo;&hellip;. As Dave Barry says, I am not making this up) and then as a &ldquo;healthy&rdquo; substitute for butter in the wake of that homicidal fraud Ancel Keys and the saturophobia he spawned that we are fighting to this day. That these oils have come to dominate modern lipid consumption to the point where n-6 PUFA alone as a percentage of calories is around 10%, is bad. It is bad because it is totally outside of our evolutionary experience. </span></p>
<p><span style="color: windowtext;">Our cells are more or less passively composed with a ratio of n-6 to n-3 based on the ratio of PUFA that we eat. Having never been exposed to artificially extracted n-6 oils in large quantities until less than 100 years ago, we have not had time to evolve a mechanism to regulate the 6:3 ratio at the level of the cell membrane to compensate for this. The result is that excess pro-inflammatory hormone like molecules, with n-6 derived arachidonic acid as a precursor, are produced. This 6:3 imbalance has been linked to increased cancer promotion, disturbed immune function, increased blood clot formation, increased death from coronary atherosclerosis, increased incidence of mental illness, etc. These consequences of artificially extracting and eating the oils found in endosperm of seeds are all bad. Pubmed "Lands" for details.</span></p>
<p><span style="color: windowtext;">But the altered 6:3 ratio is only part of the story. Whether &ldquo;bad&rdquo; 6s or &ldquo;good&rdquo; 3s, there are consequences to consuming a large percentage of dietary calories from PUFA. PUFA are polyunsaturated. This means, unlike saturated fat that has no unsaturated positions, they are unsaturated at two positions. Each site that has a double bond that is not &ldquo;saturated&rdquo; with hydrogen atoms, has the potential to react with other molecules, including oxygen. Eating PUFA can therefore lead to consumption of lipids that react with other molecules in your body in ways that cause damage. Excess PUFA can cause damage to the liver, may damage gut integrity and contribute to leaky gut with all of those consequences, and may contribute either directly or via activation of inflammatory cytokines to atherosclerosis with resulting coronary artery disease and strokes.</span></p>
<p><span style="color: windowtext;">So you really have two reasons to keep total PUFA low:</span></p>
<p><span style="color: windowtext;">1)&nbsp;&nbsp; </span><span style="color: windowtext;">Total PUFA of any kind is bad. The EM2 is less than 4%</span></p>
<p><span style="color: windowtext;">2)&nbsp;&nbsp; </span><span style="color: windowtext;">You need to keep your dietary intake in the range of the EM2, which is around a ratio of 1:2 to 4:1 of n-6:n-3.</span></p>
<p><span style="color: windowtext;">If you try to accomplish #2 via megadoses of fish oil to balance eating &ldquo;healthy oils&rdquo; like flax and even olive, to get to a 4:1 ratio you will be consuming well over 10% of calories as PUFA, which totally blows out goal #1. We want less than 4%. Hence we first eat ruminants and fish, favor ghee butter coconut and cream as sources of fat, go easy on the nuts, and never eat or cook with extracted plant oils other than coconut.</span></p>
<p><span style="color: windowtext;">Ever. </span></p>
<p><span style="color: windowtext;">Don&rsquo;t cook with non-coconut plant oils, don&rsquo;t eat fried food in restaurants and don&rsquo;t eat &ldquo;food&rdquo; that comes in a box. Ever.</span></p>
<p><span style="color: windowtext;">It is better to eat potatoes, corn and white rice than vegetable oil.</span></p>
<p><span style="color: windowtext;">It is better to eat potatoes, corn and white rice than vegetable oil.</span></p>
<p><span style="color: windowtext;">That is so important to emphasize I have repeated it.</span></p>
<p><span style="color: windowtext;">So my recommendation is to focus on goal one of low total PUFA first, as it accomplishes all of goal #1 and most of goal #2, then add 1- 2 TEASPOONS &nbsp;of Cod Liver Oil or equivalent. This will give one to two grams of DHA and EPA to optimize your ratio wihout blowing goal #1.</span></p>
<p style="padding-left: 30px;"><span style="color: windowtext;"><em>Sidebar Quiz: Although it has corn and wheat as the carbohydrate source, what snack food in a bag is actually still fried in coconut oil rather than industrial vegetable oils?</em></span></p>
<p style="padding-left: 30px;"><span style="color: windowtext;"><em>Answer: Bugles</em></span></p>
<p><span style="color: windowtext;">I have built this indictment of grass seeds on wheat, but I&rsquo;ve tried to show generally how the endosperm of seeds, sitting at the nexus of technology-wielding man looking for things to eat and the development of diseases of civilization, is the source of two of the three Neolithic agents in the PaNu scheme:</span></p>
<p><span style="color: windowtext;">Wheat</span></p>
<p><span style="color: windowtext;">Linoleic Acid</span></p>
<p><span style="color: windowtext;">By extension, many of the same arguments can be made for other cereal grains. In some cases, like corn, the oil argument is stronger (we don&rsquo;t see commercially available wheat oil much, but corn oil is everywhere), the antinutrient argument real but weaker. For legumes, the arguments are about the same on the oil front and mildly weaker on the poison issue (unless you get anaphylaxis with peanuts) Legumes is lower in the &ldquo;eliminate&rdquo; scheme of the 12 steps simply because legume consumption in north America is less ubiquitous than wheat flour.</span></p>
<p><span style="color: windowtext;">Most seed and legumes will come out somewhere between corn and gluten grains like wheat.</span></p>
<p><span style="color: windowtext;">Not worth the effort.</span></p>]]></content></entry><entry><title>Diabetes I vs II and diet</title><id>http://www.paleonu.com/panu-weblog/2010/3/6/diabetes-i-vs-ii-and-diet.html</id><link rel="alternate" type="text/html" href="http://www.paleonu.com/panu-weblog/2010/3/6/diabetes-i-vs-ii-and-diet.html"/><author><name>Kurt G. Harris MD</name></author><published>2010-03-06T06:30:38Z</published><updated>2010-03-06T06:30:38Z</updated><content type="html" xml:lang="en-US"><![CDATA[<div>
<p><span style="color: #131313;">I posted a shorter version of this explanation of the difference between Type I and II diabetes on Paleohacks and thought it might be of more general interest.</span></p>
<p><span style="color: #131313;">Technically, diabetes mellitus is just hyperglycemia (High blood glucose) that spills into the urine if it gets high enough - that was how it was originally diagnosed.</span></p>
<p><span style="color: #131313;">Type I and II are actually completely different diseases that just both have the common end result of hyperglycemia - high serum blood glucose or high "blood sugar".</span></p>
<p><span style="color: #131313;">I consider both types of DM to be diseases of civilization related to the neolithic agents.</span></p>
<p><span style="color: #131313;">Type II diabetes is a late consequence of the metabolic syndrome where the primary defect is in the liver - likely due to the neolithic agents fructose and n-6 PUFA injuring the liver and causing both liver and systemic inflammation.</span></p>
<p><span style="color: #131313;">Impaired insulin sensitivity in the liver means the pancreas must secrete more insulin to communicate with the liver (control blood sugar, etc) - peripheral insulin resistance follows, likely as a defensive response to hyperinsulinemia and hyperglycemia (hyperglycemia that the pancreas has trouble controlling despite increased insulin secretion). So initially, in Type II there is more hyperinsulinemia than hyperglycemia. This the reason why by the time Type II is diagnosed, so much damage is already done. Not only is the threshhold for fasting BG too high, the post meal spikes are not tested for routinely and the high insulin levels are flying completely beneath the radar.</span></p>
<p><span style="color: #131313;">Ultimately, the hyperinsulinemia cannot keep up with the hyperglycemia, and when serum BG gets high enough, you get diabetes. The beta cells that make insulin fail, and in fact one of the things that damages them is hyperglycemia itself which is toxic to the beta cell. So you get B cell damage/death in type II eventually as well.</span></p>
<p><span style="color: #131313;">Type I diabetes and LADA (Late onset autoimmune diabetes) or type 1.5 have autoimmune destructon of the islet islet B cells that make insulin. Insulin sensitivity is usually normal.</span></p>
<p><span style="color: #131313;">Relevant to the theme of this blog, you should know that Type I DM is an order of magnitude more common in those with celiac disease and is more common in those with other autoimmune disorders like Hashimoto's thyroiditis, etc. Type I DM is an autoimmune disease that usually has onset in childhood. I believe it relates to leaky gut - with foreign proteins or peptides inducing an immune response via molecular mimicry in the context of an immune system that is likely impaired by excess n-6 linoleic acid and consequent 6:3 imbalance.</span></p>
<p><span style="color: #131313;">In type I DM, the initial damage is caused by the hyperglyemia - excess glycation leads to kidney, nerve and eye damage and inflammation, etc. Later, the damage is also caused by the excess injected insulin required when the patient is put on the ADA diet and the spikes in glucose that inevitably occur due to the inherent lack of precision of injected insulin. As an alternative to the insanity of the ADA, this can be minimized with VLC - a fatty acid/ketone -based metabolim that requires just enough insulin just to tell the liver to hang on the glycogen stores and facilitiate peripheral uptake, not the massive doses of insulin required to compensate for 6 times a day tsunamis of glucose arriving from the gut to keep the glucose from putting you in a coma.</span></p>
