Posts Tagged ‘diet’

By Chris Kesser (web)

Bone broth and your health

At this point, I hope you have a solid understanding of the components of bone broth. Now let’s get on to the health benefits!

Skin health
Skin is composed of two layers, the epidermis and the dermis. The epidermis, or upper layer, is composed of keratinocytes and is largely responsible for skin barrier function. Underneath is the dermis, a dense matrix of collagen, along with some GAGs, that provides structural and nutritive support (22). Keratin, collagen, and GAGs are abundant in bone broth, particularly if the skin from the animal is included in the cooking process.

In a 2014 randomized and controlled trial, collagen consumption significantly improved skin elasticity and tended to improve skin moisture content (23). Collagen scaffolds are widely used in medical applications to promote tissue regeneration and heal wounds (24). One study in mice found that supplementing the diet with gelatin was able to protect against UV-induced skin damage (25). GAGs offer additional skin benefits. The GAG hyaluronic acid has been shown to promote skin cell proliferation and increase the presence of retinoic acid, which improves the skin’s hydration (26), and dermatan sulfate has been shown to aid in cell turnover and wound repair (27).

Metabolic and cardiovascular health
Remember glycine, an amino acid that is particularly abundant in bone broth? Glycine plays a role in blood sugar regulation by controlling gluconeogenesis, the production of glucose in the liver (28), and has even been suggested to counteract some of the negative effects of dietary fructose consumption (29). Glycine has also been shown to reduce the size of heart attacks (30).

Furthermore, glycine balances out methionine intake. Muscle meats and eggs are high in methionine, an amino acid that raises homocysteine levels in the blood. High homocysteine is a significant risk factor for serious diseases like heart disease, stroke, mental illness, and fractures and increases our need for homocysteine-neutralizing nutrients like vitamins B6, B12, folate, and choline (31). Those eating lots of animal protein need adequate glycine to balance out the methionine from meat, and you’ll get that from bone broth. For more information, check out Denise Minger’s awesome presentation in which she discusses this very issue.

Muscle and performance
Glycine is also important for the synthesis of hemoglobin and myoglobin, which transport oxygen throughout the blood and muscle tissue, respectively (32). Glycine also increases creatine levels, which leads to an increase in anaerobic (high-intensity) exercise capacity, and stimulates the secretion of human growth hormone (HGH), which may enhance muscle repair (33, 34, 35). Recent evidence suggests that proline may play a role in regulating the mTOR cellular signaling pathway, which integrates signals from nutrients, growth factors, stress factors, and cellular energy status to affect cell function and growth. Proline, together with other amino acids, activates mTOR, resulting in enhanced muscle protein synthesis (36).

Adenosine triphosphate (ATP) is the chemical form of energy in the body that can be used to perform work. Phosphorus is required for the formation of this compound, and ATP cannot be biologically active unless bound to a magnesium ion. Phosphorus deficiency has been shown to reduce muscle performance (37, 38). Both phosphorus and magnesium are present in bone broth in modest amounts.

Bones and joints
It should be pretty obvious that the best way to get the nutrients necessary to build bone is from bone itself! Drinking bone broth provides all of the raw material for building healthy bones: calcium, phosphorus, amino acids, and more. A deficiency of the raw materials for building bone can result in a number of different conditions. For example, osteoporosis is associated with reduced levels of collagen and calcium in the bones (39, 40). Of course, you’ll also need the nutrients required to support the building process, like vitamins D, K2, and C. (To learn more about building healthy bones and where to get these nutrients on a Paleo diet, check out this article.)

As for joint health, lubrication by GAGs is the key to a full range of motion, whereby part of one bone can slide smoothly and painlessly over part of another. Sure, you could buy expensive supplements containing glucosamine and chondroitin sulfate to keep your joints healthy, but why, when these and a host of other beneficial nutrients can easily be obtained from bone broth? After all, GAGs are not the only component of broth that improves joint health. Collagen supplementation has been shown to reduce joint pain in athletes (41).

Gut health
A healthy colon contains a single tight layer of epithelial cells, a thick mucus layer, and a diverse collection of microbes. Microbial dysbiosis and a thinning of this mucus layer can quickly compromise the integrity of the epithelial barrier. Microbes and dietary proteins can then “leak” into the bloodstream and invoke an inflammatory response by the immune system. Lipopolysaccharide (LPS), a component of bacterial cell walls, stimulates a particularly robust immune response (42).

Bone broth is a staple of gut-healing diets, and rightfully so! Gelatin absorbs water and helps maintain the layer of mucus that keeps gut microbes away from the intestinal barrier. In a mouse model, gelatin supplementation reduced the severity of colitis by strengthening the mucus layer and altering gut microbiota composition (43). Gelatin and glycine have also been shown to reduce the inflammation caused by LPS (44, 45). Glycine has been shown to protect against gastric ulcers as well (46). Glutamine also helps maintain the integrity of the gut mucosa and intestinal barrier (47).

Digestion
Bone broth has so many benefits to gut health that I had to make digestion its own section! Drinking broth with meals is an excellent way to aid digestion. Glycine stimulates the production of stomach acid, which is essential for the proper digestion of food (48). Low stomach acid (hypochlorhydria) is surprisingly common in developed countries and can lead to a number of health issues.

Glycine is also an important component of bile acid, which is released to aid in the digestion of fats in the small intestine (49). Bile acid is important for maintaining normal blood cholesterol levels. The presence of gelatin in the gut also draws fluid into the intestine, improving gut motility and supporting healthy bowel movements. Low blood levels of collagen have been associated with inflammatory bowel disease (50).

Detoxification, liver, and kidney health
Recently, there has been some concern regarding the lead toxicity of bone broth. However, the vitamins and minerals that are abundant in bone broth, and in Paleo diets in general, can protect against the harmful effects of toxins like lead. Glycine also stimulates production of glutathione, the body’s master antioxidant (51). In animal models, glycine has been shown to speed recovery from alcohol-induced fatty liver disease (52), protect liver cells against hypoxia (53), and improve survival after liver transplantation (54). In humans, glycine reduces oxidative stress in patients with metabolic syndrome (55).

Proline plays a role in apoptosis, the process by which the body breaks down old cells, clears up waste products, and recycles raw materials for use in healthy cells (56). Proline can scavenge free radicals, effectively acting as an antioxidant (57). Glutamine, on the other hand, acts as a nontoxic nitrogen transporter, carrying amine groups safely through the bloodstream to the kidney. In the kidney, the conversion of glutamine to glutamate regulates acid–base balance by producing ammonium (58).

Eye health
Yes, bone broth may improve eye health. The cornea consists of three primary layers: an outer epithelial layer, a middle layer, and an inner endothelial layer. Hyaluronic acid stimulates proliferation of the epithelial cells that line the cornea (59) and is commonly used during eye surgery to help replace lost fluids (60). The middle, or stromal, layer is largely made of collagen, keratan sulfates, and chondroitin sulfates. Keratan sulfates have been shown to be essential to the transparency of the cornea (61), while chondroitin sulfate has been shown to influence the development of neural pathways in the retina (62). The amino acid glycine has also been shown to delay the progression of cataracts in a rat model of diabetes (63).

Brain health
Numerous components of bone broth influence the nervous system. The healthy fats in bone broth, particularly if made with marrow bones, provide a source of fuel and raw material for the brain. After all, more than 60 percent of the human brain is composed of fat (64). Glycine has been shown to protect against neuronal death after ischemic stroke (65) and likely plays a pertinent role in the development of the brain in the womb and during the first few months after birth (66). Calcium is essential for nerve conduction. When a nerve cell is stimulated, the influx of calcium triggers neurotransmitter release, allowing the signal to be passed on to the next nerve cell. Calcium deficiency affects this transmission and can result in symptoms of depression, insomnia, and hyperactivity. Lastly, chondroitin sulfate plays an important role in regeneration and plasticity in the central nervous system (67), meaning it is essential for learning and memory.

Mood and sleep
Bone broth can also improve both mood and sleep. Glycine is an inhibitory neurotransmitter, meaning it can decrease anxiety, promote mental calmness, and help with sleep (68). One study found that three grams of glycine given to subjects before bedtime produced measurable improvements in sleep quality (69).

Unlike methionine, glycine does not compete with tryptophan for transport across the blood–brain barrier (70). Tryptophan is the precursor (raw material) for serotonin, a neurotransmitter that contributes to feelings of well-being. Serotonin, in turn, is a precursor to melatonin, a hormone that regulates sleep–wake cycles. This is why a diet that includes bone broth and fattier cuts of meat can help prevent the depression and insomnia that some people may experience when eating a diet high in methionine-rich lean meat and eggs.

Immune function
While ancient folk wisdom suggests that bone broth can cure the common cold, modern science has confirmed that the components of bone broth do indeed influence the immune system. For example, glycine receptors have been identified on the outer surface of several different types of immune cells (71, 72). The effect is a dampening of the immune response, resulting in reduced inflammatory signaling molecules and oxidative stress that may reduce damage to lungs and other tissues (73). The GAG heparin sulfate has been shown to influence B cell function, T cell function, and macrophage activity (74).

Where to source bone broth

To summarize, bone broth has an incredible number of potential health benefits and is rooted in a long history of human use. It makes an excellent addition to any diet and can be used in a multitude of dishes. Bone broth can be made at home or it can be bought pre-made.

Homemade bone broth is simple to make. Ask your local farmers if they have soup bones, or roast a whole pastured chicken and save the bones for making broth. Chicken feet, chicken necks, calves’ feet, and marrow bones are particularly valuable additions to broth. You can find a good basic recipe over at the Weston A. Price Foundation website.

Pre-made bone broth is also a good option. Be sure to:

  • Buy broth that is organic and made from pasture-raised animals or wild-caught fish (this minimizes the toxins and maximizes the nutrients you get from the bone broth).
  • Avoid cans and other containers that contain bisphenol A (BPA), a potent endocrine disruptor, or other BPA substitutes.
  • Check out my favorite brand of broth: Kettle and Fire uses bones of organic, pasture-raised animals along with organic vegetables, sea salt, and herbs, all slow-simmered for 24 hours.

However you choose to get your hands on this liquid gold, be sure to make bone broth a staple in your diet!

 

By Chris Kesser (web)

Bone broth: a nutrient gold mine

Bones contain an abundance of minerals as well as 17 different amino acids, many of which are found in broth as proteThe Bountiful Benefits of Bone Broth: a Comprehensive Guide Vol.1ins like collagen and gelatin. Though the exact nutritional content varies based on the bones used, cooking time, and cooking method, the following nutrients are consistently found in most bone broths.

Collagen
With 28 different types, collagen makes up about 30 percent of the protein in your body (4) and is the main component of connective tissues like cartilage, ligaments, tendons, bone, and skin. It is also present in the blood vessels, cornea, and lens of the eye. The name collagen comes from the Greek “kólla,” meaning “glue, and the suffix “-gen,” which means “producing.” In fact, early glue was made from collagen more than 8,000 years ago, likely by boiling the skin and sinews of animals (5). In addition to providing structure, collagen also plays an important role in tissue development and regulation (6, 7).

Gelatin
When collagen is simmered, it forms gelatin. This hydrolysis of collagen is irreversible and results in the breakdown of long collagen protein fibrils into smaller protein peptides. However, its chemical composition is very similar to its parent molecule, collagen (8). Gelatin is what gives bone broth or stock its Jell-O-like consistency once it has cooled.

Glycosaminoglycans
Glycosaminoglycans (GAGs) are complex carbohydrates that participate in many biological processes. They can attach to proteins in order to form proteoglycans, which are integral parts of connective tissue and synovial fluid, the lubricant that surrounds the joint (9). If the connective tissue, such as tendons, ligaments, and cartilage, is still attached, the bones in broth will provide our bodies with the whole spectrum of GAGs, including keratan sulfates, dermatan sulfates, chondroitin sulfates, and hyaluronic acid, which are the raw materials for skin, bone, and cartilage formation.

Glycine
Glycine is an amino acid that makes up more than a third of collagen. It also acts as a neurotransmitter, binding to glycine receptors present throughout the nervous system and peripheral tissues. Signaling through this receptor is particularly important in mediating inhibitory neurotransmission in the brainstem and spinal cord (10, 11).

Proline
Proline is an amino acid that makes up about 17 percent of collagen. The addition of hydroxyl groups to proline significantly increases the stability of collagen and is essential to its structure. Though small amounts of proline can be manufactured in the body, evidence shows that adequate dietary proline is necessary to maintain an optimal level of proline in the body (12, 13). Proline is not typically thought of as a neurotransmitter, but it is able to weakly bind to glutamate receptors and glycine receptors (14).

Glutamine
Glutamine is yet another important amino acid found in bone broth and is the most abundant amino acid in the blood (15). It is one of the few amino acids that can directly cross the blood–brain barrier (16). Intestinal epithelial cells and activated immune cells eagerly consume glutamine for cellular energy (17, 18).

Bone marrow
Inside the center cavity of the bone is the bone marrow, consisting of two types, red and yellow. Both types contain collagen. Red bone marrow is the site of manufacturing for new immune cells and red blood cells, while yellow marrow consists of healthy fats (19, 20). It is thought that important nutritional and immune support factors might be extracted from marrow during cooking, but the bioavailability of these factors has not been studied.

Minerals
Bone is also full of minerals, including calcium, copper, iron, magnesium, manganese, phosphorus, potassium, sodium, and zinc (21). An acidic medium is necessary to extract these minerals from food. When making broth, always add a splash of vinegar or other acid in order to extract the most minerals from the bone.

Vol.3 coming soon

 

 

 

 

 

By Amy Kubal (source)

Never-Submit-Guest-Post-Unless-You-Follow-These-4-Guest-Blogging-Rules

Every day there’s a new blog post, podcast, book or expert telling you exactly what to eat (and/or not eat), when to eat, how to exercise (or not exercise), which supplements to take, how much you need to sleep… All you have to do is follow the protocol and you’ll lose weight, perform like a beast, start feeling better, see your abs, cure your disease, have the best sex of your life, meet the man or woman of your dreams and generally just reach a state of pure euphoria. And there’s the success stories – hundreds of people writing and telling how it ‘worked for them’ – all of them with before and after pictures and amazing stories. This shit works – there’s no denying it.

But wait… WHAT is it exactly that works? One website says you can have rice and the next tells you that it’s gonna kill you faster than a gunshot wound to the head. One podcast tells you never to run and the next says that running isn’t so bad. The food lists are conflicting the supplement recommendations are all different; and should you intermittent fast or is it going to mess you up? This is CONFUSING!!!

You do your best to take everything you read, hear, and see and you put together the “perfect” program – yep, you’re gonna be the next success story on that website… You’re going strict AIP (autoimmune protocol), very low carb, with a side of intermittent fasting. I mean, how can this not work…

Fast forward 3-6 months – WHAT FREAKING GIVES??? Why the hell are you not a success story yet? Seriously, you are in the EXACT same spot you were when you started this life-changing plan; in fact, some days you feel even worse than you did when you started and you haven’t even lost ½ a pound?!?!?! It doesn’t make sense – you did EVERYTHING the blog post, podcast, expert, etc. said; like, followed it to the letter. You start reading more blog posts and now you’re convinced that it’s your thyroid, or maybe candida or it could be SIBO or leaky gut… There is DEFINITELY something wrong with you and you’re not going to stop searching (this may involve reading copious blog posts and/or message boards, investing $1,000’s in doctors, medical tests and/or supplements or just switching to the latest AWESOME program that’s circulating) until you figure it out. You’re uber frustrated, stressed as all get out and a little pissed off too. How come this works for EVERYONE else, but not for you?

Okay, if any of this hits home – the first step is to CALM DOWN, BREATH and just be. This isn’t cause for completely abandoning all the positive changes you’ve made and hitting every Dunkin’ Donuts, Burger King and Taco Bell within a 25 mile radius. It doesn’t mean that you should stop exercising or that you’re broken. What it does mean is that the things that you’ve been doing either need a little tweaking OR that just because the ‘protocol of the month’ seems to be right for EVERYONE else, that it’s right for you too. Here’s the deal folks – there aren’t groves of people rushing out to share their stories of un-success. What you see in blog posts and on message boards and hear about in podcasts, yeah, it’s real – BUT it’s not always the whole story. Success stories are the ones that get shared and broadcasted – you’re not going to hear about the less than happy endings and the exceptions to what seems to be the rule. Know that you aren’t alone in your struggles and it’s all going to be okay. Really, it’s going to be OKAY!

Sometimes we get so caught up in what everyone else is doing and telling us that we need to do that we stop listening to the signals that our bodies are sending us. If something feels wrong, it probably is. Being in ketosis, intermittent fasting, carb-backloading, chugging Bullet Proof coffee, etc. – is not right for every ‘body’. Some of us need some starch and GASP – that may even mean some grains or legumes… (HOLY BUCKETS!! YES, I DID SAY THAT!) And guess what? Fruit is NOT the devil either – not even BANANAS!!!! (I know – this is getting downright CRAZY…)

Sometimes the STRESS that we place on what we put in our mouths is, in and of itself, enough to make us sick and unsuccessful in our endeavors. We get so obsessed with trying to ‘feel’ an effect from something that we can actually create that effect or symptom. I’m not joking. I’ve done it to myself and I see it over and over again in my clients.

