Track Your Plaque in the news

The NPR Health Blog contacted me, as they were interested in learning more about health strategies and tools that are being used by individuals without their doctors. The Track Your Plaque website and program came up in their quest, as it is the only program available for self-empowerment in heart disease.

Several Track Your Plaque Members spoke up to add their insights. The full text of the article can be viewed here.

How's Your Cholesterol? The Crowd Wants To Know
Mainstream medicine isn't in favor of self-analysis, or seeking advice from non-professionals, of course. And anyone who does so is running a risk.

But there are folks who want to change the course of their heart health with a combination of professional and peer support. Some are bent on tackling the plaque that forms in arteries that can lead to heart disease. They gather online at Track Your Plaque, or "TYP" to the initiates.

"We test, test, test ... and basically experiment on ourselves and have through trial and error came up with the TYP program, which is tailored to the individual," Patrick Theut, a veteran of the site who tells Shots he has watched his plaque slow, stop and regress.

The site was created in 2004 by Bill Davis, a preventive cardiologist in Milwaukee, Wisc. Davis is also the author of Wheat Belly: Lose the Wheat, Lose the Weight and Find Your Path Back to Health, which argues that wheat is addictive and bad for most people's health. Davis recommends eliminating wheat from the diet to most new members of Track Your Plaque.

"The heart is one of the hardest things to self-manage but when you let people take the reins of control, you get far better results and far fewer catastrophes like heart attacks," Davis tells Shots.

Doctors typically give patients diagnosed with heart disease two options: take cholesterol-lowering statin drugs, or make lifestyle changes, like diet. It's usually far easier for both parties — the doctor and the patient — to go with the drugs than manage the much more difficult lifestyle changes, Davis says.

"Doctors say take the Lipitor, cut the fat and call me if you have chest pain," he explains. "But that's an awful way to manage care."

TYP has members submit their scores from heart CT scans, cholesterol values, lipoproteins and other heart health factors to a panel of doctors, nutritionists and exercise specialists. Then they receive advice in the form of an individualized plaque-control program. But the online forum, where users share their results with other members and exchange tips, is where most of the TYP action happens.

The community currently has about 2,400 members who pay $39.95 for a quarterly membership, or $89.75 for a yearly membership. Davis says all proceeds go towards maintaining the website.

Ilaine Upton is a 60-year-old bankruptcy lawyer from Fairfax, Va., and a TYP member. At a friend's suggestion, Upton decided to get a heart CT scan in July. Her score was higher than it should have been (22 instead of 0), so she decided to get her blood lipids and cholesterol tested, too, and sent a sample off to MyMedLabs.com.

She learned that her LDL particle count was over 2,000 ("crazy high," she says), and she posted her results on TYP. Davis advised her that a low-carb diet would reduce it, so she decided to try it.

Since July, she says she has had "excellent results" with the program, and her LDL counts are coming down.

"It would be nice to have a [personal] physician involved in this, but [my insurer] Blue Cross won't pay if you are not symptomatic, and I am trying to prevent becoming symptomatic," says Upton. "I feel very empowered by this knowledge and the ability to take better control of my health by getting feedback on the decisions I make."

Comments (6) -

  • Ali

    9/24/2012 8:24:33 PM |

    Dear Dr. William Davis,

    You have been a tremendous force in helping me recapturing my life. I called your office today. Let them know that I live in Baltimore Maryland and would like to see if it is possible for you to review some details of my cardiovascular disease status. I can send you my history and blood test information through email. You can interview me over the phone if you feel it is necessary. I can pay the bill related to the “virtual” visits using check, money order, visa, etc and in advance; however the preference is.

    Please advise. Thanks again for having made TrackYourPlaque possible. It is truly a practical tool for shifting the paradigm in health management.

    Ali Khorramshahi
    ............................................................................................................
    DigitaLogic, Inc.
    711 West 40th Street.  Suite 315 Baltimore, MD 21211
    t: 410.662.9500 Ext. 2545 o I o f: 410.662.9400 o I o e: ali@DigitaLogic.com
    c: 443.845.6033
    h: 410-669-3266

  • Dr. Davis

    10/3/2012 1:41:56 AM |

    Thank you, Ali.

    But I would urge you to use the resources here and in the Track Your Plaque program, as well as the information in the Wheat Belly book and blog.