<p><span style="color: #131313;">In type II, the initial damage can be thought of as prior to both the hyperglycemia and the the hyperinsulinemia. The initial damage is the suite of early metabolic defects like liver inflammation, steatosis (fatty liver), elevated inflammatory cytokines like IL-6 and TNF-a and likely systemic inflammatory and immune effects that contribute to cancer and immune disorders and atherosclerosis - (you can have these effects as well even if you never develop diabetes and are thin and apparently healthy on the SAD). </span></p>
<p><span style="color: #131313;">Then, when the pancreas is pumping insulin like mad to control BG in the face of liver and increasingly, peripheral, insulin resistance, we are now adding the bad effects of hyperinsulinemia like promotion of more atherosclerosis, degenerative diseases like osteoarthritis, tumor promotion, etc.,etc. Once the pancreas fails, we add the effects of hyperglycemia - the same ones that a Type I can get, like neuropathy, cataracts, damage to the kidneys, and yet more additive effects on inflammation, glycation with increased tissue stiffness, more atherosclerosis and thrombogenesis, etc.</span></p>
<p><span style="color: #131313;">Finally, if you are treated with the ADA diet as a type II, your sBG may be brought under control, but often only at the expense of treating you with EVEN MORE OF THE SAME INSULIN that is causing about half the damage in the first place.</span></p>
<p style="padding-left: 30px;"><span style="color: #131313;"><em>This is the best explanation for the failure of trials of tight glycemic control to show mortality benefits. They do it with drugs that are hepato- or cardio- toxic or with supra-physiologic doses of INSULIN and not by simply having you eat less of the glucose in the first place. The point being, it does you little good to decrease the damage from glucose if you balance with more damage caused by exogenous insulin.</em></span></p>
<p><span style="color: #131313;">In my opinion, Type II diabetes can actually be cured if it is caught and treated before there is too much beta cell destruction or burn-out. If one fixes the diet and allows enough time for the primary defect in liver sensitivity (and liver inflammation, NAFLD, etc) to heal, this metabolic defect should be reversible. Even if some damage has been done, one can usually avoid medication and especially insulin by lowering carbs to whatever it takes to allow your pancreas to just be occupied with "talking to your liver"</span></p>
<p><span style="color: #131313;">I am aware of at least one young woman who had type I DM diagnosed, and eating a paleo diet, the autoimmune reaction was arrested and she now no longer has diabetes. Usually type I is not diagnosed early enough for this to happen, but it could (and in the one case I am aware of did) reverse if caught right away and treated with a paleo diet</span></p>
<p><span style="color: #131313;">So - Type I low insulin - high sBG - normal insulin sensitivity - can't be cured usually. VLC paleo is the treatment of choice as it allows more stable BG with less exogenous insulin.</span></p>
<p><span style="color: #131313;">Type II - late effect of metabolic syndrome - damage if treated via ADA principles is as much due to hyperinsulinemia as hyperglycemia. Can often be essentially cured with diet. If caught early enough, you are cured if your liver heals and the pancreas recovers or is not that damaged. If caught later and the metabolism remains broken or pancreas is irreversibly burnt out, then VLC PaNu (Bernstein level of carbs or lower) is the treatment of choice</span></p>
<p><span style="color: #131313;">Hat Tip to Peter for the "talking to your liver" metaphor.</span></p>
</div>]]></content></entry><entry><title>Body by Science and PaNu</title><category term="Body By Science"/><category term="Book Reviews"/><category term="MCGuff"/><category term="exercise"/><category term="testing"/><id>http://www.paleonu.com/panu-weblog/2010/2/22/body-by-science-and-panu.html</id><link rel="alternate" type="text/html" href="http://www.paleonu.com/panu-weblog/2010/2/22/body-by-science-and-panu.html"/><author><name>Kurt G. Harris MD</name></author><published>2010-02-23T03:09:22Z</published><updated>2010-02-23T03:09:22Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p><span style="color: #131313;">I first read Body by Science by Dr. Doug McGuff and John Little in the summer of 2008. I have been meaning to give it a proper review, but that's still on the to do list along with reviews of books by Lierre Keith and Jared Diamond.</span></p>
<p><span style="color: #131313;">I first became aware of BBS via <a href="http://conditioningresearch.blogspot.com/"><span style="color: #3b1e72;">Chris Highcock</span></a> when he interviewed Dr. McGuff. I ordered the book and read it pretty quickly. I recall being impressed with the epistemological approach, which is evidence based, but filtered through some good common sense thinking and a pragmatic approach to real results in fitness.</span></p>
<p><span style="color: #131313;">I remember somewhat immodestly thinking it was similar to my own approach, and regular readers have seen me recommend the book in blog comments.</span></p>
<p><span style="color: #131313;">Once when discussing the book with someone, I got the dismissive comment "That looks like a book that some MD thought he could write after reading a bunch of papers". I'll admit that this description would also fit my own writing activities perfectly, but only with the proviso that it that about the same significance as saying that any writer is "just some guy that thinks he can write and who has read some papers". As if the thinking and articulation of the ideas were the minor parts of the exercise.</span></p>
<p><span style="color: #131313;">Anyway, it turns out that Dr. McGuff thinks PaNu and BBS dovetail together nicely, too.</span></p>
<p><span style="color: #131313;">Again through Chris' blog, I read that Dr. McGuff was incorporating some PaNu ideas into a nutrition lecture he is making available on DVD.&nbsp;</span></p>
<p><span style="color: #131313;">So in the comments section here,&nbsp;Dr. McGuff &nbsp;recently offered the following:</span></p>
<p style="padding-left: 30px;"><span style="color: #131313;">Dr. Harris,</span></p>
<p style="padding-left: 30px;"><span style="color: #131313;">If you email me a good mailing address I would be proud to send you a copy of the diet&nbsp;DVD (how's that for back scratching). Seriously, part of the lecture was your 12-step process (with credit given), so I feel I owe you a debt of gratitude. I have been using your 12-step process with my personal training clients with great success. Those that have done it have been astonished with how easily they lose bodyfat and how good they feel doing it. Their workout records also show an impressive acceleration of their strength gains.</span></p>
<p style="padding-left: 30px;"><span style="color: #131313;">Thanks for your great work on the blog, and kudos to your independent/capitalist practice of medicine.</span></p>
<p style="padding-left: 30px;"><span style="color: #131313;">&nbsp;</span></p>
<p><span style="color: #131313;">The 12 steps literally came from a list I wrote on the back of an envelope after over a year of giving my oral presentation to friends and patients, and was actually first written as the outline of my yet-to-be-written book. </span></p>
<p><span style="color: #131313;">I am thrilled to hear how well it works for those with practical physical training goals as well as for the <a href="http://www.paleonu.com/panu-weblog/2010/2/12/panu-and-type-ii-diabetes.html">metabolically damaged</a>.</span></p>
<p><span style="color: #131313;">So now Vicki and I have watched the video.</span></p>
<p><span style="color: #131313;">I can't pretend to be unbiased, as that would be a bit like Led Zeppelin being critical of white men playing the blues.</span></p>
<p><span style="color: #131313;">Dr. McGuff is a great speaker with a relaxing persona and a slight southern drawl (You germans and brits probably think we all sound the same) that makes him easy to follow. My wife, the non-nutrition-science obsessed dentist, thought the presentation was excellent, and was interested enough to want me to rewind for emphasis now and then.</span></p>
<p><span style="color: #131313;">Doug&rsquo;s explanations of biochemistry are good at treading the line between detail and oversimplification. </span></p>
<p><span style="color: #131313;">He uses metaphor effectively (all good argument, whether scientific or not is metaphorical at root, despite what positivists and believers in scientific methodism think) and I particularly like his &ldquo;draining and filling the bathtub&rdquo; metaphor for how anaerobic exercise improves muscle insulin sensitivity.</span></p>
<p><span style="color: #131313;">At one point in the lecture, he hints that he does not believe in doing a lot of testing. He says, &ldquo;if the number is bad, eat healthy, and if the number is good, eat healthy&rdquo;. What do you need the number for?</span></p>
