I stopped eating wheat and sugar after I read Gary Taubes's book (Good Calories, Bad Calories).  I haven't lost any weight, but I suspect it's still a good thing: it's not like there's a shortage of things to choose from.  But it's hard to imagine that my body was designed for refined food products.

I'm trying to explain low carb to my fiance and could use some help. I tried the Atkins diet a few years back, lost nearly 30 lbs and dropped my slightly over 200 cholesterol to 150 IIRC. I was working out a lot as well.

The problem is that she and her dad tried Atkins and the father ended up in the hospital and she got sick. The Dr. said that since Atkins/lo carb became popular they had more problems with colon issues.

They apparently were getting enough fiber and water. I'm thinking potassium might be an issue for her as at some point in her life they said she was low and needed to eat more potassium rich foods.

In the Voleck study, low carb was 12% carbs but what was called low fat was 24% fat.  My experience and research by McDougall, Ornish, Esseltyn, etc indicates that if a truly low fat diet (10% fat; the difference made up by adding more complex carbs) were tested the results would be at least as good as if not superior to the low carb diet.

In answer to your last question: Because the American Heart Association derives a significant fraction of it's funding from Cargill, ADM, General Mills, and other agribusiness giants.  If the AHA changed to a set of dietary recommendations that didn't help line the pockets of agribusiness by creating demand for highly processed foods (whole foods are notoriously unprofitable), it would mean the end of their funding stream.

Follow the money and most mysteries are solved...

Keep up the great work Anne & Dr. Davis!

Hi, see some of my posts at www.dailyrantingspot.blogspot.com where I talk about some of the boring science of low carb.  Anne's experiences are common for people who eliminate carbs from their diet.

This is why South Beach is a bit better, because of the emphasis on vegetables with fiber, and drinking enough.  I know my husband's triglycerides have plummeted to low normal.  A low fat diet doesn't "satiate" you enough that you can stand not to eat.  Obese people get used to eating, and that's a problem for attempting to lose weight.

I don't know if ornish, etc. is truly superior.  I think that superior would have to be sustainable.  For all but probably 5% (pure guess here) of the population, that type of very low fat, vegan, diet is not sustainable or maintainable.

I think that wheat free, no sugar, low carb, real foods diet is much more sustainable/maintainable for a great percentage of the population.  And, a lot of Esselstyn's work was with low dose Chol. meds.  Dr. Davis appears to take the no-meds approach.

As an experiement of 1, my labs on a very near Esselstyn diet were further from the 60/60/60 goal of Dr. Davis than they were on a very near TYP diet that included quite a few more carbs than likely recommended.

Drstrange, for 50 years I tried to eat the so called healthy diet.  My favorites were McDougal and Ornish among 25 other low fat high carb gurus.  I gained after yo-yowing, 60 pounds and along the way I developed diabetes type 2 and kidney disease.  Thanks to Dr. Davis and my kidney doctor who is an advocate for low carb diets and turned me on to this blog and now writes his own www.nephropal.blogspot.com, I have been eating low carb for 7 months now and I am down 50 pounds and now have an hbA1c of 4.7.  While I know that kidney disease can't be cured, some of my kidney disease numbers have improved.  Forget about high carb and low fat, that's what is killing us.

We now see more and more products jumping onto Omega 3 health benefits to market fundamentally unhealthy foods.

Kellogg’s Live Bright Brain Bars contain 100 mg of DHA which is one-third of the 300 mg of DHA/ EPA recommended by the American Heart Association.