**Example** “I added nuts back to my diet yesterday and I’m not sure, but I think I might be a little more tired and I have this twitch in my knee that wasn’t there the day before.” Bear in mind this person did a pretty intense workout the same day the nuts were consumed and has only been averaging about 5 hours of sleep per night for the past 3 nights… Um, yeah, let’s go ahead and blame the tiredness and the knee pain on the almonds. It’s a classic case of overthinking and LOOKING for something bad to happen.

Now, don’t misunderstand me, there is definite validity to food intolerancies and reactions in a lot of folks – but this isn’t an across the board phenomenon. Not EVERYONE is sensitive to dairy, legumes, nuts, nightshades or even gluten (yeah, I went there.). Food does not cause everything and cannot fix everything. This doesn’t mean that you should go buy a box of Pop-Tarts, some bean and cheese dip and a bag of Fritos – but what it does mean, is that you may just need to relax around food and your attitude toward it. It’s just FOOD!!!

The same can be said about weight and body composition– there’s a point when the stress around achieving a certain body fat percentage or number on the scale can deter any and all progress. When you place your life and happiness on hold UNTIL you lose 10 pounds or get your body fat under a certain percentage – your only focus becomes those 10 pounds or that percentage – and when they aren’t magically reached the end result is depression, unhappiness, frustration and anger.
NEWS FLASH!! Your entire life should NOT revolve around what you put in your mouth, how much you weigh and/or how you look. Life isn’t going to magically “start” and be awesome when you dial you’re eating perfectly every single day, when you lose weight or when you’re abs are clearly visible. And not everything you read on the internet or hear on a podcast is your magic answer too. It’s time to STOP – STOP placing so damn much focus on food, weight, exercise, and body comp – it’s NOT WORTH IT (unless your health is in serious danger because of it). I’m not kidding when I say that no one else cares if you weigh 10 pounds more or less, if you drop your body fat 2 more percent or if you think you feel tired when you eat nuts – this is SMALL stuff and obsessing about it is sucking the life out of you. It’s NOT okay to spend your life caught up in the idea that life sucks because you don’t weigh a certain amount or because you look a certain way. Until you start loving yourself – where you are and for who you are – you aren’t going to find happiness.

Surround yourself with people that love you for who you are and where you are – not for what you eat or don’t eat or how you look. Go out there and be YOU! Listen to your body – and do the things that make you feel good long term. That doesn’t mean bingeing, stuffing your feelings with food, over exercising or completely throwing away everything you’ve been doing to be healthy. It does mean living, being and knowing that who you are, where you are is enough. Stop trying so hard to do everything right by the world’s standard and start doing what feels right for YOU! There is no blog post, book, podcast or ‘expert’ out there that can know better than you what makes YOU feel good. Go out there – live and be the best you that you can be – because that’s enough.

written by: Mike Sheridan

One of the reasons I quit nutrition school is because class often consisted of discussing the benefits of foods that are clearly harmful, and learning tedious preparation methods for making them edible. After a considerable number of irritating debates with teachers and classmates (mostly vegetarians), it occurred to me that this probably wasn’t a designation I wanted to be associated with.

Call me a different cat, but the letters after my name have never meant much to me. Other than saving thousands of dollars on education, I can read the same textbooks, watch lectures from better educators, and form an opinion based on reliable evidence. With the current state of the medical profession, and the embarrassing recommendations from the government associations, I’d say my lack of fancy letters is a blessing in disguise…or at least that’s what I’m telling myself.

One of the best things about self-educating, is that you get to learn what you want, when you want. Whether this puts me at an advantage is debatable, but I’m sure as heck not wasting time learning the 58 side effects of a new pharmaceutical drug, or the American Diabetes Association’s (ADA) ridiculous nutrition recommendations for diabetics.

Why bother, when I know I can eat like a hunter-gatherer and never get sick?

And that the ADA’s recent dietary recommendations make a diabetics blood sugar look like this:

Image 1 - Grains- What's the Upside_

While a low-carb paleo plan makes it look like this:

Image 2 - Grains- What's the Upside_

The other great thing about self-educating is thinking for yourself instead of being told how to think. Questioning the information instead of blindly following it.

Why sit through nutrition school learning the benefits of inedible grass seeds when I can question whether they’re worth consuming at all?

As you probably guessed from the title, I’m referring to grains. I know I’m preaching to the choir on this one, as most of you have already opted to avoid them entirely; however, there’s plenty of non-Paleo visitors to this website that are reluctant to change because of heavily inGRAINed beliefs. I’m hoping that the evidence and rationale I’ve put together below will put their apprehension to rest.

Who knows, maybe I can even get through to my old teachers and classmates!

Grains – The Promoted Pros

What are the benefits of eating grains? I don’t know, you tell me. My old classmates would probably tell you that they’re nutrient dense and packed with fiber. To which I ask:

“Compared to what?”

Grains are actually nutrient defunct compared to meat, nuts & seeds, and vegetables. At least when using Harvard Researcher, Matt Lalonde’s, Nutrient Density Value chart:

Food Category Nutrient Density Value
Organ Meat and Oils 17
Herbs and Spices 17
Nuts & Seeds 10
Cacao 8
Fish and Seafood 1
Pork 0.7
Beef 0.3
Eggs and Dairy -0.6
Vegetables (Raw) -0.7
Lamb, Veal, Raw Game -1.2
Poultry -1.7
Legumes -2.9
Processed Meat -3.1
Vegetables (Cooked, Canned) -4.8
Plant Fat and Oils -5.4
Fruits -5.6
Animal Skin and Feet -6.2
Grains (Cooked) -6.2
Refined and Processed Oils -6.4

 

I’m not sure about you, but this chart leads me to believe that if I was concerned about nutrients, I should prioritize organ meat ands nuts and seeds. Likewise, it looks like a few pinches of cilantro, basil, and thyme, may be enough to make up for any lack of grains.

The dietician or nutritionist tells us we need whole grains for B-vitamins, but do we really?[i]

  Food Mg per serving
Thiamin (B1) Sunflower Seeds (1/2 cup) 1.08
Ground Pork (75g) 0.75
Oatmeal (1/2 cup) 0.48
Riboflavin (B2) Liver (75g) 1.6-2.7
Cuttlefish 1.3
Eggs (2 large) 0.5
Muesli cereal (1/2 cup) 0.2
Niacin (B3) Anchovies (75g) 19.0
Tuna (75g) 12.0
Liver (75g) 10.0
Chicken (75g) 8.0
Mushrooms (1/2 cup) 6.0
All Bran 3.0
Pyridoxine (B6) Liver (75g) 0.76
Tuna (75g) 0.68
Venison (75g) 0.57
Banana (1 medium) 0.43
Wheat bran (1/2 cup) 0.35
Folate (B9) Liver (75g) 420.0
Lentils (1/2 cup) 176.0
Okra (1/2 cup) 142.0
Spinach (1/2 cup) 121.0
FORTIFIED Pasta (1/2 cup) 83.0
Whole Wheat Bread (1 slice) 18.0
Cobalamin (B12) Clams (75g) 74.2
Kidney (75g) 59.2
Liver (75g) 52.9
Oysters (75g) 18.2
Mackeral (75g) 13.5
Caribou (75g) 5.0
All Grains N/A (<0)

Again, it appears animal source foods are superior. Especially when it comes to one of the most common deficiencies in B12.

In the year 2000, data from the Framingham Offspring Study found that nearly 40% of the adult population was flirting with B12 deficiency.[ii]

More importantly, the nutrient amounts listed for grains are nowhere near the same as what’s absorbed. In their ‘whole’ form, the vitamins and minerals are locked up in phytic acid;[iii] and in their refined form, the vitamins and minerals have been removed with the bran. In other words, even if you’re consuming the more nutrient dense source (whole grains), you’re not absorbing the nutrients.

Sadly, the phytic acid in grains also binds to essential minerals[iv] (like magnesium,[v] zinc,[vi] iron,[vii] and calcium[viii]) and reduces their absorption. Meaning, the grains themselves are not only inferior in nutrient content and availability, but they can disrupt the content and availability from other food sources. As the father of The Paleo Diet, Dr. Loren Cordain, lays out in The Paleo Answer:

Calcium absorbed with 100 calories of grain is 7.6 mg. Calcium absorbed in an equal amount of vegetables is 116.8 mg’s.

Arguably, this is why rickets and osteoporosis are extremely common in populations that rely heavily on cereal grains.[ix] And aside from a lack of animal protein, it’s also why vegetarians and vegans are commonly deficient in essential nutrients.[x]

So, should we eat whole grains for b-vitamins and nutrients?

Maybe if we’re about to die of starvation. Other than that, no! Clearly, the paleolithic foods have more nutrients, and unlike grains, they’re actually absorbed.

What About Fiber?

Conventional wisdom says the fiber in whole grains keeps us regular, and this prevents colon cancer, right?

It also lower cholesterol, and this prevents heart disease, right?

Sorry to burst your bubble, but you’re at risk of heart disease and colon cancer because you’re fat and inflamed. And the reason you’re fat and inflamed is because you listened to the government that told you to eat less meat and saturated fat and start stuffing your gullet with 6-11 servings of whole grains.

Meanwhile, there’s no association between fiber intake and colon cancer. This was concluded in a study from 1999 in the New England Journal of Medicine based on data from 89,000 Nurses:[xi]

“Our data do not support the existence of an important protective effect of dietary fiber against colorectal cancer or adenoma.”

And it’s the same story with heart disease. The only evidence producing a positive result attributed the lower risk to a “slight” decrease in total cholesterol;[xii] which is a horrible predictor of heart disease.[xiii]

More importantly, whole grains are extremely high in bodyfat-storing, insulin-raising, triglyceride-forming carbohydrates, and this increases our risk of heart disease far more than any indigestible fiber may lower it. In fact:

The DART study from 1989 looked at long-term fiber intake, and found that the group eating twice as much fiber ended up with a 23 percent greater risk of heart attack and a 27 percent increased risk of dying.[xiv]

Realistically, the ‘fiber’ in whole grains is the equivalent of swallowing a loufa – the body wash latherer that women (and some men) use in the shower.

Image 3 - Grains - What's the Upside_

Grains keep you regular because they’re predominantly insoluble fiber that you can’t digest. The only reason you think they’re beneficial is because they expand in water, push everything through your digestive system like a plunger, and make your deuces looks massive.

As you may’ve guessed, this does more harm than good when it comes to your health. Proper transit time and elimination speed is important, but when it’s too quick we run the risk of decreased absorption.[xv] And when that fiber source is grain, it causes inflammation,[xvi] and intestinal damage.[xvii] As researchers from the Medical College of Georgia put it:

“When you eat high-fiber foods, they bang up against the cells lining the gastrointestinal tract, rupturing their outer covering.”[xviii]

Basically, that loufa you’re eating is stiffer and pointier than the one in the pic.

Although the Cereal Giants will tell you otherwise, the health of your gastrointestinal system has less to do with transit time (mouth to butt speed), and more to do with the proportion of ‘good’ vs ‘bad’ bacteria in your colon, and integrity of your gut lining. Unlike grains, the soluble fiber in fruits and vegetables feeds healthy gut bacteria and facilitates the absorption of essential nutrients.[xix] The beneficial prebiotic content in these foods increases the production of short chain fatty acids (like butyric acid) and good bacteria (like bifidobacteria[xx]) in the colon, while improving nutrient absorption (like calcium and magnesium[xxi]) and reducing the key biomarkers (like fasting glucose) for diabetes and heart disease.

Interestingly, even if we forget about the inflammation, intestinal damage, and disrupted absorption with whole grains, fruits and vegetables supply more grams of fiber per serving:

  • Half an avocado provides 6+ grams of fiber[xxii] – more than a bowl of oatmeal (4g)
  • 1 cup of kale has more fiber than 3 slices of whole-wheat bread[xxiii]
  • 1 artichoke supplies10+ grams of fiber[xxiv] – more than 3 bowls of Cheerios

As Dr. William Davis puts it:

“If you replace wheat calories with those from vegetables and raw nuts, fiber intake goes up.”

So, other than holding pizza toppings and adding handles to your hamburger, what’s the upside of eating grains?

And don’t tell me it’s fuel, as even the Institute of Medicine understands that:

“We don’t need carbohydrates for energy.”[xxv]

The reality is, there’s no upside – and plenty of downside.

Grains – The Consistent Cons

When foods are immunogenic it means they activate the immune system and induce inflammation. Although most make an effort to refrain from foods they’re allergic to (i.e. activates immunoglobulin E), many are unknowingly consuming foods that are immunogenic.  The most common example is wheat, with some research showing that it promotes inflammation in more than 80% of the population.[xxvi]

Renowned gluten intolerance researcher, Dr. Kenneth Fine, believes 1 in 3 Americans are gluten intolerant and 8 in 10 has the genetic wiring to develop it.

Even if we forget about gluten, many of the gliadin proteins in wheat and other grains are responsible for inducing a pro-inflammatory immune response,[xxvii] whether the individual has a known intolerance or not.[xxviii] A paper from Ian Spreadbury in 2012 suggests that this is partly the result of an unfriendly bacteria left behind after the breakdown of acellular carbohydrates (grains, flour, sugar).[xxix]

Image 4 - Grains- What's the Upside_

Basically, that loufa you just swallowed was a used one.

Similar findings have determined that an endotoxin called LPS (lipo-polysaccharides) is elevated in the GI tract when the typical High-Carbohydrate Grain-Dominant diet is consumed,[xxx] and this is strongly correlated with obesity and diabetes[xxxi] – something not seen in our grain-free paleolithic ancestors.[xxxii]

Chronic gut inflammation also promotes an increase in intestinal permeability (leaky gut), which is associated with various autoimmune[xxxiii] and inflammatory bowel disorders,[xxxiv] and negatively affects our absorption of essential vitamins and minerals.[xxxv] Essentially, grains are a double-whammy, as they damage the intestinal lining where nutrients are absorbed, and most of them come equipped with ‘anti-nutrients’ (phytic acid and lectins) that prevent nutrient availability.

A paper released in 2005 outlined that the switch to a cereal based (agrarian) diet high in anti-nutrients is to blame for the development of leptin resistance and the degenerative diseases that come with it.[xxxvi]

Although lectin activity has been demonstrated in a variety of grains (rye, barley, oats, etc), wheat-germ agglutinin (WGA) is the most heavily studied, and has it’s highest concentration in wheat.[xxxvii] WGA and other lectins have the ability to bind to nearly every cell type,[xxxviii] and notably those of the gut.[xxxix] Similar to gliadin and the other wheat proteins, lectins promote an inflammatory response[xl] and effect otherwise healthy individuals without a known allergy.[xli]

Yes, other foods are high in lectins and phytates (ex: nuts & seeds),[xlii] but there’s less reliance on these foods as a dietary staple. These ant-nutrients don’t seem to cause problems in small amounts,[xliii] but the digestive damage becomes increasingly prominent with consistent and excessive consumption. Sadly, this has become characteristic for the majority of the population when it comes to grains.

The cereal for breakfast, sandwich for lunch, pasta for dinner regimen damages the gut and leaves no opportunity for repair.[xliv]

The biggest concern is for those avoiding animal protein, as grains, beans, nuts, and seeds are their sole protein source. Not only does this leave them extremely deficient in essential nutrients because of a lack of meat, but the excessive intake of phytates and lectins decreases the availability in their foods, and damages the intestinal lining where nutrients are absorbed.[xlv]

A vegetarian will tell you that the phytates and lectins can be removed with proper preparation procedures (such as sprouting, soaking, drailing, and boiling), but research tells us that only 50% of phytates are removed with an 18hr soak,[xlvi] and most lectins are resistant to heat.[xlvii]

One study from 2002 in the Journal of Food Science determined that a16hr soak at 77 degrees Fahrenheit (or 3 day germination period) had no reduction in phytic acid.[xlviii]

More importantly, given the North American norm of prioritizing speed and convenience over quality, what percentage of the population is actually going to go through with this?

Is it just me or are we trying extremely hard to make a food edible and beneficial, that clearly isn’t edible and beneficial?

Maybe 0.0001% of the population will take the necessary 5 days to malt and sprout oats at 52 degrees Fahrenheit, and soak them for 17 hours at 120 degrees Fahrenheit to remove 98% of the phytic acid.[xlix] But after all that, what are we left with?

30 grams of carbohydrates in a ½ cup!

Regardless of whether or not you soak grains to remove the phytic acid and access more nutrients, it doesn’t change the fact that they’re still far too high in insulin-skyrocketing carbohydrates.[l] You know, the ones that continue to drive obesity through the ceiling.

image 5 - grains - what's the upside_

North Americans stay fat and get sick because they prioritize foods that are high in carbohydrates. And I’m not talking about the creamer in your coffee and candy in your top drawer. I mean the bagel for breakfast, pizza for lunch, pasta for dinner, and popcorn in front of the t.v.

Fortunately, many are finally receiving the message that sugar is bad, but they’re failing to recognize that the bread they’re putting zero-sugar jam raises their blood sugar faster than pure table sugar.[li]

What About Whole Grains?

Despite what you’ve been told (and continue to hear), the difference in blood sugar between whole and refined grains is negligible.[lii] Likewise, swapping refined grains for whole grains has no significant reductions in body fat or other risk factors for the metabolic syndrome.[liii]

But lets say we play along, and pretend that the fiber in whole grains really does make that much of a difference in blood sugar. This still doesn’t change the fact that we’re left with a food that excessively contributes to our daily carbohydrate load.