<p style="padding-left: 30px;"><span style="color: #131313;"><em>SIDEBAR:<br /><br /> This is profound, actually and I have been meaning to blog on this for a while. I think he is using a heuristic that could, when coupled with having the consumers of health care actually be the ones paying for it, slash our health care costs nationally by more than half, even if everyone kept eating the SAD. The biggest myth in all of medicine is that doing something is always better than doing nothing, with the corollary that there is always some marginal non-negative benefit to every test and procedure. I believe this is profoundly mistaken. </em></span></p>
<p style="padding-left: 30px;"><span style="color: #131313;"><em>The average medical service diagnostic or therapeutic, may actually not &nbsp;only not have a positive net benefit, but may have a net negative one.</em> </span></p>
<p style="padding-left: 30px;"><span style="color: #131313;"><em>Yes, I actually said that. So there is some &ldquo;man bites dog&rdquo; medical heresy for you to chew on.</em></span></p>
<p style="padding-left: 30px;"><span style="color: #131313;"><em>And yes, I think it can be pointless or counterproductive to get calcium scores and NMR lipoprofiles and definitely standard lipid panels done at all.&nbsp; There are a useful things, maybe, but most of this stuff is just fuel for neurosis. More to come on this. Stay tuned.</em></span></p>
<p><span style="color: #131313;">Anyway, Dr. MCGuff did not expand on this, but I will later and I am delighted to find another MD willing to think such subversive thoughts.</span></p>
<p><span style="color: #131313;">As far as the nutrition content of the lecture, it is basically PaNu with a few modifications, and he represents it very, very well. There is no need for me to repeat myself in describing it and I have no real criticisms of his presentation.</span></p>
<p><span style="color: #131313;">The only important error I noted was some confusion of carboxyl groups for areas of unsaturation when talking about PUFAs. I would bet he has had that pointed out already and it does nothing to diminish the message.</span></p>
<p><span style="color: #131313;">It seems Dr. McGuff himself basically eats PaNu, and he raves about the freedom from hunger and snacks that many of us have learned to enjoy.</span></p>
<p><span style="color: #131313;">Towards the end he is asked if he has advice for a vegan and he says:</span></p>
<p><span style="color: #131313;">&ldquo;Eat meat&rdquo;</span></p>
<p><span style="color: #131313;">But even funnier and a far bigger feather in his cap, he has to have it explained to him exactly what a vegan is!</span></p>
<p><span style="color: #131313;">Classic</span></p>
<p><span style="color: #131313;">&nbsp;</span></p>
<p><span style="color: #131313;">BBS website&nbsp;<span style="color: #0023dd;"><a href="http://www.bodybyscience.net/home.html/?p=783">Here</a></span></span></p>
<p><span style="color: #131313;">Dr. McGuff's statement about how to order the video:</span></p>
<p><span style="color: #131313;">"I reviewed my diet&nbsp;DVD&nbsp;this morning and am happy with its content and quality. I made a few misstatements here and there, but nothing that would stop me from distributing it as-is. I have an initial run of 25 copies that I will sell through&nbsp;UE,&nbsp;and am trying to set up an Amazon store account for the remainder. I am setting the price at $45.00. If anyone is interested in getting the early copies you can leave your purchase information at UE by calling (864)886-0200 and following the prompts. I will make notification when the Amazon option is available or if we will offer additional copies through&nbsp;UE.&nbsp;For right now we are set up to process the first 25 orders."</span></p>]]></content></entry><entry><title>Odds and Sods - feb 2010</title><category term="potpourri"/><id>http://www.paleonu.com/panu-weblog/2010/2/12/odds-and-sods-feb-2010.html</id><link rel="alternate" type="text/html" href="http://www.paleonu.com/panu-weblog/2010/2/12/odds-and-sods-feb-2010.html"/><author><name>Kurt G. Harris MD</name></author><published>2010-02-13T01:12:30Z</published><updated>2010-02-13T01:12:30Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p><span class="full-image-block ssNonEditable"><span><img style="width: 200px;" src="http://www.paleonu.com/storage/11_74_odds_and_sods.jpg?__SQUARESPACE_CACHEVERSION=1266023695459" alt="" /></span></span></p>
<p>Long time reader and valued commenter Patrik has started a new site called <a href="http://paleohacks.com/">Paleohacks</a>. It's kind of a hub or nexus for questions about paleoutrition and evolutionary fitness.&nbsp;Patrik says it is based on stack-exchange and I can't really explain that very well, so go check it out, it looks pretty cool and is off to a good start. &nbsp;</p>
<p>We've been getting a lot of feeds from a very popular (160,000 subscribers) blog called Zenhabits. Leo Babauta wrote a post called <a href="http://zenhabits.net/2010/01/fitness-blogs/">20-plus amazing fitness blogs to inspire you</a>&nbsp;where he asked a few of the better-known fitness bloggers to list their favorite fitness blogs. As I don't really even write a fitness blog, I was especially flattered to be mentioned by Scott Kustes of <a href="http://www.fitnessspotlight.com/">Fitness Spotlight</a>. Thank you, Scott!</p>
<p>My own favorite fitness blogs are listed on my <a href="http://www.paleonu.com/blogroll/">blogroll</a>. If you have a question about bodybuilding folklore, you are free to skip me and go straight to these guys. (That's kind of a joke) Note that I have added Keith Norris and Mark Sisson to the list - should have done that a while ago, actually. I'll go through them again:</p>
<p><a href="http://conditioningresearch.blogspot.com/">Conditioning Research</a> - An amazing compendium of fitness information. Chris Highcock and I share an interest in mindbody medicine and I hope to blog about that some day.</p>
<p><a href="http://theorytopractice.wordpress.com/">Theory to Practice</a> - Keith Norris has a scientific and practical approach to fitness that does not worship complexity for its own sake.&nbsp;</p>
<p><a href="http://robbwolf.com/">Robb Wolf</a> - A two-fer - paleonutrition ideas from a protege of Loren Cordain and detailed training advice that is based on reality.</p>
<p><a href="http://www.marksdailyapple.com/">Mark's Daily Apple</a> - like Mark needs a link from me! Well, &nbsp;Mark is the original cardio-skeptic and he puts his fitness principles all together with diet in a highly accessible way. Probably the gentlest introduction to paleonutrition for your vegetarian girlfriend, and yes, that is a compliment.</p>
<p>This will probably be giving you the rope to hang me with, but here is what I am working on:</p>
<p>Coconut Milk</p>
<p>What to eat if you get cancer (may turn into more than one)</p>
<p>Killing your own food</p>
<p>Ketosis</p>
<p>And reading for lots of others, including deep into endocrinology literature and textbooks for thryoid</p>
<p>Ok, so that ended up making this a bit of an excuse post, but I really do prefer to read and think more, even if it means writing a bit less.&nbsp;</p>]]></content></entry><entry><title>PaNu and Type II Diabetes</title><category term="PUFA"/><category term="Testimonials"/><category term="diabetes"/><category term="fructose"/><category term="wheat"/><id>http://www.paleonu.com/panu-weblog/2010/2/12/panu-and-type-ii-diabetes.html</id><link rel="alternate" type="text/html" href="http://www.paleonu.com/panu-weblog/2010/2/12/panu-and-type-ii-diabetes.html"/><author><name>Kurt G. Harris MD</name></author><published>2010-02-12T20:42:56Z</published><updated>2010-02-12T20:42:56Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p>My first experience with diet and type II diabetes was almost 2 years ago. I gave my 20-minute spiel to a patient of mine and her husband. My patient is a cancer survivor (glioblastoma) and I was trying to emphasize all the ways diet <em>might</em> affect tumor growth. (Cancer is the subject of upcoming blog posts) Her husband said he had just been diagnosed Type II and took an oral hypoglycemic agent, so he had some interest as well.</p>
<p>I saw them 2 months later and he said his fasting BG had decreased from 185 to 126 in the interim. His family doctor said &ldquo;I don&rsquo;t know what you are doing, but if you keep doing it, very soon you won&rsquo;t have diabetes any more&rdquo; He confessed he was following the advice of his wife&rsquo;s neuroradiologist, and I am told this was met with approval.</p>
<p>They both admitted they had not read the books I recommended but were just going off what they remembered from my brief oral presentation. Many of my local success stories are the same, reading nothing at all, or only follow the blog.</p>
<p>Since then, I have had many comments and emails attesting to improvement in a variety of manifestations of metabolic syndrome, including type II Diabetes.</p>
<p>Then about a month ago, LAMF posted this testimonial in the forums:</p>
<p style="padding-left: 30px;">I wanted to make a post both to thank Dr. Harris for this blog and to share the amazing results I have seen with my type II diabetes in the very short time I have been following the panu guidelines.</p>
<p style="padding-left: 30px;">I was diagnosed with type II in early November quite by accident, after taking a blood test for the first time in over ten years to get a discount on my employer health insurance. The day after the test, I received a call from a doctor informing me that I had to get to an emergency room right away, because my BG was 550 and my&nbsp;<span class="caps">A1C&nbsp;</span>was over 12. I am a software developer and pretty much live up to the stereotype almost completely (overweight, sedentary, etc) but had been following a Mediterranean type diet for a number of years, thinking I was at least eating healthy.</p>
