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Low-Carb is Heart Healthy

Anybody following the discussions in these pages know that: Limiting carbohydrate intake reduces risk for coronary heart disease and heart attack.

First of all, why do conventional diets advocate restricting saturated and total fat? From the standpoint of surrogate markers of cardiovascular risk, cutting saturated and total fat reduces total cholesterol; reduces calculated LDL cholesterol; and may reduce c-reactive protein modestly (an index of inflammation). It also increases blood sugar and HbA1c (reflecting the prior 60 days blood sugars), increases glycation of the proteins of the body leading to cataracts, arthritis, and hypertension.

Problem: Total cholesterol is a combination of HDL cholesterol, an estimate of VLDL cholesterol (triglycerides), and LDL cholesterol. It is a composite of both “good” things (HDL) and “bad” things (LDL and VLDL). Cutting saturated and total fat results in reduced HDL, increased VLDL/triglycerides, and a reduction in calculated LDL. Pretty weak stuff. The last item, i.e., reduction in calculated LDL, is not even a real phenomenon. In fact, the net effect in most genotypes (genetic types) may be negative: increased heart disease risk.

In contrast, what is the effect of reducing carbohydrate without restricting fat? (In the approach I use, we start with elimination of the most destructive of carbohydrates, wheat, followed by reducing exposure to other carbohydrates, especially cornstarch and corn products, sugar, and oats.) If, say, we cut carbohydrate intake into the range of a truly low-carbohydrate diet of 10-15 grams per meal (“net” carbs, or total carbohydrates minus fiber), then we witness a number of metabolic transformations:

  • Reduced fasting triglycerides and VLDL
  • Reduced postprandial (after-eating) triglycerides, chylomicrons, and chylomicron remnants
  • Increased HDL and shift towards large HDL particles (presumably more protective)
  • Reduced small LDL particles
  • Reduced glycation and oxidation of small LDL particles
  • Reduced hemoglobin A1c
  • Reduced c-reactive protein and other inflammatory markers
  • Reduced blood pressure

By slashing carbohydrates, we also witness weight loss from visceral fat, reversal of pre-diabetes and diabetes, and reduced phenomena of glycation. And, if the wheat-free part of low-carb is maintained, you can also see marked improvement in gastrointestinal health, relief from joint pains, relief from leg edema, relief from migraine headaches, improved behavior and ability to concentrate in children with impaired learning, ADHD, and autism, better mood, deeper sleep. You will see multiple inflammatory and autoimmune diseases improve or completely relieved, such as rheumatoid arthritis and ulcerative colitis.

Having personally gone down the diabetic path and back by cutting the fat in my diet, now maintaining a HbA1c of 4.8% with fasting glucose 84 mg/d; (without medications), there should be no remaining doubt: Low-carb diets, especially if wheat-free, dramatically reduce the factors leading to heart disease; low-fat diets worsen the factors leading to heart disease.

via Low-Carb is Heart Healthy — Health & Wellness — Sott.net.

Heart Surgeon Speaks Out On What Really Causes Heart Disease

By: Dr. Dwight Lundell
We physicians with all our training, knowledge and authority often acquire a rather large ego that tends to make it difficult to admit we are wrong. So, here it is. I freely admit to being wrong. As a heart surgeon with 25 years experience, having performed over 5,000 open-heart surgeries, today is my day to right the wrong with medical and scientific fact.

I trained for many years with other prominent physicians labelled “opinion makers.” Bombarded with scientific literature, continually attending education seminars, we opinion makers insisted heart disease resulted from the simple fact of elevated blood cholesterol.

The only accepted therapy was prescribing medications to lower cholesterol and a diet that severely restricted fat intake. The latter of course we insisted would lower cholesterol and heart disease. Deviations from these recommendations were considered heresy and could quite possibly result in malpractice.

It Is Not Working!

These recommendations are no longer scientifically or morally defensible. The discovery a few years ago that inflammation in the artery wall is the real cause of heart disease is slowly leading to a paradigm shift in how heart disease and other chronic ailments will be treated.

The long-established dietary recommendations have created epidemics of obesity and diabetes, the consequences of which dwarf any historical plague in terms of mortality, human suffering and dire economic consequences.

Despite the fact that 25% of the population takes expensive statin medications and despite the fact we have reduced the fat content of our diets, more Americans will die this year of heart disease than ever before.

Statistics from the American Heart Association show that 75 million Americans currently suffer from heart disease, 20 million have diabetes and 57 million have pre-diabetes. These disorders are affecting younger and younger people in greater numbers every year.

