Opiate of the masses

Although it is a central premise of the whole Wheat Belly argument and the starting strategy in the New Track Your Plaque Diet, I fear that some people haven't fully gotten the message:

Modern wheat is an opiate.

And, of course, I don't mean that wheat is an opiate in the sense that you like it so much that you feel you are addicted. Wheat is truly addictive.

Wheat is addictive in the sense that it comes to dominate thoughts and behaviors. Wheat is addictive in the sense that, if you don't have any for several hours, you start to get nervous, foggy, tremulous, and start desperately seeking out another "hit" of crackers, bagels, or bread, even if it's the few stale 3-month old crackers at the bottom of the box. Wheat is addictive in the sense that there is a distinct withdrawal syndrome characterized by overwhelming fatigue, mental "fog," inability to exercise, even depression that lasts several days, occasionally several weeks. Wheat is addictive in the sense that the withdrawal process can be provoked by administering an opiate-blocking drug such as naloxone or naltrexone.

But the "high" of wheat is not like the high of heroine, morphine, or Oxycontin. This opiate, while it binds to the opiate receptors of the brain, doesn't make us high. It makes us hungry.

This is the effect exerted by gliadin, the protein in wheat that was inadvertently altered by geneticists in the 1970s during efforts to increase yield. Just a few shifts in amino acids and gliadin in modern high-yield, semi-dwarf wheat became a potent appetite stimulant.

Wheat stimulates appetite. Wheat stimulates calorie consumption: 440 more calories per day, 365 days per year, for every man, woman, and child. (440 calories per person per day is the average.) We experience this, sense the weight gain that is coming and we push our plate away, settle for smaller portions, increase exercise more and more . . . yet continue to gain, and gain, and gain. Ask your friends and neighbors who try to include more "healthy whole grains" in their diet. They exercise, eat a "well-balanced diet" . . . yet gained 10, 20, 30, 70 pounds over the past several years. Accuse your friends of drinking too much Coca Cola by the liter bottle, or being gluttonous at the all-you-can-eat buffet and you will likely receive a black eye. Many of these people are actually trying quite hard to control impulse, appetite, portion control, and weight, but are losing the battle with this appetite-stimulating opiate in wheat.

Ignorance of the gliadin effect of wheat is responsible for the idiocy that emits from the mouths of gastroenterologists like Dr. Peter Green of Columbia University who declares:

"We tell people we don't think a gluten-free diet is a very healthy diet . . . Gluten-free substitutes for food with gluten have added fat and sugar. Celiac patients often gain weight and their cholesterol levels go up. The bulk of the world is eating wheat. The bulk of people who are eating this are doing perfectly well unless they have celiac disease."

In the simple minded thinking of the gastroenterology and celiac world, if you don't have celiac disease, you should eat all the wheat you want . . . and never mind about the appetite-stimulating effects of gliadin, not to mention the intestinal disruption and leakiness generated by wheat lectins, or the high blood sugars and insulin of the amylopectin A of wheat, or the new allergies being generated by the new alpha amylases of modern wheat.

Comments (22) -

  • Judy B

    4/20/2012 4:23:26 PM |

    Unbelievable!  When are doctors going to get a clue?  Thank you, Dr. Davis for giving us the truth.

  • Joe

    4/20/2012 4:31:44 PM |

    Dr. Davis, somehow I've managed to get my Vitamin D, 25-hydroxy level to 90 ng/ml! It's the first time I've had it tested since taking your advice. Is this too high? Or about right?

    I take about 8000 IUs per day (in the form of drops) and get 20-40 minutes of daily sun (in Florida, that's pretty easy to do). That's year-round.

    Nota bene: My HDL/TC ratio was 0.241 (64/265), and TRGS/HDL ratio was 1.4 (94/64), which are pretty good numbers, I think. My LDL was mostly Pattern A (large bouyant), which is also good, I think. Since my doctor said my TC of 265 was still too high, he recommended statin therapy, which I declined.  I've lost ~80 pounds in the past 12 months eating a low-carb paleo diet (and no freakin' WHEAT!), and I've heard that a large weight loss can screw up cholesterol levels for a while.  Could that be the reason the TC is still "high." Should I be concerned? I think my good ratios and large bouyant LDL trump TC, but my doctor thinks otherwise.

