How did Cureality get its start?




In the Cureality program, we embrace information and strategies that empower you in health without drugs, without hospitals, without procedures. We convert your doctor from director of healthcare to your assistant in health. He or she is there when you need help, but you largely direct your own health future.

How did we gain the know-how, information, tools, even chutzpah to take on such an ambitious project?


It started around 10 years ago with the awkwardly named Track Your Plaque program. In fact, some of the current followers of the Cureality program are former Track Your Plaque members, having learned of the wonderful list of strategies that can be adopted to gain better control over, even reverse, coronary atherosclerotic plaque and risk for heart attack. They also learned that something special happens when you engage with other people with similar interests, all sharing ideas, insights, and resources to get the self-directed health job done. Over time, what started out as simply a source of better information for coronary health evolved into a self-directed coronary disease management program. We never set out to create something as wildly ambitious as a do-it-yourself-at-home coronary disease risk management program, but that is how it inadvertently turned out.

How we went from Information Provider to Health Empowerment Program

So we never intended to take on something so seemingly impossible as managing coronary risk on your own. But, because we armed people with such empowering, profound insights into better ways to manage their heart disease risk beyond “don’t smoke, cut saturated fat, be active, and take a statin drug”—the typical advice offered by doctors—they returned after an interaction with their doctors disappointed: doctors often declared such strategies unnecessary, or the doctor didn’t understand them—even when there were clear-cut clinical data already available to support their use. In other words, the patients—everyday people, not experts—knew more than their doctors. 

This flip-flop in the balance of knowledge made for some very interesting stories, like “Harold” (not his real name) who, having survived a heart attack and received a stent, was told by his doctor to cut his fat intake, eat more whole grains, exercise, take aspirin and a beta blocker drug, and reduce his cholesterol values with a statin drug. Upon learning all the additional information from the Track Your Plaque program, Harold returned to his doctor and asked “I’m not so ready to just go along with this idea of ‘reducing cholesterol’ to address heart disease risk. Because my goal is to gain as much control over coronary disease as possible, maybe even reverse it, I’d like to address some additional issues that I believe may be important. I’d like to have my advanced lipoproteins drawn to measure the proportion of small LDL particles I have, whether I have lipoprotein(a), an omega-3 fatty acid index and 25-hydroxy vitamin D level, and a thyroid assessment. Oh, and I believe I should also have an assessment of my inflammation status, perhaps a c-reactive protein and phospholipase A2, and my blood sugar status measured with a fasting glucose, insulin, and hemoglobin A1c.” Harold’s doctor was dumbfounded and speechless. Rather than reveal his ignorance, his doctor advised Harold that none of that was necessary, sending him on his way and telling him that he was fine.

But this left Harold with a sour taste in his mouth, having engaged in many online discussions with people who had followed conventional advice that resulted in more heart attack, more heart procedures—the conventional answers simply did not work. He also discussed his situation with people who had successfully obtained the additional information he sought, added it to their program and enjoyed dramatically improved health, including freedom from more heart attacks, heart symptoms, and heart procedures, as well as improved overall health. So Harold found an easy way to obtain the testing on his own. Within a couple of weeks, he returned to his online community and shared all his information. Within moments, he was provided useful discussion to help him understand the values, all leading to changes in nutrition, nutritional supplement choices, how and where to get the simple tools necessary, such as iodine and vitamin D supplements. He even entered his data, choosing which values he was willing to share with others, which remained private, allowing him to compare his own follow-up values several months later. Engaged in this process, self-directed but collaborative, he witnessed marked transformations in his health. Not only did he never again—over several years—ever re-develop heart symptoms nor require any more trips back to the cath lab, he lost weight, reversed a pre-diabetic sugar profile, improved his cholesterol values without drugs, got rid of the acid reflux symptoms he endured for many years, dropped his blood pressure to normal, enjoyed better mood, energy, and sleep. Slender, healthier, all accomplished without his doctor. 