But if you look at the ingredients of these bars you find.
Coating Sugar, Partially Hydrogenated Palm Kernel Oil, Cocoa Processed with Alkali, Whey, Nonfat Milk, Soy Lecithin, Sorbitan Monostearate, Salt, Artificial Flavor, Polysorbate 60 , High Fructose Corn Syrup , Whey Protein Isolate , Soy Protein Isolate , Maltodextrin , Semisweet Chocolate Sugar, Chocolate, Cocoa Butter , Corn Syrup , Sugar , Palm Oil with TBHQ for Freshness , Cellulose , Sunflower Oil , Cocoa , Glycerin , Algal Oil Natural Source of DHA , Natural and Artificial Flavor , Salt , Sodium Ascorbate Vitamin C , Vitamin E Acetate , Soy Lecithin , Mono- and Diglycerides , Citric Acid , Folic Acid , Bleached Wheat Flour , Partially Defatted Peanut Flour , Mixed Tocopherols for Freshness , Pyridoxine Hydrochloride Vitamin B6 , Ascorbic Acid for Freshness , Vitamin B12

It really is outrageous that products like this are promoted as Brain Health Bars. While I am certain that no one reading this blog will be under any illusions that consuming Omega 3 rich crap is anything other than crap, I am concerned that there are people who will think that these foods are making a meaningful contribution to the omega 3 intake and will not be aware that omega 3<>omega 6 ratio will still be distorted or that omega 6 intake has to reduce to around 4% of calories before the adverse effects of omega 6 are negated.

I think it is totally dependent on individual physiology.  I believe, w/ nothing to back me up, that there is a bell shaped curve and that most people (the big part of the bell), can do well on either low carb/high fat or low fat/high carb.  The tails of the bell are the few who can only do well on one or the other.  I do great on low fat!  My numbers are excellent and I feel good. On low carb I am always tired, irritable, brain fogged and feel like I am starving. My wife is the opposite.  If she eats more than a few grams of carbs per day she blows up w/ phlegm and fatigue and digestive problems.  Not just gluten grains but any carbs at all except veg.  She also must minimize fruit or pay the price.  So we are Jack Sprat and Spouse.

I have seen this in several people.  There are a few out there who just do not process fats well and some who do not process carbs well.  And I also know people who have done both and felt great on both.  The key is that "combining the two" ie high carb/high fat is what really will kill everyone!

So far as I know, the only way to know is to experiment on yourself as you have done and listen to your body because it never lies.  When you find one that works for you then you are home.

Is sprouted wheat bread also to be avoided?

Hi Dr. Davis,

I wanted to let you know there is an excellent discussion on weight gain, located at
http://www.dhslides.org/mgr/mgr060509f/f.htm

It is a lecture at a Hospital by Gary Taubes, the author of "Good Calories, Bad Calories"

I read the book, and really enjoyed watching this hour-long lecture.

Dr. Davis, have you seen this, posted June 25th 2009...

"High Carbohydrate Foods Can Cause Heart Attacks!

In a landmark study, new research from Tel Aviv University now shows exactly how these high carb foods increase the risk for heart problems.
Enormous peaks indicating arterial stress were found in the high glycemic index groups: the cornflakes and sugar group. "We knew high glycemic foods were bad for the heart. Now we have a mechanism that shows how," says Dr. Shechter. "Foods like cornflakes, white bread, french fries, and sweetened soda all put undue stress on our arteries. We've explained for the first time how high glycemic carbs can affect the progression of heart disease." During the consumption of foods high in sugar, there appears to be a temporary and sudden dysfunction in the endothelial walls of the arteries.
Endothelial health can be traced back to almost every disorder and disease in the body. It is "the riskiest of the risk factors," says Dr. Shechter, who practices at the Chaim Sheba Medical Center — Tel Hashomer Hospital. There he offers a treatment that can show patients — in real time — if they have a high risk for heart attacks. "Medical tourists" from America regularly visit to take the heart test.
The take-away message? Dr. Shechter says to stick to foods like oatmeal, fruits and vegetables, legumes and nuts, which have a low glycemic index. Exercising every day for at least 30 minutes, he adds, is an extra heart-smart action to take."
....from conditioningresearch.com