    Thanks!

  • Galina L.

    4/20/2012 9:50:48 PM |

    I have a question for you as a cardiologist. Does a ketogenic diet affect an edema associated with a heart failure?  I understand that congestive heart failure is a very serious condition, one of my husband's coworkers wife is in a hospital right now with such condition, they removed one gallon of fluid from her legs there, and I am just curious. I had a pitting  edema  at 46 when my pre-menopause issues started, and it got cured with a carb. restriction (together with the rest of pre-menopause issues and asthma). What about edemas associated with other health conditions? Does carb restriction could help to some degree?

  • Eva

    4/25/2012 8:39:55 PM |

    This is interesting info. I am not a big fan of wheat for a number of reasons, the obvious being lack of nutrition and evidence of negative response in celiacs.  Those issues seem fairly certain and I am also open to other arguments.  However, I would like to see some of the research on these particular accusations against wheat, specifically the evidence that wheat is a addictive and that wheat makes you hungrier.  

    If it were merely addictive, then we could just eat more wheat and less other foods.  But then, wheat has lack of nutrition so maybe the desire for nutrition drives us to eat more food in addition, thus leading to more overall food consumption.  In that nutrition is probably somewhat 'addicive' as well, ie the body craves it.  Seems to me that pure addiction could account for a lot.  

    If were were addicted to sugar and addicted to wheat, we'd eat a lot of them both, which on average is what Americans are doing.  Then on top of that, the body might still try to get some scraps of nutrition, so that means yet more food is consumed.  Seems to me, the prob could be a simple issue of being addicted to foods that pack a lot of calories but do not give nutrition in return.  Then you have to eat even more on top of that just to survive and get at least minimal nutrition.  

    So I guess what I am pondering is a subtle variation on the theme of 'hunger' in that  perhaps wheat addiction drives the desire for more wheat consumption (at least in some), sugar consumption drives the desire for more sugar consumption (at least in some), and lack of nutrition drives the desire to eat more in general until nutritional needs are met.  The solution would be that as we have already seen, eating healthy foods and avoiding sugar and wheat naturally returns hunger to normal levels in most people.    

    Another interesting issue is to look at meth users who often become very skinny.  My understanding is even if food is available, hunger is stunted by meth, which implies that meth is able to override all food drives, perhaps even those of sugar and wheat?  I wonder what might be found if that is studied!  (not that I am suggesting we take meth of course for obvious reasons, but the mechanism itself is interesting)      

    I am somewhat familiar with on study that showed rats packed on 25% more fat when fed wheat, which is interesting because rats are seed eating creatures by nature, but that one study by itself is not enough.  I am guessing you have put a lot of time into gathering a lot more research and would be so appreciative if you could list a tad of it if possible.
    -Eva

  • May 2nd | CrossFit-HR

    5/1/2012 9:01:42 PM |

    [...] Opiate of the masses Although it is a central premise of the whole Wheat Belly argument and the starting strategy in the New Track Your Plaque Diet, I fear that some people haven’t fully gotten the message:  Modern wheat is an opiate. And, of course, I don’t mean that wheat is an opiate in the sense that you like it so much that you feel you are addicted. Wheat is truly addictive. Post your 5RM total working time to comments [...]

  • Anna

    5/7/2012 8:28:16 PM |

    Your book said that only 1/3 of people experience withdrawal symptoms when giving up wheat.  If it's as addictive as you say in this article then why do only a third have withdrawal symptoms?
    Perhaps I misread what you said in your book?

  • Anon

    5/8/2012 11:32:23 PM |

    Hi Dr. Davis,

    For the last 5-6 months, I switched over to a low carb (~50-75g/day) diet, mostly making up the calories with whey protein and lots of fats (olive oil, avocado, grass fed butter). It's not exactly bulletproof, but pretty close.