    Given the pressures on my time, I am no longer able to see new patients and am barely able to provide any more teleconferences, as I am traveling to speak and consult for the development of new, alternative, wheat-free foods.

  • Gene K

    10/10/2012 2:43:39 PM |

    Dr Davis,

    It would be nice if your 2nd edition of the Track Your Plaque book were actually published. I've been using it in PDF, but your TYP followers need it as a real book, on par with Wheat Belly. Do you have plans to do it?

    Thank you so much for everything you are doing!

  • Jim Stewart

    11/21/2012 5:41:48 PM |

    I have been scouring your website and have not found what I am looking for.

    I want to lay out for my cardiologist a clear and detailed request as to why he should support the required testing in TYP.  They do not have respect for any course of action other than the current generally  accepted, woefully inadequate, standard of care. I recently had 3 stents to correct 2 100% blockages (RCA and Circumflex).  Kaiser will not pay for scans nor any lipid testing other than total cholesteral since they say the results will not alter their proscribed treatment.  I want to undestand why I have the CAD and take steps to measure and reverse it.  I do not wish to wait till the widowmaker clots too.

  • Dr. Davis

    11/22/2012 1:40:35 AM |

    Then, I fear, Jim, that the answers will not come from your doctor. Your best bet is to get out of the system and/or find someone within the system willing to work with you.

    In effect, your doctor is saying, "I have chosen to ignore the thousands of studies that demonstrate why simple cholesterol testing fails to fully characterize coronary risk in a substantial number of people. I therefore place the burden of proof on YOU."

    Imagine you take your car to the mechanic and ask why the engine isn't running. Instead of providing an answer, the mechanic says, "Hey, if you want your car fixed, then you tell me what you want done!" We would walk out in disgust. You should do the same with your doctor.

    YOU are not the problem. Your doctor is the problem.

  • Susan Brauer

    2/17/2013 3:25:45 AM |

    Can you supply a list of doctors who agree with your approach to heart disease.  I am trying to get my doctor to authorize a VAP test and they will not do it because they have never heard of it before.  It is so aggravating that I can't just get one done.  I live in Springfield, Illinois.

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The Track Your Plaque guide to getting grotesquely overweight

The Track Your Plaque guide to getting grotesquely overweight

If you'd like to gain huge quantities of weight, here's a number of helpful tips:

1) Follow the advice of food manufacturers and eat the products they label "healthy", or "heart healthy", or "part of a nutritious breakfast" etc., like Shredded Wheat cereal, pretzels ("a low-fat snack"!), low- or non-fat salad dressings.

2) Cut your morning calorie intake by skipping breakfast.

3) Hang around with other heavy people. They will confirm that it's okay to be overweight.

4) Call walking your dog "exercise".

5) Get a sedentary desk job. Use your swivel desk chair to scoot about whenever possible, rather than getting up to do things.

6) Say "I've worked hard all week long. Weekends are for relaxing, not for physical activities. I deserve a rest."

7) Eat foods without thinking about it: Eat chips while watching football, eat while on the phone, daydream over the sink.

8) Eat to provide comfort when stressed.

9) Eat foods that have sentimental value, whether or not they're good for you: Freshly-baked cakes that remind you of Mom, Pop Tarts that you used to carry in your lunchbox when you were a kid, hot dogs just like Dad would buy at the baseball stadium.

10) Cut back on sleep and generate insatiable starch cravings.

11) Stack your shelves at home with great variety. That way, you'll always have something to suit your mood.

12) Say to your spouse: "It's none of your damn business what I eat! I'm a grown man/woman!" Prove it by over-indulging in obviously unhealthy foods.

13) Tell yourself that you're just too busy to pay attention to food choices. Just grab whatever you can out of a convenience store or vending machine.

See, it's easy! And that just a start.

Of course, I don't really want you to do any of these things. But if you see yourself in any of the above, and you're struggling with weight, you should seriously rethink your approach.
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Heart disease reversal a big "No No"

Heart disease reversal a big "No No"

I dare you: Ask your doctor whether coronary heart disease can be reversed.

My prediction is that the answer will be a flat "NO." Or, something like "rarely, in extraordinary cases," kind of like spontaneous cure of cancer.