From ConditioningResearch.com 6/25/09

In a landmark study, new research from Tel Aviv University now shows exactly how these high carb foods increase the risk for heart problems.
Enormous peaks indicating arterial stress were found in the high glycemic index groups: the cornflakes and sugar group. "We knew high glycemic foods were bad for the heart. Now we have a mechanism that shows how," says Dr. Shechter. "Foods like cornflakes, white bread, french fries, and sweetened soda all put undue stress on our arteries. We've explained for the first time how high glycemic carbs can affect the progression of heart disease." During the consumption of foods high in sugar, there appears to be a temporary and sudden dysfunction in the endothelial walls of the arteries.
Endothelial health can be traced back to almost every disorder and disease in the body. It is "the riskiest of the risk factors," says Dr. Shechter, who practices at the Chaim Sheba Medical Center — Tel Hashomer Hospital. There he offers a treatment that can show patients — in real time — if they have a high risk for heart attacks. "Medical tourists" from America regularly visit to take the heart test.
The take-away message? Dr. Shechter says to stick to foods like oatmeal, fruits and vegetables, legumes and nuts, which have a low glycemic index. Exercising every day for at least 30 minutes, he adds, is an extra heart-smart action to take.

Eat what ever you want. I have had 3 heart attacks. Life is short and it mostly sucks so be a glutton like me.

I'm insanely jealous of that LDL!

Statins knocked mine down but diet doubled my HDL and decimated my trigs (not a Heart Healthy diet, obviously, but a truly heart healthy diet of low carbs and masses of fat protein and veggies)

Sadly my latest experiment failed - dropping the statin whacked my TChol back up, and the *receptionist* cancelled my A1c and Full Lipid Panel so I have had to see the doctor to authorise the correct tests, results in about a week. I suspect HDL will have further improved but LDL is the major culprit so I may end up restatinating myself.

Another excellent paper from Jeff Volek looking at some more obscure cardiovascular markers

http://www.nutritionandmetabolism.com/content/3/1/19

It is "the riskiest of the risk factors," says Dr. Shechter, who practices at the Chaim Sheba Medical Center — Tel Hashomer Hospital. There he offers a treatment that can show patients — in real time — if they have a high risk for heart attacks. "Medical tourists" from America regularly visit to take the heart test.

A patient of mine recently alerted me to Dr. Davis's blog and I am delighted to read some of the entries. It is fantastic that some members of the medical community have the guts to think for themselves and tell it like it is. I've told my patients for years that the recommendations of the American Heart Association will give you a heart attack and the American diabetes association will give you diabetes. If you actually read the textbooks in medical school, it is plain to see that carbohydrades  trigger insulin which is a fat-storing hormone. After 30 years of low fat propaganda it is uplifting to see that some common sense is making the news. Whole foods is the only food your body knows what to do with. Keep it up. Dr. Davis.

I just came across your blog, but I really like it already!  I think you have a great topic, and you address it really well.  I look forward to being a new reader!

Visit my blog if you get a chance as well- http://asizableapple.blogspot.com

Hey Doc, leave my Count Chocula and Cocoa Puffs alone, man! Well, at least you didn't go after my beloved Cocoa Pebbles! (This is what I was raised on...wonder why I'm addicted to sugar??)
I'm just kiddin ya, you know that. It just annoys me when you bring these things to light-the AHA witholding support of a diet (or lifestyle perhaps?) that is obviously so much better than their program. This is a group of supposedly intelligent professionals who you would think would want what's best for the American people as a whole.
Enjoyed reading this post, but I still wish they'd invent 'Mediterranean Cocoa Pebbles' or something. LOL
Adam

Uh huh. Now I see what has been going on when my husband has been in the hospital for a 4 in 1 heart procedure (aortic valve replacement, one bypass, MAZE {?} procedure and restructuring of a portion of a heart chamber). I invariably raised my eyebrows at his food tray, but finally flipped out when a breakfast tray had french toast with syrup, Frosted Flakes and apple juice, in addition to eggs, sausage and milk. My husband loved every bit of it because he rarely gets that type of food at home. In fact, Frosted Flakes and their kin are strictly banned in this house since we're both fighting a tendency toward high blood sugar.
Then there was the hospital version of chicken fried steak, with gravy yet. Pork chop another day, with gravy of course. Plenty of gravy on potatoes and butter for rice and rolls. A turkey sandwich on white bread for an evening snack, with a hefty packet of mayo. Smuckers peanut butter. And on and on I could go.
I wanted to run through the hospital kitchens screaming, "Are you people nuts? Or are you trying to assure repeat visits?"
Incidently, this was the "regular" hospital diet which my husband's heart surgeon allows during his patient's recovery period.
Another week or two of this at home and then he's supposed to buckle down and eat right. Oooookay. But Frosted Flakes are still banned.