    While a lot of clear markers improved, my total cholesterol and LDL jumped quite a bit, to levels that I believe
    you've mentioned you feel are high. (I'm male and I think you mentioned 220 as a reasonable limit)

    What next tests or changes would you make if you were me?

    Total cholesterol: 204 --> 238 * scares me the most out of all thee numbers. Most say this should be below 220.
    HDL: 60 --> 70 * very nice improvement
    Triglyceride: 104 --> 84 * very nice improvement
    LDL: 123 --> 151 * big jump here. most docs hate to see this, but from what i'm reading LDL doesn't mean very much - only particle size.
    Triglyceride/HDL ratio: 1.73 --> 1.2 * this is considered the best predictor of cardiovascular disease. Very nice change here

    Should I be worried about the total cholesterol hitting 238?  I'm obviously happy about the HDL/TGL numbers.

  • Jane

    5/9/2012 3:42:46 PM |

    Dear Dr Davis

    I have been asked to convey to you some intormation about heart disease and copper.  Some months ago I searched your blog for the word copper and found nothing.  Here is what copper researcher Leslie Klevay says about ischemic heart disease and copper deficiency.  

    '...the Western diet is frequently low in copper. Copper deficiency is the only nutritional insult that elevates cholesterol (7), blood pressure (8), and uric acid; has adverse effects on electrocardiograms (7, 9); impairs glucose tolerance (10), to which males respond differently than do females; and which promotes thrombosis and oxidative damage. More than 75 anatomic, chemical, and physiologic similarities between animals deficient in copper and people with ischemic heart disease have been identified. Copper deficiency is offered as the simplest and most general explanation for ischemic heart disease.'
    http://www.ajcn.org/content/71/5/1213.full

    Yours sincerely
    Jane Karlsson PhD

  • old timer

    5/10/2012 9:41:37 AM |

    doc what about the stores selling organic wheat . any good?

  • linda Stevens

    5/10/2012 8:16:30 PM |

    At my local library "Wheat Belly"  has 10 holds on first copy returned of 12 copies in our libary system. Many people are becoming informed and educated!!!!!!!!

  • Mark Stenson

    5/29/2012 12:26:09 AM |

    http://cprfordepressives.wordpress.com/2011/05/31/eating-wheat-can-cause-depression/ talks about the link between wheat and depression.

  • Mark Stenson

    5/29/2012 12:27:27 AM |

    http://cprfordepressives.wordpress.com/2011/05/31/eating-wheat-can-cause-depression/ talks about the link between wheat consumption and depression.  I was interested to hear some of the same things that I hear fro you, Dr. Davis.

  • jpatti

    5/31/2012 3:57:48 PM |

    I never quite "got" why you were anti-wheat over-and-above the low carb thing, but this is some interesting info.  I shall have to get this book.

  • simon choo

    6/1/2012 4:45:29 AM |

    Thanks for the info. its really helpful.

  • Robin

    9/7/2012 6:46:57 AM |

    Hi Joe ~
    If you read wheatbellyblog.com, you may have already seen this in a comment from JillOz. It's a very interesting and eye-opening talk (some 2hrs but I stayed focused easily) and may ease your mind regarding cholesterol. You were very wise to reject the statins.
    http://www.youtube.com/watch?v=fvKdYUCUca8

  • P.M

    9/17/2012 5:50:31 PM |

    Thanks for interesting Blog

    I haven't found any published articles about gliadin and appetite in PubMed.  Do you have any hints what are the keywords? I've tried gliadin, appetite or satiety.

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MSNBC Report: We need more heart procedures!

MSNBC Report: We need more heart procedures!

A recent headline from MSNBC by Robert Bazell reads:

NEW YORK - Angioplasty, bypass surgery and cholesterol-lowering medications are among the many interventions that have brought a sharp decrease in heart disease deaths in recent years. But, as Dr. Sharon Hayes of the Mayo Clinic points out, there is one big problem.

“The death rates in women have not declined as much as they have in men,” she says.

The piece goes on to suggest that women are getting short-ended in the diagnosis of heart symptoms and heart attack. The solution: More testing to assess the need for procedures like bypass.