<p style="padding-left: 30px;">Years ago I "did Atkins" and lost a ton of weight, but had gained it all back (heard that story before?), so I was at least somewhat aware of what my next steps had to be. After going to a doctor (again, first time in over ten years) I was amazed at the BS plan he wanted to put me on. He immediately prescribed three medicines for me (one that made me cough, one that made me shit and one that didn't seem to do anything) and recommended that I follow the&nbsp;<span class="caps">ADA&nbsp;</span>guidelines for diet and exercise. He also insisted that he would more than likely put me on insulin within a few weeks, despite the fact that my test results showed that I was already producing more insulin than I should be.</p>
<p style="padding-left: 30px;">I pretty much informed him at that point that I would take his medicines for now, but I wasn't going to listen to a thing he said regarding diet, and wasn't going to take insulin under any circumstances. I promised him that by our next appointment I would be off the medication with normal-ish BG levels. I didn't even wait until our next appointment to stop taking those stupid meds.</p>
<p style="padding-left: 30px;">I immediately went back to standard LC eating and saw my BGs drop from the 400-500 range down to the 120 - 140 range. I did standard LC for about two months, but actually gained a few pounds. This can probably be attributed to water weight gain, as I was no longer dehydrated from having such a high BG level. Despite always being well below 40g of carbs a day, I was completely unable to lose any weight at all. I was somewhat happy with my BG results, but wanted to do better ... so I started researching. The internet introduced me to Eades, then to Taubes (rapidly digested&nbsp;<span class="caps">GC,BC</span>), and finally to here. By this point I was sold and immediately transitioned my diet to a&nbsp;<span class="caps">VLC&nbsp;</span>paleo approach, following the panu guidelines. The results since then have been downright amazing.</p>
<p style="padding-left: 30px;">The&nbsp;<span class="caps">ADA&nbsp;</span>says that a diabetic should have BGs below 140, which implies that 140 is acceptable. However, normal non-diabetics are between 70 - 100. That makes no sense to me. I don't want to be acceptable, or in control of this stupid condition ... I want to be rid of it. That means I want to be in the normal non-diabetic range all the time, of course. After just&nbsp;<span class="caps">TWO WEEKS&nbsp;</span>following panu principles, my BGs dropped drastically to the 85-90 range, with my lowest so far being today at 74, and I have been losing about a pound a day. According to my doctor, what I did was statistically impossible (going from &gt;500 to completely normal without meds in just a few months). The way I see it, it is only statistically impossible because doctors are pushing the ridiculous "medicate and stick to&nbsp;<span class="caps">ADA&nbsp;</span>guidelines" crap down people's throats.</p>
<p style="padding-left: 30px;">So PaNu, as simple and natural as it is, has been an absolute miracle for me. I will do my best to spread the word and promote this approach to everyone I know ... especially if they are afflicted with one of these damn, unnecessary neolithic diseases of civilization.</p>
<p style="padding-left: 30px;">Thank you Dr. Harris!</p>
<p>Now I confess that at first I thought this might be a hoax. A stereotypical cubicle-bound computer nerd goes from a presumably grain-heavy mediterranean diet to PaNu and cures his diabetes? His serum BG goes from 550 to 75? With no exogenous insulin?</p>
<p>Then MNS made the following post:</p>
<p style="padding-left: 30px;">I have a question for you if you don't mind--what&nbsp;<span class="caps">EXACTLY</span>did you do differently between your "standard LC" (when you were consuming approximately 40 g<span class="caps">CHO&nbsp;</span>and not losing and now, following the PaNu approach? In other words, what were you eating on "standard LC" that you are not eating now....or is there something that you&nbsp;<span class="caps">ADDED&nbsp;</span>with your current approach? Thanks in advance and thanks for giving hope to some of us who have some mild (by comparison) blood sugar issues.</p>
<p>And LAMF replied:</p>
<p style="padding-left: 30px;">Here are the specific changes that I made from my standard LC to the PaNu approach, associated with the corresponding step in the program:</p>
<p style="padding-left: 30px;">Steps 1 - 3: No change. These are the basics of LC eating in a nutshell.</p>
<p style="padding-left: 30px;">Step 4: This was news to me and constituted perhaps one of my biggest changes. My standard LC lunch was a sandwich roll up dripping with mayo. In fact, mayo found its way into almost everything I ate. Ever look at the contents of a jar of mayo? Soybean oil is the primary ingredient.</p>
<p style="padding-left: 30px;">Step 5: I am a software developer, and like most sedentary office types, get very little sun. I am making a conscious effort to get out in the midday sun daily, for as long as my schedule allows. Still have a ways to go on this one.</p>
<p style="padding-left: 30px;">Step 6: This one was&nbsp;<span class="caps">HUGE.&nbsp;</span>Many LC diet plans insist on eating every few hours, which I gratefully obliged (mostly with cheese). I wasn't necessarily hungry, but I ate. Now I don't eat my first meal of the day until I am hungry, which usually happens around noon or 1, and I don't eat again until I am hungry again, which is usually around 8. That means that I normally get about a 16 hour fast in every day.</p>
<p style="padding-left: 30px;">Step 7: No change. Fruit and low carb do not generally go together very well at all.</p>
<p style="padding-left: 30px;">Step 8: Small change, but a change nonetheless. South Beachy type diets allow for a good amount of beans, and my wife really loves them. Best part of cutting them out altogether was the effect on my flatulence.</p>
<p style="padding-left: 30px;">Step 9: Pretty big change. Instead of just buying whatever meat was available, we started shopping at our local Earth Fare (kind of like a NC based Whole Foods) for the grass fed meats. Interesting development from this is that I found that the meat was way more satiating than just standard grain fed cuts, although that could have just been a mental thing for me. Lately we found a butcher who gets his meats from a local farm, so transitioning over to that.</p>
<p style="padding-left: 30px;">Step 10: Ack. Moving. Not a huge fan, personally. However, I joined a Y and go about twice a week for a half hour. I totally skip the aerobic torture devices that keep you planted on them for an hour at a time and go straight to resistance training. Since I hate just about every second of it, I have been using the heaviest weights I can possibly manage, going in slow motion to totally maximize the impact on my poor muscles, and only do 1 set (to failure) for each muscle group. I take no rest at all between sets and get the hell out of there as quickly as I can. I make sure I get at least two days rest between torture sessions.</p>
<p style="padding-left: 30px;">Step 11: No change. I already eliminated white sugar water.</p>
<p style="padding-left: 30px;">Step 12: Just like the good doctor, I haven't totally done this step. I don't have a good source for lard yet, so cook with mostly ghee. I have also been taking about 6 tablespoons of cream a day in tea and homemade soda. I have, however, completely cut out cheese and will keep it out of my diet until I have lost all the weight I want to lose (about 40 lbs to go). My issue with cheese is that I eat too much of it when I eat it, so better off avoiding it for now. I know that isn't any kind of reasoning associated with this step, but it is my reality.</p>
<p style="padding-left: 30px;">There are some other changes I have made that are unrelated to the steps, but I think adhere to paleo principles in general. I no longer try to reproduce the high carb foods I love using low carb ingredients. I have completely cut out powdered splenda (which isn't actually low carb at all, despite what the label says) and have drastically reduced the use of even liquid sucralose/stevia sweeteners. I'm losing my sweet tooth!</p>
<p style="padding-left: 30px;">My guess is that some combination of the above has worked to drastically lower the amount of insulin in my system, which has triggered the rapid and amazing changes I have seen in both weight loss and BG levels, but I am far more comfortable with 0s and 1s than I am with health so am not sure exactly what it was. In addition to the obvious changes already mentioned, my overall health has also improved dramatically. Chronic back pain: gone. Nightly severe headaches: gone. Gum infections due to advanced periodontal disease: gone. Almost weekly flareups of infection in a polinidal cyst that I have had for 20 years: gone. I feel better than I have ... well, ever.</p>
<p style="padding-left: 30px;">Hope this helped.</p>
<p>&nbsp;</p>
<p>Now I knew this was for real. LAMF&rsquo;s testimonial and his response to MNS should be read by everyone, as they are an excellent example of one individual&rsquo;s successful implementation of a simple but powerful plan.</p>
<p>Finally, I can&rsquo;t help but wonder if the same results could have been obtained just by following the excellent advice of Dr. Bernstein. I recommend his book highly, but is there an additional contribution made by focusing on the Neolithic agents like a laser?</p>