There are indeed discussions that have developed over the years in the conventional scientific and medical literature about reversal of heart disease, like Dean Ornish's Lifestyle Heart Trial, the REVERSAL Trial of atorvastatin (Lipitor) and the ASTEROID Trial of rosuvastatin (Crestor). Reversal of atherosclerotic plaque in these trials tends to be small in scale and sporadic.

Of course, the medical literature is swamped with studies that have nothing to do with reversal, like what stent is best, what platelet-inhibiting intravenous drug is best, when should angioplasty or stents be used and when, do implantable defibrillators save lives, improvements in coronary bypass techniques, etc. There are tens of thousands of these studies for every study that focuses on the question of atherosclerotic plaque reversal.

The concept of reversal of heart disease has simply not gained a foothold in the lexicon nor in the thinking of practicing physicians. Heart disease is a relentlessly, unavoidably, and helplessly progressive disease in their way of thinking. Perhaps we can reduce the likelihood of cardiovascular events like heart attack and death with statin drugs and beta blockers. But reverse heart disease ? In your dreams!

We need to change this mentality. Heart disease is a reversible phenomenon. Atherosclerosis in other territories like the carotid arteries is also a reversible pheneomenon. Rather than throwing medicines and (ineffective) diets at you (like the ridiculous American Heart Association program), what if your doctor set out from the start not just to reduce events, but to purposefully reduce your heart's plaque? While it might not succeed in everyone, it would certainly change the focus dramatically.

After all, isn't this the theme followed in cancer treatment? If you had a tumor, isn't cure the goal? Would we accept an oncologist's advice to simply reduce the likelihood of death from cancer but ignore the idea of ridding yourself completely of the disease? I don't think so.

Then why accept "event reduction" as a goal in heart disease? We shouldn't have to. Heart disease reversal--elimination--should be the goal.

Comments (7) -

  • Anonymous

    11/12/2007 11:37:00 PM |

    Hi Dr. Davis,

    I'm new to reading your blog.  Does your program actually reduce plaque in arteries?

  • Dr. Davis

    11/12/2007 11:46:00 PM |

    Yes. Please refer to the main website, www.trackyourplaque.com, for full details, including many of our success stories.

  • VeganHeartDoc

    11/19/2007 12:32:00 AM |

    Dr. Davis, I'm 100% in agreement.  I think that we as a medical community view our patients as lazy, not willing to make the changes to their lifestyles and diets needed.  And for most, sadly, we're right, our patients are stuck in their ways of eating and sitting on their rear ends.  But for those few very motivated patients, who essentially go vegetarian and take up an active lifestyle, they can do quite well.

    I'm skeptical of your theories on fasting, though.  I've never heard of an article in a peer-reviewed journal that supports periodic fasting in coronary disease.

  • Dr. Davis

    11/19/2007 2:56:00 AM |

    Yes.

    Though my approach articulated in the Track Your Plaque program for reversal of heart disease is based on genuine science, my thoughts on fasting are admittedly based only on experience with patients, but not on scientific examination.

    But can't the experiences of real life serve as the basis for future scientific scrutiny?

  • Anonymous

    10/17/2009 1:59:55 PM |

    Dr. Caldwell B. Esselstyn has published numerous scientific papers on the elimination and prevention of heart disease. For more information go to http://www.heartattackproof.com

  • heartMonitron

    7/12/2010 9:55:50 PM |

    Why are Esselstyn's and Ornish's dietary plans not “palatable” to the public? Despite all the evidence pointing to their efficacy?

    For two and and a half year now, I have, like you, tried to present the virtues of their plans on the web. Obviously, that page gets, by far, the the highest bounce rate. When I look at the time spent on the page, it points to the time at which most readers will encounter the word vegetarian. They then flee and run away.

    This has to be somewhat of a cultural nature. As North Americans we have been brought up in a culture that sees the ingestion of meat as being “Manly” and the ingestion of legumes and vegetables as being sissy or belonging to the female gender. Some TV ads for a notorious Nutritional System even talk about “man food”.

    I am not surprised that real food is hard to push. The consumer is bombarded by constant advertising from the meat-packing industry and the fast food industry. The physician is also heavily courted by the pharmaceutical industry ...telling him / her that their pill is better than any diet. Physicians also know that, the moment they mention the word “vegetarian”, they will see the patient immediately lose interest in the important things they try to convey.