Harold returned to his doctor for a routine follow-up. Slender, energetic, without complaints, on no drugs except the aspirin for his stent, the basic laboratory assessment his doctor ordered in front of him, his doctor admitted,” Well, I don’t know how you’re doing it, but these values look like a 20-year old substituted his blood for yours. They’re unbelievable. What drugs are you taking to do this?” “No drugs,” Harold replied, “I’m following a program to reverse heart disease, but it means doing some things that are different from conventional solutions.” His doctor closed their meeting with the signature response of doctors nationwide: “Well, I don’t understand what you are doing, but just keep doing it.”

Yes, Harold knew more about how to control heart disease than his doctor, more than his cardiologist. The cardiologist knew how to insert a stent or defibrillator. But deliver information that empowered Harold in all aspects of health from head to toe, while also dramatically reducing, perhaps eliminating, his coronary disease risk? As you now know, that is not what conventional healthcare does, nor is it interested in doing so, as it would relinquish control and threaten to cut off this hugely profitable revenue stream that drives “healthcare.”

Having managed to inadvertently create a self-directed coronary risk management program with such spectacular results and in probably one of the most difficult areas of all—heart disease—it became clear that a similar approach could be even more easily applied to many other areas of health, such as weight loss, bone health, cholesterol and blood pressure issues, diabetes and pre-diabetes, hormonal health, autoimmune conditions, and others. You can do it when empowered by safe, effective information, and supported by a community of sharing and collaboration. We don’t fire our doctors; they are there when we need them when, for instance, we get injured or catch pneumonia, or as an occasional resource. But doctors should no longer be able to get away with neglect, misinformation, or blindly directing you to the next revenue-generating procedure because you are empowered by the information and support you receive in Cureality.

As we get more effective in delivering this information and new tools to you, just imagine what we can accomplish in this new age of information and self-empowerment. The future for us is bright with ambitions for better interactive tools with Cureality expert staff, better ways to crowd source health answers, provide more engaging community conversation, all while the health insights that help accomplish our self-directed health goals get better and better. Each person that joins Cureality helps make this service more effective because your wisdom, insights, and experience are added to the collective knowledge. We are more powerful together than we are as individuals.

If you are already a Cureality Member, please add your comments and questions to the growing conversation. If you are not a Member, consider joining our discussions, as each new voice gets us closer and closer to better answers to take back control over health.
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Measurement

Measurement

A crucial component of self-empowerment in healthcare is to be able to measure various health parameters. More and more measurement tools are entering the direct-to-consumer arena.

Quantification of various phenomena is important in managing many aspects of health. Imagine a carpenter trying to build a house without the use of a tape measure, level, or other measuring tools. In health, as in building a house, measurement, adjustment, and correction are critical.

Among the most helpful health measurement tools:

Blood glucose meters--Blood glucose meters aren't just for diabetics. They are among the most powerful weight loss tools available.

Blood pressure cuffs--There's no better way to assess blood pressure than to assess it under all the varied conditions of life: When you're tired, when you're excited, when you're upset, when you're happy, hungry, stomach full, morning, night. This is a lot better than the one isolated measure in the doctor's office.

Digital thermometers--Your first a.m. oral temperature is a great way to assess thyroid status. We aim to maintain first a.m. oral temperature around 97.3 degrees F, the normal human temperature upon arising that reflects normal thyroid function. (No, Dr. Broda Barnes fans, axillary temperatures should NOT be used due to flagrant variation from right armpit to left armpit, modifying effects of clothing and ambient temperature, etc. Oral temperature tracks internal, "core," temperature fluctuations reliably, including circadian variation, far better than axillary temperatures.)

Fingerstick blood tests--An incredible number of blood tests are now available just by performing a simple fingerstick in your kitchen or bathroom. You can get 25-hydroxy vitamin D, lipids, thyroid measures (TSH, free T3, free T4), hormones (DHEA, testosterone, estrogens). And the list is growing rapidly. Salivary tests are also growing in number for many of the same measures.

A variation on fingerstick blood tests are devices like CardioChek that allow you to do a fingerstick, but also run the test on your own device at home. (The CardioChek device tests total cholesterol, triglycerides, and HDL.)