1 serving of grains is going to add at least 30 grams of nutrient degenerate carbohydrate, that is eventually broken down into the exact same simple sugars (glucose) as candy bars.[liv]

And aside from promoting insulin resistance, obesity, and diabetes, these chronically elevated blood sugar levels (hyperglycemia) are driving degenerative diseases of the heart[lv] and brain.[lvi] [lvii]

“Hyperglycemia (high blood sugar) has been proposed as a mechanism that may contribute to the association between diabetes and reduced cognitive function.”[lviii]

Sadly, the excess body fat[lix] and impaired glucose tolerance[lx] that develop from a diet dominated by high-glycemic carbohydrates are also directly associated with cancer mortality.[lxi]

image 6 - grains - what's the upside_

image 7 - grains - what's the upside_

Grains – Lose/Lose

Basically, whole grains versus refined grains is a choice between inflammation and hyperglycemia, or unavailable and non-existent nutrients. Even if there was a blood sugar benefit (which there isn’t), it’s trumped by a loss in vitamin and minerals.

To say you eat grains for nutrients is like saying you go to the strip club for action. Although it appears they’re available, clearly you’re not getting any.

There’s plenty of foods that supply accessible nutrients and beneficial fiber, without the negative health consequences that come with grains. Bread and cereal companies and governments funded by them are going to tell you otherwise, but let’s remember what their livelihood depends on.

Grain Consumption = Bread & Cereal Sales = Government Funding

Sadly, your doctor will probably mislead you too; as aside from being to less nutrition classes than me,[lxii] he spends his time learning what they want. ‘They’ being the companies and governments that profit off you being sick.

Sick People = Pharmaceutical Sales = Government Funding

Personally, I wouldn’t trust anyone that says you need grains, because you don’t. What you need, is less body fat and inflammation, and a stronger, healthier gut.

Stay Lean!

Coach Mike

eat meat stop jogging coverIn Eat Meat And Stop Jogging, Mike Sheridan uncovers the flaws in the prevailing advice to get healthy and fit. Despite conventional beliefs, he contends that the instruction to limit red meat, restrict calories, increase fiber, run long distances, avoid saturated fat and reduce cholesterol is increasing our waistline, decreasing our lifespan, and leading to an unnecessary struggle.

Vegetarian diets are correlated with an increase in mental health problems

Published on November 11, 2012 by Emily Deans, M.D. in Evolutionary Psychiatry

 

Entirely vegan diets are unknown among traditional human cultures. Back in the early part of the 19th century, dentist and explorer Weston Price went looking for vegans, but found only cannibals*. Since vegan diets in nature provide no vitamin B12 and very little in the way of usable long chain omega3 fatty acids, it is not surprising that humans have continued to eat animals and animal-derived products. Nowadays one can obtain algae-derived DHA (the major long chain omega3 fatty acid present in the brain). and supplement B12. That wasn’t possible until a few years ago, and there’s little evidence that supplementation with DHA alone is helpful for the brain.We have been encouraged to eat more plants and less animals. Various writers have suggested it is healthier for our bodies and our planet. I have no objections to a mostly plant-based diet as long as attention is paid to protein requirements and micronutrition. However, since little things in animal products (some essential like B12, some that can be created in our bodies but perhaps not in the amounts we need, such as creatine) seem to be very important for the brain, it’s interesting to look at the literature on vegetarian diets and mental health. Here is the latest (and the best) observational study:  Vegetarian diet and mental disorders: results from a representative community survey.

It’s a German study, and for a large population-based retrospective observational design, it’s actually fairly thorough and sensible.  And if you are a vegetarian, it certainly doesn’t say that vegetarianism causesmental health problems.  But in all but two studies done in the past, vegetarianism has been linked with higher rates of depression, anxiety, and particularly eating disorders (bingeing, restricting, and purging behaviors).  But to be perfectly honest, all those studies had some serious limitations (they were small, done special populations, and often measures based on just a few answers to general survey questions).  I’ve reviewed a few of them.  (My favorite has to be the one where they calculated arachidonic acid ingested to the hundredth of a gram based on data from a food frequency questionnaire, which seems very unlikely to be accurate)  I don’t think it is a coincidence that the two positive studies were done by the same group of researchers in the Seventh Day Adventist population.

The interesting thing about the general trend that vegetarians aren’t quite as mentally healthy as omnivores (in observational studies) is that vegetarians tend to do better in other measures of health. They are better educated, as a population they are generally younger, less likely to smoke or drink, more likely to exercise, and they tend to care about ethicsand the quality of their food. However, vegetarians are also more likely to be female (which is more likely to be associated with anxiety, depression, and eating disorders by a long shot).

So this new study has some things to recommend it. For one thing, the mental health diagnoses were determined not by answers to typical questionnaires, but by a full clinical interview using psychologists or physicians, lasting an average of 65 minutes each. (Pretty impressive, considering there were over 4,000 participants in the population-based study). In addition, the researchers matched omnivores to vegetarians based on age, educationsex, and whether they were urban or rural and crunched those numbers as well, so we got a good sample that took out some of the major confounders that dogged the previous studies. Finally, this cohort was a purposeful random sampling of the German adult population (excluding people over 65, however), rather than the Seventh Day Adventists or adolescents and college students sampled in previous studies.

And when the researchers went down the line of depressive disorders, anxiety disorders, somatoform disorders (things like body dysmorphic disorder, health anxiety and hypochondriasis), and eating disorders, the mostly vegetarian were more likely to be afflicted, and the strict vegetarian even more likely.** The full blown eating disorder diagnoses were rare enough, however, that the researchers didn’t compute the odds ratios, as they felt the dataset was not robust enough to be fair. Compared to the general population, the vegetarians were more likely to have mental disorders, and compared to the sex and education andpopulation and age matched controls, the risk of mental disorders in vegetarians really shot up, with odds ratios hovering around 2 fold increased risk, some as high as 3 fold.

When the data was taken apart from another direction, it was found that participants in the study with depressive, anxiety, somatoform, and anxiety disorders consumed less meat than people without a mental disorder. The amount of vegetables, fruits, fish, and fast food did not have a consistent pattern separating those with and without mental disorders (except fish consumption was linked with reduced anxiety. Hmmm).  In fact, unlike the 2010 Australian study, those with mental disorders in this German population were less likely to consume fast food than the mentally healthy population.

Temporally, the adoption of a vegetarian diet, on average, tended tofollow the mental health diagnosis, suggesting that the vegetarian diet was not in fact causal. I know originally the abstract of the article said the opposite, but if you read the full text, you find that the abstract was misrepresentative. A retrospective study isn’t the most robust way to determine this issue, but I would tend to believe this timing to be true, particularly for anxiety disorders, which often begin before the age of 10. The main exception to the temporal findings in this study were the eating disorders, which tended to start right around the same time as adoption of a vegetarian diet. As I’ve reported before, several of my eating disordered patients have told me they adopted vegetarianism so they would have an excuse to restrict food and not have to eat in public.

So what is going on? In Germany, are the neurotic perfectionists who are more likely to be choosey about food (and thus select vegetarianism and eschew fast food) also more vulnerable to depression and anxiety? Sure, could be. Or maybe those with mental troubles try to avoid what is thought to be bad food (meat and fast food). It is also possible that the nutrient deficiencies common in vegetarian diets (the most robustly studied being long chain omega 3 fatty acids and B12, though I think zinc and creatine and even too low a cholesterol could also be issues) could accelerate or worsen pre-existing mental conditions.

A large study comparing choosey, neurotic, perfectionistic omnivores (ahem) with strict vegetarians would be interesting, I think.

*these cannibals preferentially ate fisherman, who would be chock ful of long chain omega3 fatty acids!!

**the German word for “meat” excludes poultry.

by Chris Kresser (web)

healthygut

“All disease begins in the gut.” – Hippocrates

Hippocrates said this more than 2,000 years ago, but we’re only now coming to understand just how right he was. Research over the past two decades has revealed that gut health is critical to overall health, and that an unhealthy gut contributes to a wide range of diseases including diabetes, obesity, rheumatoid arthritis, autism spectrum disorder, depression and chronic fatigue syndrome.

In fact, many researchers (including myself) believe that supporting intestinal health and restoring the integrity of the gut barrier will be one of the most important goals of medicine in the 21st century.

There are two closely related variables that determine our gut health: the intestinal microbiota, or “gut flora”, and the gut barrier. Let’s discuss each of them in turn.

The gut flora: a healthy garden needs healthy soil

Our gut is home to approximately 100,000,000,000,000 (100 trillion) microorganisms. That’s such a big number our human brains can’t really comprehend it. One trillion dollar bills laid end-to-end would stretch from the earth to the sun – and back – with a lot of miles to spare. Do that 100 times and you start to get at least a vague idea of how much 100 trillion is.

The human gut contains 10 times more bacteria than all the human cells in the entire body, with over 400 known diverse bacterial species. In fact, you could say that we’re more bacterial than we are human. Think about that one for a minute.

We’ve only recently begun to understand the extent of the gut flora’s role in human health and disease. Among other things, the gut flora promotes normal gastrointestinal function, provides protection from infection, regulates metabolism and comprises more than 75% of our immune system. Dysregulated gut flora has been linked to diseases ranging from autism and depression to autoimmune conditions like Hashimoto’s, inflammatory bowel disease and type 1 diabetes.

Unfortunately, several features of the modern lifestyle directly contribute to unhealthy gut flora:

  • Antibiotics and other medications like birth control and NSAIDs
  • Diets high in refined carbohydrates, sugar and processed foods
  • Diets low in fermentable fibers
  • Dietary toxins like wheat and industrial seed oils that cause leaky gut
  • Chronic stress
  • Chronic infections

Antibiotics are particularly harmful to the gut flora. Recent studies have shown that antibiotic use causes a profound and rapid loss of diversity and a shift in the composition of the gut flora. This diversity is not recovered after antibiotic use without intervention.

We also know that infants that aren’t breast-fed and are born to mothers with bad gut flora are more likely to develop unhealthy gut bacteria, and that these early differences in gut flora may predict overweight, diabetes, eczema/psoriasis, depression and other health problems in the future.

The gut barrier: the gatekeeper that decide what gets in and what stays out

Have you ever considered the fact that the contents of the gut are technically outside the body? The gut is a hollow tube that passes from the mouth to the anus. Anything that goes in the mouth and isn’t digested will pass right out the other end. This is, in fact, one of the most important functions of the gut: to prevent foreign substances from entering the body.

When the intestinal barrier becomes permeable (i.e. “leaky gut syndrome”), large protein molecules escape into the bloodstream. Since these proteins don’t belong outside of the gut, the body mounts an immune response and attacks them. Studies show that these attacks play a role in the development of autoimmune diseases like Hashimoto’s and type 1 diabetes, among others.

In fact, experts in mucosal biology like Alessio Fasano now believe leaky gut is a precondition to developing autoimmunity:

There is growing evidence that increased intestinal permeability plays a pathogenic role in various autoimmune diseases including [celiac disease] and [type 1 diabetes]. Therefore, we hypothesize that besides genetic and environmental factors, loss of intestinal barrier function is necessary to develop autoimmunity.

The phrase “leaky gut” used to be confined to the outer fringes of medicine, employed by alternative practitioners with letters like D.C., L.Ac and N.D. after their names. Conventional researchers and doctors originally scoffed at the idea that a leaky gut contributes to autoimmune problems, but now they’re eating their words. It has been repeatedly shown in several well-designed studies that the integrity of the intestinal barrier is a major factor in autoimmune disease.

This new theory holds that the intestinal barrier in large part determines whether we tolerate or react to toxic substances we ingest from the environment. The breach of the intestinal barrier (which is only possible with a “leaky gut”) by food toxins like gluten and chemicals like arsenic or BPA causes an immune response which affects not only the gut itself, but also other organs and tissues. These include the skeletal system, the pancreas, the kidney, the liver and the brain.

This is a crucial point to understand: you don’t have to have gut symptoms to have a leaky gut. Leaky gut can manifest as skin problems like eczema or psoriasis, heart failure, autoimmune conditions affecting the thyroid (Hashimoto’s) or joints (rheumatoid arthritis), mental illness, autism spectrum disorder, depression and more.

Researchers have identified a protein called zonulin that increases intestinal permeability in humans and other animals. This led to a search of the medical literature for illnesses characterized by increased intestinal permeability (leaky gut). Imagine their surprise when the researchers found that many, if not most, autoimmune diseases – including celiac disease, type 1 diabetes, multiple sclerosis, rheumatoid arthritis and inflammatory bowel disease – are characterized by abnormally high levels of zonulin and a leaky gut. In fact, researchers have found that they can induce type 1 diabetes almost immediately in animals by exposing them to zonulin. They develop a leaky gut, and begin producing antibodies to islet cells – which are responsible for making insulin.

In Step #1: Don’t Eat Toxins, I explained that one of the main reasons we don’t want to eat wheat and other gluten-containing grains is that they contain a protein called gliadin, which has been shown to increase zonulin production and thus directly contribute to leaky gut.

But what else can cause leaky gut? In short, the same things I listed above that destroy our gut flora: poor diet, medications (antibiotics, NSAIDs, steroids, antacids, etc.), infections, stress, hormone imbalances, and neurological conditions (brain trauma, stroke and neurodegeneration).

Leaky gut = fatigued, inflamed and depressed

Here’s the takeaway. Leaky gut and bad gut flora are common because of the modern lifestyle. If you have a leaky gut, you probably have bad gut flora, and vice versa. And when your gut flora and gut barrier are impaired, you will be inflamed. Period.

This systemic inflammatory response then leads to the development of autoimmunity. And while leaky gut and bad gut flora may manifest as digestive trouble, in many people it does not. Instead it shows up as problems as diverse as heart failure, depression, brain fog, eczema/psoriasis and other skin conditions, metabolic problems like obesity and diabetes and allergies, asthma and other autoimmune diseases.

To adequately address these conditions, you must rebuild healthy gut flora and restore the integrity of your intestinal barrier. This is especially true if you have any kind of autoimmune disease, whether you experience digestive issues or not.

How to maintain and restore a healthy gut

The most obvious first step in maintaining a healthy gut is to avoid all of the things I listed above that destroy gut flora and damage the intestinal barrier. But of course that’s not always possible, especially in the case of chronic stress and infections. Nor did we have any control over whether we were breast-fed or whether our mothers had healthy guts when they gave birth to us.

If you’ve been exposed to some of these factors, there are still steps you can take to restore your gut flora:

  • Remove all food toxins from your diet
  • Eat plenty of fermentable fibers (starches like sweet potato, yam, yucca, etc.)
  • Eat fermented foods like kefir, yogurt, sauerkraut, kim chi, etc., and/or take a high-quality, multi-species probiotic
  • Treat any intestinal pathogens (such as parasites) that may be present
  • Take steps to manage your stress
by Chris Kresser (web)

picture of man made by supplementsIn the first three articles in this series, we discussed which foods to eat and which foods to avoid. In this article we’re going to talk about when to supplement and how to do it wisely. We’ve got a lot of material to cover, so you might want to grab a cup of tea and get comfortable!

There are three principles to supplementing wisely:

  • Get nutrients from food whenever possible.
  • Take nutrients in their naturally occurring form whenever possible.
  • Be selective with your supplementation.

Get nutrients from food whenever possible

Humans are adapted to getting nutrients from whole foods. Most nutrients require enzymes, synergistic co-factors and organic mineral-activators to be properly absorbed. While these are naturally present in foods, they are often not included in synthetic vitamins with isolated nutrients.

In a paper published in the American Journal of Clinical Nutrition called Food Synergy: An Operational Concept For Understanding Nutrition emphasizing the importance of obtaining nutrients from whole foods, the authors concluded:

A person or animal eating a diet consisting solely of purified nutrients in their Dietary Reference Intake amounts, without benefit of the coordination inherent in food, may not thrive and probably would not have optimal health. This review argues for the primacy of food over supplements in meeting nutritional requirements of the population.

They cautioned against the risk of reductionist thinking, which is common in conventional medicine and nutritional supplementation. Instead, they urge us to consider the importance of what they call “food synergy”:

The concept of food synergy is based on the proposition that the interrelations between constituents in foods are significant. This significance is dependent on the balance between constituents within the food, how well the constituents survive digestion, and the extent to which they appear biologically active at the cellular level.

They go on to provide evidence that whole foods are more effective than supplements in meeting nutrient needs:

  • Tomato consumption has a greater effect on human prostrate tissue than an equivalent amount of lycopene.
  • Whole pomegranates and broccoli had greater antiproliferative and in vitro chemical effects than did some of their individual constituents.
  • Free radicals were reduced by consumption of brassica vegetables, independent of micronutrient mix.

In short: get nutrients from food, not supplements, whenever you can.

Take nutrients in their naturally occurring form whenever possible

Synthetic, isolated nutrients don’t always have the same effect on the body. It matters whether the nutrients have been produced by technologic or biological processes, because industrial processing sometimes creates an entirely new compound with different physiological actions. Trans fat produced in ruminant animals (such as conjugated linoleic acids in dairy products) are beneficial to health, whereas trans fats produced in the processing of industrial seed oils are highly toxic.

