200 point drop in heart scan score

Some of the math-savvy will have noticed that we often report drops in CT heart scan scores on a percentage basis. Unfortunately, it this were a competition (which, of course, it is not), this would be unfair.

A score of 50, for instance, that drops "only" 25 points would represent a 50% drop in score.

But someone with a score of 1050 who drops his or her score the same quantity, or 25, will have dropped their score less than 5%.

In other words, the magnitude of your starting score determines how large a percentage drop you achieve, even when the absolute, or real, quantity of plaque reversal is the same as someone who begins with a lower score.

I qualify this discussion in this vein because of Grady's story. Grady, a soon-to-retire attorney, started with a heart scan score of 1151. On the Track Your Plaque program, he saw his score drop nearly 200 points--200 points!

But, if we gauged Grady's success just on a percentage basis, he dropped his score only a measly 17% or so. (Imagine the headlines if this program were sponsored by a drug manufacturer. The Track Your Plaque program proudly has nothing to do with the drug industry.)

Of course, the Track Your Plaque program is not a competition. It is an effort to help everyone possible, the more the better. Even if Grady failed to set a new Track Your Plaque record gauged on a percentage basis, he will have achieved an extraordinary advantage in health: the virtual elimination of the dangers of heart disease.

With this drop in score, Grady's risk for heart attack plummets from a spine-chilling 25% per year to nearly zero. (I know of NO other program that can claim such a track record.)

Grady's full story will be reported in the August, 2007 Track Your Plaque newsletter. To subscribe or to just view when it is posted, go to www.cureality.com website, click on the upper right hand corner What Does My Heart Scan Show? graphic, which then takes you to the page to view the newsletter. Or, Track Your Plaque Members can just go to the Library and click on newsletter archives.
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Ezekiel said what?

Ezekiel said what?

Some people are reluctant to give up wheat because it is talked about in the Bible. But the wheat of the Bible is not the same as the wheat of today. (See In search of wheat and Emmer, einkorn and agribusiness.) Comparing einkorn to modern wheat, for example, means a difference of chromosome number (14 chromosomes in einkorn vs. 42 chromosomes in modern strains of Triticum aestivum), thousands of genes, and differing gluten content and structure.

How about Ezekiel bread, the sprouted wheat bread that is purported to be based on a "recipe" articulated in the Bible?

Despite the claims of lower glycemic index, we've had bad experiences with this product, with triggering of high blood sugars, small LDL, and triglycerides not much different from conventional bread.

David Rostollan of Health for Life sent me this interesting perspective on Ezekiel bread from an article he wrote about wheat and the Bible. David argues that the entire concept of Ezekiel bread is based on a flawed interpretation.

"I Want to Eat the Food in the Bible."


Are you sure about that?

Some people, still wanting to be faithful to the Bible, will discard the "no grain/wheat" message on the basis of biblical example. After all, God told Ezekiel to make bread, he gave the Israelites "bread from heaven," and then Jesus (who is called the "Bread of Life"!) multiplied bread, and even instituted the New Covenant with what? Bread and wine! If you're going to live the Bible, it seems that bread and/or wheat is going to play a part.

But this is unnecessary. Sure, the Bible can and does tell us how to live, but this doesn't mean that everything in the Bible is meant to be copied verbatim. Applying the Bible to our lives requires wisdom, not a Xerox machine.

The Bible was written in a historical context, and the setting happened to be an agricultural one. Because of this, the language used to describe blessing spoke of things like fields full of grain, or barns overflowing with wheat. Had the Bible been written in the context of a hunter-gatherer culture, the language describing blessing probably would have been about the abundance of wild game, or baskets full of vegetables. Whatever is most valuable in your time and in your culture is a blessing. God accommodated His message to the culture as it existed at the time. This is done throughout Scripture.

There is a danger, then, in merely copying what the Bible says, instead of extracting the principles by which to live. Take the above example of Ezekiel, for instance. There's a whole product line in health food stores called "Ezekiel Bread" that supposedly copies the recipe given in Ezekiel 4:9. This is from the website:

"Inspired by the Holy Scripture verse Ezekiel 4:9., 'Take also unto thee Wheat, and Barley, and beans, and lentils, and millet, and Spelt, and put them in one vessel, and make bread of it...'"

Believing that this "recipe" has some kind of special power just because it's in the Bible is ridiculous. How ridiculous is it? I'll tell you in a moment, but first let me say that this is why it's so important not to confuse descriptives with prescriptives. Is the Bible telling a story, or is it telling us to do something? We would be well-advised not to confuse the two.

In the case of the Ezekiel Bread, what is going on in the passage? There's a siege going on, with impending famine, and Ezekiel is consigned to eating what was considered back then to be some of the worst possible food. It was basically animal chow. But that's not the worst thing going on in this passage. Apparently, when the makers of Ezekiel Bread were gleaning their inspiration for the perfect recipe, they stopped short
of verse 12:

"And thou shalt eat it as barley cakes, and thou shalt bake it with dung that cometh out of man, in their sight."

Um...what? Well, there was a good reason for this. God was judging His people, and by polluting this really bad bread with dung (which was a violation of Mosaic law; Lev. 5:3), He was saying that they were no different from the unclean Gentiles.