This is typical of the device and medication-dominated media consciousness: More procedures, more medication, more devices. Who's paying for advertising, after all? The money at stake is huge. But is this what you want?

Don't be swayed by media reporters with limited understanding of the real issues (at best), consciousness of who's paying for advertising (at worst). Yes, heart disese is often underestimated or misdiagnosed in women. The answer is better detection earlier in life followed by efforts to halt the process--effective, safe treatments for people's benefit, not just profit.
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"Heart disease a growth business"

"Heart disease a growth business"





So announced a Boston newspaper recently, featuring a story about new heart program at a local hospital.

They were announcing how a hospital had entered the cardiovasculare procedure game and how it would boost their bottom line. The article discussed how the hospital administration was anticipating "a surge in patients from the baby boom generation."

To justify this new program, the article quoted an administrator from another hospital: "Cardiovascular issues is [sic] the number one cause people sought treatment at our hospital."

The hospital featured in the story had spent $13.5 million dollars to develop their program.

Do you think they'll make it back?

You bet they will--many times over. Hospitals are businesses, complete with a bottom line, an expectation of profit and an eye towards growth.

The hospitals in the city where I live (Milwaukee, Wisconsin) are, as in Boston and elsewhere, very aggressive--expanding into new territories, hiring new "salesmen" (physicians), all to capture more marketshare and produce more "product" (your coronary angioplasty, stent, bypass surgery, defibrillator, etc.).

The equation for hospital profits is tried and true. Ignore your heart disese risk and you can help your local hospital grow its business. Neglect to get your heart scan and you can help your hospital pay down its debt. Get a heart scan, then do nothing about it, and you may even justify a pay raise for the hospital administrators for record revenue growth and profit.

Hospitals are a growth business because of the failure of most people and their doctors to 1) identify hidden coronary disease (CT heart scan to obtain your heart scan score), then 2) seize control over it (the Track Your Plaque program or, at least, your doctor's guidance along with your efforts at prevention).

Unless you do so, you are highly likely to help your hospital boost its annual goal for procedures.
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Heart disease reversal at age 77

Heart disease reversal at age 77

I met Agnes 18 months ago after she underwent a heart scan that revealed a scary score of over 1100. Although in her mid-70s, this was still a very high score. (Recall that a score this high carries a risk for heart attack and death of 25% per year.) Poor Agnes was a wreck over this unexpected result. "I can't sleep, I can't stop thinking about it!"

She'd undergone the scan because her 44-year old son had a heart scan score of 2200! Unfortunately, he ended up with a bypass operation for very severe disease.

Despite having been seeing a cardiologist in Boston for the last 8 years for a murmur, we uncovered multiple hidden lipoprotein patterns, many of which she shared with her son. Her most notable abnormalities were a low HDL and small LDL. Nearly 100% of all LDL particles were, in fact, small. This pattern also caused her LDL cholesterol to be underestimated by over 40%.

18 months on the Track Your Plaque program and Agnes came into town to get a repeat scan. Her score was 10.2% lower. She'd learned to live with the idea that she had hidden heart disease missed by her doctor and cardiologist for many years. But knowledge of the substantial reversal she'd achieved in the 18 months on the program gave Agnes tremendous peace of mind.

Agnes left the office with a big smile.
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Cardiologists out of touch

Cardiologists out of touch

This weekend, I'm fulfilling some responsiblities I have every so often to some of the local hospitals. It gives me a chance to interact with many of my colleagues who are likewise "on call" for the weekend.

I tried to strike up several conversations with colleagues about how they were managing heart disease prevention. I received blank stares, puzzled looks, indifference. One colleague declared that 80 mg of Lipitor is all you need to know.

These same colleagues are the ones scrambling for the heart attack patients in the emergency room, climbing over one another for consultation in the hospital for patients with chest pain and heart failure. They're consumed with expanding the range of procedures they can perform.

Carotid stenting is hot. So is stenting of the leg arteries. Defibrillators have been a financial bonanza. Opportunities abound on how to add these procedures to a cardiologist's abilities.

But heart disease prevention? How about heart disease reversal?