Folic acid is another example. The naturally occurring form of folate is not folic acid, a compound not normally found in food or nature, but tetrahydrofolate. While folic acid can be converted into folate, that conversion is poor in humans. It’s also important to note that unlike natural folate, folic acid does not cross the placenta. This is significant because folate is a crucial nutrient for pregnancy, and while folic acid can prevent neural tube defects it doesn’t have the other beneficial effects of folate. What’s more, several studies have shown that folic acid – but not natural folate – increases cancer risk. Unfortunately, folic acid is what’s often used in multivitamins, because it’s significantly cheaper than natural folate.

Be selective with your supplementation.

Multivitamins have become increasingly popular: half of Americans currently take one. But is this a good idea? Most studies show that multivitamins either provide no benefit, or may even cause harm. A study in the Archives of Internal Medicine showed that multivitamins have little to no influence on the risk of common cancers, CVD or total mortality in postmenopausal women. A now infamous meta-analysis in the Journal of American Medical Association, which looked at over 68 trials with 230,000 pooled participants, found that treatment with synthetic beta carotene, vitamin A and vitamin E may increase mortality.

The problem with multivitamins is that they contain too little of beneficial nutrients like magnesium, vitamin D and vitamin K2, and too much of potentially toxic nutrients like folic acid, calcium, iron and vitamin E. This means that multivitamins can actually cause nutrient imbalances that contribute to disease. Another problem is that multivitamin manufacturers often use the cheapest possible ingredients, such as folic acid instead of natural folate – the consequences of which we discussed above.

Which supplements may be necessary?

At this point you might be thinking I’m against supplementation entirely. Not so. No matter how well we eat, some nutrients are difficult to obtain enough of from food alone. There are also circumstances where are need for certain nutrients may increase, such as vitamin C during infections and magnesium with blood sugar imbalances or metabolic problems. In these cases, it makes sense to supplement selectively with beneficial nutrients.

The five nutrients I recommend most people supplement with are:

  • Vitamin A
  • Vitamin D
  • Vitamin K2
  • Magnesium
  • Vitamin C

Vitamin A (Retinol)

Vitamin A is important catalyst for a variety of biochemical processes in the body. It’s required for assimilation of protein, minerals and water-soluble vitamins, and it also acts as antioxidant > protecting body against free-radical damage and diseases like cancer. Vitamin A plays a crucial role in reproduction, promoting full-term pregnancy and proper development of face (eyes, nose, dental arches & lips).

The RDA for vitamin A (2,600 IU) is woefully inadequate, and even then, over 25% of American consume less than half of the recommended amount. Native populations such as the traditional Inuit – which were free of modern, degenerative disease – got much more vitamin A than the average American. The Greenland Inuit of 1953, prior to much contact with the Western world, got about 35,000 IU of vitamin A per day.

Vitamin A (retinol) is only found in significant amounts in organ meats, which explains why many Americans don’t get enough of it. If you follow my recommendations in #2: Nourish Your Body, and you do eat organ meats (especially liver), you’re probably getting enough vitamin A and thus don’t need to supplement. However, if you’re like most Americans and you’ve never eaten liver in your life, you would benefit from supplementing with A.

There’s been a lot of discussion in the media about the toxicity of vitamin A. Some researchers and doctors now recommend avoiding cod liver oil because of this concern. Even Dr. Mercola has jumped on the “vitamin A is toxic” bandwagon. But is this true?

It is true that vitamin A is potentially toxic. Some evidence suggests that excess vitamin A increases the risk of osteoporosis. For example, this study showed both low and high serum A carried double risk of fractures as did optimal levels.

But if we dig deeper we find that excess vitamin A only causes problems against a backdrop of vitamin D deficiency. In his excellent article Vitamin A on Trial: Does Vitamin A Cause Osteoporosis, researcher Chris Masterjohn summarizes evidence demonstrating that vitamin D decreases the toxicity of and increases the dietary requirement for vitamin A. Studies show that supplementing with vitamin D radically increases the toxicity threshold of vitamin A. In a hypothetical 160 lb. person, vitamin D supplementation increases the toxicity threshold of vitamin A to more than 200,000 IU/d. You’d have to eat 22 ounces of beef liver or take 5 TBS of high vitamin CLO each day to get this amount. Not likely!

To meet vitamin A needs (assuming you’re not up for eating organ meats), I recommend taking high vitamin cod liver oil (CLO) to provide a dose of 10-15,000 IU per day. Cod liver oil is really more of a food than a supplement, but since it’s not a normal part of people’s diet we’ll consider it as a supplement. CLO is an ideal vitamin A source because it also contains vitamin D, which as we just learned, protects against the toxicity of A.

Vitamin D

Much has been written about the need for and benefits of vitamin D supplementation over the past several years – and with good reason. It’s absolutely critical for health, and up to 50% of Americans are deficient.

We can get vitamin D from two sources: food, and sunshine. Seafood is the only significant source of vitamin D, but you’d still have to eat a lot of it to get enough. 8-9 ounces of herring provides about 2,000 IU of vitamin D, which is a minimum daily requirement for most people to maintain adequate blood levels.

Sunlight converts a precursor called 7-dehydro-cholesterol in our skin to vitamin D3. This D3, along with the D3 we get from food, gets converted by the liver into 25-hyrdroxy-vitamin D (25D), which is what typically gets measured when you have a vitamin D test. The optimal 25D level is somewhere between 35 and 50 ng/mL.

Contrary to what some researchers and doctors have recommended, there’s no evidence that raising blood levels of 25D above 50 ng/mL is beneficial, and there’s some evidence that it may cause harm. Studies show that bone mineral density peaks at 45 ng/mL and then falls again as 25D levels rise above 45. Other studies have shown that the risk of kidney stones and CVD increase with high 25D levels, due to elevated serum calcium levels that accompany excess vitamin D.

However, we also know that vitamin A and vitamin K2 protect against vitamin D toxicity, and vice versa. As I explained in the vitamin A section, fat soluble vitamins exist in a synergistic relationship. It’s possible that the people in the studies above that experienced problems with excess 25D levels were deficient in vitamin A or K2, or both. This is why it’s so important to supplement with all of the fat-soluble vitamins together.

What about sunlight? Well, in summer mid-day sun with pale skin, 30 minutes of direct sunlight will produce 10-20,000 IU of vitamin D. But this is a best case scenario. With darker skin, or different times of year, or buildings that block the sunlight, or increased time spent indoors, we won’t be producing that much. It’s also true that aging, overweight and inflammation reduce our conversion of sunlight to vitamin D. This is why sunlight alone isn’t normally a sufficient source of vitamin D.

With this in mind, most people should supplement with D. The amount needed to maintain blood levels of 35-50 ng/mL varies depending on some of the factors I’ve listed above, but in my clinical experience it’s usually somewhere between 2,000 – 5,000 IU. With vitamin D, it’s important to test your levels, begin supplementation, and then re-test a few months later to determine the correct maintenance dose.

As with vitamin A, the best source of vitamin D is high-vitamin cod liver oil. It contains not only vitamins A & D, but also natural vitamin E and other quinones.

Vitamin K2

Vitamin K2 may be the most important vitamin most people have never heard of. It’s needed to activate proteins and it also regulates calcium metabolism (keeping it in the bones and teeth where it belongs, and out of the soft tissue where it doesn’t belong). Elevated blood calcium significantly increases the risk of cardiovascular disease (CVD), which explains why vitamin K2 has been shown to prevent atherosclerosis and heart attacks. It also strengthens bones.

Unfortunately, many (if not most) of Americans are deficient in vitamin K2. It’s important to point out that vitamin K2 is not the same as vitamin K1, which is found in green, leafy vegetables like kale and collards. Some K1 is converted into K2 in our bodies, but that conversion is inefficient in humans. It is efficient, however, in ruminant animals – which is why grass-fed dairy is the most convenient source of vitamin K2 in the diet. This is only true in animals raised on pasture, because it is eating the K1-rich grass that allows them to convert it into K2.

Most people should aim for at least 100 mcg/d from a combination of food and supplements. If you eat a large amount of cheese from grass-fed cows and pastured egg yolks, you may be able to get this amount from food alone. 100 g of hard cheese contains 67 mcg, and 6 pastured egg yolks contain about 32 mcg. Otherwise, supplementation is probably beneficial. I recommend a dosage of 1 mg/d in the MK-4 form, which is the form of vitamin K2 found in pastured dairy and the one shown to have the most benefit in clinical studies. There is another form, MK-7, that is found in fermented foods like natto, but it has not demonstrated the same properties as MK-4 in clinical studies.

Magnesium

There are few compounds in the body more important to overall health than magnesium. Over 300 enzymes need it, including every enzyme associated with ATP, and enzymes required to synthesize DNA, RNA and proteins. Magnesium also plays an important role in bone and cell membranes, as it helps to transport ions across the membrane surface.

Studies show that most Americans are deficient in magnesium. The median intake across all racial groups is far below the RDA, which is 420 mg/d for men and 320-400 mg/d for women. Although half of Americans take a multivitamin daily, most don’t contain enough magnesium to prevent deficiency.

Magnesium is also difficult to obtain from food. Nuts and seeds are the highest source, but it’s difficult to eat enough of them to meet magnesium needs without getting too much polyunsaturated fat. Another issue is that magnesium levels in food have dropped as modern soils have become increasingly depleted. What this means is that if you’re not supplementing with magnesium, you’re probably not getting enough.

And magnesium deficiency is no small thing. It has serious – even fatal – consequences. It produces symptoms like muscle cramps, heart arrhythmias, tremor, headaches & acid reflux, and it’s associated with CVD, hypertension, metabolic syndrome, diabetes, migraines, PMS, asthma, hypothyroidism. In fact, it’s hard to find a modern disease magnesium deficiency isn’t associated with.

Because of this, I think everyone should supplement with magnesium. Intake of 400 – 800 mg/d from a combination of food and supplements is an optimal range to shoot for. Since most people get less than 250 mg/d from food, a dose of 400 – 600 mg/d in supplement form is ideal. I recommend using chelated forms of magnesium like glycinate and malate, because they’re better absorbed and tend to have fewer side effects.

Vitamin C

Vitamin C is needed for building the structural components of the body, and for maintaining levels of glutathione, the master antioxidant in the body. But vitamin C deficiency is also common: studies suggest that 34% of men and 27% of women don’t get enough. This is especially true for the elderly and those struggling with chronic illness.

400 mg/d is the saturation range in healthy people, and that number is probably higher in the elderly and the sick. As with the other micronutrients in this article, it’s difficult to obtain adequate levels of vitamin C from the diet. Acerola cherries are the highest food source, with 1677 mg per 100g. A cup of cooked red peppers has 235 mg, which is one of the highest dietary sources.

I’m somewhat less certain about the need to supplement with vitamin C, but in general I recommend approximately 500 mg to 1 g of vitamin C each day. If you’re dealing with a chronic health challenge, or fighting an infection, you can take several grams a day with no toxic effects. It’s best to space the doses out to avoid diarrhea, however.

Other contenders

In addition to the fat-soluble vitamins A, D & K2, and magnesium and vitamin C, some may want to consider supplementing with selenium and iodine. Selenium plays important role in thyroid function, which affects every aspect of physiology. The recommended dose is approximately 200 mcg/d.

Selenium is plentiful in organ meats, ocean fish, and in brazil nuts. One brazil nut contains 100 mcg of selenium, but it also contains a whopping 1 g of omega-6 linoleic acid, which as you know from previous articles in the series, we want to limit significantly. This is why I don’t recommend brazil nuts as a source of selenium. Ocean fish are also good sources of selenium. 100 g of cod contains about 150 mcg.

Iodine also plays a crucial role in thyroid function, and it prevents brain damage and strengthens the immune system. The amount iodine needed for thyroid function is incredibly small: we need about a teaspoon of iodine over a lifetime to avoid deficiency. I’m not convinced humans need to supplement with iodine above what can be obtained from seafood, but some research does suggest that increased intake of iodine is beneficial. This is especially true if you’re fighting a chronic infection or dealing with a hypothyroidism caused by iodine deficiency.

But be careful: iodine can trigger and flare autoimmune diseases, especially Hashimoto’s and Graves’(autoimmune thyroid disease). In the U.S., 9 out of 10 women with hypothyroidism actually have Hashimoto’s, so the typical advice to supplement with iodine if you are hypothyroid is dangerous. I’ve written extensively about this in my special report on thyroid disease.

For those without autoimmune disease, a dose of 12.5 mg – 50 mg per day may be beneficial, but it’s best to work up slowly over time, beginning at a much lower dose.

by Chris Kresser (web)

grassfedbeefIn the first article of this series we talked about the negative impact of 4 common food toxins: wheat, industrial seed oil, fructose and processed soy. In the second article we discussed which fats, carbohydrates and proteins are the best source of fuel for your body. In this article we’re going to importance of eating real food.

“Real food” is:

  • Whole, unprocessed and unrefined
  • pasture-raised (a.k.a. grass-fed) and wild
  • local, seasonal and organic

Let’s look at each of these in turn.

Whole, processed and unrefined: if it comes in a bag or a box, don’t eat it!

The introduction of industrial food processing has without a doubt had the most detrimental effect on our health of any other factor in the last few hundred years – and possibly in the entire history of humankind.

Food refining has brought us all four of the food toxins destroying our health: white flour, white sugar & HFCS, industrial seed oils and processed soy products. It has also brought us chemical additives and preservatives, some with known negative effects and others with effects still unknown.

New research is revealing the harm these newfangled processed foods have on us almost every day. Just yesterday a study was published demonstrating that emulsifiers used in packaged foods ranging from mayonnaise to bread to ice cream increase intestinal permeability (“leaky gut”) and cause a chain reaction of inflammation and autoimmune disease.

Another study showed that diet soda consumption increases your risk of stroke and causes kidney damage, possibly because of the phosphoric acid used as an acidifying agent to give colas their tangy flavor.

To avoid the harm caused by processed and refined foods, a good general rule is “if it comes in a bag or a box, don’t eat it.

Of course not all foods that come in bags and boxes are harmful, so this isn’t meant to be taken literally. It’s just a helpful guideline. Butter is often packaged in a box, and Trader Joe’s (for some strange reason) packages vegetables in sealed plastic bags. That doesn’t mean you shouldn’t eat butter and vegetables.

But in general, if you follow this guideline, you’ll avoid most common food toxins. And that’s more than half the battle.

Pasture-raised animal products and wild-caught fish: as nature intended

While the reasons to eat pasture-raised animal products and wild-caught fish span social, political, economic and nutritional considerations, I’m only going to focus on nutritional factors here. For a more comprehensive discussion, check out Eat Wild.

Several studies have been done comparing the nutrient content of pasture-raised (PR) and grain-fed (confinement animal feeding operations, or CAFO) animal products. PR animal products are superior to CAFO in 2 primary respects: they have a better fatty acid profile, and higher levels of vitamins and other micronutrients.

Omega-6 ratio
If you remember from Step #1: Don’t Eat Toxins, for optimal health we want to consume a roughly equal amount of omega-6 (n-6) and omega-3 (n-6) fats. This ratio, referred to as the n-6 ratio, should be as close to 1 as possible. Studies have shown that grain-feeding animals depletes their omega-3 levels, thus raising the n-6:n-3 ratio. The following chart depicts the effect of grain-feeding on the omega-3 levels of cows:

https://i0.wp.com/eatwild.com/images/gr_nutrition2.gif

Ducket and colleagues studied the omega-3 and omega-6 content of both pasture-raised and grain-fed animal products. They found that grass-fed beef had an n-6 ratio of 1.65, whereas grain-finished beef was 4.84. They also found that grass-feeding decreased total fat content by 43%.

Rule and colleagues found an even more significant difference. They looked at the n-6 ratio of several different types of meat, ranging from pasture-raised bison and beef to wild elk to chicken. They found the following ratios:

  • Range-fed bison: 2.09
  • Feedlot bison: 7.22
  • Range-fed beef: 2.13
  • Feedlot beef: 6.28
  • Elk: 3.14
  • Chicken breast: 18.5

What is apparent from both Ducket and Rule’s studies is that pasture-raised beef has approximately three times the amount of omega-3 than grain-fed beef, and is much closer to the ideal n-6 ratio of 1. In fact, grass-fed beef has a superior n-6 ratio to even wild elk. This means that grass-fed beef falls within evolutionary norms for the fatty acid content of animals that humans have eaten throughout our history. Grain-fed beef does not.

Another interesting thing to note, which I mentioned in Step #2: Nourish Your Body, is the high n-6 ratio of chicken. In fact, it has about 14 times more n-6 than pasture-raised beef. This is why I recommend eating mostly beef, lamb and pork, and limiting chicken to the occasional meal (assuming you like it, that is). And when you do eat chicken, it’s best to choose skinless breast and cook it in a healthy traditional fat like butter or coconut oil, because the dark meat with skin has the highest concentration of n-6 fat.

Conjugated linoleic acid (CLA)
Meat, fat and dairy from pasture-raised animals are the richest source of another type of good fat, called conjugated linoleic acid (CLA).

CLA may have anti-cancer properties, even in very small amounts. In animal studies, CLA at less than one-tenth of one percent (0.1%) of total calories prevents tumor growth. In a Finnish study on humans, women who had the highest levels of CLA in their diet had a 60 percent lower risk of breast cancer than those with the lowest levels. In another human study, those with the highest levels of CLA in their tissues had a 50 percent lower risk of heart attack than those with the lowest levels.