<p>In addition to carbohydrate reduction, does the reduction in excess inflammatory PUFA and fructose and maybe vitamin D correction add to the effects of just going to 50 g/day of carbs?</p>
<p>Is it : &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; PUFA &nbsp; &nbsp;&nbsp;&gt; <span style="white-space: pre;"> </span>Fructose <span style="white-space: pre;"> </span>&gt; <span style="white-space: pre;"> </span>Vit D <span style="white-space: pre;"> </span>&gt; <span style="white-space: pre;"> </span>Wheat?</p>
<p>Or is it: &nbsp; &nbsp; &nbsp; &nbsp;<span style="white-space: pre;"> </span> <span style="white-space: pre;"> <span style="white-space: pre;"> </span></span>Fructose &gt; <span style="white-space: pre;"> </span>PUFA &nbsp; &nbsp; &nbsp; &gt; <span style="white-space: pre;"> </span>Vit D <span style="white-space: pre;"> </span>&gt; <span style="white-space: pre;"> </span>Wheat?</p>
<p>The shotgun approach is not the way to do a study, but it may be the way to bet with your own health.</p>]]></content></entry><entry><title>180 + 180 = 360</title><category term="HED"/><category term="Stone"/><category term="carbohydrate"/><category term="essays"/><category term="hypothyroidism"/><category term="low metabolism"/><id>http://www.paleonu.com/panu-weblog/2010/2/5/180-180-360.html</id><link rel="alternate" type="text/html" href="http://www.paleonu.com/panu-weblog/2010/2/5/180-180-360.html"/><author><name>Kurt G. Harris MD</name></author><published>2010-02-05T19:31:56Z</published><updated>2010-02-05T19:31:56Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p><span class="full-image-block ssNonEditable"><span><img style="width: 300px;" src="http://www.paleonu.com/storage/124_burning_man.jpg?__SQUARESPACE_CACHEVERSION=1265399604315" alt="" /></span></span></p>
<p><span style="color: #0e0e0e;">Reader Jeff writes in with a comment about Matt Stone of 180 Health.</span></p>
<p><span style="color: #0e0e0e;">Matt is the subtle attention-shy guy who poses shirtless holding a pig&rsquo;s head on his blog.</span></p>
<p><span style="color: #0e0e0e;">Matt doesn&rsquo;t really need any attention from me, he is busy commenting in a &ldquo;contrarian&rdquo; fashion all over the blogosphere right now. However, enough readers are asking me what I think that I should say something, I suppose.</span></p>
<p><span style="color: #0e0e0e;">Jeff writes regarding Matt Stone's guest post on Tom Naughton's blog:</span></p>
<p style="padding-left: 30px;"><span style="color: #0e0e0e;">re colton osborn's question- i just went over and read the <a href="http://www.fathead-movie.com/index.php/2010/02/04/guest-post-matt-stone-of-180degreehealth/">post</a> at the link.&nbsp; i think the key section is:</span></p>
<blockquote>
<p style="padding-left: 30px;"><span style="color: #0e0e0e;"><em>And therein lies the true danger of uber-low-carbohydrate diets. All my experience tells me that, the first few years aside, a low-carbohydrate diet and certainly a full-blown ketogenic diet exacerbates a low metabolism. It is not a matter of having a genetically-doomed dysfunctional thyroid gland; it is fixable, and it lies at the core of the health problems we&rsquo;ve seen explode over the last century. This is why all prolonged restricted diets, low-carb included, in the words of Robert Atkins himself (from page 303 of Dr. Atkins&rsquo; New Diet Revolution):</em></span></p>
<p style="padding-left: 30px;"><span style="color: #0e0e0e;"><em>&ldquo;&hellip;tend to shut down thyroid function. This is usually not a problem with the thyroid gland but with the liver, which fails to convert T4 into the more active thyroid principle, T3. The diagnosis is made on clinical grounds with the presence of fatigue, sluggishness, dry skin, coarse or falling hair, an elevation in cholesterol, or a low body temperature.&rdquo;</em></span></p>
<p style="padding-left: 30px;"><span style="color: #0e0e0e;"><em>To that I will add constipation, bad moods, heartburn, cold hands and feet, and a whole host of other minor but significant health problems. To get an idea of how &ldquo;shutting down the thyroid&rdquo; can manifest, Mark Starr&rsquo;s chapter on Hypothyroidism symptoms is 83 pages long.</em></span></p>
</blockquote>
<p style="padding-left: 30px;"><span style="color: #0e0e0e;">Jeff here- most of what is in the post is fully compatible with PaNu.&nbsp; But Matt Stone asserts that once you've been on zero carb or very low carb for a while [several years] you'll run into problems as specified above.&nbsp; The carbs he recommends sound like potatoes and rice, not clear what he thinks about whole grains, but the bottom line question seems to be about thyroid function over the long term.</span></p>
<p>&nbsp;</p>
<p><span style="color: #0e0e0e;">I read the post and it starts out reasonably. Matt's hyping a pseudo -contrarian position that has some truth to it, but reading him later he goes off the rails when he starts talking about cortisol and thyroid function.</span></p>
<p><span style="color: #0e0e0e;">His first target is really a straw man. PaNu, Wholehealthsource and Peter at Hyperlipid all target fructose and linoleic acid as the main causes of metabolic disturbance in the western diet. Even Gary Taubes in his recent lectures has said "it may indeed all be fructose". None of us, read carefully, claims that "carbohydrates = disease".</span></p>
<p><span style="color: #0e0e0e;">His observation that some people may not feel good, even "hypometabolic" on VLC I don't take issue with. It seems like common sense that you might feel better eating more or less of just about anything. As long as you are avoiding the neolithic agents, tinker away! (That's for Brett and Nassim)</span></p>
<p><span style="color: #0e0e0e;">My blog with 60 or so main posts and pushing 3000 comments does not have any content from me prescribing precise ratios of anything, except for when advising how to lose weight. I respect the Optimal diet and Peter but I think any tightly defined macro ratio is rather&nbsp;<span style="color: #181818;">artificial, including Kwasniewski's. I am sure that bias shows in my irritation at the bodybuilding questions : &nbsp;)</span></span></p>
<div><span style="color: #0e0e0e;"><br /></span></div>
<p><span style="color: #0e0e0e;">At the same time, Stone's statement that long term ketogenic eating per se ruins your metabolism is much less supportable than the "all carbs are metabolic poison" straw man he is attacking. Again, even Taubes does not really say this in GCBC.</span></p>
<p><span style="color: #0e0e0e;">My own view on the ratio of carbs in the diet should be pretty clear by now.</span></p>
<p><span style="color: #0e0e0e;">1) I think a wide range is tolerable for those with normal metabolism. For those about to ask "how wide" - OK, let's say 5% to 40% or even more if you can tolerate it and the rest of your food is very high quality. If your metabolism is damaged (you know who you are - type II or obesity prone) or you don't tolerate starches well like me, you should probably stay on the low end of carb intake.&nbsp;</span></p>
<p><span style="color: #0e0e0e;">2) I think the paleolithic principle itself argues against LC and VLC being damaging the same way it argues against plants and all carbs as being poison. It just makes no sense, as it implies that humans in any given econiche, even one rich in a huge variety of animal foods, would have been at risk of metabolic damage from being in long term mild ketosis if they were not able to find enough starchy tubers and fruit in season. (We've agreed that grains like white rice are a recent food, I hope).</span></p>
<p><span style="color: #0e0e0e;">Enough nonstarchy greens to choke a gorilla with an otherwise all animal diet will not keep you totally out of ketosis, I guarantee. If it did, I wouldn't want to share your bathroom.</span></p>
<p><span style="color: #0e0e0e;">Of course, you can start eating a lot of coconuts like the Tokelauans or Kitavans and you can elevate your B-hydroxybutyrate even with a normal carb intake. Uh-oh - now our thyroid glands will die!</span></p>
<p><span style="color: #0e0e0e;">3) I suppose it is a corollary of my own paleo principle that I don't like approaches that require "seeking" behavior for something that provides only calories. "I'd better eat some carbs or my thyroid and adrenal glands will be screwed up". Really? HGs had to consciously think about whether they were getting enough starch? Or is starch just something that we eat because it helps us not starve?&nbsp;</span></p>
<p><span style="color: #0e0e0e;">4) On the other hand, avoidance behavior is totally compatible with the paleolithic principle. "Avoid that, as it is outside of our evolutionary experience or causes metabolic effects that are outside our experience in the amounts that are available". This is my template. Fructose, wheat and excess linoleic acid.</span></p>
<p><span style="color: #0e0e0e;">5) It is true that being in negative energy balance &ndash; losing weight -generates an energy conserving response. That is not surprising. Once you are at equilibrium though, does a lower free T3 with normal TSH and T4 on lower carbs mean something pathologic? What if you had cold hands and a low basal temperature when even you ate 50% of calories as carbs? Are you now supposed to go from 10% to 70% to "restart your thyroid" or are you rather still hypothyroid because you have always been hypothyroid and you are just no longer euphoric now that you have stopped losing weight? Remembering your mood or body sensations one hour ago is hard enough. We are supposed to remember what they were years ago?</span></p>
<p><span style="color: #0e0e0e;">6) In answer to the idea that we need to carefully regulate macronutrient ratios to control the function of our thyroid and adrenal glands I have only one comment for now:</span></p>