So why would we take this story and extrapolate a bread recipe from it? Beats me. If you were going to be consistent, though, here's what you'd have to end up with:



Let that be a lesson to you. We don't just go and do everything that we see in the Bible.

Comments (24) -

  • Tony

    6/10/2010 12:23:01 PM |

    If you're going to base your diet on the bible, then you shouldn't be eating pork (Leviticus 11:7), and you should eat plenty of locusts and crickets (Leviticus 11:22)

  • Jim

    6/10/2010 1:46:17 PM |

    Oooh, wait'll the God-deniers get a load of this one.

    Actually, I've wondered about the proper interpretation of passages like those mentioned, and this post is helpful for me.

  • Kathryn

    6/10/2010 2:45:43 PM |

    I appreciate this & putting the verses into context - but was human excrement to be used as content in the bread, or the fuel source to bake it?

  • Rob K

    6/10/2010 3:29:47 PM |

    I'm pretty sure the dung was not to go into the bread, it was to be used as fuel for the fire over which the bread was baked. But your point still holds very well. They also omit the lying on your side for 390 days. If eating Ezekiel bread is so healthy, so must be lying on your side for over a year.

  • zach

    6/10/2010 4:35:05 PM |

    I prefer to "kill the fattened calf."

  • Anonymous

    6/10/2010 5:57:57 PM |

    LOL

  • ShottleBop

    6/10/2010 6:44:12 PM |

    Dung was probably not an ingredient, but the fuel used to cook the bread.  (Still pretty unsavory, though.)

  • Brett

    6/10/2010 7:55:51 PM |

    1) All religion is poetry...

    -- Paul Tillich

    2) I have a huntch that, uh, folks from a couple thousand years ago, uh, never heard of macronutrients, glucose, insulin, etc.

    3) Peace

  • Lori Miller

    6/11/2010 1:11:51 AM |

    For those who are interested in the Bible's statements on food, here's a link to a brief overview of kosher laws:

    http://www.kashrut.com/articles/soul_food/

  • Anonymous

    6/11/2010 2:46:51 AM |

    Combining a lesson in both religion and medicine, Love It!!

  • Ned Kock

    6/11/2010 2:56:55 AM |

    I agree with you, Dr. Davis, that religious issues are very important to many people concerned about dieting. And it is important to discuss them, even though some people think that religious issues should not be part of any discussion related to diet.

    In fact, a lot of people who think  about diet issues from a scientific standpoint tend to think that religiosity is a product of pure stupidity. This post and the comments in response to it illustrate what I am talking about:

    http://healthcorrelator.blogspot.com/2010/05/atheism-is-recent-neolithic-invention.html

  • Cassie

    6/11/2010 3:24:05 AM |

    Waiting for my local library to get a copy of Pandora's Seed by Spencer Wells. In it, he examines the unforeseen costs of farming, which began to transform society 10,000 years ago (using a scientific timescale), such as diabetes and obesity.

    Definitely one of man's worst inventions.

  • Anonymous

    6/11/2010 4:48:04 AM |

    Interesting fact:  The Catholic church will not use anything other than wheat to make the wafers for the Eucharist.  If you have wheat intolerance, you can request a low-gluten wafer.  But a non-wheat wafer will never be used as part of that sacrament, no matter how badly one might react to wheat.

    I think that stance is a bit much, but I am not a devout Catholic.

  • Anonymous

    6/11/2010 10:58:52 AM |

    Dr. D.
    As the Brits say; you are on a losing wicket.

    No person of religion will be pursued to move from the crowd. That is why they follow.

  • Mia

    6/11/2010 11:45:27 AM |

    Great post! I've never understood how people can take the Bible literally. As someone mentioned in the comments, it's mainly poetry, and it describes a frame of reference and customs of thousands of years ago. Would be very weird to apply all that literally to our high-tech society.

    I looked the Bible fragment up in Dutch. It says he has to bake it on human dung (i.e. using the dung as fuel). The fun thing is that a couple of verses later Ezechiel complains and says he has never eaten anything impure in his life and then God gives in and says, 'OK then, you can use cattle dung instead of human dung.' Smile

  • olddude

    6/11/2010 12:36:48 PM |

    Sounds to me like the beginning work on "fecal transplant".

  • Mary Beth

    6/11/2010 1:25:15 PM |

    But, here's the question: do you think the Ezekiel Bread is worth eating for health reasons?

  • Jonathan

    6/11/2010 4:52:44 PM |

    Other translations have the dung as a source of fuel.  
    As much fat as I eat, you'd probably have to put a wick in it.
    I don't think that would give it a nice smoke flavor or anything. Wink

  • David

    6/12/2010 2:33:26 AM |

    I think some of these comments are missing the point. Whether the dung was used as fuel or incorporated into the recipe makes little difference to the interpretive thrust of the passage. According to Mosaic ceremonial law (which was typological, not perpetual), excrement was to be covered with dirt. You don't touch it, and you certainly don't cook with it. The point is that the bread was polluted, and this served as a typological symbol of Israel's pollution and rejection. Israel, the elect and "clean" nation, has become filthy.

