Vitamin D must be oil-based

I've talked about this before, but I need to periodically remind everybody:
Vitamin D must be an oil-based capsule, a gel-cap, not a tablet.

Lisa is one of early success stories: a heart scan score of 447 in her early 40's, modest reduction of CT heart scan score three years ago.

However, Lisa had a difficult time locating oil-based vitamin D. There has, in fact, been a national run on vitamin D and I'm told that even manufacturers are scrambling to keep up with the booming demand. So, she bought tablets instead and was taking 3000 units per day.

She came in for a routine check. Lisa's 25-OH-vitamin D3: 17 ng/ml, signifying severe deficiency, the same as if she were taking nothing at all. (Recall that we aim for 50 ng/ml.)

In other words, vitamin D tablets do not work. It is shameful. I see numerous women taking calcium tablets with D--the vitamin D does not work. I've actually seen blood levels of zero on these preparations.

You may have to look, but if you want to enjoy the extraordinary benefits of vitamin D replacement, it must be an oil-based capsule. Carlson's and Vitamin Shoppe have excellent prepartions. They raise blood levels substantially and consistently, and they're inexpensive. We pay $5.99 for a bottle of 120 capsules.
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You're fried

You're fried

If I could invent a food that illustrates nearly all of the shortcomings of the American diet, it would be French fries, the familiar fixture of fast food.

What we have come to view as French fries contain just about every one of the unhealthy ingredients that lead us down the path of obesity, diabetes, heart disease, high blood pressure, etc.

Let's take them one by one:

Potato starch--Potato starch exerts an effect on blood sugar similar to that of table sugar, only worse. (Glycemic index french fries 75; glycemic index sucrose 65.)

Advanced Glycation End-products (AGEs)--AGEs form when proteins and fats are subjected to high temperature cooking; the longer the high temperature, the more the food reaction creating AGEs proceeds. AGEs are the likely culprit in roasted and fried foods that made it appear that saturated fats were bad, when it was really AGEs all along. AGEs have been shown to block insulin's effects, increase blood sugar, cause endothelial dysfunction and high blood pressure.

Acrylamides--Acrylamides, like AGEs, are created through high-temperature heating. French fries are unusually rich in AGEs. Brewed coffee also contains a small quantity, while French fries contain 82-fold greater quantities, among the highest of all known sources of acrylamides.

Oxidized oils--The amount of oxidized oils will depend on what sort of oil was used for frying. As more restaurants are trying to get away from hydrogenated oils, many are turning back to polyunsaturates. Others are turning to commercial-grade oils that contain both hydrogenated and polyunsaturates. If oils are permitted to oxidize, then they will trigger oxidative phenomena in your body upon consumptions, e.g., LDL oxidation (Staprans 1994).

In other words, the innocent appearing French fry unavoidably triggers oxidation, all the phenomena triggered by high blood glucose (high insulin, glycation, visceral fat accumulation), along with the cascade of effects arising from AGEs and acrylamides.

Top your French fries with some ketchup made with high-fructose corn syrup that exagerrates AGE formation, visceral fat, and distorts postprandial (after-eating) effects.

Is it any wonder that we've lost control over diet?

Comments (26) -

  • Keenan

    10/12/2010 10:34:29 PM |

    Adding fat to potato starch will significantly decrease its GI, will it not?

    I think a much healthier alternative would be yams/sweet potatoes fried in coconut oil/butter/ghee (less prone to oxidation) and consumed with protein and fat (say, a steak).  That should give you far more nutrients, much lower blood sugar spike, and avoid the oxidation problems of frying in PUFA.

  • Carlos

    10/13/2010 12:01:19 AM |

    Are the dietary AGEs from frying really the concern, or is it all the carbs from the potato starch causing in vivo glycation that we should really be worrying about and avoided? You would have to have a seriously leaky gut for an undigested AGE from frying to get absorbed in the small intestine.

  • Steven Horvitz, D.O.

    10/13/2010 12:29:09 AM |

    I keep as low processed carb as possible, but my one vice is french fries.
    Why did you have to guilt me into removing my favorite food?

  • Anonymous

    10/13/2010 1:13:51 AM |

    I can't imagine eating boiled T-bones. What's left after frying and roasting?

  • Anne

    10/13/2010 1:27:34 AM |

    The AHA has a page  with heavy duty oils used in restaurants. Many of them have TBHQ and/or dimethylpolysiloxane. TBHQ is used to keep the oil from becoming rancid and the dimethylpolysiloxane is an antifoaming agent. I can't imagine that either is good for us.