    For a page with a high “vegetarian” bounce rate, view: http://www.heartmonitron.com/hm_meddigest_journals_on_nutrition-_heart_and_diabetes-_cholesterol_and_healthy_weight_003.htm

    This phenomenon has to be cultural. We view the ingestion of meat as being the best thing we can do. I, sincerely, wish you the very best luck in your endeavor. As for me, I will keep advocating those principles that have proven to be capable of reversing CHD and shrinking plaque.

    heartMonitron,
    NGBeditor

  • buy jeans

    11/3/2010 8:48:35 PM |

    After all, isn't this the theme followed in cancer treatment? If you had a tumor, isn't cure the goal? Would we accept an oncologist's advice to simply reduce the likelihood of death from cancer but ignore the idea of ridding yourself completely of the disease? I don't think so.

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Honey: More fructose than high-fructose corn syrup

Honey: More fructose than high-fructose corn syrup

Honey: It’s natural. Mom probably gave it to you, either straight or in tea for a sore throat when you were a kid. Even today, honey is touted as possessing almost supernatural qualities for promoting health.

Honey contains B vitamins, minerals, and a handful of antioxidants. It also contains . . . fructose. 60% of honey, in fact, is fructose.

While the average per capita intake of honey is only a modest 1.29 lb per year (National Honey Board; 2008) and therefore contributes only 0.77 lb of fructose per year, there are people who, believing honey to be healthy, use it to excess and use far more than 1.29 lb per year.

How does that compare to table sugar, or sucrose?

Sucrose is 50:50 glucose to fructose. How about high-fructose corn syrup, the sweetener found in virtually all processed foods that has replaced sucrose as the most common sweetener? Depending on the variety, high-fructose corn syrup is generally 42-55% fructose. Many of us (including me) believe that the proliferation of high-fructose corn syrup in processed foods is a big part of the reason Americans are fat and diabetic.

Yes: Judged by its fructose content, honey is worse than high-fructose corn syrup. It is also worse than sucrose.

It means that honey can also contribute to the adverse health effects of fructose, as detailed in this prior Heart Scan Blog post.

Comments (21) -

  • Nancy LC

    8/11/2009 5:40:02 PM |

    Is there any difference in fructose by source?  I know that natural fructose has a molecule that is  either right-handed or left-handed (can't remember which) and manufactured fructose is the opposite?  Could that account for a difference in how they're metabolized?

  • Kipper

    8/13/2009 4:52:23 AM |

    Regardless of what honey does once it's been absorbed, for those of us who don't digest fructose well it is frequently a quick ticket to intestinal distress (as is agave nectar).

  • jon

    8/13/2009 5:26:22 AM |

    As Dr. Royal Lee pointed out in the 1920's. Honey is a complete food, containing proteins, vitamins, minerals, coenzymes, and cofactors; as well as the fructose. Eat too much of it (or any whole food) and the body will avoid it for months to years.

    Processed foods have no such feedback mechanism.

  • Kismet

    8/13/2009 3:26:27 PM |

    Interesting references (I love honey), but what is the biological rationale for those findings? Some magical & so far unkown micronutrient in honey?

    Even if the latter is the case, eliminating fructose while adding this nutrient X would be even healthier (that is assuming the fructose literature shows a convincing dose-response relationship, I haven't checked).

  • jpatti

    8/16/2009 8:19:20 PM |

    Not for *me*, because I'm diabetic, but for most people I think there *is* an advantage to using honey, molasses, sorghum and/or maple syrup instead of granulated sugar.  

    It's not the minerals and vitamins, cause it's not enough to be significant.  If raw, there's some enzymes too, but again... really a salad and a cup of broth has way more micronutrients than any of these syrups.

    But these all taste way stronger than sugar.  It's really easy to oversweeten things with white sugar, because the only taste there is "sweet".  If you're sweetening with a strongly-flavored syrup, it's a lot harder to overdo.  

    It's easy for someone to put 2-3 tsp of sugar in a cup of coffee; much less likely for them to put in that dose of molasses.

    In short, for people who do not have blood glucose issues, using the syrups for sweetening still cuts sugar consumption down a lot, which is a good thing.  

    And for those of us with blood glucose issues, there's stevia.