    God didn't make Ezekiel write this stuff down so we could whip up a great recipe 2400 years later. And by the way, the same goes for the book of Daniel. Just because Daniel and his buddies ate nothing but vegetables and water for ten days doesn't mean that vegetarianism is the best diet. That's not even close to the original intent of the passage. Yet I see these kinds of non-contextual claims all the time. It saddens me when I see fellow Christians using the Bible this way.

  • David

    6/12/2010 4:01:22 PM |

    FYI: The "Wheat and the Bible" article can be accessed in its entirety on my website here: http://www.reforminghealth.com/Wheat_and_the_Bible.pdf

    David

  • Dr. William Davis

    6/12/2010 10:20:46 PM |

    Thanks, David.

    For anyone else interested, David's article provides a very nice overview of the broader topic of Wheat and the Bible.

  • Paleo Phil

    6/14/2010 1:38:22 AM |

    Dr. Davis, I appreciate your courage in tackling this difficult subject. Dr. Kurt Harris has also discussed the fact that even traditional methods of processing wheat do not eliminate all of its negative qualities: http://www.paleonu.com/panu-weblog/2009/12/28/avoid-poison-or-neutralize-it.html.

    Religious concerns are undoubtedly one of the trickiest issues that biologically appropriate diets raise. Everyone on the planet is not going to abandon what they see as their religion principles for health reasons, so I try to meet people where they're at. For those Christians who tell me that wheat must be healthy because it's in the New Testament and the Levitical diet, I say, sure, the Levitical diet is older and healthier than the SAD of today, but there was an even earlier diet in the Bible that's even healthier. It's composed of God-made foods instead of man-made foods. It usually occurs to them that this is the diet of wild foods available at the time of humanity's creation, which I also refer to as the "Garden of Eden diet", which was free of wheat bread, even unleavened, and certainly wouldn't contain any pizza, pasta or processed breakfast cereal. This doesn't always convince people, but it rarely fails to give them pause.

    Plus, in Genesis 3:17-19, bread is part of a curse, not a blessing. So wheat could be regarded as a blessing compared to starvation, but a curse or penance compared to the original Biblical foods of the Creator's making.

    Also, at times in the Bible, suffering is treated as an opportunity for penance or purification. It doesn't mean the bad stuff that causes the suffering (ie wheat) is "good" in and of itself. Perhaps this could be a way to explain Jesus' direction to eat bread in remembrance of Him? I generally avoid this subject as potentially too touchy, so I'm curious for input from wheat-avoiding Christians on how they deal with this.

    On top of all the above, bread is no longer necessary for survival in wealthy modern cultures, like it may have been in some of the regions and times covered by the Bible. So the contexts are very different.

    Hope this helps.

  • David

    6/16/2010 11:13:27 PM |

    Paleo Phil,

    As a wheat-avoiding Christian, I deal with this issue by actually trying to return the focus to the intent of the Biblical text(s). Was it the biblical author's intent to communicate wheat/grain as perpetually appropriate and required foods for all time (unlikely), or was it rather simply that the biblical narrative existed within an agricultural context and was thus accommodated to those times? I think the latter option is the reasonable one.

    In the biblical account, all of creation is said to be "good" (as opposed to Gnosticism, which says that matter is intrinsically evil) but I think it is a mistake to take this as synonymous with "harmless," and it is important to remember that despite being "good," elements within creation can be either appropriate or inappropriate depending on the use and context. Plant toxins are "good" in the creational sense in that they make for a balanced and workable ecosystem, but are relatively "bad" for the unwary animal that eats them. The wheat/grain issue is no different. Grains might be creationally good and play an important role somewhere in the broader order of things, but this doesn't mean they're harmless if the circumstances are right (e.g. genetic modification, improper preparation methods, etc., etc.).

    Appealing to the "Garden of Eden diet" might work for some Christians, but I think there's a deeper problem going on. Too many modern Christians see the Bible as a sort of "prescription" for what they should or should not eat. For instance, the Levitical diet (clean vs unclean foods) is often pointed to as the ultimate "healthy diet." However, the health aspects had nothing to do with the actual declared purpose of the restrictions. The diet was purely typological and temporary, and any health benefits were merely coincidental side-benefits. These typological requirements have had an antitypical fulfillment, however, so the diet should have no bearing on anyone today.

    Likewise, many Christians point to the supposedly vegetarian diet in Genesis as the "original" diet that mankind was created for. But again, this misses the point of the author's literary intent. What was going on in the Genesis creation account? Was Moses telling us how to eat, or was he telling us something completely different? Most Christians are clueless here. As it turns out, the creation story has nothing to do with scientific explanations or dietary prescriptions. It was written in an ancient Near Eastern (ANE) context where creation myths abounded, and Moses was contrasting the Hebrew God with the surrounding deities of the ancient world. The account is not relating scientific facts, but is rather a literary polemic written to combat other ANE pagan religions point for point. The God of Israel is not like Ptah, or Shu, or Marduk, or Baal. The Genesis account powerfully overturns the Enuma Elish and other ANE creation stories. That was its historical intent.