Frankly, I'm embarassed by my colleagues' lack of interest. Imagine we had a cure for breast cancer--not a palliative therapy that just slows the disease down or prolongs life, but actually cures it once and for all. I would hope that all physicians and oncologists would learn how to accomplish this. What if instead they focused on learning new ways to remove breasts, administer new toxic chemotherapies, etc. but ignored the whole idea of cure?

This is what is happening with coronary plaque reversal. The answer is right in front of them, but the vast majority (99%) of cardiologists choose to ignore it. After all, prevention and reversal simply don't pay the bills.

That means that, in 2006, you simply cannot rely on your cardiologist to counsel you on how to achieve regression or reversal of coronary plaque. How about your internist, family physician, or primary care doctor? Well, they're busy doing pneumovax injections, Pap smears, managing knee and hip arthritis, low back pain, diarrhea, headaches, sinus infections and . . yes, dabbling in heart disease prevention.

And, for the most part, doing a miserable job of it. What you generally get echoes the drug manufacturers pitch: Take a statin drug, cut the fat in your diet.

Until the majority of doctors catch on, you're going to have to rely on sources like the Track Your Plaque program for better information.
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The sobering tale of small LDL

The sobering tale of small LDL

Every day, I learn to respect small LDL more and more.

Small LDL particles, and its evil partner, low HDL, is among the most common reasons why someone fails to fully gain control of coronary plaque and heart disease risk.

Just yesterday, I saw a slender businessman (6 feet 1 inch in height, 186 lb.) whose small pattern persisted despite niacin, fish oil, oat bran, and raw almonds. We generally think of small LDL as an overweight person's pattern, but in some people the genetics are quite powerful and it can be expressed even in slender people.

The solution: More physical activity and exercise; cut back on processed carbohydrates, particularly wheat products like breads, pasta, crackers, breakfast cereals; think about magnesium (see our two recent reports on magnesium on the www.cureality.com membership website, the latest report to be posted this week); be sure sleep is adequate (gauge this by whether you're energetic during the day and don't fall asleep watching TV or movies). Lack of sufficient physical activity in people with sedentary jobs is probably among the most common reason the small LDL pattern persists.

Ignore small LDL and it can be like a hidden cancer in your body, growing and metastasizing (not literally, of course), fueling coronary plaque growth. Be sure your doctor assesses whether you have small LDL if you hope to gain control of your coronary risk.
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The myth of small LDL

The myth of small LDL

Annie's doctor was puzzled.

Despite an HDL cholesterol of 76 mg (spectacular!) and LDL of 82 mg, her CT heart scan showed a score of 135. At age 51, this placed her in the 90th percentile.

Not as bad, perhaps, as her Dad might have had, since he died at age 54 of a heart attack.

So we submitted blood for lipoprotein testing. Surprise! over 90% of all her LDL particles were small. (By NMR, they're called "small". By gel electropheresis, or the Berkeley Lab test, or VAP (Atherotech) technique, they're called "HDL3".)

What gives? Traditional teaching in the lipid world is that if HDL equals or exceeds 40 mg/dl, then small LDL will simply not be present.

Well, as you can see from Annie's experience, this is plain wrong. Yes, there is a graded, population-based effect--the lower your HDL, the greater the likelihood of small LDL. But small LDL is remarkably persistent and prevalent--regardless of your HDL.

We've seen small LDL even with HDLs in the 90's! I call small LDL the "cockroach" of lipids. If you think you have it, you probably do. Getting rid of small LDL requires a specific bug killer. (Track Your Plaque Members: Read Dr. Tara Dall's interview on small LDL.)

Don't let anybody blow off your request for lipoprotein testing just because your HDL is high. That's just not acceptable. Loads can be wrong even with a favorable HDL.

Comments (1) -

  • buy jeans

    11/3/2010 12:23:53 PM |

    We've seen small LDL even with HDLs in the 90's! I call small LDL the "cockroach" of lipids. If you think you have it, you probably do. Getting rid of small LDL requires a specific bug killer. (Track Your Plaque Members: Read Dr. Tara Dall's interview on small LDL.)

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