<p><span style="color: #0e0e0e;">Lacks biological and evolutionary plausibility.</span></p>
<p><span style="color: #0e0e0e;">To summarize, Matt is a clever and entertaining writer, but his main target is a straw man, as most of the science oriented paleonutrition blogs are not really "low carb" blogs at all. His observation that starch per se need not be unhealthy is not really that controversial.</span></p>
<p><span style="color: #0e0e0e;">Matt's claims about his own serum BG after meals should be published as a case report in a medical journal. They are at odds with clinical studies I have read on glucose metabolism in normal highly insulin sensitive young people (can you say "superhuman"?).</span></p>
<p><span style="color: #0e0e0e;">Matt's got some good observations, but is over or mis-interpreting the literature in the realm of endocrinology. I did not notice if he has any medical or scientific credentials, but his views of hormonal action lack nuance, to say the least. He is also avidly mining the "I feel like shite, it must be my thyroid or adrenal glands" meme.</span></p>
<p>&nbsp;</p>
<p><span style="color: #0e0e0e;">Well, back to the real post. Thank you all for your patience</span></p>]]></content></entry><entry><title>Interview with Jimmy Moore</title><category term="Jimmy Moore"/><category term="Self promotion"/><category term="podcasts"/><id>http://www.paleonu.com/panu-weblog/2010/1/16/interview-with-jimmy-moore.html</id><link rel="alternate" type="text/html" href="http://www.paleonu.com/panu-weblog/2010/1/16/interview-with-jimmy-moore.html"/><author><name>Kurt G. Harris MD</name></author><published>2010-01-16T18:12:56Z</published><updated>2010-01-16T18:12:56Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p>&nbsp;</p>
<p><span class="full-image-block ssNonEditable"><span><img src="http://www.paleonu.com/storage/ep-325.png?__SQUARESPACE_CACHEVERSION=1263667216632" alt="" /></span></span></p>
<p>Here is a&nbsp;<a href="http://www.thelivinlowcarbshow.com/shownotes/1453/dr-kurt-harris-panu-means-paleo-nutrition-episode-325/">link</a>&nbsp;to my hour-long interview with Jimmy Moore that was recorded in September 2009.</p>
<p>You can vote by clicking the appropriate level of star if so inclined.</p>
<p>I may be a poor one to judge it, but my wife Vicki thought I sounded reasonably good.</p>
<p>The interview was totally unscripted and Jimmy only deleted a ten-second awkward silence that occurred at the very beginning.</p>
<p>When Jimmy interviews you, you engage in a little preparatory banter to set things up. I can honeslty say I did not feel too nervous. I was sitting at my desk with a Sennheiser headset, a cup of coffee with cream, and the computer audio was jacked into my desktop B&amp;W Zeppelin for sound quality. So, we are chatting along, and I'm thinking Jimmy is this nice southern gentleman and so easy to chat with for this opinionated midwesterner, and then he launches into his intro, which through my speakers, literally sounded like a carnival barker with a meagaphone had snuck into my living &nbsp;room. I was so shocked I was literally speechless for about 10 seconds and could only guess at what he had just said - so I finally said "thank you".</p>
<p>From there on it went fine, once some part of my brain realized the carnival barker was only Jimmy, and he had by now shape-shifted back into a friendly southern Atkins practitioner.</p>
<p>I had forgot I called Zero Carb the "Hezbollah of the low carb movement". I like that.</p>
<p>Oh, and you will enjoy the sound they used to bleep my deployment of the word "bullshit" when describing what I thought when they told me eggs and bacon might be bad back in medical school. Vicki could not stop laughing.</p>
<p>Thanks to everyone who has donated! I've tried to send brief personal responses via email but might have missed a few. The donations and accompanying comments have been greatly appreciated!</p>
<p>&nbsp;</p>]]></content></entry><entry><title>Smoking Candy Cigarettes</title><id>http://www.paleonu.com/panu-weblog/2010/1/13/smoking-candy-cigarettes.html</id><link rel="alternate" type="text/html" href="http://www.paleonu.com/panu-weblog/2010/1/13/smoking-candy-cigarettes.html"/><author><name>Kurt G. Harris MD</name></author><published>2010-01-14T05:58:24Z</published><updated>2010-01-14T05:58:24Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p><span class="full-image-block ssNonEditable"><span><img src="http://www.paleonu.com/storage/candycigarette.jpg?__SQUARESPACE_CACHEVERSION=1263448743458" alt="" /></span></span></p>
<p><span style="color: #0c0c0c;">Some of you are no doubt too young to remember them.</span></p>
<p><span style="color: #0c0c0c;">They came in two forms when I was a kid in the late 60&rsquo;s. The first was a hard white candy stick the same length as a standard filtered cigarette but just a bit thinner. No particular flavor, unless &ldquo;sucrose&rdquo; is a flavor. There was a red, actually pink, smudge painted onto one end to simulate the ember of a real smoke.</span></p>
<p><span style="color: #0c0c0c;">The other kind was the one I preferred. It was actually a stick of pink bubblegum. Nude, this faux cancer-stick was not too realistic and certainly did not make you look tough, as it was pink, but if you could resist the urge to chew it right away, the dimensions were closer to a real cigarette and it had a white paper wrapper, the mouthward inch or so embossed with a printed pattern that made it look like a filter.</span></p>
<p><span style="color: #0c0c0c;">At least one of these &ndash; I know for sure the hard candy ones and I believe the gum ones as well - had a coating of fine confectioner&rsquo;s sugar that, with a sharp puff outward, you could imagine for about two puffs that you were part of the sophisticated world of those who fit in &ndash; the smokers.</span></p>
<p><span style="color: #0c0c0c;">After those two puffs, you could become a regular gum-chewing or candy crunching kid, or you could go for another &ldquo;smoke&rdquo;.</span></p>
<p><span style="color: #0c0c0c;">The idea that a 9 year-old kid feigning a bad habit is more likely to take up the real and very deadly one it is modeled on makes a good libertarian roll his eyes- now what, even candy cigarettes are bad?</span></p>
<p><span style="color: #0c0c0c;">But there may be something to the idea. It turns out that no tobacco company has ever sued a candy company for using their brand names on candy cigarettes. It seems obvious that candy companies counted on Junior&rsquo;s emulation of Dad and Big Tobacco allowed trademark infringement to enable candy companies to socialize the new recruits.&nbsp;</span></p>
<p><span style="color: #0c0c0c;">Does this remind you of anything?</span></p>
<p><span style="color: #0c0c0c;">When you go to the birthday party for your neighbor&rsquo;s kid, and you eat the birthday cake, what message does that send?</span></p>
<p><span style="color: #0c0c0c;">You show up looking trim and fit. You pride yourself on being a nice person. You are happy with your progress and pleased if people ask you how you lost weight, maybe more when they seem to look at you funny &ndash; a little jealous, maybe even suspicious. After eating this way for a few years, though, you are perhaps most comfortable if no one says anything at all.</span></p>
<p><span style="color: #0c0c0c;">You are weary of the reactions -the incredulity, the mockery, the eye-rolling. Pushing 50, you&rsquo;ve tried pulling up your shirt to point at your gentle washboard, but you&rsquo;ve learned that the segue to explaining why you are not just cultivating an attractive corpse due to all that arterycloggingsaturatedfat that you live on is tedious and it gets you nowhere.</span></p>
<p><span style="color: #0c0c0c;">So, not having been clinically diagnosed as having celiac disease, when the rectangular slab of Hy-Vee or Piggly Wiggly birthday cake &ndash; frosted 3/8&rdquo; thick and a stratum of oily granular sugar running through the middle to boot &ndash; is proferred, you say &ldquo;thank you&rdquo;, flash a non-Duchenne smile that only a trained psychologist would question, and accept it, holding the flimsy paper plate and plastic fork with both hands to keep it from tumbling onto the ground.</span></p>
<p><span style="color: #0c0c0c;">You repair to some corner of the party where you can nibble at the cake, maybe spill a few crumbs, and eventually hide the paper plate, now soggy with vegetable oil absorbed from the corpus of the cake.</span></p>
<p><span style="color: #0c0c0c;">Who are the agents of acculturation here?</span></p>
<p><span style="color: #0c0c0c;">Even if you are not Philip Morris, are you the candy company?</span></p>
<p><span style="color: #0c0c0c;">What do the kids think? Well, they probably think nothing at all. It&rsquo;s a birthday party after all and presents and sugar buzzes and juice and soda and treats are the sea they swim in.</span></p>
<p><span style="color: #0c0c0c;">All the time.</span></p>
<p><span style="color: #0c0c0c;">They will have no opportunity to say to you, &ldquo;How come you don&rsquo;t want cake?&rdquo; or to their parents &ndash; &ldquo;how come that skinny man doesn&rsquo;t eat cake?&rdquo;.</span></p>
<p><span style="color: #0c0c0c;">OK, young children probably wouldn&rsquo;t notice one way or another, but what if you said, &ldquo;No, thanks&rdquo; to the cake offer? What if mom is serving, and asks &ldquo;Why not?&rdquo;.</span></p>