Simply stated, without inflammation being present in the body, there is no way that cholesterol would accumulate in the wall of the blood vessel and cause heart disease and strokes. Without inflammation, cholesterol would move freely throughout the body as nature intended. It is inflammation that causes cholesterol to become trapped.

Inflammation is not complicated — it is quite simply your body’s natural defense to a foreign invader such as a bacteria, toxin or virus. The cycle of inflammation is perfect in how it protects your body from these bacterial and viral invaders. However, if we chronically expose the body to injury by toxins or foods the human body was never designed to process,a condition occurs called chronic inflammation. Chronic inflammation is just as harmful as acute inflammation is beneficial.

What thoughtful person would willfully expose himself repeatedly to foods or other substances that are known to cause injury to the body? Well, smokers perhaps, but at least they made that choice willfully.

The rest of us have simply followed the recommended mainstream diet that is low in fat and high in polyunsaturated fats and carbohydrates, not knowing we were causing repeated injury to our blood vessels. This repeated injury creates chronic inflammation leading to heart disease, stroke, diabetes and obesity.

Let me repeat that: The injury and inflammation in our blood vessels is caused by the low fat diet recommended for years by mainstream medicine.

What are the biggest culprits of chronic inflammation? Quite simply, they are the overload of simple, highly processed carbohydrates (sugar, flour and all the products made from them) and the excess consumption of omega-6 vegetable oils like soybean, corn and sunflower that are found in many processed foods.

Take a moment to visualize rubbing a stiff brush repeatedly over soft skin until it becomes quite red and nearly bleeding. you kept this up several times a day, every day for five years. If you could tolerate this painful brushing, you would have a bleeding, swollen infected area that became worse with each repeated injury. This is a good way to visualize the inflammatory process that could be going on in your body right now.

Regardless of where the inflammatory process occurs, externally or internally, it is the same. I have peered inside thousands upon thousands of arteries. A diseased artery looks as if someone took a brush and scrubbed repeatedly against its wall. Several times a day, every day, the foods we eat create small injuries compounding into more injuries, causing the body to respond continuously and appropriately with inflammation.

While we savor the tantalizing taste of a sweet roll, our bodies respond alarmingly as if a foreign invader arrived declaring war. Foods loaded with sugars and simple carbohydrates, or processed with omega-6 oils for long shelf life have been the mainstay of the American diet for six decades. These foods have been slowly poisoning everyone.

How does eating a simple sweet roll create a cascade of inflammation to make you sick?

Imagine spilling syrup on your keyboard and you have a visual of what occurs inside the cell. When we consume simple carbohydrates such as sugar, blood sugar rises rapidly. In response, your pancreas secretes insulin whose primary purpose is to drive sugar into each cell where it is stored for energy. If the cell is full and does not need glucose, it is rejected to avoid extra sugar gumming up the works.

When your full cells reject the extra glucose, blood sugar rises producing more insulin and the glucose converts to stored fat.

What does all this have to do with inflammation? Blood sugar is controlled in a very narrow range. Extra sugar molecules attach to a variety of proteins that in turn injure the blood vessel wall. This repeated injury to the blood vessel wall sets off inflammation. When you spike your blood sugar level several times a day, every day, it is exactly like taking sandpaper to the inside of your delicate blood vessels.

While you may not be able to see it, rest assured it is there. I saw it in over 5,000 surgical patients spanning 25 years who all shared one common denominator — inflammation in their arteries.

Let’s get back to the sweet roll. That innocent looking goody not only contains sugars, it is baked in one of many omega-6 oils such as soybean. Chips and fries are soaked in soybean oil; processed foods are manufactured with omega-6 oils for longer shelf life. While omega-6′s are essential -they are part of every cell membrane controlling what goes in and out of the cell — they must be in the correct balance with omega-3′s.

If the balance shifts by consuming excessive omega-6, the cell membrane produces chemicals called cytokines that directly cause inflammation.

Today’s mainstream American diet has produced an extreme imbalance of these two fats. The ratio of imbalance ranges from 15:1 to as high as 30:1 in favor of omega-6. That’s a tremendous amount of cytokines causing inflammation. In today’s food environment, a 3:1 ratio would be optimal and healthy.