  • Martin Levac

    10/13/2010 1:57:06 AM |

    Dr Davis, without sugars, there is no glycation, thus there is no advanced glycation end products either.

    Fried bacon for example would not contain AGEs because it would not contain sugars to begin with. This seems to indicate that the real culprit is the sugars, not the frying. But then, if we fry bacon in vegetables oils, then forget about the sugars or the frying, it's the oil. Also consider that ketosis stimulates chaperon mediated autophagy:
    http://www.proteinpower.com/drmike/ketones-and-ketosis/ketosis-cleans-our-cells/

    Basically, if your diet induces ketosis, you got nothing to worry about. First because such a diet contains little to no sugars. And second, whatever AGEs are there are taken care of promptly enough. HbA1c comes to mind.

  • Darwin's Doctor

    10/13/2010 3:44:06 AM |

    1. Peel the skin off the potato.
    2. Throw away the inside of the potato.
    3. Bake the skin.
    4. Eat and enjoy the skin. It's loaded with fiber.

  • Hans Keer

    10/13/2010 5:55:26 AM |

    And ... dear doctor, don't forget to mention that potatoes are nightshades. They contain lectins and glycoalkaloids. These cause a leaky gut and autoimmune diseases http://bit.ly/a9Gvjk

  • Anonymous

    10/13/2010 8:06:44 AM |

    French fries used to be fried in beef tallow before the CSPI stepped in. Proper french fries are made from fresh potatoes and fried twice. The "french fries" served in most restaurants are just frankenfood - precooked, preGodknowsWhat. The French still know how to prepare them properly...And by the way, isn't there the thing called "the French paradox"? Seems that they manage to stay leaner and healthier in spite of the consumption of "pommes frites". They DO, however, still eat real food - and this maybe one of the major aspects of good health.

  • Hoop

    10/13/2010 8:55:03 AM |

    French fries are partly pre-cooked in factories that use fats heated for days on end. The cheaper brands go thru the darker more heat damaged oils later in the cycle, The oils I've seen used are AV oil (animal fat with hydrogenated fats) and palm oil.
    These days it is likely soy oil.

    And for someone else on the topic of bacon it should be noted most bacon has added sugars. So it will be an AGE source
    to some extent.

  • Martin Levac

    10/13/2010 10:49:52 AM |

    Fried bacon is a different beast. My butcher makes it from fresh meat and the sugar in it comes probably from the milk he dips the bacon in before he fries it. And the absolute quantity of this sugar would be insignificant in terms of preventing ketosis which would allow ketosis to take place along with its CMA.

    Even if there was a lot of AGEs in the food, I doubt that it would have any significant effect. Instead, I believe that it's the AGEs that are formed inside the body as a result of hyperglycemia that is most harmful. Again, HbA1c comes to mind.

  • Anand Srivastava

    10/13/2010 1:10:09 PM |

    The moral of the story, don't use refined oils. Use the most naturally saturated oils as you can find, like Coconut oil or Ghee/Tallow. Then fry away, not too frequently.

    Regarding AGEs, I don't think they matter too much from the food source, as they will first get digested.

    Also humans have been cooking meat and Tubers (some form of potatoes) for ages, possibly more than a million years ago. So heating the oils should not be considered bad.

    Why do we like the fried crispy potatoes or bacon more than the raw one? Has it got something to do with our evolution.

  • GK

    10/13/2010 3:30:41 PM |

    Fries?  Meh, small potatoes.

    I nominate the donut:  white flour and white sugar deep fried in hot vegetable oil.

    There's your poster boy of dietary badness.

  • Geoffrey Levens

    10/13/2010 4:21:35 PM |

    Dang, no GMO corn in them there fries!  Oh well.

    "I can't imagine eating boiled T-bones. What's left after frying and roasting?"

    Try putting in well covered baking dish and cook at very low temp, maybe 225 or 250, for longer time depending on thickness of the meat. Maybe toss in some mushrooms and onions and a wee bit of red wine or even water. It will come out super tender and juicy.

  • Anonymous

    10/13/2010 4:31:44 PM |

    "I can't imagine eating boiled T-bones. What's left after frying and roasting?"

    Use a slow cooker.

    I would like to announce that I am a recovering vegetarian. Started by reducing wheat. Have not had Fries for the longest time because of the unsaturated veg/canola oil.

    Need to loose some weight so will try Atkins' methods but I am gonna miss beans and beer :-(

  • Anonymous

    10/13/2010 6:21:18 PM |

    i use virgin coconut oil for some homemade french fries. is that bad too?