    Unless one is familiar with ANE culture, many of the subtleties within the Genesis account will not make sense, and you will end up with an interpretive disaster, like Young-Earth Creationism or Vegetarianism, for instance. The Bible does say that God created, but it does not tell us how He created. This is nowhere near the intent of the original author.

    (Continued)

  • Bryan

    10/21/2010 4:47:41 AM |

    As I read the chapter, it looks more like Ezekiel is instructed to act in a symbolic manner.  He is instructed to symbolically lay seige to a model of Jerusalem that is drawn or built on a tile--even building miniature seige engines. In essence, the call to moral behavior in the book is a "seige" against the transgressions done within the city.  Thus, the "bread" is also to be made and eaten as a symbol.  The context is fairly plain.  Nowhere is there any statement that Israel, or even just Jerusalem, is to make or eat the stuff.  Ezekiel is told to bake and eat the bread "in their sight" or "in the sight of the people" and then tell anyone who sees him that this is the level of wretchedness they will be reduced to, I presume because of their faithlessness and obstinacy after many warnings, given the general context of the Book of Ezekiel.

    Thus, "Ezekiel bread" is actually a symbol of the wrath of God against the obstinately faithless and not a "recipe" for what God wants a faithful believer to eat daily.

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Warning: This product may contain wheat!

Warning: This product may contain wheat!

Jerry experienced a peculiar sensation in his chest one evening while watching TV with his wife and kids. He squirmed in his chair and experienced a little breathelessness. But he kept it to himself and didn't say anything to his wife.

Fortunately, the feeling passed. But it concerned Jerry enough that he called a local heart scan center and scheduled a CT heart scan.* Minutes later, Jerry had a heart scan score of 112. At 46 years old, this placed him in the 90th percentile compared to other men in his age group.

Jerry came to my office for consultation. Among the first steps we took was to perform lipoprotein testing. Jerry showed striking abnormalities that included an HDL cholesterol of 38 mg, triglycerides of 210 mg, an unimpressive LDL of 133 mg but comprised of 99% small LDL, and excessive IDL (meaning that he was unable to clear dietary fats after eating).

At 5 feet 10 inches, Jerry weighed 190 lbs. He showed a slight excess bulge at the tummy, but hardly obese.

Jerry's history was remarkable, however, for the amount of carbohydrates he ate. "I'm addicted to bread. I love it! If I smell a loaf of fresh baked bread, I sometimes eat the whole loaf!"

Jerry also admitted to over-indulging in bagels (whole wheat), pretzels, low-fat snack chips, Raisin Bran cereal, Cheerios, and noodles. In fact, many days he'd have 5 or 6 servings of any of these foods. He also complained of an extraordinary amount of bowel gas and cramping. "Sometimes, I'm afraid to go to a group function. I might embarass myself."

I suggested an experiment: For a 4 week period, completely eliminate wheat-containing products--breads, pretzels, breakfast cereals, pasta, etc. In their place, increase intake of protein foods like eggs, raw almonds and walnuts, low-fat yogurt, cottage cheese, chicken, fish, and use healthy oils (olive, canola, grapeseed, flaxseed) more liberally.

Just four weeks later, Jerry came to the office a new man: 8 lbs lighter, brighter, with bursts of energy he hadn't had in years. And no gas!

Lesson: Wheat-based carbohydrates can be the culprit behind many lipoprotein patterns, especially low HDL, high triglycerides, small LDL, and others. Wheat can also be responsible for a myriad of abdominal symptoms, even joint pains and rashes. In its most extreme form, it's called "celiac disease". But experiences like Jerry's are quite common--not as obvious and dramatic as full-blown celliac disease, but smouldering and destructive, nonetheless.

Track Your Plaque expert, Dr. Loren Cordain of Colorado State University, tells us that, in his reconstruction of the history of human illness, there was an extraodinary surge in disease just about the time when humans began cultivating wheat around 8000 B.C. (Track Your Plaque members: Read Dr. Cordain's fascinating interview at http://www.cureality.com/library/fl_04-005cordaininterview.asp.)

Do you need to eliminate wheat products entirely from your diet? It's something to think about, particularly if you share any of the difficulties that Jerry had.


*In general, I do not recommend heart scanning as a self-prescribed tool for chest pain or other symptoms. Symptoms should always be discussed with your doctor.
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Vitamin D and cancer

Vitamin D and cancer

Although this is a Blog about heart scans and heart disease, I came across a helpful video from Dr. Joseph Mercola about vitamin D and cancer that's worth viewing. Though I do not agree with many of Dr. Mercola's on-the-edge views, he does come up with some good thoughts and, in this instance, a useful educational tool about vitamin D.

You can view his video (which he claims crashed his server, due to the excessive demand for downloads) by cutting and pasting the address into your URL bar (above):

http://v.mercola.com/blogs/public_blog/How-to-Reduce-Your-Risk-of-Cancer-By-50--8790.aspx

Also, for my many patients who I've directed to look in my Blog for Dr. Reinhold Vieth's webcast presentation on vitamin D, here's the address:

http://tinyurl.com/f93vl

Perhaps I carry on too much about vitamin D. But I've come to respect this "nutrient" as among the most powerful strategies I've seen for dramatically improving control over coronary plaque growth as well as other aspects of health, as Drs. Mercola and Vieth eloquently detail.
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Wheat-free and still fat

Wheat-free and still fat

Readers of The Heart Scan Blog know that I preach a diet that contains foods with low glycemic index to control weight, raise HDL, and reduce triglycerides, blood sugar, and small LDL.