No diet is necessary if you just change white carbs for whole grains and bad fat for good fat. And weight will be gone for sure. And of course exercise must be included too. No diet is as successful as this.

In other words, remove all the processed foods, and the AHA diet pretty closely resembles the Mediterranean diet. There are differences but they tend to be relatively small. If the only major difference is the presence of processed foods, wouldn't you therefore expect the AHA to embrace the Mediterranean diet?

I agree with the need for some sort of unbiased but brand/manufacturer-oriented guidance.  I guess my question would be, if this content is not based on your specific experience, what criteria would you apply to determine how to assure some level of credibility?  With advertising, the criteria is generally willingness to pay the price of the advertising.  If you want to maintain higher standards than that, won't it require someone with either understanding or technical expertise or direct experience to assess whether the producer is credible and trustworthy?

As it stands, I am looking for someone whose opinion I can trust regarding which supplement suppliers to turn to.  I have been impressed and surprised by the degree of your willingness to tell it the way you see it, including naming names of product manufacturers that you have found to supply products that seem to work for your patient population.  I hope you'll keep that up no matter what.  And I'm interested in how this idea develops.

Thanks for the helpful thoughts.

I wonder if a user comment method would work. In other words, say a product manufacturer makes a claim and sells their product to you (Track Your Plaque would not sell it), there will be comments from people who have tried the product and their supplier before.

Such a system would not be as certain as providing our own stamp of endorsement (which we could still do, of course), but it would encourage an open conversation. Hopefully, any undesirable products would be rapidly identified as such.

My concern is that, with hundreds or thousands of products out there, we end up saying "We've never tried it" all too often.

Dr. Davis for as much time and effort that is put in the TYP program, why not i'am sure the snake oil salesman would not want his product under the gun like people on this progran would do, frank discussions on supplements is not a bad thing as a example i'am the person who asked you about PGX fiber, its called WellBeX and is marketed by Natural Factors, one more example would be i use a insulin mimetic R-alpha lipoic acid with biotin (also a very good antioxidant) i can buy the brand name Insulow or i can use a different brand (Glucophase),for less money that does the same thing, being a type 2 i test all of the time and sometimes go days eating the same thing at the same time i know that i can get between 10 and 12 points with either one.  i know their are a lot of supplements but we only talk about a few, and like i said before why not, my biggest concern on buying supplements are they selling what they say they are selling or is it different item that will not work, or is made up with a different material than is is advertized. why not get some add revenue, their are good products out their, Upsher-Smith Slo Niacin, Endurance's Endur-acin SR both are good nicotinic Acid products, Insulow makes a good product, one more example would be the Vitamin Shoppe sells a  good Vitamin D softgel under their store brand this is a good product, but they also sell under their store brand a no flush Niacin in their heart supplement area , this product is worthless for the TYP program, I would say start with the products, that we know, and expand a little at a time, also how about Direct access testing for blood work, i use Lab Corp to get my NMR lipoprofile i'am sure that their are others full speed ahead, I think increased revenue could have some good outcomes
Eugene

Great thoughts.

I think, if and when we proceed with such a process, that we:

1) Have some sort of checklist for approval of quality, price, availability, purity, etc. and provide our stamp of approval.

2) Convey our comments in addition to info provided by the manufacturer or distributor.

3) Permit all the Track Your Plaque participants to leave their own comments, much like Amazon does with books.

A record holder in plaque reduction has now been acheived.  What brand of supplements was the member using? What brand of fish oil? This is when a recommendation would be welcomed!!

Nothing magical: He used Sam's Club fish oil.