  • Tommy

    10/13/2010 7:21:37 PM |

    "I am gonna miss beans and beer"

    I'm sure your friends won't

  • PJNOIR

    10/13/2010 11:01:36 PM |

    I love (hate) how a hamburger plate with a bun and a Mountain of fries,  gives the three to four ounces of ground beef (and maybe not the best grade of beef but still..) a bad reputation as the cause of all things evil in our diet.  Wake the F up people.

  • Tommy

    10/13/2010 11:14:04 PM |

    Not to change the subject but a couple of people mentioned coconut oil. I have read Barry Sears insisting that coconut oil promotes inflammation.
    He also says it raises LDL.  This seems contrary to anything else I've read.

  • Anonymous

    10/14/2010 6:04:07 AM |

    tommy i think barry is misled

  • Stage IV Melanoma

    10/14/2010 12:48:27 PM |

    Good article! Thank you so much for sharing this post.Your views truly open my mind.

  • Dr. William Davis

    10/14/2010 1:55:25 PM |

    Martin--

    You may be confusing endogenous AGEs with exogenous AGEs.

    Endogenous AGEs are formed via glucose-mediated glycation. Exogenous AGEs are formed via a long list of reactions that involve carbohydrates, fats, and proteins. Exogenous AGEs are not indicated by HbA1c.

  • Eva

    10/16/2010 4:59:09 AM |

    Darwin's docter, you might want to do a tad of research on potato skins before suggesting people eat them.  Most of the poisons in a tater are in the skin, including potent goitrogens.  Eating the peel is probably not a good idea.

  • Jack

    10/18/2010 11:55:29 AM |

    Keenan,

    Very interesting factoids for sure!
    Let me pose this question to you.
    If you could eat a few french fries once in a while, would it be enough to satisfy that fried food craving?  Well, the real answer here might be discipline and moderation.  We, unfortunately, will someday die of something.  If you are afraid of eating french fries or any other fatty bad food every once in a while there is a problem or fear that you will be missing something on this less than perfect earth.  Eat the fries,
    enjoy the fries, and do the best you can within the moderate framework of life, and for goodness sake, don't be afraid of food.  It is not the real enemy.  The real enemy is a fallen world.
    Pass the fries!!   Jack

  • farseas

    12/6/2011 11:46:27 AM |

    The way I cook meat now (mostly) is to put a roast or chicken into a tightly covered pan, add a generous amount of olive oil, season it, and throw it into the oven at 200 degress for about 14 hours.  

    It will be absolutely delicious with no risk of AGE's at such a low temperature.

    Make sure it is a tight fitting lid or it will dry out too much.  If you want to make a great chili, add the onions, garlic, tomatoes, and seasonings after 10 hours of cooking.  Cook four more hours.
    Hide from your kids or it will all disappear in a short time.

    I use a glass pan and always avoid cooking anything in aluminum.

  • Dr. William Davis

    12/6/2011 5:27:50 PM |

    Excellent, Farseas! This can be a part of an effective youth-preserving, anti-aging strategy, by the way.

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"I lost 30 lbs and my triglycerides went . . . up?"

"I lost 30 lbs and my triglycerides went . . . up?"

Brad needed to lose weight.

At 6 ft tall, he began the program at 291 lbs, easily 80 lbs overweight. He wore virtually all of it in his belly.

He had laboratory numbers to match: HDL 33 mg/dl, triglycerides 225 mg/dl, LDL (calculated) 144 mg/dl, blood sugar 122 mg/dl (fasting--clearly "pre-diabetic"), c-reactive protein 3.0 mg/dl. Among his lipoprotein abnormalities: small LDL representing 80% of all LDL (no surprise).

Readers of The Heart Scan Blog know that these are the patterns of the carbohydrate-indulgent. I asked Brad to eliminate all wheat flour products, all foods made with cornstarch, and follow a diet rich in healthy oils, raw nuts, vegetables, and lean meats.

Brad returned for a discussion about follow-up basic lipids (cholesterol) values four months later--31 lbs lighter, most of it clearly lost from his abdomen. He claimed he felt more energetic and clear-headed than he had in years.

His lipid panel: HDL 34 mg/dl, LDL 122 mg/dl, triglycerides 295 mg/dl. Brad's smile dissolved. "How could that happen? You said losing weight would make my HDL go up and my triglycerides go down!"

Yes, I had said that. But I was oversimplifying.

The truth is that, when there is weight loss, especially profound weight loss like Brad experienced eliminating wheat and cornstarch products, there is mobilization of fat stores. Fat is stored energy. Energy is stored as . . . triglycerides.