A crucial aspect of a low glycemic index approach is to sharply reduce, preferably eliminate, wheat products.

I pick on wheat specifically because it has come to dominate the American diet. Look at the shelves in the supermarket: aisle after aisle of processed wheat products. The bread shelves alone in some of the grocery stores in my neighborhood are 40 feet long, six shelves high. There's also breakfast cereals, granola products, cookies, cakes, baking products, pretzels, crackers, pasta, and on and on.

Wheat products like these are tasty and they're addicting--literally. Test animals given processed wheat will eat more and gain more weight. Wheat fails to trigger satiety. So laboratory mice--and you and I--eat and eat, because eating wheat stimulates appetite, creates a hunger for more wheat, and a vicious cycle ensues. Eliminating wheat, on the other hand, results in dramatic drop in appetite, substantial weight loss, followed by correction of the metabolic disruptions it created.


A quick Google search for "gluten-free" turns up a startling array of wheat-free, gluten-free, yet high glycemic index products. The breakfast cereal pictured, for instance, can do as much damage as most wheat containing products--though it won't cause gluten enteropathy (also known as "celiac disease").




The product shown contains:

Brown rice flakes, rice bran, evaporated cane juice, brown rice syrup, raisins, cinnamon, gum arabic, vanilla, molasses, ground flaxseed, rosemary extract.

A 1/2-cup serving contains:
Total Carbohydrate 31g
Dietary Fiber 5g
Sugars 8g


And I'll bet that most people eat a lot more than a half-cup serving.

But you and I are not laboratory mice. If deprived of wheat, many people will then seek out processed rice products (rice cakes, Rice Krispies), processed cornstarch or cornmeal products (tacos, cornbread, many processed foods using these products for texture or thickness), or other products labeled "gluten-free."

Going wheat-free for our purposes is not about avoiding the gluten in wheat. It is about seizing control of appetite, eliminating a food that disrupts insulin responses, reduces HDL, raises triglycerides, and creates small LDL particles. But this applies to processed corn, rice, and other high glycemic index foods, as well.

So, occasionally, someone will declare, "I've eliminated wheat! Now I only eat rice, corn, and I've discovered all the gluten-free alternatives!"

Unfortunately, they've traded one evil for another. So it's not just about wheat. It's really about reducing or minimizing foods that mess up metabolic responses and lead to coronary plaque growth. Wheat is the biggest culprit and so I focus on it. However, you could easily transfer far less popular rice and corn products into center stage and allow them to wreak all the health damage of wheat.

Going wheat-free for our atherosclerotic plaque-control purposes is not the same as going gluten-free. So be careful of the distinction.


Wheat-free gummi bears:


Contents:
Organic dehydrated cane juice, organic corn malt syrup, organic juice concentrates (may contain organic apple, organic apricot, organic aronia, organic carrot, organic cranberry, organic elderberry, organic lemon or organic red beet), organic spinach powder, organic apple pectin, citric acid, natural fruit flavors.

Virtually pure sugar--yet wheat-free.



Wheat-free rice bread


Ingredients:
White rice flour, water, honey, soy oil, natural gum, salt, yeast, natural gum














Copyright 2008 William Davis, MD

Comments (14) -

  • Anne

    2/15/2008 8:59:00 AM |

    Two years ago when I discovered I was intolerant to them, rather than go "wheat free" I went "grain free", I cut out all the grains. I don't miss grains at all, and doing a test with my blood glucose meter after a piece of bread was final confirmation of how bad they are ! When we go to friends for a meal it's so much easier to say I don't eat any grains at all than to say I'm intolerant to this one or that one or to gluten. Dh has also virtually cut out grains but it's obviously an addiction because he can't completely cut them out and has the occasional rice cake :-( You can tell grains are a cheap way of feeding people though as our food bill has gone up a lot since I stopped eating them and replaced them with lots of fresh veggies. I didn't know how much it would help my HDL, that's nice to know...mine is 2.4 (93).

    Anne

  • Anonymous

    2/15/2008 11:23:00 AM |

    Celiacs today are lucky, depending on how you look at it.  There are just so many ready made foods for them to choose from these days.  Additionally food manufactures now label if their food has wheat in it - some even volunteer to label if gluten is present!  There is a health food grocery store a few blocks from our place and one whole isle is dedicated to only gluten free foods!!  I'm jealous because I used to have a grumpy gut 20 to 15 or so years ago and different doctors would suggest I try eating gluten free.  Back then plain old Quaker rice cakes was about as tasty as it got when it came to a quick meal.

    Thanks for the wonderful blog Dr Davis.  I enjoy e-mailing it out to friends and family.  As I tell them, your blog wittings are too good to keep to myself.  Received two e-mails yesterday from others wanting to learn more about TYP.  Primrose

  • Anne

    2/15/2008 12:36:00 PM |

    I have non-celiac gluten sensitivity. I have to eliminate gluten 100% in order to feel well. I found out very quickly, if I want feel my best, I must avoid all the processed gluten free(GF) foods too.