To make matters worse, the excess weight you are carrying from eating these foods creates overloaded fat cells that pour out large quantities of pro-inflammatory chemicals that add to the injury caused by having high blood sugar. The process that began with a sweet roll turns into a vicious cycle over time that creates heart disease, high blood pressure, diabetes and finally, Alzheimer’s disease, as the inflammatory process continues unabated.

There is no escaping the fact that the more we consume prepared and processed foods, the more we trip the inflammation switch little by little each day. The human body cannot process, nor was it designed to consume, foods packed with sugars and soaked in omega-6 oils.

There is but one answer to quieting inflammation, and that is returning to foods closer to their natural state. To build muscle, eat more protein. Choose carbohydrates that are very complex such as colorful fruits and vegetables. Cut down on or eliminate inflammation- causing omega-6 fats like corn and soybean oil and the processed foods that are made from them.

One tablespoon of corn oil contains 7,280 mg of omega-6; soybean contains 6,940 mg. Instead, use olive oil or butter from grass-fed beef.

Animal fats contain less than 20% omega-6 and are much less likely to cause inflammation than the supposedly healthy oils labelled polyunsaturated. Forget the “science” that has been drummed into your head for decades. The science that saturated fat alone causes heart disease is non-existent. The science that saturated fat raises blood cholesterol is also very weak. Since we now know that cholesterol is not the cause of heart disease, the concern about saturated fat is even more absurd today.

The cholesterol theory led to the no-fat, low-fat recommendations that in turn created the very foods now causing an epidemic of inflammation. Mainstream medicine made a terrible mistake when it advised people to avoid saturated fat in favor of foods high in omega-6 fats. We now have an epidemic of arterial inflammation leading to heart disease and other silent killers.

What you can do is choose whole foods your grandmother served and not those your mom turned to as grocery store aisles filled with manufactured foods. By eliminating inflammatory foods and adding essential nutrients from fresh unprocessed food, you will reverse years of damage in your arteries and throughout your body from consuming the typical American diet.

Becoming Fit, Firm & Fabulous

Why is it that so many people struggle with the same challenges year after year? Most of us have experienced this phenomenon in ourselves or witnessed it in others. A great example of this type of challenge would be our bodies. Did you know that a large percentage of people that go to the gym on a regular basis are frustrated by the fact that they see very little change in their physique?

Why does this happen?

There are a variety of reasons why people fail. Some are physical, most however, are psychological. Most people actually fail before they begin. What do I mean by that? It’s quite simple; they have very little understanding of the p-r-o-c-e-s-s of changing their body. Consequently, they quickly become frustrated and give up. I have written this post specifically for those of you who consistently “hit-the-wall” when it comes to changing the dimensions of your body.

The human Body is an amazing machine. If properly cared for it will function at a high level creating a strong, healthy and lean physique. If improperly cared for it will become weak, sickly and obese.

So let’s begin the story of how you are going to get your body back. The first thing I would like you to know is that your body works with the laws of nature. Like gravity, these laws work 24 hours a day 365 days a year and are predictable.

Changing the shape of your body does not require fancy equipment, a trainer or a $200 DVD program bought on a late night infomercial. However, it does require 3 things:

  1. A Solid Plan
  2. Realistic expectations
  3. A willingness to do certain things over and over again until you get the desired result.

A Picture is worth a 1000 words.

Have you ever looked at pictures that were taken of you through the years and wondered what happened? Those pictures are a historical representation, a visual diary of sorts, of how you have cared for your body up to this point. Are you pleased with how you look or displeased? Most people are displeased.

Understand this… Your body has adapted to your daily thoughts and habits. To change your body you have to change your daily thoughts and habits. The majority of people work on changing one but not both, that is why they fail.

What You Resist… Will Persist!

True change always begins by making a decision and then committing to that decision. Commitment is critical to any worthwhile endeavor. When was the last time you made a commitment to yourself that you kept? Has it been a while? Now is your chance. You are worth it!

“True Commitment is doing that in which you said you were going to do, even though the mood in which you said it has left you.”

Okay so you are now committed to begin the process of changing your body. You know that inspiration and motivation tend to diminish in short period of time. Because of this, in the past you gave up. So why is this time going to be different? Because I’m going to teach you what to expect when using this plan.

A great analogy for making changes in your body is rehabbing an old house. First of all, if you purchased the house you obviously saw potential. You had a vision of what the house will ultimately look like. The same goes for your body. The first thing I want you to do is get a vision of what you will look like when you have reached your goal. I want you to create a very Precise Vision. At night before you fall asleep with your eyes closed, imagine you are sitting in a theater by yourself watching the “you” that “you” are becoming on the screen. It’s important that you create and notice details about the new you that you are becoming. How you eat. How you move. How people look at you differently. Your energy level. Again, the more detail the better. Clarity is power. Have fun with it! By doing this nightly you are creating a mental target or blueprint for your mind and body to follow. This step is critical.