Pasture-raised animal products are the richest known source of CLA in the diet, and are significantly higher in CLA than grain-fed animal products. When ruminant animals like cows and sheep are raised on fresh pasture alone, their products contain from 3-5 times more CLA than products from animals fed grain.

Minerals, vitamins and micronutrients
The Ducket study I mentioned above also found that pasture-raised animal products have much higher levels of several vitamins and minerals, including:

  • 288% greater vitamin E content
  • 54% greater beta-carotene content
  • Twice as much riboflavin (vitamin B2)
  • Three times as much thiamin (vitamin B1)
  • 30% more calcium
  • 5% more magnesium

Grass-fed products also have a lot more selenium than grain-fed products. Selenium plays an important role in thyroid function, has antioxidant effects and protects the body against mercury toxicity. Grass-fed bison has4 times more selenium than grain-fed bison.

Pasture-raised eggs
We see a similar difference between eggs from hens raised on pasture, and those raised in confinement. Pasture-raised hens contain as much as 10 times more omega-3 than eggs from factory hens. Pastured eggs arehigher in B12 and folate. They also have higher levels of fat-soluble antioxidants like vitamin E and a denser concentration of vitamin A.

Wild-caught fish

Farmed fish contain excess omega-6 compared to wild-caught fish. Tests conducted in 2005 show that wild-caught salmon contain 10 times more n-3 than n-6, whereas farmed salmon have less than 4 times the amount of n-3 than n-6.

Another study found that consuming standard farmed salmon, raised on diets high in n-6, raises blood levels of inflammatory chemicals linked to increased risk of cardiovascular disease, diabetes, Alzheimer’s and cancer.

Wild salmon also contains 4 times as much vitamin D than farmed salmon, which is especially important since up to 50% of Americans are deficient in this important vitamin.

Organic, local and seasonal: more nutrients, fewer chemicals

More nutrients
Organic plant foods contain, on average, 25 percent higher concentrations of 11 nutrients than their conventional counterparts. In particular, they tend to be higher in important polyphenols and antioxidants like vitamin C, vitamin E and quercetin.

Even more relevant in determining nutrient content is where your produce comes from, and in particular, how long it’s been out of the ground before you eat it. Most of the produce sold at large supermarket chains is grown hundreds – if not thousands – of miles away, in places like California, Florida and Mexico. This is especially true when you’re eating foods that are out of season in your local area (like a banana in mid-winter in New York).

A typical carrot, for example, has traveled 1,838 miles to reach your dinner table. Days – maybe more than a week – has passed since it was picked, packaged and trucked to the store, where it can sit on the shelves even longer.

The problem with this is that food starts to change as soon as it’s harvested and its nutrient content begins to deteriorate. Total vitamin C content of red peppers, tomatoes, apricots, peaches and papayas has been shown to be higher when these crops are picked ripe from the plant. This study compared the Vitamin C content of supermarket broccoli in May (in season) and supermarket broccoli in the Fall (shipped from another country). The result? The out-of-season broccoli had only half the vitamin C of the seasonal broccoli.

Without exposure to light (photosynthesis), many vegetables lose their nutrient value. If you buy vegetables from the supermarket that were picked a week ago, transported to the store in a dark truck, and then stored in the middle of a pile in the produce section, and then you put them in your dark refrigerator for several more days before eating them, chances are they’ve lost much of their nutrient value. A study at Penn State University found that spinach lost 47% of its folate after 8 days.

This is why buying your produce at local farmer’s markets, or even better, picking it from your backyard garden, are better options than buying conventional produce shipped from hundreds or thousands of miles away. Fruits and vegetables from local farms are usually stored within one or two days of picking, which means their nutrient content will be higher. And as anyone who’s eaten a fresh tomato right off the vine will tell you, local produce tastes so much better than conventional produce it might as well be considered a completely different food.

Fewer chemicals
Another important benefit of organic produce, of course, is that it’s grown without pesticides, herbicides and other harmful chemicals that have been shown to cause health problems – especially in vulnerable populations like children. A study published in the journal Pediatrics concluded that children exposed to organophosphate pesticides at levels typically found in conventional produce are more likely to develop attention deficit hyperactivity disorder (ADHD).

A panel of scientists convened by President Obama to study the effect of environmental toxins on cancer released a report in 2010 urging Americans to eat organic produce grown without pesticides, fertilizers or other chemicals. The report states that the U.S. government has grossly underestimated the number of cancers caused by environmental toxins.

The report especially highlights the risk of toxins in conventionally grown foods to unborn children. Exposure to harmful chemicals during this critical period can set a child up for lifelong endocrine disruption, hormone imbalances and other problems.

Supporting local economies and preserving resources
Aside from having more nutrients and fewer chemicals, there are other non-nutritional reasons to eat local produce. These were summarized well in Cornell University’s Northeast Regional Food Guide:

Community food systems promote more food-related enterprises in proximity to food production, marketing, and consumption. Such systems enhance agricultural diversity, strengthen local economies (including farm-based businesses), protect farmland, and increase the viability of farming as a livelihood. Local food systems mean less long-distance shipment of the produce we enjoy, which means decreased use of nonrenewable fossil fuels for food distribution, lower emission of resulting pollutants, and less wear on transcontinental highways.

I’ve also found that forming relationships with the people that grow my food leads to a greater sense of community and connection. In an increasingly technophilic, hyperactive world, that is especially welcome.

sprout

by Chris Kresser (web)

In step #1, we talked about what not to eat. In this article, we’ll talk about what to eat.

Most of the calories we get from food come from protein, carbohydrates and fat. These are referred to as macronutrients. We also get other important nutrients from food, such as vitamins and minerals. These don’t constitute a significant source of calories, so they’re called micronutrients.

For the last 50 years we’ve been told to follow a diet low in this or that macronutrient. From the 1950s up until the present day the American Heart Association and other similarly misguided and pharmaceutically-financed “consumer organizations” have advocated a low-fat diet. More recently, low-carbohydrate diets are all the rage.

Not all macronutrients are created equal

The problem with these approaches is that they ignore the fact that not all macronutrients are created equal. There’s a tremendous variation in how different fats and carbohydrates affect the body, and thus in their suitability for human consumption. Grouping them all together in a single category is shortsighted – to say the least.

What many advocates of low-fat or low-carbohydrate diets conveniently ignore is that there are entire groups of people around the world, both past and present, that defy their ideas of what constitutes a healthy diet.

For example, the low-fat crowd will tell you that eating too much fat – especially of the saturated variety – will make you fat and give you a heart attack. Tell that to the traditional Inuit, who get about 90% of calories from fat, and were almost entirely free of obesity and modern degenerative disease. The same is true for the Masai tribe in Africa, who get about 60-70% of calories from fat (almost entirely from meat, milk or blood.) And then there’s the modern French, who have the lowest rate of heart disease of any industrialized country in the world – despite the highest intake of saturated fat.

The low-carb crowd is very much aware of these statistics, which are often used in defense of low-carb diets as the best choice. Tell that to the Kitavans in Melanesia, who get about 70% of calories from carbohydrate and, like the Inuit and Masai, are almost entirely free of obesity, heart disease and other chronic, degenerative diseases that are so common in industrialized societies. We see a similar absence of modern diseases in the Kuna indians in Panama and the Okinawans of Japan, two other healthy indigenous populations that get about 65% of calories from carbohydrate.

These rather inconvenient exceptions to the low-fat and low-carb dogma vigorously promoted by advocates of both approaches show us that humans can in fact thrive on a wide range of macronutrient ratios, ranging from extremely high fat (Inuit, Masai) to very high carb (Kitavans, Kuna & Okinawans). They also hint at the idea that perhaps not all carbohydrates are the same in terms of their effects on human health.

Human fuel: food that nourishes the body

We need to shift away from the idea of macronutrients – as Dr. Kurt Harris of PaleoNu recently suggested – and move towards the idea of nourishment or fuel. This means we classify foods not based on their macronutrient ratios, but on their ability to provide the energy and nutrition the body needs to function optimally.

Gasoline and diesel are both fuel that cars can run on. If you put gasoline in a diesel engine, or vice versa, the engine may run but it won’t run well – or for very long. In a similar way, the human body can run on the entire range of fats, carbohydrates and proteins. But it runs much better on the ones it was designed to run on, and if you put too much of the others in, the body will eventually break down.

With this classification in mind, let’s look primarily at how the different types of fat and carbohydrate (our primary sources of energy) affect us, and which of them we should choose as our preferred “human fuel”.

Know your fats

LONG-CHAIN SATURATED FAT
We’ll begin with long-chain, saturated fats (LCSFA): myristic, palmitic and stearic acid. These fats are found mostly in the milk and meat of ruminant animals like cattle and sheep. They form the core structural fats in the body, comprising 75-80% of fatty acids in most cells, and they’re the primary storage form of energy for humans. In other words, when the body stores excess energy from food for later use, it stores it primarily as long-chain saturated fat.

Unlike polyunsaturated fats (PUFA) and carbohydrates like glucose and fructose, saturated fats have no known toxicity – even at very high doses – presuming insulin levels are in a normal range. Long-chain saturated fats are more easily burned as energy than PUFA. The process of converting saturated fat into energy the body can use leaves no toxic byproducts. In fact, it leaves nothing but carbon dioxide and water.

This means that, assuming you are metabolically healthy, you can eat as much saturated fat as you’d like without adverse consequences. I’m sure this will come as a surprise to many of you, since we’ve been collectively brainwashed for 50 years to believe that saturated fat makes us fat and causes heart disease. If you still believe this is true, watch these two videos and read all of the articles in my special report on cholesterol, fat and heart disease.

Verdict: eat as much as you’d like. The majority of the fats you consume should be LCSFA.

MEDIUM-CHAIN TRIGLYCERIDES
Medium-chain triglycerides (MCT) are another type of saturated fat. They’re found in coconut and in mother’s milk, and they have unusual properties. They’re metabolized differently than long-chain saturated fats; they don’t require bile acids for digestion and they pass directly to the liver via the portal vein. This makes MCTs a great source of easily digestible energy. They’re so easy to digest, in fact, that they’re used in the liquid hospital formulas fed to patients that have had sections of their intestine removed and aren’t able to digest solid food.

In addition to being a good energy source, MCTs have therapeutic properties. They’re high in lauric acid, a fat found in mother’s milk that has anti-bacterial, anti-viral and antioxidant properties.

Verdict: eat as much as you’d like. Coconut oil is an especially good cooking fat, because it is not vulnerable to the oxidative damage that occurs with high-heat cooking using other fats.

MONOUNSATURATED FAT
Monounsaturated fat (MFA), or oleic acid, is found primarily in beef, olive oil, avocados, lard and certain nuts like macadamias. Like saturated fats, MFA form the core structural fats of the body and are non-toxic even at high doses. Interestingly, monounsaturated fats seem to be the only fats that typically fat-phobic groups like the AHA and fat-friendly groups like Atkins and other low-carbers can agree are completely healthy.

Verdict: eat as much as you’d like. But be aware that certain foods that are high in monounsaturated fats, like nuts and avocados, can contain significant amounts of the dreaded omega-6 polyunsaturated fats, which we’ll discuss below. Exercise caution.

These three fats – long-chain saturated, medium chain triglycerides and monounsaturated – should form the bulk of your fat intake. In addition to their lack of toxicity, eating these fats will:

  • Reduce your risk of heart disease by raising your HDL, lowering your triglycerides and reducing levels of small, dense LDL (a type of LDL associated with a higher risk of heart disease). If you don’t believe me, read this.
  • Increase muscle mass. Muscle is composed of equal weights of fat and protein.
  • Stabilize your energy and mood. Fat provides a steadier supply of energy throughout the day than carbohydrate, which can cause fluctuations in blood sugar.

POLYUNSATURATED FAT: OMEGA-6 & OMEGA-3
Polyunsaturated fat (PUFA) can be subdivided into omega-6 and omega-3. PUFA are fragile and vulnerable to oxidative damage, a process that creates free radicals in the body and raises our risk for everything from heart disease to cancer. As I pointed out in Step #1: Don’t Eat Toxins, both anthropological and modern research suggest that for optimal health we should consume roughly the same amount of omega-6 and omega-3 fat (1:1 ratio), and that our total intake of PUFA should be no more than 4% of calories.

But Americans’ omega-6:omega-3 ratio today ranges from 10:1 to 20:1, with a ratio as high as 25:1 in some individuals! This means some people are eating as much as 25 times the recommended amount of omega-6 fat. And it is this excess consumption of omega-6 PUFA – not cholesterol and saturated fat – that is responsible for the modern epidemics of cardiovascular disease, type 2 diabetes, obesity, metabolic syndrome, autoimmune disease and more.

Omega-6 PUFA (linoleic acid, or LA) is found in small or moderate amounts of a wide variety of foods including fruits, vegetables, cereal grains and meat. But it is found in very large amounts in industrial processed and refined oils, like soybean, cottonseed, corn, safflower and sunflower. These oils are ubiquitous in the modern diet, present in everything from salad dressing to chips and crackers to restaurant food. LA is also relatively high in most nuts and in all poultry, especially in dark meat with skin.

Linoleic acid is an essential fatty acid. This means it is required for proper function but cannot be produced in the body, and thus must be obtained from the diet. However, the amount of omega-6 that is needed is exceedingly small: less than 0.5 percent of calories when supplied by most animal fats and less than 0.12 percent of calories when supplied by liver. When consumed in excess amounts – as is almost always the case in industrialized countries like the U.S. – omega-6 contributes to all of the diseases mentioned above.

Omega-3 PUFA can be further subdivided into short-chain (alpha-linolenic acid, or ALA) and long-chain (EPA & DHA). ALA is found in plant foods like walnut and flax, whereas EPA & DHA is found in seafood and to a lesser extent the meat and fat of ruminant animals.

While ALA is considered essential, the long-chain EPA & DHA are responsible for the benefits we get from eating omega-3 fats, and they form the denominator of the omega-6:omega-3 ratio. A common misconception is that we can meet our omega-3 needs by taking flax oil or eating plant foods containing ALA. It’s true that the body can convert some ALA to EPA & DHA. But that conversion is extremely inefficient in most people. On average, less than 0.5% of ALA gets converted into the long-chain EPA & DHA, and that number is even worse in people that are chronically ill or have nutrient deficiencies (common in vegans and vegetarians).

This means that it is probably EPA & DHA that are essential, in the sense that they are crucial for proper function but cannot be produced in adequate amounts in the body, and thus must be obtained from the diet. Of the two,evidence suggests that DHA plays the more important role.

Verdict: for optimal health, eat no more than 4% of calories (about 9g/d for a 2,000 calorie diet) of polyunsaturated fat, with an equal amount of omega-6 and omega-3. Make sure the omega-3 you eat is long-chain EPA & DHA (from seafood and animal sources) rather than short-chain ALA from plant sources like flax. It is very difficult to limit omega-6 to 4.5g/day. See this article for tips.

TRANS-FATS
There are two types of trans-fats: natural (NTF), and artificial (ATF). The primary natural trans-fat, conjugated linoleic acid (CLA) is found in small amounts (about 2%) in the meat, fat and dairy fat of ruminant animals. CLA does not have the harmful effects of ATFs, and may have anti-cancer properties and other benefits.

Artificial trans-fats have been linked with a variety of diseases. I think most people are aware of this, so I’m not going to belabor the point. We’ve still got carbs to talk about.

Verdict: avoid artificial trans-fats like the plague. Natural trans-fats like CLA are harmless and probably even beneficial, but as long as you’re eating long-chain saturated fats, you’ll get CLA. You don’t have to go out of your way to find it.

SUMMARY OF FATS
Long-chain saturated fat, monounsaturated fat and medium chain triglycerides should form the bulk of your fat intake. Long-chain omega-3 fats (EPA & DHA) should be consumed regularly, while omega-6 LA should be dramatically reduced. Click on the fat pyramid below for a graphic representation.

Know your carbs

Carbohydrates are broken down into either indigestible fiber, glucose or fructose. Let’s discuss the suitability of each of these as human fuel.

Glucose
Glucose is a simple sugar (monosaccharide) found mostly in plant foods like fruits, vegetables, starchy tubers and grains. It has three main uses in the body:

  • It forms structural molecules call glycoproteins;
  • Like fat, it is a source of energy for cells (especially in the brain); and,
  • it’s a precursor to compounds that play an important role in the immune system.

Glucose preceded fatty acids as a fuel source for living organisms by a very long time, and it is the building block of foods that have the longest evolutionary history of use by mammals like us. The fact that glucose can be produced in the body from protein is often used as an argument that we don’t need to eat it in the diet. But I agree with Dr. Harris’s interpretation that, rather than viewing this as evidence that that glucose isn’t important, we should view it as evidence that glucose is so metabolically essential that we evolved a mechanism to produce it even in its absence in the diet.

One of the few differences between our digestive tract and that of a true carnivore, like a lion, is that we produce an enzyme called amylase. Amylase allows us to digest starch – a long-chain polymer of glucose molecules we can’t absorb – into single molecules of glucose that easily pass through the gut wall into the bloodstream.

Presuming we are metabolically healthy, the glucose and starch we eat is digested and rapidly cleared by the liver and muscle cells. It is only when the metabolism is damaged – usually by years of eating toxins like refined cereal grains, industrial seed oils and fructose – that excess glucose is not properly cleared and leads to insulin resistance and diabetes.