<p><span style="color: #0c0c0c;">Is there not a small but finite probability that you could give an answer that might lead to a discussion &ndash; a discussion that might change someone&rsquo;s life, even if it&rsquo;s not the questioner&rsquo;s.</span></p>
<p><span style="color: #0c0c0c;">Maybe an image conscious teenage girl notices an adult male who from the neck down looks fitter than all the boys at her school who don&rsquo;t play sports, and some of the ones that do. Maybe she hears you talk about your lack of hunger and maybe, being a teenager, after all, she is attracted to the transgressive notions you hint at &ndash; carnivory, saturated fat -that obviously horrify her parents.</span></p>
<p><span style="color: #0c0c0c;">How can this scenario, however unlikely, ever occur if we all keep pretending that we eat agricultural food like everyone else. Food that is constructed or manufactured instead of killed, food that is not real, food that everyone thinks is just fine for people to eat, as long as it goes easy on the &ldquo;fat&rdquo;.</span></p>
<p><span style="color: #0c0c0c;">Maybe your response to me is &ldquo;Hey, lighten up, man. I do my part. I preach paleonutrition and the virtue of real food and animal fats on a selective basis.&nbsp; I can&rsquo;t be expected to ruin everyone&rsquo;s day all the time.&rdquo;</span></p>
<p><span style="color: #0c0c0c;">OK, you wear the Real Food Uniform often enough to do some good. No one expects you to get fired over diet advocacy at the office picnic.</span></p>
<p><span style="color: #0c0c0c;">If you nibble the cake to be neighborly, maybe the only damage you&rsquo;ve done is some minimal aiding and abetting &ndash; The minions of Ancel Keys and the harpies of Ornish and Campbell have a little less work to do.</span></p>
<p><span style="color: #0c0c0c;">You&rsquo;ve helped them just a little with your vignette of The Thin and Fit Old Guy Who Proves It&rsquo;s Fine To Eat a Bunch of Sugar.</span></p>
<p><span style="color: #0c0c0c;">But what happens when you go home?</span></p>
<p><span style="color: #0c0c0c;">Do you doff the uniform of the Real Food Army and join Keys&rsquo; agricultural army reserve? Do you train yourself to crave the manufactured food of the dominant paradigm? Do you make and eat food with the modifier &ldquo;paleo&rdquo; in front of it?</span></p>
<p><span style="color: #0c0c0c;">Food that is designed to look and taste like signal dishes of 19<sup>th</sup> and 20<sup>th</sup> century industrially-inspired and manufactured food?</span></p>
<p><span style="color: #0c0c0c;">Paleo pancakes?</span></p>
<p><span style="color: #0c0c0c;">Paleo cupcakes?</span></p>
<p><span style="color: #0c0c0c;">Try a google search of neolithic treats with the prefix &ldquo;paleo-&rdquo; stuck on.</span></p>
<p><span style="color: #0c0c0c;">Here&rsquo;s one:</span></p>
<p><span style="color: #0c0c0c;"><br /></span></p>
<p style="padding-left: 30px;"><span style="color: #262626;"><em>You can make pancakes without flour? Yes! Recipe from xxxxxxxxx:</em></span></p>
<p style="padding-left: 30px;"><strong><span style="color: #262626;"><em>1. Beat/Mix:</em></span></strong></p>
<p style="padding-left: 30px;"><span style="color: #262626;"><em>1-2 eggs</em></span></p>
<p style="padding-left: 30px;"><span style="color: #262626;"><em>1-2 table spoons of crushed almonds (or nut butter ... no peanut butter though .... peanuts are beans, not nuts)</em></span></p>
<p style="padding-left: 30px;"><span style="color: #262626;"><em>cinnamon to taste</em></span></p>
<p style="padding-left: 30px;"><strong><span style="color: #262626;"><em>2. Fry</em></span></strong><span style="color: #262626;"><em> the batter as you would a pancake on greased pan.</em></span></p>
<p style="padding-left: 30px;"><strong><span style="color: #262626;"><em>3. Top</em></span></strong><span style="color: #262626;"><em> with fresh fruit. I usually heat up frozen mixed berries from Costco. When you heat them up they get all juicy and act as a syrup. I also like to add a little bit of honey even though this is not true paleo because of it's likeness to sugar.</em></span></p>
<p style="padding-left: 30px;"><span style="color: #262626;"><em><br /></em></span></p>
<p><span style="color: #262626;">Crushed nuts mixed with eggs? Who thinks this is not just a vehicle for sugar?</span></p>
<p><span style="color: #262626;">&ldquo;Frozen mixed berries&hellip;&hellip;get all juicy and act as syrup&rdquo;</span></p>
<p><span style="color: #262626;">You bet they do!</span></p>
<p><span style="color: #262626;">Honey has a <em>likeness</em> to sugar &hellip;.well I suppose if likeness means &ldquo;is&rdquo;.</span></p>
<p><span style="color: #262626;">Here is another:</span></p>
<p><span style="color: #262626;">&nbsp;</span></p>
<p style="padding-left: 30px;"><strong><span style="color: #252525;"><em>Paleo Pancakes</em></span></strong><span style="color: #252525;"><em> Ingredients:</em></span></p>
<p style="padding-left: 30px;"><span style="color: #252525;"><em> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1 1/2 Cups Pecan Flour (or almond flour)</em></span></p>
<p style="padding-left: 30px;"><span style="color: #252525;"><em> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1/4 Cup Heavy Cream</em></span></p>
<p style="padding-left: 30px;"><span style="color: #252525;"><em> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 4 Eggs</em></span></p>
<p style="padding-left: 30px;"><span style="color: #252525;"><em> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1/4 Cup Butter, melted</em></span></p>
<p style="padding-left: 30px;"><span style="color: #252525;"><em> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1/8 Cup Agave Nectar</em></span></p>
<p style="padding-left: 30px;"><span style="color: #252525;"><em> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1 tsp. Vanilla</em></span></p>
<p style="padding-left: 30px;"><span style="color: #252525;"><em> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1/2 tsp. Baking Soda</em></span></p>
<p style="padding-left: 30px;"><span style="color: #252525;"><em>Combine all ingredients in a blender. Cook pancakes in a non-stick skillet.</em></span></p>
<p style="padding-left: 30px;"><span style="color: #252525;"><em>Serve with natural fruit spread or pumpkin butter.</em></span></p>
<p style="padding-left: 30px;"><span style="color: #252525;">&nbsp;</span></p>
<p><span style="color: #252525;">2 tablespoons of Agave nectar would give 18-27 grams of fructose, plus whatever is in the arbitrary quantity of &ldquo;natural&rdquo; fruit or sugar-laden pumpkin butter you put on it. A small pack of M&amp;Ms candy has 12 g fructose.</span></p>
<p><span style="color: #252525;">1 &frac12; cups of almond flour is about 6 or 7 ounces. Almonds are about 17% PUFA, nearly all n-6 linoleic acid, probably well-oxidized after frying in a skillet hot enough to give the &ldquo;pancake&rdquo; that golden hue we all like.</span></p>
<p><span style="color: #252525;">That seems like a pretty big oxidized linoleic acid dose to just to manufacture a sugar vehicle.</span></p>
<p><span style="color: #252525;">Does anyone agree that &ldquo;paleo pancakes&rdquo; taste like complete shite unless absolutely smothered in hepatotoxic sucrose/ and or butter?</span></p>
<p><span style="color: #252525;">Why not just have 4 eggs fried in butter, cream in your coffee, and a few ounces of unfried almonds?</span></p>
<p><span style="color: #252525;">Why mash it together into a &ldquo;pancake&rdquo; if it&rsquo;s not about the sugar?</span></p>
<p><span style="color: #252525;">If it&rsquo;s because your kids will scream without a sugar vehicle (we all know 4-year-olds are more physically powerful than crossfitters and are messed with at your peril!), what will your kids do the first morning at University in the breakfast line when there is pile of all-you-can eat pancakes? Will they know there&rsquo;s wheat flour in place of the ground-up almonds you&rsquo;ve been conditioning them with?</span></p>
<p><span style="color: #252525;">Would it not be better to train your kids, and yourself, to avoid Neolithic food by the simplest expedient there is? So simple a child could manage it?</span></p>
<p><span style="color: #252525;">Something as simple as a simple rule.</span></p>
<p><span style="color: #252525;">A rule like:</span></p>
<p><span style="color: #252525;"><strong>Don&rsquo;t eat anything that looks like Neolithic food, especially Neolithic food.</strong></span></p>
<p><span style="color: #252525;"><strong><br /></strong></span></p>
<p><span style="color: #252525;"><strong><span class="full-image-block ssNonEditable"><span><img style="width: 250px;" src="http://www.paleonu.com/storage/klej1718.jpg?__SQUARESPACE_CACHEVERSION=1263449108589" alt="" /></span></span><br /></strong></span></p>
<p><span style="color: #252525;">What is the point of all this? I just don&rsquo;t get it, and I don&rsquo;t think it is because I am just too lazy to make this stuff.&nbsp;</span></p>
<p><span style="color: #252525;">It&rsquo;s easy to make fun of commercial junk in a box like &ldquo;low carb&rdquo; pasta, zone and atkins bars, etc. All stuff that may be gluten free or have sawdust in place of of high GI starch, but whose real reason for existence is just to appropriate what should properly be freestanding, honest, real food back into the maw of corporate big-agra commercial interests.</span></p>
<p><span style="color: #252525;">How about this:</span></p>
<p><span style="color: #252525;">&nbsp;<span class="full-image-block ssNonEditable"><span><img style="width: 400px;" src="http://www.paleonu.com/storage/img_18401.jpg?__SQUARESPACE_CACHEVERSION=1263448934469" alt="" /></span></span><br /></span></p>