  • Anonymous

    8/16/2009 8:26:17 PM |

    However, honey will have the natural form of fructose, the D isomer, which can be converted to glucose and go through the glycolytic pathway. The chemical process which produces HFCS makes a significant amount of L-fructose which can only be processed by immeditately turning it into fat. This may account for Jonathan's studies showing good things from a non-industrial source of fructose. I suspect the same things would be shown with fructose from fruits.

  • jacob

    8/18/2009 4:00:35 PM |

    Fascinating on honey (& possibly fruit). I've always been suspicious of equating HFCS, or purified lab fructose, with the fructose found in fruits and in honey. Do you have any references for the d isomer / l-fructose distinction?

    Thanks

  • Lucy

    8/19/2009 9:13:36 PM |

    Well this is definitely going to make me think twice before using spoon-fulls of honey in my next camomile tea, lol. This is useful information that was surprising to me, so thanks for sharing! I work with a program called Chef's Diet, and we create meals used from fresh produce and lean meats, delivered to your door daily.  I find your post pertinent. If you or your readers are interested in healthy eating and are interested in Chef's Diet, check us out at http://www.mychefsdiet.com.

  • Anonymous

    8/22/2009 6:02:27 PM |

    Jacob, this was my source for the L-fructose comment. Maybe not the most reliable source but an interesting premise. I have not gone to the original literature to verify.
    http://www.westonaprice.org/modernfood/HFCSAgave.pdf

  • David Gillespie

    8/24/2009 1:41:26 AM |

    According to the Finnish National institute of health and welfare, honey contains only 41.4% fructose.  Even allowing for half of the 1.5% sucrose being converted to fructose, its still short of the 50% fructose for table sugar or the 55% for HFCS.

    See http://www.fineli.fi/food.php?foodid=4&lang=en

  • Anonymous

    9/11/2009 12:48:33 PM |

    "jon said...
    As Dr. Royal Lee pointed out in the 1920's. Honey is a complete food, containing proteins...."

    Are you referring to Royal "Jel" Lee?

    Sorry. I could not resist.

  • rshwnd

    10/10/2009 3:26:57 PM |

    from what I've been reading...mass produced honey where bees are under forced conditions to produce honey are fed fructose corn syrup and this leads to higher levels of fructose in our honey.  fructose corn syrup is the ultimate culprit and is something I avoid. when shopping for honey, the cheaper honey will most likely be the honey that is "spiked" with fructose corn syrup.  it is also referred to as "baker's honey".  you need to buy whole organic honey to get honey that doesn't contain the corn syrup.  also, most food that has honey as an ingredient will contain fructose corn syrup.  I used to buy the "golden blossom" brand of honey but discovered that is is packed with high fructose corn syrup.  I only buy organic now...its a bit more money but worth every penny

  • Anonymous

    3/27/2010 7:23:00 PM |

    Ah, yes, the HFCS Big Lie: the artificial sweetener produced from agricultural starches. Despite its name, the fructose in HFCS is not the same as the L-fructose found in fruit and honey; instead it contains high concentrations of D-fructose, a naturally rare “mirrored” version of reversed isomerization and polarity.  In mammals (including humans), both isomers of fructose are not used directly for energy, instead being shunted by the liver for conversion primarily into blood triglycerides and body fat.

    The two fructoses are not the same, and the HFCS industry is not inclined to look for possible secondary health effects; they just want their profits to continue.

    Honey is a wholesome food eaten for millenia by humans, containing much more than simple sugars. HFCS has been around for mere decades. Why be a lab rat for ADM or Cargill?

  • Soylent

    4/24/2010 12:39:00 PM |

    "Is there any difference in fructose by source?"

    I don't know.

    "I know that natural fructose has a molecule that is either right-handed or left-handed (can't remember which) and manufactured fructose is the opposite?"

    Fructose in nature exists in many forms depending on what has produced it.

    Fructose can exist as a linear ketose, a six-member pyranose ring, or a 5-member furanose ring. These exist in left-rotating(D) or right-rotating(L) forms.

    I don't see any specific pattern that would allow one to claim that fructose in corn syrup is somehow uniquely evil. It is even produced by a biological process with enzymes.

    If you're going to do some more research on this, keep in mind that the notation can be a bit confusing. Small l and small d refer to which way it rotates plane polarized light(l is anti-clockwise/left and d is clockwise/right). But there is also big L and big D which refer to the different enantiomers; in fructose it happens to be that l-fructose is a D-fructose and vice versa.