Urine pH--You can dipstick your own urine to assess the relative acidity or alkalinity of your lifestyle. Acid pH (7 or below) suggests that diet is weighed too heavily in favor of animal products and grains. An alkaline pH (above 7) suggests plentiful vegetables and fruits, not counteracted by animal products and grains.

There are many more, including the ZEO device to monitor sleep quality, RESPeRATE for reduction of blood pressure, HeartMath to manage stress and augment the parasympathatic (relaxation) response. We've come a long way compared to the health monitoring devices of just 25-30 years ago.

Anyway, that's a partial list. Given the rapid advances in technology that allow such home tests, I anticipate a much longer list in the coming few years.

For some perspective on how far these devices have come, here's a great graphic of an early sphygmomanometer, or blood pressure gauge.


Courtesy Wellcome Library, London

Comments (9) -

  • Anonymous

    1/4/2011 1:01:48 AM |

    Are you familiar with StressEraser? It seems to be like HeartMath but not as sophisticated. I have used it some but have not used mine in a while.

  • Darrin

    1/4/2011 4:09:37 AM |

    I'd add a scale and body fat calipers to the list as well. Both can be found for pretty cheap.

    Although BMI is pretty worthless by itself, it can be an extremely valuable metric when looked at alongside body fat %.

  • Anonymous

    1/4/2011 4:30:52 AM |

    I have huge veins in my arms without flexing. Does this mean my arteries are clean?

  • qualia

    1/4/2011 1:01:57 PM |

    i know of pretty much no one else (incl. thyroid experts) who still believe measuring temperature is a "great" way to assess thyroid status.. it's certainly not. there are too many other metabolic, nutritional and lifestyle factors that influence temp.

  • Anonymous

    1/4/2011 1:24:16 PM |

    That looks more like a mechanical pulse-o-graph. The stylis is drawing the pulse as the waxed paper strip is run by a wind-up clock movment. The waxed paper strip (black wax on white paper) was used in many physics lab experiments before there were ocilloscopes ca. 1800's.
    Ed

  • Dr. William Davis

    1/4/2011 4:05:26 PM |

    Thanks, Darrin.

    How could I have forgotten those?


    Hi, Qualia--

    Sorry, but I disagree. For one, I don't care what the prevailing view among endocrinologists happens to be. A more recalcitrant, unwilling group to learn I've never seen.

    Two, the notion of thermoregulation is not bizarre or unconventional, but grounded in good science. The correlation with thyroid function just requires better validation. On a practical level--and having suffered through substantial hypothermia myself from hypothyroidism--temperature assessment can be a useful adjunct.

  • Might-o'chondri-AL

    1/4/2011 6:37:45 PM |

    Age is a time when the horomone cortisol hormone "runs" higher. A few hours before dawn it's level is also programed to rise and rouse us at daybreak .Hypo-throid jacks up the sympathetic nervous system; and thus adrenaline, which normally peaked at +/- 1 to 2 a.m. provokes yet more cortisol in circulation.

    Poor sleep and fits of coming awake are symptoms worth mentioning; older people complain about this. Infants and the young show stable metabolic temperature; they sleep through anything.

    With age hypo-thyroid patients can have 30 times the hormone adrenaline than normal. The hormone produces skin vaso-constriction as part of a survival mechanism to save our core body temperature, heart and brain. Upshot is you feel cold hands, feet, etc.

    Morning, upon arising, our bodies are "fasted" overnight and in a state similar to hypo-glycaemia. Hypo-glycaemia also coincides with increased adrenaline. First meal gives blood sugar, and the adrenal/cortisol stimulation normally (ie: thyroid good) lets off from "trying" to keep us alive.

    The confounders of a low morning temperature indicating hypo-thyroid are rare paradoxical endocrine and/or extreme conditions. Schizophrenia, manic depressive, during hot flashes, extreme protein deficiency and major sodium deficiency are clinical cases that might cause an a.m. reading to be  high despite hypo-thyrnoidism.

  • Anonymous

    1/4/2011 8:20:43 PM |

    I have to quarrel with your "97.3 is normal" statement. That may be true for men, but for a healthy woman of childbearing age who is not on hormonal birth control, waking body temperature can vary quite a lot depending on where in her menstrual cycle she happens to be. If her temperature were always around 97.3 in the morning, it would mean she was likely not ovulating.