Verdict: the range of glucose that is tolerated varies widely across populations and individuals. Assuming no metabolic problems and an active lifestyle, glucose may be consumed relatively freely. However, many people today do have some form of metabolic dysfunction, and live a sedentary lifestyle. If you fall into this category, glucose should probably be limited to 400 calories (about 100g) of glucose per day.

Fructose
Fructose is another simple sugar found primarily in fruits and vegetables. While it has the same chemical formula and caloric content as glucose, it has an entirely different effect on the body.

As I pointed out in Step #1: Don’t Eat Toxins, fructose is toxic at high doses. It damages proteins in a process called fructation, which disrupts metabolic function and causes inflammation and oxidative damage. To prevent this, fructose is shunted directly to the liver for conversion into glucose or innocuous fats. But this process damages the liver over time, leading to non-alcoholic fatty liver disease (which one in three Americans now suffer from) and metabolic syndrome.

Another issue is that excess fructose is not well absorbed in the gut, which in turn leads to its rapid fermentation by bacteria in the colon or abnormal overgrowth of bacteria in the small intestine. Small-bowel bacterial overgrowth, or SIBO, is now believed to be the major cause of irritable bowel syndrome (IBS), a common functional bowel disorder that is the second-leading cause of people missing work behind only the common cold.

Most people without metabolic dysfunction can handle small amounts of fructose (as found in a few servings of fruit per day) without problems. But on the scale that fructose is consumed in the U.S. – including 64 pounds of high-fructose corn syrup per person each year on average – fructose wreaks havoc on the body. It should therefore be limited as a source of carbohydrate.

Verdict: 3-4 servings a day of fruit is fine for people without metabolic problems. Those with fatty liver, insulin resistance or other issues should further limit fructose intake, and everyone should avoid high-fructose corn syrup and other concentrated sources like agave syrup.

Fiber
Fiber is plant matter that is indigestible to humans. But although we can’t digest it, some of the 100 trillion bacteria that live in our gut can. In fact, up to 10% of the body’s caloric needs can be met by the conversion of glucose into short-chain fats like butyrate, propionate and acetate by intestinal bacteria. These short-chain fats are the primary energy source for intestinal cells in the colon, and butyrate in particular has been associated with several benefits. These are outlined in The Perfect Health Diet, by Paul & Shou-Ching Jaminet. Butyrate:

  • Prevents obesity.
  • Heals the intestine.
  • Improves gut barrier integrity.
  • Relieves constipation.
  • Improves cardiovascular markers.
  • Reduces inflammation.
  • Stabilizes blood sugar.

The evidence clearly suggests that vegetable fiber is beneficial. However, just as not all fats are created equal, not all fiber is created equal. Grain fiber – which the AHA and other so-called “heart healthy” organizations have been promoting for decades – is toxic for two reasons: it contains toxic proteins like gluten, and it is prone to injure the intestinal wall.

We’ve been bullied into believing that grain fiber prevents heart disease and provides numerous health benefits. But this claim has only been tested in a single clinical trial, and the results were less than spectacular. The Diet and Reinfarction Trial, published in 1989, included 2,033 British men who had suffered a heart attack, and compared a high-fiber group with a control group. The high-fiber group ate whole grains and doubled their grain fiber intake from 9 to 17 grams per day.

How did that work out for them? Not too well. Deaths in the high fiber group were 22% higher over the two year study. 9.9% of the control group died vs. 12.1% of the high fiber group.

There are other reasons to limit all types of fiber. Fiber isn’t essential. Human breast milk doesn’t have any, and traditional people like the Masai – who are free of modern, degenerative disease – eat almost no fiber at all (subsisting on a diet of meat, blood and milk). And while fiber can feed the good bacteria in our gut and increase the production of beneficial short-chain fats like butyrate, it can also feed pathogenic and opportunistic bacteria in the gut.

Verdict: vegetable (but not grain) fiber is beneficial in moderate amounts – about one-half pound of vegetables per day. But think about vegetables and fiber as accompaniments or flavorful condiments to fat and protein, which should form the bulk of calories consumed, rather than the other way around.

SUMMARY OF CARBOHYDRATES
Assuming a healthy metabolism (which isn’t necessarily a safe assumption these days), glucose and starch can be eaten relatively freely, which fructose should be limited to 2-3 servings of fruit per day. Vegetable fiber is beneficial but should also be limited, to about one-half pound of vegetables per day. See the carb pyramid below for a graphic representation.

Pyramid containing carbs we should eat

Know your protein

What about protein? As it turns out, eating the right type of protein is easy if you simply follow Step #1 (don’t eat toxins) and base your diet on the healthy fats I listed above.

Protein is mostly found in animal products, seafood, nuts, legumes and grains. Legumes and grains have toxic compounds that can damage the gut. These toxins can be partially and in some cases completely neutralized by traditional preparation methods like soaking, sprouting and fermenting. But the vast majority of people in modern industrial societies don’t do this and aren’t willing to do it, so I generally recommend that people avoid them altogether.

As I explained above, nuts are often high in omega-6 LA, which we get far too much of as it is. So nuts should not constitute a significant source of protein. Walnuts are especially high. Just 100g of walnuts a day amounts to a whopping 266g of omega-6 per week. Keeping in mind that we want a 1:1 ratio of omega-6 to omega-3, you’d have to eat 34 pounds of salmon a week to achieve a balance. Good luck with that.

Poultry, especially dark meat with the skin on, can also be very high in omega-6 and should also be limited. For example, chicken skin has about 14 times more omega-6 than even grain-finished beef, and 10 times more than grain-finished pork.

That leaves the meat and milk (including butter, cream and cheese) of ruminant animals (beef & lamb), pork, and seafood as the most suitable sources of protein. Animal protein is easy to absorb, is not toxic and is rich in beneficial long-chain saturated fats and natural trans-fats like CLA. Seafood is similarly easy to absorb, and is the primary dietary source of long-chain omega-3 fats DHA & EPA, as well as micronutrients like vitamin D and selenium.

We don’t need a pyramid for protein; you can simply follow the fat pyramid and you’ll naturally get the right type and amount of protein.

by Chris Kresser (web)

doughnutImagine a world where:

  • diabetes, heart diseases, autoimmunity and other modern diseases are rare or don’t exist at all
  • we are naturally lean and fit
  • we are fertile throughout our childbearing years
  • we sleep peacefully and deeply
  • we age gracefully without degenerative diseases like Alzheimer’s and osteoporosis

While this might sound like pure fantasy today, anthropological evidence suggests that this is exactly how human beings lived for the vast majority of our evolutionary history.

Today, most people accept diseases like obesity, diabetes, infertility and Alzheimer’s as “normal”. But while these diseases may now be common, they’re anything but normal. Humans evolved roughly 2.5 million years ago, and for roughly 84,000 generations we were naturally free of the modern diseases which kill millions of people each year and make countless others miserable. In fact, the world I asked you to imagine above – which may seem preposterous and unattainable today – was the natural human state for our entire history on this planet up until a couple hundred years ago.

What was responsible for the change? What transformed us from naturally healthy and vital people free of degenerative disease into a world of sick, fat, infertile and unhappy people?

In a word? The modern lifestyle. And though there are several aspects of our current lifestyle that contribute to disease, the widespread consumption of food toxins is by far the greatest offender. Specifically, the following four dietary toxins are to blame:

  • Cereal grains (especially refined flour)
  • Omega-6 industrial seed oils (corn, cottonseed, safflower, soybean, etc.)
  • Sugar (especially high-fructose corn syrup)
  • Processed soy (soy milk, soy protein, soy flour, etc.)

What is a toxin?

At the simplest level, a toxin is something capable of causing disease or damaging tissue when it enters the body. When most people hear the word “toxin”, they think of chemicals like pesticides, heavy metals or other industrial pollutants. But even beneficial nutrients like water, which are necessary to sustain life, are toxic at high doses.

In their book The Perfect Health Diet, Paul & Shou-Ching Jaminet apply the economic principle of declining marginal benefits to toxins:

It implies that the first bit eaten of any toxin has low toxicity. Each additional bit is slightly more toxic than the bit before. At higher doses, the toxicity of each bit continues to increase, so that the toxin is increasingly poisonous.

This is important to understand as we discuss the role of dietary toxins in contributing to modern disease. Most of us won’t get sick from eating a small amount of sugar, cereal grain, soy and industrial seed oil. But if we eat those nutrients (or rather anti-nutrients) in excessive quantities, our risk of developing modern diseases rises significantly.

That’s exactly what’s happening today. These four food toxins – refined cereal grains, industrial seed oils, sugar and processed soy – comprise the bulk of the modern diet. Bread, pastries, muffins, crackers, cookies, soda, fruit juice, fast food and other convenience foods are all loaded with these toxins. And when the majority of what most people eat on a daily basis is toxic, it’s not hard to understand why our health is failing.

Let’s look at each of these food toxins in more detail.

Cereal grains: the unhealthiest “health food” on the planet?

The major cereal grains – wheat, corn, rice, barley, sorghum, oats, rye and millet – have become the staple crops of the modern human diet. They’ve also become the “poster children” of the low-fat, high-carbohydrate diet promoted by organizations like the American Heart Association (AHA) and American Diabetes Association (ADA). If you say the phrase “whole grains” to most people, the first word that probably comes to their mind is “healthy”.

But the fact is that most animals, including our closest relative (the chimpanzee) aren’t adapted to eating cereal grains and don’t eat them in large quantities. And humans have only been eating them for the past 10,000 years (a tiny blip of time on the scale of evolution). Why?

Because plants like cereal grains are always competing against predators (like us) for survival. Unlike animals, plants can’t run away from us when we decide to eat them. They had to evolve other mechanisms for protecting themselves. These include:

  • producing toxins that damage the lining of the gut;
  • producing toxins that bind essential minerals, making them unavailable to the body; and,
  • producing toxins that inhibit digestion and absorption of other essential nutrients, including protein.

One of these toxic compounds is the protein gluten, which is present in wheat and many of the other most commonly eaten cereal grains. In short, gluten damages the intestine and makes it leaky. And researchers now believe that a leaky gut is one of the major predisposing factors for conditions like obesity, diabetes and autoimmune disease.

Celiac disease (CD) – a condition of severe gluten intolerance – has been well known for decades. Celiacs have a dramatic and, in some cases, potentially fatal immune response to even the smallest amounts of gluten.

But celiac disease is just the tip of the iceberg when it comes to intolerance to wheat and other gluten containing grains. Celiac disease is characterized by antibodies to two components of the gluten compound: alpha-gliadin, and transglutaminase. But we now know that people can and do react to several other components of wheat and gluten. The diagram below shows how wheat and gluten are broken down in the body:

diagram of components of wheat

Current laboratory testing for gluten intolerance only tests for alpha-gliadin and transglutaminase, the two components of gluten implicated in celiac disease (highlighted in red in the diagram). But as you can see, wheat contains several other components including lectins like wheat germ agglutinin (WGA), other epitopes of the gliadin protein like beta-gliadin, gamma-gliadin and omega-gliadin, another protein called glutenin, an opioid peptide called gluteomorphin, and a compound called deamidated gliadin produced by the industrial processing or digestion of gluten.

So here’s the thing. Studies now clearly show that people can react negatively to all of these components of wheat – not just the alpha-gliadin and transglutaminase that celiacs react to. And the worst part of this is that up until about 2 weeks ago, no commercial labs were testing for sensitivity to these other subfractions of wheat.

This means, of course, that it’s extremely likely that far more people are intolerant to wheat and gluten than conventional wisdom would tell us. In fact, that’s exactly what the latest research shows. Dr. Kenneth Fine, a pioneer in gluten intolerance research, has demonstrated that 1 in 3 Americans are gluten intolerant, and that 8 in 10 have the genes that predispose them to developing gluten intolerance.

This is nothing short of a public health catastrophe in a nation where the #1 source of calories is refined flour. But while most are at least aware of the dangers of sugar, trans-fat and other unhealthy foods, fewer than 1 in 8 people with celiac disease are aware of their condition. A 1999 paper in the British Medical Journal illustrated this well:

Graphic depicting incidence of undiagnosed celiac disease

Patients with clinically obvious celiac disease (observable inflammation and destruction of the gut tissue) comprise only 12.5% of the total population of people with CD. 87.5% of those with celiac have no obvious gut symptoms. For every symptomatic patient with CD, there are 8 patients with CD and no gastrointestinal symptoms.

But does that mean patients with CD without gut symptoms are healthy? Not at all. It was long believed that the pathological manifestations of CD were limited to the gastrointestinal tract. But research over the past few decades has revealed that gluten intolerance can affect almost every other tissue and system in the body, including:

  • brain;
  • endocrine system;
  • stomach and liver;
  • nucleus of cells;
  • blood vessels; and,
  • smooth muscle,

just to name a few!

This explains why CD and gluten intolerance are associated with several different diseases, including type 1 diabetes, thyroid disorders, osteoporosis, neurodegenerative conditions like Alzheimer’s, Parkinson’s and dementia, psychiatric illness, ADHD, rheumatoid arthritis, migraine, obesity and more. The table below from thesame 1999 BMJ paper depicts the increased incidence of other diseases in patients with CD:

table showing associations of other diseases with celiac disease

As you can see, up to 17% of people with CD have an “undefined neurological disorder”. But even that alarmingly high statistic only accounts for people with diagnosed CD. We know that only 1 in 8 people with CD are diagnosed. We also know that those with CD represent only a small fraction of the population of people with gluten intolerance. With this in mind, it’s not hard to imagine that the number of people with gluten intolerance that have “undefined neurological disorders” (and other associated conditions on the list above) could be significantly higher than current research suggests.

Finally, we also now know that when you are gluten intolerant – which 33% (if not more) of you are – you will also “cross-react” with other foods that have a similar “molecular signature” to gluten and its components. Unfortunately, the list of these foods (shown below) contains all grains, which is why some medical practitioners (myself included) recommend not just a gluten-free diet, but an entirely grain-free diet. As you can see, it also contains other foods like dairy (alpha & beta casein, casomorphin, milk butyrophilin) and coffee (which is a very common cross-reactant).

  • alpha-caesin
  • beta-caesin
  • casomorphin
  • milk butyrophilin
  • cow’s milk
  • american cheese
  • chocolate
  • coffee
  • all cereal grains
  • quinoa
  • amaranth
  • buckwheat
  • tapioca
  • rice
  • potato
  • corn
  • sesame

Industrial seed oils: unnatural and unfit for human consumption

Industrial seed oils (corn, cottonseed, soybean, safflower, sunflower, etc.) have not been a part of the human diet up until relatively recently, when misguided groups like the AHA and the ADA started promoting them as “heart-healthy” alternatives to saturated fat.

The graph below shows how dramatically seed oil consumption has risen over the past several decades:

pufaconsumption

Throughout 4-5 million years of hominid evolution, diets were abundant in seafood and other sources of omega-3 long chain fatty acids (EPA & DHA), but relatively low in omega-6 seed oils.

Anthropological research suggests that our hunter-gatherer ancestors consumed omega-6 and omega-3 fats in a ratio of roughly 1:1. It alsoindicates that both ancient and modern hunter-gatherers were free of the modern inflammatory diseases, like heart disease, cancer, and diabetes, that are the primary causes of death and morbidity today.

At the onset of the industrial revolution (about 140 years ago), there was a marked shift in the ratio of n-6 to n-3 fatty acids in the diet. Consumption of n-6 fats increased at the expense of n-3 fats. This change was due to both the advent of the modern vegetable oil industry and the increased use of cereal grains as feed for domestic livestock (which in turn altered the fatty acid profile of meat that humans consumed).

The following chart lists the omega-6 and omega-3 content of various vegetable oils and foods:

efa content of oils

Vegetable oil consumption rose dramatically between the beginning and end of the 20th century, and this had an entirely predictable effect on the ratio of omega-6 to omega-3 fats in the American diet. Between 1935 and 1939, the ratio of n-6 to n-3 fatty acids was reported to be 8.4:1. From 1935 to 1985, this ratio increased to 10.3:1 (a 23% increase). Other calculations put the ratio as high as 12.4:1 in 1985. Today, estimates of the ratio range from an average of 10:1 to 20:1, with a ratio as high as 25:1 in some individuals.

In fact, Americans now get almost 20% of their calories from a single food source – soybean oil – with almost 9% of all calories from the omega-6 fat linoleic acid (LA) alone! (PDF)

This reveals that our average intake of n-6 fatty acids is between 10 and 25 times higher than evolutionary norms. The consequences of this dramatic shift cannot be underestimated.

So what are the consequences to human health of an n-6:n-3 ratio that is up to 25 times higher than it should be?

The short answer is that elevated n-6 intakes are associated with an increase in all inflammatory diseases – which is to say virtually all diseases. The list includes (but isn’t limited to):

  • cardiovascular disease
  • type 2 diabetes
  • obesity
  • metabolic syndrome
  • irritable bowel syndrome & inflammatory bowel disease
  • macular degeneration
  • rheumatoid arthritis
  • asthma
  • cancer
  • psychiatric disorders
  • autoimmune diseases

The relationship between intake n-6 fats and cardiovascular mortality is particularly striking. The following chart, from an article entitled Eicosanoids and Ischemic Heart Disease by Stephan Guyenet, clearly illustrates the correlation between a rising intake of n-6 and increased mortality from heart disease:

landis graph of hufa and mortality

As you can see, the USA is right up there at the top with the highest intake of n-6 fat and the greatest risk of death from heart disease.