  • Soylent

    4/24/2010 1:21:07 PM |

    "Despite its name, the fructose in HFCS is not the same as the L-fructose found in fruit and honey;"

    No the most common kind in nature is D-fructose, also known as l-fructose(capitalization matters).

    "[...]instead it contains high concentrations of D-fructose, a naturally rare “mirrored” version of reversed isomerization and polarity."

    But it's not naturally rare. You won't usually find L-fructose in plants; but this does not prevent you from getting plenty of L-fructose in a "natural" diet.

    Fruits contain not just fructose, but also lots of sucrose. When you eat this sucrose it will be broken down by acid hydrolysis into L-fructose.

    Different plants, animals, bacteria or fungi that use enzymes instead of acid hydrolysis to break down sucrose use different enzymes, yielding either L-fructose or D-fructose.

    L and D enantiomers does not cover all varieties of fructose that exist in nature.

    I don't see any particularly sinister pattern here. It smells more like more like it is part of the long-running FUD campaign against the artificial and man-made by the technophobes. See the success of organic farming for the damage such long-running FUD campaign can do. Organic farming uses more land, more water, more energy and more pesticides. Which replaces "artificial" fertilizer such as mined potash, with "natural" fertilizer such as mined potash without the dirt removed(all this does is increase shipping costs).

  • javieth

    8/15/2010 8:21:23 PM |

    The honey is really great for the skin, i usually use it in my face, is really wonderful. After my mask i feel my face smooth and clean. And my boyfriend always notice the difference, he simply love it. I feel more comfortable with my self and he is always with too much energy because he usually buy viagra

  • buy jeans

    11/3/2010 9:53:00 PM |

    While the average per capita intake of honey is only a modest 1.29 lb per year (National Honey Board; 2008) and therefore contributes only 0.77 lb of fructose per year, there are people who, believing honey to be healthy, use it to excess and use far more than 1.29 lb per year.

  • Sc0rp10n

    12/15/2010 9:12:26 PM |

    For your body fructose is fructose - simple. The body has no way of differentiating. The outer shell is stripped off and what remains is FRUCTOSE. Fructose cannot be used for energy and will be shipped to the liver once processed and converted to fat - usually abdominal fat (note the expanding muffin tops of young girls drinking fruit juices as healthy options)!

    Fructose is fructose to your body, whether you have to digest it or it's supplied to your processed.

    You can see from this analysis and study that honey reduces your immune function, for instance, by nearly as much as pure fructose and by much more than glucose or starch:

    http://www.second-opinions.co.uk/leukocytic_index.html

    Anyone eating the recommended low-fat, high carb, high fibre diet and having those 5 small meals a day, will have impaired their immune function by 50% for pretty much the whole day!

    For optimal health you have to eat a high fat diet, that's very low in carbs.

    Follow my thread here:
    http://www.godlikeproductions.com/forum1/message1156003/pg1

  • Robert Miles

    3/20/2011 12:16:58 PM |

    Research on mice shows that, for them, fructose causes insulin restance and obesity. Insulin resistance makes type 2 diabetes worse, converts pe-diabetes into type 2, and type 1 diabetes into type 1.5 (also known as double diabetes).

    Does this also apply to humans?  The "expert" opinions vary so widely that they essentially prove little more than the need for similar research on humans.

    Manufacturing processes seledom distinguish between the two isomers at all, and therefore starting with anything that does not have isomers would almost always produce a 50-50 mixture of the two isomers of fructose.

    Manufacturing processes starting with one isomer of something would be much more likely to produce just one isomer of whatever their result is.

    So far, research on humans has shown that fructose make your brain increase your appetite.  Also, your liver converts it into cholesterol and saturated fat.  The rest of your body has little use for it; it cannot be used for energy the same way glucose can.

    Do D-glucose and L-glucose have different effects on your body?  I haven't found any research papers saying one way or the other yet.

  • Robert Miles

    3/20/2011 12:24:39 PM |

    One more comment:  The heating process used in manufacturing high fructose corn syrup, will, if overdone, turn some of it into a compound toxic to honeybees.

    Does this also apply to humans?  So far, I haven't found any research papers saying that anyone has done any research into whether it does or not.

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