    As more and more people get diagnosed with celiac disease/gluten sensitivity, more and more processed GF products are showing up on the grocery shelves. You are right to point out that a GF diet is not always a healthy diet. That is a common misconception. Yesterday I spoke with a doctor who said she was going to eat GF in order to lose weight. When I told her Snickers and Coke were GF, she was surprised.

    By sticking with whole foods and eliminating all grains, I regained my health.
    Anne

  • Anonymous

    2/15/2008 3:08:00 PM |

    I am in complete agreement with your stance that refined/processed sources of wheat should be avoided. But are moderate glycemic load whole grain foods such as bulgur wheat, kasha, brown rice, and 100% whole wheat bread, which are important sources of fiber and B vitamins, truly "evil"  when CONSUMED in moderation? I may be somewhat unusual because I do not need to lose weight or decrease my blood sugar (or, for that matter, reduce TG's or raise HDL) but I have the "dreaded combination" of genetically induced Lp(a) and small LDL. Do I actually have to feel that I am "doing damage" to myself by eating a few whole grain products a few times a week?

  • Anonymous

    2/15/2008 4:58:00 PM |

    So where does a highly processed product like Bran Buds (wheat bran, sugar, psyllium seed husk, oat fiber, high fructose corn syrup... uh oh!) come out?  Lots people eat this one for a fiber boost, but is it really just another Frankenstein food, masquerading as "healthy"?

    1/3 cup serving has 70 cals., 1 gm fat; 200 mgs. sodium; 300mgs. potassium; 24 gms. carbs of which 8 gms are sugars; 13 gms fiber, of which 3 gms are soluble and 10 gms are insoluble fiber; 2 gms protein

    I may have answered my own question.

    Thanks for the great blogs, Dr. Davis.

    madcook
    Cypress, TX

  • Anonymous

    2/15/2008 5:20:00 PM |

    I've been reading about coconut flour, which is supposedly lower on the glycemic scale, and is high in fiber -- according to the sites promoting coconut flour.

    Do you think baked items made from 100% coconut flour would be ok for blood sugars, and not causing increases in LDL and triglycerides, if eaten in moderation?

    Glycemic Index of Coconut Flour Products in Normal and Diabetic Subjects

    S

  • Zute

    2/15/2008 5:31:00 PM |

    I always thought you picked on wheat because of something in particular about wheat.  However, I have found that all grains definitely play havoc with my blood sugar and ultimately lead me to getting fat(ter) and unhealthier.  

    Since I've gone "Paleo" and eliminated all grains and dairy products I found a lot of strange health issues that I can trace directly to removing them from my diet (and their subsequent reappearance when I add them back) disappeared like:

    Terrible IBS (wheat)
    Low blood sugar feelings (grains)
    Brain fog and memory problems (wheat)
    Insomnia maybe lack of D3 (wheat)
    Arthritis (wheat)
    Sinus problems (dairy)
    Muscle spasms (dairy)
    Acne (dairy)
    Constipation (dairy)

    Anyway, wheat is the worst for me but the other grains are right behind it.

  • Ross

    2/15/2008 11:41:00 PM |

    Absolutely correct in my experience.  My body composition didn't start to change until I cut out grains and starchy vegetables entirely (except for one weekly cheat meal).

    Wheat may be the worst of the bunch, but it's the carbs within the wheat that are really the problem, and those carbs are found in lots of places.

    One thing that's really suprised me are how many "low-carb" foods are also low-fat.  What's left?  I don't want a high-protein diet, I want a high-fat diet with fats from natural animal and vegetable sources.  It's frustrating that it's so difficult to find healthy food in the grocery store these days.  I'm really looking forward to the day when the era of "low-fat = healthy" is broadly regarded as an embarassing lapse of judgement by an entire culture.

  • Mike

    2/15/2008 11:59:00 PM |

    But the Gummi Bears are Organic! They must be healthy. I'm wondering if I can get some organic arsenic.

  • Cindy Moore

    2/16/2008 2:01:00 AM |

    Many low carbers eliminate all grains, not just wheat. There certainly isn't any reason why we should be eating grains!

    Personally I think wheat, corn and soy should all be eliminated....and one or more is in almost every processed food in some way.

  • Anonymous

    2/17/2008 7:40:00 PM |

    No one explicitly mentioned oats.   I try not to eat many grains, but I do feel better with a bowl of Scottish oatmeal for breakfast and it is mostly soluble fiber which is good for your digestion.  I'm really not much of an "egg person" and get really tired of them everyday.

    Noreen

  • migraineur

    2/18/2008 10:30:00 PM |

    I just tell people I'm allergic to grains.  Since most desserts also have flour in them, that covers me on 95% of anything people might try to serve me as a main dish or dessert.  The last 5% would be potatoes or legumes, and those are usually served as a side dish, so I can just avoid them.

  • Anna

    2/19/2008 4:08:00 AM |

    With rare exceptions, we don't eat grains very often at our house anymore.  I still do get some sprouted wheat bread for my son, but I have to freeze it because he eats it so slowly.  I do add some very small amounts of quinoa to stews and soups, or sprout it to add to salads, but even that is minimal.