  • David

    1/5/2011 6:20:27 PM |

    Anonymous,

    I'm certain that Dr. Davis is aware of the fluctuations in temperature during a woman's menstrual cycle.

    The most accurate temperatures (for assessing true lows) are obtained during the first week of the follicular phase.

    http://ajpregu.physiology.org/content/279/4/R1316.long

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Dreamfields pasta is wheat

Dreamfields pasta is wheat

An active question on the blogosphere and elsewhere is whether Dreamfields pasta is truly low-carb. Dr. Andreas Eenfeldt of Diet Doctor detailed his high blood glucose experience with it. Jimmy Moore of Livin' La Vida Low Carb had a similar experience, observing virtually no difference when compared to conventional pasta.

The Dreamfields people make the claim that "Dreamfields' patent-pending recipe and manufacturing process protects all but 5 grams of the carbohydrates per serving from being digested and therefore lessens post-meal blood glucose rise as compared to traditional pasta." They call the modified carbohydrates "protected" carbs.



In other words, they are making the claim that they've somehow modified the amylopectin A and amylose molecules in durum wheat flour to inhibit conversion to glucose.

I'd like to add something to the conversation: Dreamfields pasta is wheat. It is a graphic demonstration that, no matter how you cut it, press it, sauce it up, "protect" it, it's all the same thing: wheat. (It reminds me of a bad girlfriend I had in my 20s: She'd put on makeup, a pretty dress, I'd take her out someplace nice . . . She was still an annoying person who whined about everything.)

Wheat is more than a carbohydrate. It is also a collection of over 1000 proteins, including gliadins, glutens, and glutenins. Gliadins, for instance, are degraded to polypeptide exorphins that underlie the addictive potential of wheat, as well as its withdrawal phenomenon on halting consumption. Gliadin-derived exorphins are also the triggers of auditory hallucinations and paranoid delusions in schizophrenia, as well as behavioral outbursts in children with ADHD and autism.

Wheat is a source of lectins that have the curious effect of "unlocking" the proteins of the intestinal lining, the oddly-named "zonulin" proteins, that protect you from ingested foreign molecules. Ingest wheat lectins and all manner of foreign molecules gain entry into your bloodstream. Cholera works by a similar mechanism. (How about a love story: Bread in the time of cholera?)

Glutens, of course, are responsible for triggering celiac disease, the devastating small intestinal disease that now afflicts 3 million Americans, although 2.7 million don't even know it. Glutens are also responsible for neurologic conditions like cerebellar ataxia, peripheral neuropathy, and dementia ("gluten encephalopathy") and the skin condition, dermatitis herpetiformis.

Then there are the conditions for which the active wheat components have not been identified, including acid reflux, irritable bowel syndrome, asthma (excepting "bakers' asthma), rheumatoid arthritis, edema and fluid retention, and a long list of skin conditions from alopecia to gangrene.

My point: Yeah, Dreamfields pastas, from these instructive experiences, acts a lot like conventional durum wheat pasta. But, even if Dreamfields or somebody else perfects the low-carb aspect of it, it's still wheat. Modern wheat is the genetically tarted-up version of Triticum aestivum, the product of genetic shenanigans from the 1960s and 1970s.

Comments (11) -

  • Andrés

    5/28/2011 4:21:50 PM |

    Thanks for your work!

    I am not enrolled yet on track-your-plaque but I have read thoroughly your blog.

    I know you felt a different reaction to einkorn (diploid) to triticum (hexaploid), hence I wonder: have you (or any one around here, by the way) done some check yourself on durum (tetraploid)?

    I confess I am trying to cut back carbohydrates and pumping up fat, focusing specially on reducing triticum to a minimum (I favor a 60%-rye-40%-durum bread, since I "need" something to support my Gorgonsola and hard cheeses)  and am curious about the hardness about other branches of wheat (at least I found a paper about gluten seeming less aggressive on durum).

    Regards.