So when there is substantial weight loss, there is a flood of triglycerides in the blood, and triglyceride levels in the midst of weight loss can commonly jump up, not uncommonly to the 200-300+ mg/dl range. When triglycerides go up, there is also a drop in HDL (triglycerides interact with HDL particles, modify their structure and make them more readily destroyed, thereby dropping blood levels). Occasionally, substantial weight loss like Brad experienced will drop HDL really low, as low as the 20's.

Once weight stabilizes, this effect can last up to 2 months before correcting. Only then will triglycerides drop and HDL rise. The rise in HDL occurs even more slowly, requiring several more months to plateau.

In other words, weight loss like Brad's causes triglycerides to increase and HDL to decrease, to be followed later by a drop in triglycerides and a rise in HDL.

I know of no way to block this phenomenon. And perhaps we shouldn't, since this is how fat stores are mobilized and "burned off." Fish oil does blunt the triglyceride rise (perhaps through activation of lipoprotein lipase, an enzyme responsible for clearance of triglycerides), but doesn't eliminate it.

I call these changes "transitional" changes in lipids.

Patience pays. A few more months from now, Brad's numbers will be much happier, as will Brad.

Comments (6) -

  • Jenny

    8/13/2008 2:35:00 PM |

    Thanks for posting this.  My husband has allowed himself to be carried along with my strict low-carbing for a few months now, and has lost 25 pounds +  or so so far. He had labs a couple of months ago, and his Triglycerides were up and his HDL somewhat low.  So of course his physician wants him to repeat the labs in Oct., and will want to put him on meds , I'm sure, if he still exhibits that profile.  But I will advise him to wait, to continue with what he's doing until his weight loss stabilizes, and this post will give me the concise authoritative ammo I'll need to encourage him both to continue with carb restriction and to resist medication, which he almost certainly is not a proper candidate for.  Perfect timing for us, and thanks so much! jennytoo.

  • Anonymous

    8/15/2008 1:57:00 PM |

    on another subject, but I'm curious about your thoughts on krill oil.

    Here's a post by Michael Eades on the subject:
    http://www.fourhourworkweek.com/blog/2008/07/23/krill-oil-48x-better-than-fish-oil/

  • Peter

    8/15/2008 7:33:00 PM |

    Hi Dr Davis,

    While fat is stored as triglycerides, it is released from adipose stores as non esterified fatty acids, and these will be predominantly palmitic acid in humans. Non esterified palmitic acid appears to be an excellent inducer of insulin resistance, and insulin resistance has been hypothesised by several authors to be a completely normal physiological adaption to fasting or seasonal carbohydrate absence. While weight loss is on going, the circulation is flooded with NEFA and "physiological" insulin resistance should predominate. If the person continues to consume "good" carbohydrate at above acute metabolic needs, the excess will get shipped out of the liver as VLDLs. Under insulin resistance lipoprotein lipase, routinely under the control of insulin, won't be doing much lipolysis and so VLDLs can hang around in the circulation... Muscle can happily accept NEFA as a prime source of energy without lipoprotein lipase having to split the lipids from VLDLs, so leave the VLDLs there to show up as fasting trigs....

    Once weight is stable the NEFA release from adipose tissue will be much better matched to metabolic needs. With the improved insulin sensitivity due to loss of visceral fat, control of both adipose hormone sensitive lipase and endothelial lipoprotein lipase activity should normalise and allow VLDLs and HDL to settle in to  more cardiologically acceptable numbers.

    Just an idea. The prediction it makes is for a reduced HbA1c due to the reduction in bulk carbohydrate (this must happen to allow lipolysis for weight loss), coupled with no drop or an increase in fasting blood glucose due to the NEFA induced insulin resistance. Very curious as to whether this happened...

    Idea is open for kicking.

    Peter

  • Brian

    1/13/2010 3:35:45 PM |

    Thanks for the article.  In the midst or losing a good deal of weight I had a finger prick test here at work.  My HDL had indeed dropped into the low 20's but my Triglycerides had also dropped (maybe a good does of fish oil and cod-liver oil help those?).  Anyway my weight has pretty much stabilized at a good level and I'm looking to do a good blood test in a few weeks.  Hopefully the HDL numbers are coming up.

  • Mickey

    1/28/2010 3:47:49 AM |

    The post about Brad is from August of 2008.  So how is he doing now?  Did the triglycerides drop and HDL rise?

  • kellyme

    10/28/2011 9:27:02 AM |

    I wonder what happened to Brad now? How did it go? By the way, I wanna share this video I came across with: http://www.youtube.com/watch?v=lj-ZnG3NoZY You'll surely learn a lot of information here. Smile

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