On the other hand, several clinical studies have shown that decreasing the n-6:n-3 ratio protects against chronic, degenerative diseases. One study showed that replacing corn oil with olive oil and canola oil to reach an n-6:n-3 ratio of 4:1 led to a 70% decrease in total mortality. That is no small difference.

Joseph Hibbeln, a researcher at the National Institute of Health (NIH) who has published several papers on n-3 and n-6 intakes, didn’t mince words when he commented on the rising intake of n-6 in a recent paper:

The increases in world LA consumption over the past century may be considered a very large uncontrolled experiment that may have contributed to increased societal burdens of aggression, depression and cardiovascular mortality.

And those are just the conditions we have the strongest evidence for. It’s likely that the increase in n-6 consumption has played an equally significant role in the rise of nearly every inflammatory disease. Since it is now known that inflammation is involved in nearly all diseases, including obesity and metabolic syndrome, it’s hard to overstate the negative effects of too much omega-6 fat.

Sugar: the sweetest way to wreck your health

About 20 years ago, Nancy Appleton, PhD, began researching all of the ways in which sugar destroys our health. Over the years the list has continuously expanded, and now includes 141 points. Here’s just a small sampling (the entire list can be found on her blog).

  • Sugar feeds cancer cells and has been connected with the development of cancer of the breast, ovaries, prostate, rectum, pancreas, lung, gallbladder and stomach.
  • Sugar can increase fasting levels of glucose and can cause reactive hypoglycemia.
  • Sugar can cause many problems with the gastrointestinal tract, including an acidic digestive tract, indigestion, malabsorption in patients with functional bowel disease, increased risk of Crohn’s disease and ulcerative colitis.
  • Sugar can interfere with your absorption of protein.
  • Sugar can cause food allergies.
  • Sugar contributes to obesity.

But not all sugar is created alike. White table sugar (sucrose) is composed of two sugars: glucose and fructose. Glucose is an important nutrient in our bodies and is healthy, as long as it’s consumed in moderation. Fructose is a different story.

Fructose is found primarily in fruits and vegetables, and sweeteners like sugar and high-fructose corn syrup (HFCS). A recent USDA report found that the average American eats 152 pounds of sugar each year, including almost 64 pounds of HFCS.

Unlike glucose, which is rapidly absorbed into the bloodstream and taken up by the cells, fructose is shunted directly to the liver where it is converted to fat. Excess fructose consumption causes a condition called non-alcoholic fatty liver disease (NAFLD), which is directly linked to both diabetes and obesity.

A 2009 study showed that shifting 25% of dietary calories from glucose to fructose caused a 4-fold increase in abdominal fat. Abdominal fat is an independent predictor of insulin sensitivity, impaired glucose tolerance, high blood pressure, high cholesterol, high triglycerides and several other metabolic diseases.

In a widely popular talk on YouTube, Dr. Robert H. Lustig explains that fructose has all of the qualities of apoison. It causes damage, provides no benefit and is sent directly to the liver to be detoxified so that it doesn’t harm the body.

For more on the toxic effects of fructose, see The Perfect Health Diet and Robert Lustig’s YouTube talk: Sugar, The Bitter Truth.

Soy: another toxin promoted as a health food

Like cereal grains, soy is another toxin often promoted as a health food. It’s now ubiquitous in the modern diet, present in just about every packaged and processed food in the form of soy protein isolate, soy flour, soy lecithin and soybean oil.

For this reason, most people are unaware of how much soy they consume. You don’t have to be a tofu-loving hippie to eat a lot of soy. In fact, the average American – who is most definitely not a tofu-loving hippie – gets up to 9% of total calories from soybean oil alone.

Whenever I mention the dangers of soy in my public talks, someone always protests that soy can’t be unhealthy because it’s been consumed safely in Asia for thousands of years. There are several reasons why this isn’t a valid argument.

First, the soy products consumed traditionally in Asia were typically fermented and unprocessed – including tempeh, miso, natto and tamari. This is important because the fermentation process partially neutralizes the toxins in soybeans.

Second, Asians consumed soy foods as a condiment, not as a replacement for animal foods. The average consumption of soy foods in China is 10 grams (about 2 teaspoons) per day and is 30 to 60 grams in Japan. These are not large amounts of soy.

Contrast this with the U.S. and other western countries, where almost all of the soy consumed is highly processed and unfermented, and eaten in much larger amounts than in Asia.

How does soy impact our health? The following is just a partial list:

  • Soy contains trypsin inhibitors that inhibit protein digestion and affect pancreatic function;
  • Soy contains phytic acid, which reduces absorption of minerals like calcium, magnesium, copper, iron and zinc;
  • Soy increases our requirement for vitamin D, which 50% of American are already deficient in;
  • Soy phytoestrogens disrupt endocrine function and have the potential to cause infertility and to promote breast cancer in adult women.
  • Vitamin B12 analogs in soy are not absorbed and actually increase the body’s requirement for B12;
  • Processing of soy protein results in the formation of toxic lysinoalanine and highly carcinogenic nitrosamines;
  • Free glutamic acid or MSG, a potent neurotoxin, is formed during soy food processing and additional amounts are added to many soy foods to mask soy’s unpleasant taste; and,
  • Soy can stimulate the growth of estrogen-dependent tumors and cause thyroid problems, especially in women.

Perhaps most alarmingly, a study at the Harvard Public School of Health in 2008 found that men who consumed the equivalent of one cup of soy milk per day had a 50% lower sperm count than men who didn’t eat soy.

In 1992, the Swiss Health Service estimated that women consuming the equivalent of two cups of soy milk per day provides the estrogenic equivalent of one birth control pill. That means women eating cereal with soy milk and drinking a soy latte each day are effectively getting the same estrogen effect as if they were taking a birth control pill.

This effect is even more dramatic in infants fed soy formula. Babies fed soy-based formula have 13,000 to 22,000 times more estrogen compounds in their blood than babies fed milk-based formula. Infants exclusively fed soy formula receive the estrogenic equivalent (based on body weight) of at least five birth control pills per day.

See below a complete list of studies demonstrating the harmful effects of soy products. Source of web

Studies Showing Adverse Effects of Dietary Soy, 1939-2008
August 26 2003
Additional Studies: For a list of studies showing the toxicity of soy in the US Food & Drug Administration’s Poisonous Plant Database, see FDA Soy References. Also seehttp://toxicstudylist.blogspot.com and http://fetaltoxic.blogspot.com.Dietary Soy Study Summaries1939
Sharpless GR and others. Production of goiter in rats with raw and with treated soybean flour.  J Nutr 17 (Jun), 545-55. Unprocessed soybean flour, when fed as part of a diet over seven weeks to rats, makes the thyroid grow to four times its usual size. In addition the amount of iodine required by a rat on this diet is twice the normal amount.1941
Wilgus HS and others. The goitrogenicity of soybeans. J Nutr, 22, 43-52.  The study found that soybeans are disruptive to the proper functioning of thyroids causing goiters in chicks. When the consumption of soybean oil meal increased from 30% to 60% of their diet, the goiters doubled in size.

1951
Almquist HJ and Merrit JB. Effect of Soybean Antitrypsin on Growth of the Chick. Arch Biochem, 35, 352-4. Raw soybean meal in amounts as small as 5% of daily protein intake in chicks was responsible for close to “maximal growth retardation.”

1952
Pritchard WR and others. Aplastic Anemia of Cattle Associated with Ingestion of Trichloroethylene-Extracted Soybean Oil Meal (Stockman Disease, Duren Disease, Brabant Disease). J Am Vet Med Assoc. 1952 Jul;121(904):1-8. The study was conducted across 44 herds (a total of 1776 cattle), using varying amounts trichloroethylene-extracted soybean oil meal as feed. In most cases calves under six months who were fed 1-3 lbs per day were the first to die from Aplastic anemia. In some cases they died in under fives weeks of consumption. Lacatation females also experienced a mortality rate that was considerably higher. Adults 24 months and older who ate between 1-4 lbs of the feed per day experienced an average 21% death rate.

1953
Liener IE. Soyin, a toxic protein from the soybean. I. Inhibition of rat growth. J Nutr, 49, 527-39. Soyin, in levels intended to simulate unheated soy flour, after being fed to rats was found to possibly cause “an enforced limitation of food intake with a consequent impairment of growth.”

1953
Eveleth DF and others. Toxicosis of chickens caused by trichloroethylene-extracted soybean meal. J Am Vet Med Assoc, 123, 38-9. During the fifty day period the death rate of birds fed the soybean meal was 26.3%, the death rate of the control group was 4.8%. Of the remaining birds after the 50 day period the average weight of the control group was 1.12 lbs while the weight for those fed the soybean meal was .78 lbs.

1959
Shepard T. Feeding of Soybean and Development of Goiter. Pediatrics 1959;24;854. The author took three cases of goiters in children in which the “thyroid enlargement (was) apparently related to intake of a soybean milk.” Two of the three children were switched to solid food and cows milk and their goiters grew smaller.

1959
Van Wyck JJ and other. The Effects Of A Soybean Product On Thyroid Function In Humans. Pediatrics, 24, 752-60. The study analyzes the effects of soy infant formula, showing that goiters and hypothyroidism are known to occur after consumption. The hindrance of thyroid hormone synthesis cause people to have to increase their intake of iodine. In the case of one child the hypothyroidism was cured by drinking whole cows milk instead of the soy.

1967
Gorill ADL and others. Exocrine pancreatic secretions by calves fed soybean and milk diet proteins. J Nutr, 92(1), 256. Calves fed the milk protein gained an average of 78 grams of weight per day while the calves fed the soy lost an average of 75 grams of weight per day. Those consuming soy protein also experienced a reduced flow rate and reduced levels of protein, trypsin and chemotrypsin in their pancreatic juice. “The soybean flour used in this experiment exerted a marked depression on exocrine pancreatic function of calves, which was detected after the animals had received the high soy diet for 2-5 days.”

1970
Jensen L and others. A Foot Pad Dermatitis in Turkey Poults Associated with Soybean Meal. Poultry Sci, 49, 76-82. There was a frequents occurrence of foot pad dermatis in Turkeys fed soybean meal poults, whereas the occurrence was rare in turkeys fed a diet containing casein, gelatin and corn.

1971
Wallace, GM. Studies on the Processing and Properties of Soymilk. J Sci Food Agri 1971 Oct;22:526-535. In order to neutralize the protease inhibitors (enzymes that inhibit the digestion of protein) in soy, it must be heated to very high temperatures under pressure and for considerable time. This process unfortunately denatures the overall protein content of soy, rendering it largely ineffective.

1974 
Joseph, JR. Biological and physiological Factors in Soybeans. JOACS, 1974 Jan;51:161A-170A. In feeding experiments, use of soy protein isolate (SPI) increased requirements for vitamins E, K, D and B12 and created deficiency symptoms of calcium, magnesium, manganese, molybdenum, copper, iron and zinc.

1975 
Nutrition during Pregnancy and Lactation. California Department of Health, 1975. Soy is listed as a minor source of protein in Japanese and Chinese diets. Major sources of protein listed were meat including organ meats, poultry, fish and eggs.

1976 
Searle CE, ed, Chemical Carcinogens, ACS Monograph 173, American Chemical Society, Washington, DC, 1976. Asians throughout the world have high rates of thyroid cancer.

1977
Chang KC, ed, Food in Chinese Culture: Anthropological and Historical Perspectives, New Haven, 1977. This survey found that soy foods accounted for only 1.5 percent of calories in the Chinese diet, compared with 65 percent of calories from pork.

1978
FDA ref 72/104, Report FDABF GRAS – 258. In 1972, the Nixon administration directed a reexamination of substances believed to be GRAS in the light of any scientific information then available. This reexamination included casein protein which became codified as GRAS in 1978. In 1974, the FDA obtained a literature review of soy protein because, as soy protein had not been used in food until 1959 and was not even in common use in the early 1970s, it was not eligible to have its GRAS status grandfathered under the provisions of the Food, Drug and Cosmetic Act.

1979
Evaluation of the Health Aspects of Soy Protein Isolates as Food Ingredients. Prepared for FDA by Life Sciences Research Office, Federation of American Societies for Experimental Biology, 9650 Rockville Pike, Bethesda, MD 20014, Contract No, FDA 223-75-2004, 1979. In this document, the FDA expresses concern about nitrites and lysinoalanine in processed soy. Even at low levels of consumption–averaging one-third of a gram per day at the time–the presence of these carcinogens was considered too great a threat to public health to allow GRAS status. Soy protein did have approval for use as a binder in cardboard boxes and this approval was allowed to continue because researchers considered that migration of nitrites from the box into the food contents would be too small to constitute a cancer risk. FDA officials called for safety specifications and monitoring procedures before granting of GRAS status for food. These were never performed. To this day, use of soy protein is codified as GRAS only for limited industrial use as a cardboard binder.

1979
Torum, B. Nutritional Quality of Soybean Protein Isolates: Studies in Children of Preschool Age. Soy Protein and Human Nutrition, Harold L Wilcke and others, eds, Academic Press, New York, 1979. A group of Central American children suffering from malnutrition was first stabilized and brought into better health by feeding them native foods, including meat and dairy products. Then for a two-week period these traditional foods were replaced by a drink made of soy protein isolate and sugar. All nitrogen taken in and all nitrogen excreted were measured. The researchers found that the children retained nitrogen and that their growth was “adequate,” so the experiment was declared a success. However, the researchers noted that the children vomited “occasionally,” usually after finishing a meal; over half suffered from periods of moderate diarrhea; some had upper respiratory infections; and others suffered from rash and fever. It should be noted that the researchers did not dare to use soy products to help children recover from malnutrition, and were obliged to supplement the soy? sugar mixture with nutrients largely absent in soy products, notably vitamins A, D, B12, iron, iodine and zinc.

1981
Casey CE and others. Availability of zinc: loading tests with human milk, cow’s milk, and infant formulas.Pediatrics 1981;68(3):394-6. Female subjects consumed 25 mg of zinc with milk or formula, the amount of which was calculated to provide 5 gm of protein, after an eight-hour fast. Blood samples were taken prior to (base line) and at 30-minute intervals for three hours after consumption of zinc. The plasma response with human milk was significantly greater than with cow’s milk and all the formulas. The response with cow’s milk and a cow’s milk-based formula was one third that with human milk; responses with a soy-based and two casein hydrolysate-based formulas were even lower.

1981
Lebenthal E and others. The development of pancreatic function in premature infants after milk-based and soy-based formulas. Pediatr Res 1981 Sep;15(9):1240-1244. Soy formula fed to premature babies caused in increase in digestive enzymes compared to milk-fed babies, indicating low digestibility of soy formula.

1982 
Murphy PA. Phytoestrogen Content of Processed Soybean Foods. Food Technology. 1982:50-54. One hundred grams of soy protein, the maximum suggested cholesterol-lowering dose in the FDA-sanctioned health claim, can contain almost 600 mg of isoflavones.

1983
Wenk GL and Stemmer KL. Suboptimal dietary zinc intake increases aluminum accumulation into the rat brain.Brain Res 1983;288:393-395. Zinc deficiency will cause more aluminum to be absorbed into the body in general, and into the brain in particular. Aluminum will be absorbed by competing for binding sites on a zinc-containing ligand. Fluoride and phytates in soy formula will induce zinc deficiency.

1983
Poley JR and Klein AW. Scanning electron microscopy of soy protein-induced damage of small bowel mucosa in infants. J Pediatr Gastroenterol Nutr 1983 May;2(2):271-87. Soy feeding caused damage to small bowel mucosa in 2 infants. The damage was similar to that of celiac disease and consistent with a lectin-induced toxicity.

1983
Tait S and others. The availability of minerals in food, with particular reference to iron. Journal of Research in Society and Health, April 1983;103(2):74?77. When precipitated soy products like tofu are consumed with meat, the mineral blocking effects of the phytates are reduced. The Japanese traditionally eat a small amount of tofu or miso as part of a mineral rich fish broth, followed by a serving of meat or fish.

1983
Ross RK. Effect of in-utero exposure to diethylstilbesterol on age at onset of puberty and on post-pubertal hormone levels in boys,” Canadian Medical Association Journal 1983, May 15;128(10):1197-8. Male children exposed during gestation to diethylstilbesterol (DES), a synthetic estrogen that has effects on animals similar to those of phytoestrogens from soy, had testes smaller than normal on maturation.

1984 
Ologhobo AD and others. Distribution of phosphorus and phytate in some Nigerian varieties of legumes and some effects of processing. Journal of Food Science. January/February 1984;49(1):199-201. The phytic acid in soy is highly resistant to normal phytate-reducing techniques, such as soaking or long, slow cooking.

1985 
Rackis JJ and others. The USDA trypsin inhibitor study. I. Background, objectives and procedural details.Qualification of Plant Foods in Human Nutrition, 1985;35. Diets of soy protein isolate high in trypsin inhibitors caused depressed growth and enlargement and pathological conditions of the pancreas, including cancer, and enlarged thryoid glands in rats. Analyses for this study showed that trypsin inhibitor content of soy protein isolate can vary as much as fivefold. Even low-level-trypsin-inhibitor SPI feeding resulted in reduced weight gain compared to controls. Soy protein isolate and textured vegetable protein made from soy protein isolate are used extensively in school lunch programs, imitation foods, commercial baked goods, diet beverages, meal replacements and fast food products. They are heavily promoted in Third World countries and form the basis of many food giveaway programs.