    Another commenter mentioned coconut flour.  Last year I started baking again, using recipes from a coconut flour cookbook (Fife).  Be aware, that without gluten, 100% coconut flour (as opposed to a flour blend) requires a lot of binder, usually eggs, or else the item will fall apart.   I also have to watch my blood sugar with a low carb diet, and if consumed sensibly, low sugar coconut flour  cookies fit in well.

  • Anonymous

    2/22/2008 12:08:00 PM |

    @ Anna re: Coconut flour

    Thanks for the feedback about coconut flour; I''m going to give it a try for the occasional baked goods replacement.

    I was aware that without gluten, extra binder would be needed. I originally thought about what the celiacs use, guar or xanthum, but Gluten A Go Go has been using ground flax or chia as her binder for her celiac baked goods. So I'll play around with those too.

    S

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Valve disease and vitamin D

Valve disease and vitamin D

There are two common forms of heart valve disease: aortic valve stenosis (stiffness) and insufficiency (leakiness), and mitral anular calcification.

Both valve issues are regarded as evidence of senescence, or aging--the older you are, the more likely you will have one or both. Both conditions involve progressive calcium deposition and, to some degree, cholesterol deposition. They might be regarded as phenomena of "wear and tear" just like hip arthritis.

There are no known therapies to stall or stop the development of mitral anular calcification. However, several attempts have been made over the years to identify treatments that can slow or stop the progression of aortic valve disease, which is becoming increasingly common and is addressed by surgical valve replacement when severe. The most recent trials have examined whether high-dose Lipitor (80 mg) has any effect (it did not) and high dose Crestor (40 mg), which slowed but did not stop the deterioration of stiff valves.

It's been my suspicion that vitamins D and K2 may play a crucial factor in valve health. After all, vitamin D is the master controller of calcium deposition. Preliminary data also suggest that people who are intentionally made vitamin K deficient with the drug, Coumadin, develop twice the calcium deposition on aortic valves that non-Coumadin takers develop.

I saw a patient Friday, Marianne. In addition to a moderate heart scan score of 379 at age 71, Marianne had a leaky (insufficient) aortic valve. By an echocardiogram 18 months ago, the valve was moderately leaky. I put Marianne on vitamin D, 4000 units, to raise her blood level to 50 ng/ml.

Last week, I asked Marianne to have another echocardiogram. This time, no leakiness whatsoever--none. I have never seen this happen before. Although Marianne is only one example and we don't want to extrapolate too far from the experience of one person, it's hard not to attribute this phenomenal response to vitamin D supplementation.

I wonder what would have happened if we had added vitamin K2, as well?

Anyway, just another potential wonderful effect of vitamin D restoration.

Comments (1) -

  • Anonymous

    11/17/2010 6:12:19 AM |

    My 87 year old father has been told his mitral valve is "a rock". He is not ready to give up. He has always been very healthy. Do you think there is any downside to have him start a D and K2 supplement?
    Thsnks
    Kelli

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Gastric emptying: When slower is better

Gastric emptying: When slower is better

When it comes to the Internet and Nascar, speed is good: The faster the better.

But when it comes to gastric emptying (the rate at which food passes from the stomach and into the duodenum and small intestine), slower can be better.

Slower transit time for foods passing through the stomach leads to lower blood sugar, lower blood glucose area under-the-curve (AUC), i.e., reduced blood glucose levels over time. Lower postprandial (after-eating) blood sugars can reduce cardiovascular risk. It can lead to a reduction in net calorie intake and weight loss.

Strategies that can slow gastric emptying include:

--Minimizing fluids during a meal--Drinking a lot of fluids, e.g., water, accelerates gastric emptying by approximately 20%.

--Cinnamon--While the full reason to explain Cassia cinnamon's blood glucose-reducing effect has not been completely worked out, part of the effect is likely to due slowed gastric emptying. Thus, a 1/4-2 teaspoons of cinnamon per day can reduce postprandial blood sugar peaks by 10-25 mg/dl.

--Vinegar--Two teaspoons of vinegar in its various forms slows gastric emptying. The effect is likely due to acetic acid, the compound shared by apple cider vinegar, white vinegar, red wine vinegar, Balsamic vinegar, and other varieties.

--Increased fat content--Fat is digested more slowly and slows gastric emptying time, compared to the rapid transit of carbohydrates.

Not everybody should slow gastric emptying. Diabetics with a condition called diabetic gastroparesis should not use these methods, as they can further slow the abnormal gastric emptying that develops as part of their disease, making a bad situation worse.

However, in the rest of us with normal gastric emptying time, a delay in gastric emptying can reduce blood sugar and induce satiety, effects that can work in your favor in reducing cardiovascular risk.

Comments (18) -

  • Anonymous

    2/21/2010 10:17:43 PM |

    What about fiber?  

    For what it's worth, I recently discovered Chia seeds, which are high in Omega-3 and fiber.  Mixed 15 grams with 8 oz water, and you get a gel that's easy to slurp down.  The taste is neutral, too.