<p><span style="color: #252525;">I am not making this up.&nbsp; A &ldquo;Paleo&rdquo; chocolate cake loaded with Stevia, price $45 US. Note the high-end Barbara Barry tile in the background. I suppose that explains the price.</span></p>
<p><span style="color: #252525;">I am on record as stating that eating anything sweet should be totally avoided if you do not want to have difficulty avoiding sweets. I cannot prove it, but it seems plausible that eating and drinking artificial sweeteners is a physiologic version of &ldquo;smoking candy cigarettes&rdquo;. There is likely to be some neuro-hormonal conditioning along with three diet sodas a day. Is there any way a diet soda habit makes it easier to avoid the hyper-ubiquitous sweets we are surrounded by?</span></p>
<p><span style="color: #252525;">I think &ldquo;cheat days&rdquo; make just as much sense as a weekly Marlboro red for ex-smokers or lines of coke once in a while after you have left Hazelden. But I admit that is a mere common sense observation, and if it &ldquo;works&rdquo; for you to go hyperglycemic or have an extra BM once a week, go for it.</span></p>
<p><span style="color: #252525;">But this &ldquo;paleo food&rdquo; thing is bogus. If your food needs a prefix, it is not &ldquo;paleo&rdquo; in either the historical or the metabolic sense, and it is, more emphatically, not paleo in the sense that it is helping to keep alive the reigning agricultural paradigm &ndash; the one that wants our food to look like agricultural food so that we still crave agricultural food.</span></p>
<p><span style="color: #252525;">Manufacturing simulacra of grandma&rsquo;s comfort food in your kitchen is either:</span></p>
<p><span style="color: #252525;">1)&nbsp;&nbsp; </span><span style="color: #252525;">Pointless work to make something awful tasting</span></p>
<p><span style="color: #252525;">2)&nbsp;&nbsp; </span><span style="color: #252525;">A veiled excuse to make a sugar vehicle</span></p>
<p><span style="color: #252525;">3)&nbsp;&nbsp; </span><span style="color: #252525;">An unconscious exercise in the service of Ancel Keys&rsquo; Neolithic Food Army Reserve.&nbsp;Keep that big-agra-supplied uniform pressed and hanging in the closet, waiting for the call-up. For the day when the paleo-pancake is not doing the trick, and hell, why not have just one real pancake?</span></p>
<p><span style="color: #0c0c0c;">If you&rsquo;re not as evil as the tobacco company or as cynical as the candy company, are you still unconsciously the kid at school sharing cigarette &ndash;shaped treats with his playmates at recess?</span></p>
<p><span style="color: #0c0c0c;">Are you nurturing the seed of the dominant agriculture-based dietary paradigm, an unconscious conscript in Ancel Keys&rsquo; sugar-is-innocent reserve army?</span></p>
<p><span style="color: #0c0c0c;">If you are a vector for cultural change, which way is the arrow pointing?</span></p>
<p><span style="color: #0c0c0c;">Wear your Real Food Uniform.</span></p>
<p><span style="color: #0c0c0c;">Active Duty.</span></p>
<p><span style="color: #0c0c0c;">Fly your freak-flag high.</span></p>
<p><span style="color: #0c0c0c;">Say no to the cake.</span></p>
<p>&nbsp;</p>
<p><span style="color: windowtext;"><a href="http://www.ncbi.nlm.nih.gov/pubmed/17532370">History of childhood candy cigarette use is associated with tobacco smoking by adults.</a></span></p>
<p><span style="color: windowtext;"><a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1118335/?tool=pubmed">BMJ article on candy cigarettes</a></span></p>
<p><span style="color: windowtext;"><a href="http://www.oldtimecandy.com/candy-cigarettes.htm">Where to get them</a></span></p>
<p><span style="color: windowtext;"><a href="http://www.youtube.com/watch?v=dBnniua6-oM">Lustig video on fructose</a></span></p>
<p>&nbsp;</p>
<p><span style="color: #000000;"><span style="color: #181818;">Top photo by Sally Mann - Candy Cigarette - 1989 - reproduced under fair use doctrine</span></span></p>]]></content></entry><entry><title>Time is Finite</title><id>http://www.paleonu.com/panu-weblog/2010/1/12/time-is-finite.html</id><link rel="alternate" type="text/html" href="http://www.paleonu.com/panu-weblog/2010/1/12/time-is-finite.html"/><author><name>Kurt G. Harris MD</name></author><published>2010-01-12T18:06:02Z</published><updated>2010-01-12T18:06:02Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p>I am just thrilled at the recent blog traffic (50,000 page views just last <em>week</em>) and enthusiasm for ideas found in the comments.</p>
<p>I like to respond to comments and questions, but we do not live our lives at the quantum level (where time can go backwards) and I am starting to run up against some physical limits.</p>
<p>Currently, I am logging about 12-15 &nbsp;hours a week just moderating and responding to comments.</p>
<p>I enjoy this, but time is finite and I need to spend much more time reading primary sources (the ones I already have a giant stack of) and putting up more substantive posts - substantive essays are the raison d'etre of this blog and i would rather have a few substantive posts than a whole bunch of trivial ones.</p>
<p>The blog is at the point where new posts and comments are going to take more than 25 hours a week.</p>
<p>This is gratifying, but the reality is that this project simply has to start paying the freight in my own life.</p>
<p>I don't have a book for sale yet, and frankly, maintaining the blog will probably add another year 'til the completion of the first one - an accessible scientifically based guide to the 12 steps.</p>
<p>I sell no supplements.</p>
<p>I don't peddle my essays as ebooks.</p>
<p>I only have affiliate links if you buy books through amazon from my list - this has earned me about $78 so far.</p>
<p>I abhor the idea of cluttering the site with advertisements, especially the useless junk and scams that pop up with google adsense.</p>
<p>Charging a subscription fee for access will limit growth and exposure of new souls to the blog and paleonutrition in general.</p>
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<p>&nbsp;</p>]]></content></entry><entry><title>Insulinogenic is not Hyperglycemic</title><id>http://www.paleonu.com/panu-weblog/2010/1/11/insulinogenic-is-not-hyperglycemic.html</id><link rel="alternate" type="text/html" href="http://www.paleonu.com/panu-weblog/2010/1/11/insulinogenic-is-not-hyperglycemic.html"/><author><name>Kurt G. Harris MD</name></author><published>2010-01-11T18:29:16Z</published><updated>2010-01-11T18:29:16Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p>Reader Dee writes in with her experience as a Type I diabetic. She has some good observations on what a large protein meal does without endogenous insulin.</p>
<p style="padding-left: 30px;">There is a lot of mention of dairy being insulinogenic. Anecdotally, this is what I have seen as a type 1 diabetic. Beef causes my blood sugars to rise very high about 7-8 hours post prandial. So does cheese - in similar quantities. Butter and cream and full-fat yogurt do not. But the difference is a serving of cheese might be 1-3 oz. A serving of beef on a low carb or paleo diet might be 8-16 oz. So eating small amounts of cheese are not a problem, insulin-wise. However eating large portions of beef in particular, and other meats as well, require more insulin than 30g of carb - it's just much later on.  In an attempt to lose weight I need to keep my insulin dosages low - therefore I must limit my protein. Ditto on carbs. If I don't eat more fat and calories I am worried about stunting my metabolism. It seems very difficult to up your fat intake without dairy (cream, butter). That's just my pragmatic rationalization as to why I'm eating dairy. I do try to choose organic cream and pastured butter to minimize the hormonal gunk though.</p>
<p>She has shown nicely how large protein meals require more insulin or her blood sugar will rise.</p>
<p>She also got me to thinking about how I see the term "hyperinsulinemia" used at times.</p>
<p>In the blogosphere, I occasionally see some conflation of the terms hyperglycemia and hyperinsulinemia. On a chronic basis, they are part of the same pathology of metabolic syndrome, but as part of normal homeostasis they are not.</p>
<p>Insulinogenic means "Induces an insulin response".</p>
<p>Rising blood sugar does not automatically equate to rising insulin -in fact, as any Type I knows all too well, hypergyclemia is due to inadequate insulin response.  Your serum blood glucose (BG) can rise in the presence of an insulin response or without it - it depends on glucagon and epinephrine and other foods eaten as well.</p>
<p>It is of course true that there is an insulin response to amino acids- and this is roughly an order of magnitude smaller than the response to glucose on a molar basis. It is also true that if more glucagon is released relative to insulin with the protein meal, that serum BG can rise even with the insulin increasing.</p>
<p>If you are type I, your BG is rising due to the lack of an increase in insulin in the presence of increasing glucagon liberating glucose from your liver, not due to the "insulinogenic" effect of 16 oz of beef. In fact, if there were not glucagon released after eating protein, a non-diabetic could become hypoglycemic from the insulin response to the protein.</p>
<p>When Cordain complains that dairy protein is "insulinogenic", he means (or should mean) that a given amount of dairy protein raises insulin more than an equimolar amount of, say beef protein.</p>
<p>The question is not whether this occurs, but if it a large enough effect to be clinically significant.</p>
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<p>Thank You, Dee</p>]]></content></entry></feed>