  • ceara sullivan

    5/29/2011 9:25:24 PM |

    Getting off wheat is very difficult for some of us. When we started a low-carb diet, we also eliminated wheat, rye, barley, and oats. And, of course, sugars in their various forms.

    My husband had no problems just quitting. I had to "step down" slowly or I became quite ill. From food.  Or rather, "food".

    We stil eat (very limitedly) legumes, rice (in the form of poha), and corn (as grits or as tacos). We don't have any of these in combination, however. IOW, on a day we have rice, we don't have the other two.

    If we cut those out entirely we'd lose weight more quickly I'm sure. However, this is working so far. Slow going but doable.

    A striking experience: after 25 years' smoking, being overweight, and a huge family history of vascular blockage in all my parents' sibs, I had the scan done a few years ago. The cardiologist who read my scan gave me a clean bill of health. My chances of a cardiac "incident" in the next five years was two percent. That was at age 65. I'm still amazed.

    So-called 'pre'-diabetes has reared its ugly head. I insisted on an (hb)A1c test last year and it came back at 5.8, much to my doc's surprise (but not mine). The next test, six months later, was 5.6 . I'll be interested to see if my weight loss has made a difference when it's time for the third one.

    It's great to be rid of wheat, but what a crime they have perpetrated on all of us. My grandson died at age 28, "heart problems". He was obese and addicted to wheat.

  • Alec

    5/31/2011 2:37:40 PM |

    This reminds me of the "Molecularly Baked" products they used to sell on the Zone Diet website. Absolute crap- lots of wheat combined with wheat protein (gluten?) and processed soy crap. Blah!

  • Dr. William Davis

    5/31/2011 4:07:29 PM |

    Hi, Andres--

    For all practical purposes, pasta made with durum wheat is still wheat. Semolina, durum, spelt, whole grain, multigrain, etc., it still remains essentially wheat. Pasta from durum, for instance, triggers sustained high blood sugars after consumption with all of the undesirable consequences that brings.

  • Abhi

    5/31/2011 5:45:57 PM |

    Dear Dr Davis,
    I love your blog!
    How do you compare this with the "Einkorn" (Jovial) pasta that you had tried and even blogged about.
    Thanks!

  • Alan D

    5/31/2011 8:42:43 PM |

    My experience with Einkorn pasta was a very small rise in blood sugar tested an hour and two hours after eating. I cooked the spaghetti and also the penne with tomato and garlic and olive oil. With regular wheat pasta my bg is 130-180. With Einkorn Jovial brand  it was barely over 100. I suspect everyone is a bit different though and some may have different results.

  • Dr. William Davis

    5/31/2011 11:17:49 PM |

    Abhi and Alan raise an important point: Einkorn is wheat, but it, I believe, far less destructive than modern Triticum aestivum, especially the dwarf variant product of genetics research.

    Einkorn is not entirely benign. After all, celiac disease was described even in the 1st century A.D. However, given a choice between modern low-carb Triticum aestivum or durum equivalents and einkorn, I would choose the einkorn, hands down.

  • Andrés

    6/2/2011 10:58:01 AM |

    Thanks for your answer!

    Well, I will try to reduce my durum intake also, then. I am now experimenting with breakfast without bread: I do an omelet with two eggs (three was a little too much a company to my white coffee), Gorgonzola and butter (I am still not convinced about the AGE issue).

    Regards.

  • Ingrown Toenail Remedies

    6/2/2011 11:08:07 AM |

    I’m a new reader and have been very impressed with your recent posts and thought to drop a friendly note. It is really a great information indeed. Waiting for more posts, is there a way to subscribe to your blog via email?

  • JT

    6/12/2011 5:12:58 PM |

    just tried a plate full of Dreamfield pasta with chicken cachitori sauce and it raised my BG to only 104 after an hour.

    I wonder it Dreamfield affects people differnetly

  • Nancy

    12/21/2011 9:27:07 PM |

    How the pasta is prepared is important to its effect on BG.  It can't be sitting around very long in a sauce, especially tomato, before the "protective coating" disintegrates.  Boil in water, drain, then put on sauce and eat.  Do not cook the pasta with sauce.  Do not store leftover pasta mixed with sauce.  Or just don't eat it at all.

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