  • Anonymous

    2/21/2010 11:21:09 PM |

    I wonder what kind of effect supplemental digestive enzymes what have in gastric emptying.

  • Dr. William Davis

    2/22/2010 12:46:00 AM |

    Hi, Ted--

    Great results! there are some data on fenugreek, but we have not used it in any systematic way. Perhaps we should give it a try,.

  • Seedeater

    2/22/2010 3:06:08 AM |

    Chia is a remarkable food.  3:1 n3 to n6 ratio, and absolutely complete protein, missing no amino acids.

    Check it out:

    http://www.nutritiondata.com/facts/nut-and-seed-products/3061/2

  • mongander

    2/22/2010 3:34:36 AM |

    "If eating one gram a day of cinnamon reduces blood glucose levels 20 percent, then three grams or six grams will reduce it a lot more. Wrong.

    Researchers from the U.S. Department of Agriculture, including Dr. Richard A. Anderson, and Agricultural University, Peshawar, Pakistan, gave these doses of cinnamon to volunteers. Some 60 volunteers divided into six groups participated. Three of these groups got the three different doses and three groups received a placebo.

    They found that less than one-teaspoon—one gram—of cinnamon worked as well as higher doses."

    C Leigh Broadhurst, PhD explains how to make a cinnamon water extract.
    http://www.mendosa.com/cinnamon.htm

  • Anonymous

    2/22/2010 8:44:59 AM |

    Good thing too. Cassia is also high in toxins like coumarin.  I eat true cinnamon every day, I don't know if it works like Cassia, but it's so tasty it just must be doing some good!

  • 2 Quick

    2/22/2010 5:40:58 PM |

    Hi, Dr. Davis: I'm a long-time fan of your blog & LEF articles. I'm wondering if you can help. My husband (50 y.o., thin but muscular) is in extremely good health except for one thing: he is a very light sleeper (genetic, it seems). The insomnia is caused by his extremely fast transit time--exactly 12 hours, no more, no less--which means that if he eats more than one meal a day, it wakes him up in middle of the night. He doesn't drink during meals, he takes plenty of cinnamon, has taken apple cider vinegar (which, perversely, sped up his digestion), and because he is allergic to gluten, eats a high fat, high protein diet. He's tried adding fiber but that hasn't helped. (As you can imagine, his fast transit time leads to awkward social situations!) We're at wits end. Any help you can give us would be greatly appreciated!

  • DrStrange

    2/22/2010 8:30:15 PM |

    I have found that all of these work very well for some people and NONE of them works for everyone.  Some will great effect at lowering bg w/ some botanical while another person will have no effect whatsoever w/ same substance.

  • Anonymous

    2/24/2010 4:40:33 AM |

    2 quick - additional food intolerances?  has he tried a few weeks without fiber - counter-intuitive but could help.

  • 2 Quick

    2/24/2010 2:30:50 PM |

    Hi Anonymous,

    No, my husband does not suffer from any other food intolerance.

    That increase in fiber was a one-time, disastrous experiment. For the past several years my husband's diet has been free of fiber (except for the occasional bowl of berries and cream). This has helped his digestion tremendously but it has not slowed down his transit time...Frown

  • Dr. William Davis

    2/24/2010 6:40:30 PM |

    2 Quick--

    Sorry, but beyond wheat elimination, I have no specific insights.

    Occasionally, iodine deficiency will show up with odd gastrointestinal phenomena.

  • mongander

    2/24/2010 11:59:21 PM |

    You might try taking the probiotic, Culturelle, for a few weeks.  It causes your stools to bulk up.  It stopped a prolonged case of diarrhea for me. I know diarrhea is not your husband's problem but maybe Culturelle will normalize his digestion.

    Alternate day fasting might reset him.  I just started an alternate day fast.  Yesterday was my 1st day of fasting and it increased my transit time from 24 hr to 48 hr.  I know one day is too soon to make a judgment.
    http://www.ajcn.org/cgi/content/abstract/86/1/7

  • Anonymous

    2/25/2010 9:11:43 PM |

    What's the time frame arround meals in which luquids should be avoided? Does it include hot liquids like soup or tea and coffee?

  • Anonymous

    2/28/2010 8:14:24 PM |

    What a great resource!

  • Anonymous

    3/28/2010 7:17:29 PM |

    Smaller, more frequent meals is a better approach to limiting AUC and peaks. Slowing gastric emptying just invites acid reflux.

  • Anonymous

    6/1/2010 9:41:13 AM |

    Having trouble reconciling something on this topic:  Magnesium supplementation can supposedly be helpful in glucose control (as mentioned in past blog comments).  Yet my understanding is that it's mag's ability to *increase* the gastric emptying rate which causes the loose-stools side effects at high doses.

    I'm especially interested in any thoughts on this apparent contradiction because my pre-meal cinnamon supplementation seemed to lose its great benefit on postprandial glucose just about the time I triple my magnesium dose to 1200 mg (about 10 days ago).  Coincidence?

  • buy jeans

    11/3/2010 8:42:17 PM |

    Not everybody should slow gastric emptying. Diabetics with a condition called diabetic gastroparesis should not use these methods, as they can further slow the abnormal gastric emptying that develops as part of their disease, making a bad situation worse.

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