Let time be your friend

Like any process in nature, time is required for change to occur. Choosing a time frame correctly will help keep your expectations in check. You probably know the saying, “A watched pot never boils.” I always tell my clients to allow themselves a minimum time frame of 18 months. Trust me… 18 months goes by quickly if you stay focused on the process of becoming a better version of you. In a span of 18 months, many transforming things occur both physically and psychologically. These gradual changes will not only change the way you feel but also dramatically change your habits.

Take out the garbage

Okay back to the analogy of rehabbing the house. Typically, the first step of rehabbing a house is tearing out all of the old out-dated materials so that new more functional materials can be put in their place. Your old habits and behaviors are to be looked at in the same way. They function but they are no longer useful in helping you to attaining your goal. In fact, they are counterproductive. So from now on, I want you to look at any thought, habit or behavior that is not drawing you closer to your goal as Garbage. Begin the process of eliminating them. Know that in the beginning your mind and body will argue with you. This is great news. Welcome it! This lets you know you are the right track.

Thoughts are things!

I cannot possibly emphasize how important your internal dialogue is when it comes to achieving your goal. The thoughts that you accept are very powerful because they drive your daily behavior. It’s your daily behavior that either moves you towards or away from your goal. When confronted with a decision always ask this question… Is this moving me towards or away from my goal? Then choose accordingly.

Fats & Sugars

Did you know that your body has the amazing ability to burn two types of fuel? Fats and sugars. If you are overweight and have a lot of body fat, you burn mainly sugar. Did you know your body can be coaxed to burn fat by simply changing the way you eat?

It’s a proven fact that the over abundance of carbohydrates in one’s diet causes a variety of problems. For our discussion however, the main problem it causes is weight gain and obesity. To make serious changes in your body you need to begin eliminating carbohydrates from your diet. As you remove carbohydrates begin adding more high quality proteins and vegetables. As your intake of sugar/carbohydrates drop off your body will begin “choosing” fat as a source of fuel. This can take a while but the results will make you very happy.

Are you retaining water?

Did you know your body holds on to water if you are not properly hydrated? Drinking more water is a must. The rule of thumb is half your body weight in fluid ounces per day. Example: If you weigh 100 pounds you should drink 50 fluid ounces of water per day.

Time to get moving

Many people despise exercise. In fact, they equate it with pain. In reality, it is a wonderful tool if properly used and understood. I want you to look at exercise as a tool. Exercise is a very efficient way of putting a specific demand on your body. There are two forms of exercise both will help you to sculpt out a new body. Exercise five days a week.

(Remember: This is an 18 month process start out slow)

Aerobic Exercise

I’d like to teach you the secret of burning fat. To burn fat you have to get your heart rate into a range that is specific for YOU! Ones size does not fit all. Everybody is different!

So how do you figure this out? There are several ways, this I have found to be the easiest. 220 – (your age) X 70%= Your Target Heart Rate. Let’s say you are 30 years old. Here is how the calculation would go 220 – 30 X 70%= 133. So if you were 30 years old, your target rate would be 133 beats per minute. This is basically 70% of your maximum heart rate for your age. When your heart is beating in this zone your body’s chooses fat as a fuel. When your heart rate exceeds this your body chooses sugar as a fuel. We do not want this!

Ideally, you would slowly bring (over a period of 5 to 10 minutes) your heart rate up to your target rate. Once you achieve your target rate, the longer you stay there the better. Start out slow maybe 12 minutes. Over time work up to 15 minutes. Soon you will be doing 45 minutes to an hour.

I always advise my Wellness Clients to buy a Heart Rate Monitor. This is not necessary but it makes monitoring your heart rate much easier. In my opinion Polar Heart Monitors are the best. The heart monitor becomes an invaluable tool. I call it my coach. It will let you know when you are above or below your target rate. It also helps you to create a target zone. Bottom line, it makes doing this EASY!

Anaerobic Exercise

Strength training or weight training typically involves lifting weights or using weight machines. Doing push-ups, pull-ups and squats also can be used to do strength training. The procedure is straight forward try to incorporate several exercises that hit all the main areas of your body. As mentioned above you could do push-ups for your chest. Pull-ups for your arms and back and squats for your lower body. Work your way up to where you can do 3 sets of 12 reps. Over time you will get stronger.

Exercise 5 days a week.

Do aerobic exercises one day and anaerobic exercises the next day. Start out slowly until you develop a good base and then expand on that base.

Discipline is not an end in itself, only a means to an end.

Remember that the past does not equal the future. You failed in the past because you simply did not understanding the process. You now understand that your body works with the laws of nature and by following the above plan, you will be partnering with these laws. I wish you success. If you have questions please leave a comment.

Yours in Health!

Dr. Gould

Is this Important?

Questions are Great Things.

Let me rephrase that,  Great Questions are Great Things. You see most of us go through our lives asking ourselves the same questions everyday. There is certainly nothing wrong with that, as long as we are asking ourselves quality questions or empowering questions. Unfortunately in the majority of cases, this is not the case.

I’d like to make a very bold statement.

Here it is… The quality of your life comes down to the quality of questions you ask yourself on a daily basis. So as you go through your day, start monitoring your questions. As you go through all your daily activities,  ask yourself the question… Is this Important? If it isn’t, I’d say you should delete it from your activities list.

When life confronts us with a tragedy, its funny how quickly our priorities change and how clearly we see what is truly important in our lives.

Yours in Health, Naturally!

Dr. Edward Gould

Hormone Boosts Effects of Exercise

Hormones aren’t just for sex—they help control everything from the times when we feel hungry to the timing of our heart beats. Dozens have been described, but there is now a new one on the scene. It might help explain some of the health benefits of exercise and point the way to preventing obesity and diabetes. The find was described online Wednesday in Nature (Scientific American is part of Nature Publishing Group).

Exercise has myriad benefits for the body and brain, but many of the triggers for these improvements have so far been somewhat of a mystery.

“There has been a feeling in the field that exercise ‘talks to’ various tissues in the body,” Bruce Spiegelman, a cell biologist at Dana-Farber Cancer Institute and co-author of the new study, said in a prepared statement. “But the question has been, how?”

Speigelman and his colleagues found that exercise—in both mice and humans—starts a cascade of signaling changes, including the production of a never-before-described hormone. They dubbed the new hormone irisin, as a nod to the Greek messenger goddess Iris for its ability to send information to surrounding body tissue.

And the messages irisin carries are not trivial—they seem to effect positive changes in the body. An increase in irisin helps turn white fat into the more beneficial and metabolically active brown fat, which burns more calories. It also seems to make the body more sensitive to glucose, an important capability for keeping diabetes at bay.

In the study, the researchers discovered that exercise increases the body’s production of a metabolism-regulating protein, which in turn stimulates expression of a protein that can produce the new hormone, found to reside in the outer membranes of muscle cells.

The effects of exercise on the hormone’s production seem to be long-lived. Even after 12 hours of rest, mice that had been on a three-week jogging regimen had 65 percent more irisin in their blood than unexercised mice. And people who had gotten 10 weeks of endurance exercise training had double the amount of irisin in their blood than those who had not.

But could this hormone, the scientists wondered, mimic some of the effects of exercise—without subjects having to hit the treadmill? To find out, they injected a batch of obese, pre-diabetic mice that had been fed a high-fat diet with just about as much of an irisin boost as they would get from a workout. After 10 days of injections, the irisin-boosted mice had shed a little weight and become more sensitive to glucose—all without exercise. And a later dissection showed that the hormone spike didn’t seem to have any negative biological effects.

“It is likely that irisin is responsible for at least some of the beneficial effects of exercise on the browning of adipose tissues and increase in energy expenditure,” Speigelman and his colleagues noted in their paper. This find might help explain some of the “afterburn” of extra calories after vigorous activity.

Even if the hormone proves safe for humans to take as a supplement, it won’t replace all the benefits of going to the gym. But it might help people fight obesity and remain more sensitive to glucose, thus fighting off diabetes.

“It’s exciting to find a natural substance connected to exercise that has such clear therapeutic potential,” Pontus Bostrom, a postdoctoral researcher at Dana Farber and co-author on the new paper, said in a prepared statement. The researchers are now also investigating possible effects of the exercise-based hormone on other diseases, including neurodegenerative conditions, and have licensed the finding to Ember Therapeutics (a company co-founded by Spiegelman) for drug development.

via Newly Discovered Hormone Boosts Effects of Exercise, Could Help Fend Off Diabetes | Observations, Scientific American Blog Network.