1986 
McGraw MD and others. Aluminum content in milk formulae and intravenous fluids used in infants. Lancet I:157 (1986). Carefully collected human breast milk contained 5 to 20 micrograms aluminum per liter; concentrations were 10 to 20 fold greater in most cow’s milk-based formulas and 100-fold greater in soy-based formulas.

1986
Fort P and others. Breast feeding and insulin-dependent diabetes mellitus in children. J Am Coll Nutr1986;5(5):439-441. Twice as many soy-fed children developed diabetes as those in a control group that was breastfed or received milk-based formula. It was based on this study that the American Academy of Pediatrics took a position of opposition to the use of soy infant formula. This objection was later dropped after the AAP received substantial grants from the Infant Formula Council.

1986 
Freni-Titulaer LW and others. Am J Dis Child 1986 Dec;140(12):1263-1267.Soy infant feeding was associated with higher rates of early development in girls, including breast development and pubic hair before the age of eights, sometimes before the age of three.

1987
Tudor RJ and others. Comparative Subacute Effects Of Dietary Raw Soya Flour On The Pancreas Of Three Species, The Marmoset, Mouse and Rat. Food Chem Toxic. 25 (10), 739-45. Ingestion of soy produced enlarged pancreases in mice and “pancreatic adenoma and carcinoma in the rat.”

1987
Dabeka RW and McKenzie AD. Lead, cadmium, and fluoride levels in market milk and infant formulas in Canada. J Assoc Off Anal Chem 1987;70(4):754-7 (1987). Soy based or milk-free formulas contained about 8-15 times more cadmium than milk-based formulas as well as high amounts of fluoride.

1987
Katz SH. Food and Biocultural Evolution: A Model for the Investigation of Modern Nutritional Problems.Nutritional Anthropology, Alan R. Liss Inc., 1987, p 50. During the Chou Dynasty (1134 – 246 BC) the soybean was designated one of the five sacred grains, along with barley, wheat, millet and rice. However, the pictograph for the soybean, which dates from earlier times, indicates that it was not first used as a food; for whereas the pictographs for the other four grains show the seed and stem structure of the plant, the pictograph for the soybean emphasizes the root structure. Agricultural literature of the period speaks frequently of the soybean and its use in crop rotation. Apparently the soy plant was initially used as a method of fixing nitrogen. The soybean did not serve as a food until the discovery of fermentation techniques, sometime during the Chou Dynasty. Katz speculates that the rise of liver cancer in Africa is caused by the introduction of soy foods into the African diet.

1989
El Tiney A. Proximate Composition and Mineral and Phytate Contents of Legumes Grown in Sudan. Journal of Food Composition and Analysis 1989;2:67-68. Soybeans are listed as having some of the highest levels of phytic acid of all legumes. Phytic acid blocks the absorption of zinc, iron, copper and magnesium.

1990 
Campbell TC. The Cornell-China-Oxford Project on Nutrition, Health and Environment. 1990; Chen J and others. Diet, Lifestyle and Mortality in China. A study of the characteristics of 65 counties. Monograph, joint publication of Oxford University Press, Cornell University Press, China People’s Medical Publishing House. 1990. This exhaustive study of Chinese diets found that legume consumption ranged from 0 to 58 grams per day, with an average of 13 grams. Assuming that two-thirds of this is from soybeans, then consumption averages about 9 grams of soy products per day. Isoflavone content would probably be about 10 mg/day.

1990
Fort P and others. Breast and soy-formula feedings in early infancy and the prevalence of autoimmune thyroid disease in children. J Am Coll Nutr 1990;9:164-167. This study documents the association of soy formula feeding in infancy with autoimmune thyroid problems.

1990
Dabeka RW and McKenzie AD. Aluminium levels in Canadian infant formulate and estimation of aluminium intakes from formulae by infants 0-3 months old. Food Addit Contam 1990;7(2):275-82. Researchers found that aluminum content in soy formula for 1-3 month old infants could result in an intake of 363 micrograms/kg/day (2088 micrograms/day) alone, not including potential contribution from other foods or water.

1991 
Hagger C and Bachevalier J. Visual habit formation in 3-month-old monkeys (Macaca mulatta): reversal of sex difference following neonatal manipulations of androgen. Behavior and Brain Research 1991, 45:57-63. Male infants undergo a “testosterone surge” during the first few months of life, when testosterone levels may be as high as those of an adult male. During this period, the infant is programmed to express male characteristics after puberty, not only in the development of his sexual organs and other masculine physical traits, but also in setting patterns in the brain characteristic of male behavior. In monkeys, deficiency of male hormones impairs the development of spatial perception (which, in humans, is normally more acute in men than in women), of learning ability and of visual discrimination tasks (such as would be required for reading.)

1993
Grant G and others. Pancreatic enlargement is evident in rats fed diets containing raw soybeans (Glycine max) or cowpeas (Vigna unguiculata) for 800 days but not in those fed diets based on kidney beans (Phaseolus vulgaris) or lupin seed (Lupinus angustifolius). J Nutr, 123(12), 2207-15. During the initial 150 days of the study, rats fed the soybean diet experienced abnormal levels pancreatic growth. Some of the rats fed the soybean diet also experienced the growth of nodules on the pancreas after 500 days.

1994 
Messina MJ and others. Soy Intake and Cancer Risk: A Review of the In Vitro and In Vivo Data,” Nutrition and Cancer, 1994, 21:(2):113-131. This study fueled speculation on soy’s anti-carcinogenic properties. The authors noted that in 26 animal studies, 65 percent reported protective effects from soy. At least one study was left out, in which soy feeding caused pancreatic cancer, the 1985 study by Rackis. In the human studies listed, the results were mixed. A few showed some protective effect but most showed no correlation at all between soy consumption and cancer rates. “. . the data in this review cannot be used as a basis for claiming that soy intake decreases cancer risk.” In a subsequent book, The Simple Soybean and Your Health, Messina recommends 1 cup or 230 grams of soy products per day in his “optimal” diet as a way to prevent cancer.

1994 
Hawkins NM and others. Potential aluminium toxicity in infants fed special infant formula. J Pediatr Gastroenterol Nutr 1994;19(4):377-81 (1994). Researchers found aluminum concentrations of 534 micrograms/L in soy formula, as compared to 9.2 micrograms/L in breast milk. The authors concluded that infants might be at risk from aluminium toxicity when consuming formula containing more than 300 micrograms/L.
1995
Chorazy PA and others. Persistent hypothyroidism in an infant receiving a soy formula: case report and review of the literature. Pediatrics 1995 Jul;96(1 Pt 1):148-50. The study describes a case of persistent hypothyroidism in an infant who had received soy formula.

1995
Anderson JW and others. Meta-analysis of the Effects of Soy Protein Intake on Serum Lipids. New England Journal of Medicine, 1995 333:(5):276-82. The FDA’s allowance of a health claim for soy protein is based largely on this meta-analysis, sponsored by Protein Technologies International. However, the study authors discarded eight studies for various reasons, leaving a remainder of 29. The published report suggested that individuals with cholesterol levels over 250 mg/dl would experience a “significant” reduction of 7 to 20 percent in levels of serum cholesterol if they substituted soy protein for animal protein. Cholesterol reduction was insignificant for individuals whose cholesterol was lower than 250 mg/dl. In other words, for most of the population, the substitution of meat with soy will not bring blood cholesterol levels down.

1996 
Harras A, ed. Cancer Rates and Risks, 4th Edition, 1996, National Institutes of Health, National Cancer Institute. This report shows that the Japanese, and Asians in general, have lower rates of breast and prostate cancer but much higher rates of other types of cancer, particularly cancer of the esophagus, stomach, pancreas and liver.

1996 
Fukutake M and others. Quantification of genistein and genistin in soybeans and soybean products. Food Chem Toxicol 1996;34:457-461. Average Isoflavones consumption in Japan was found to be about 10 mg per day.

1997
IEH assessment on Phytoestrogens in the Human Diet, Final Report to the Ministry of Agriculture, Fisheries and Food, UK, November 1997. This exhaustive report on phytoestrogens, prepared by the British government, failed to find much evidence of benefit and warned against potential adverse effects.

1997
Herman-Giddens ME and others. Secondary Sexual Characteristics and Menses in Young Girls Seen in Office Practice: A Study from the Pediatric Research in Office Settings Network. Pediatrics, 1997 Apr;99:(4):505-512. Investigators found that one percent of all girls now show signs of puberty, such as breast development or pubic hair, before the age of three; by age eight, 14.7 percent of white girls and almost 50 percent of African-American girls had one or both of these characteristics. Our Comment: The widespread use of soy-based formula, beginning in the 1970s, is a likely explanation for the increase in early maturation in girls.

1998
Nagata C and others. Decreased serum total cholesterol concentration is associated with high intake of soy products in Japanese men and women. J Nutr 1998 Feb;128(2):209-13. This study included a survey of soy consumption among Japanese men and women. Consumption of soy products was about 54 grams per day for women and 64 grams per day for men. The total amount of soy protein from these products was 7-8 grams providing about 25 mg Isoflavones.

1998 
Irvine CH and others. Phytoestrogens in soy-based infant foods: concentrations, daily intake and possible biological effects. Proc Soc Exp Biol Med 1998 Mar;217(3):247-53. Researchers found that soy formulas provide infants with a daily dose rate of 3 mg/kg body weight total isoflavones, “which is maintained at a fairly constant level between 0-4 months of age. . . . This rate of isoflavone intake is much greater than that shown in adult humans to alter reproductive hormones.”

1998 
Yaffe K and others. Serum estrogen levels, cognitive performance, and risk of cognitive decline in older community women. J Am Geriatr Soc 1998 Jul;46(7):918-20. Women in the higher estrone quartiles had lower performance on two cognitive tests.

1998
Irvine CH and others. Daily intake and urinary excretion of genistein and daidzein by infants fed soy- or dairy-based infant formulas. Am J Clin Nutr 1998 Dec;68(6 Suppl):1462S-1465S. Researchers found that “young infants are able to digest, absorb, and excrete genistein and daidzein from soy-based formulas as efficiently as do adults consuming soy products.

1999 
Eklund G and Oskarsson A. Exposure of cadmium from infant formulas and weaning foods. Food Addit Contam16(12):509-19 (1999). Cadmium was 6 times higher in soy formulas than cow’s milk formulas.

1999
Olguin MC and others. Intestinal alterations and reduction of growth in prepuberal rats fed with soybean [Article in Spanish]. Medicina (B Aires) 1999;59:747-752. Rats fed soy-based chow had reduced growth and an increase in gastrointestinal problems compared to controls.

1999
Nilhausen K and Meinertz H. Lipoprotein(a) and dietary proteins: casein lowers lipoprotein(a) concentrations as compared with soy protein. Am J Clin Nutr 1999;69:419-25. Many studies have shown that soy consumption can lower serum cholesterol levels. These studies have led to claims that soy can prevent heart disease. However, the theory that high cholesterol levels cause heart disease is becoming more and more untenable. Cholesterol levels are not a good marker for proneness to heart disease. However Lipoprotein(a) or Lp(a), does serve as a good marker for heart disease. This study indicates that soy raises Lp(a), meaning that it is likely to contribute to heart disease.

1999
Food Labeling: Health Claims: Soy Protein and Coronary Heart Disease, Food and Drug Administration 21 CFR Part 101 (Docket No. 98P-0683). This US government document allows a health claim for foods containing 6.25 grams of soy protein per serving. The original petition, submitted by Protein Technologies International (a division of Dupont), requested a health claim for isoflavones, the estrogen-like compounds found plentifully in soybeans, based on assertions that “only soy protein that has been processed in a manner in which isoflavones are retained will result in cholesterol-lowering.” In 1998, the FDA made the unprecedented move of rewriting PTI’s petition, removing any reference to the phytoestrogens and substituting a claim for soy protein, a move that was in direct contradiction to the agency’s regulations. The FDA is authorized to make rulings only on substances presented by petition. The abrupt change in direction was no doubt due to the fact that a number of researchers, including scientists employed by the US government, submitted documents indicating that isoflavones are toxic. The regulations stipulate that 25 grams of soy protein per day, as part of a diet low in saturated fat and cholesterol, may reduce the risk of heart disease. Twenty-five grams soy protein can contain from 24-125 mg isoflavones, depending on processing methods. Many letters were written in protest, expressing concerns about mineral blocking effects, enzyme inhibitors, goitrogenicity, endocrine disruption, reproductive problems and increased allergic reactions from consumption of soy products.

1999
Sheehan DM and Doerge DR, Letter to Dockets Management Branch (HFA-305) February 18, 1999. A strong letter of protest from two government researchers at the National Center for Toxicological Research urging that soy protein carry a warning label rather than a health claim.

1999
Ginsburg J and Prelevic GM. Is there a proven place for phytoestrogens in the menopause?” Climacteric, 1999;2:75-78. Quantification of discomfort from hot flashes is extremely subjective and most studies show that control subjects report reduction in discomfort in amounts equal to subjects given soy.

1999
White L. Association of High Midlife Tofu Consumption with Accelerated Brain Aging. Plenary Session #8: Cognitive Function, The Third International Soy Symposium, Program, November 1999, page 26. An ongoing study of Japanese Americans living in Hawaii found a significant statistical relationship between two or more servings of tofu per week and “accelerated brain aging.” Those participants who consumed tofu in mid life had lower cognitive function in late life and a greater incidence of Alzheimer’s and dementia.

2000
Clarkson TB. Soy phytoestrogens: what will be their role in postmenopausal hormone replacement therapy?Menopause 2000 Mar-Apr;7(2):71-5. Soy did not prevent bone loss when measured at autopsy in female monkeys who had had their reproductive organs removed.

2000
Vincent A and Fitzpatrick LA. Soy isoflavones: are they useful in menopause? Mayo Clin Proc 2000;75:1174-84. “Current data are insufficient to draw definitive conclusions regarding the use of isoflavones as an alternative to estrogen for hormone replacement in postmenopausal women.”

2000
North K and Golding J. A maternal vegetarian diet in pregnancy is associated with hypospadias. The ALSPAC Study Team. Avon Longitudinal Study of Pregnancy and Childhood. BJU Int 2000 Jan;85(1):107-113. Vegetarian women are more likely consume more soy than the general population. Incidence of hypospadias was twice as great in vegetarian mothers than in non-vegetarian mothers. Hypospadias is a birth defect due to interrupted development of the penis.

2000
Nakamura Y and others. Determination of the levels of isoflavonoids in soybeans and soy-derived foods and estimation of isoflavonoids in the Japanese daily intake. J AOAC Int 2000;83:635-650. This survey found that average isoflavone consumption in Japan is about 28 mg per day.

2000
Bee G. Dietary Conjugated Linoleic Acids Alter Adipose Tissue and Milk Lipids of Pregnant and Lactating Sows.J Nutr 2000;130:2292-2298. Dietary mixtures for pigs, which are carefully formulated to promote reproduction and growth, allow approximately 1 percent of the ration as soy in a diet based on grains and supplements. (Pigs have a digestive system similar to humans.) The Central Soya Company, Inc. website gives a range of 2.5 percent to 17.5 percent soy in the diet of pigs, citing a number of anti-nutritional components that “have been documented to cause gastrointestinal disturbance, intestinal damage, increased disease susceptibility and reduced performance in pigs.”

2000
Nagata C. Ecological study of the association between soy product intake and mortality from cancer and heart disease in Japan. International Journal of Epidemiology Oct 2000; 29(5):832-6. This study contained the following official conclusion: “The present study provides modest support for the preventive role of soy against stomach cancer and heart disease death.” However, only the association with lower heart disease death is correct. What the study actually found was that “Soy protein intake was significantly correlated with stomach cancer mortality rate in men” and “soy product intake estimated as total amount as well as isoflavone and soy protein intake were significantly positively correlated with colorectal cancer mortality rates in both sexes.” In other words, men who consumed lots of soy had more stomach cancer and men and women who consumed lots of soy had more colorectal cancer. These results are especially interesting as soy proponents often claim that Asians have lower rates of colorectal cancer because they eat more soy.

2001 
Strom BL and others. Exposure to soy-based formula in infancy and endocrinological and reproductive outcomes in young adulthood. JAMA 2001 Nov 21;286(19):2402-3. Although reported in the media as a vindication of soy infant formula, the study actually found that soy-fed infants had more reproductive problems and more asthma as adults.

2001
Massey LK and others. Oxalate content of soybean seeds (Glycine max: Leguminosae), soyfoods, and other edible legumes. J Agric Food Chem 2001 Sep;49(9):4262-6. Soy foods were found to be high in oxalates and likely to contribute to kidney stones.

2002
Khalil DA and others. Soy protein supplementation increases serum insulin-like growth factor-I in young and old men but does not affect markers of bone metabolism. J Nutr 2002 Sep;132(9):2605-8. Men consuming soy protein had higher levels of insulin-like growth factor-I (IGF-I) than those consuming milk protein. According to many other studies (but not stated in the report), high levels of IFG-I are also found in rBGH milk and have been implicated in causing hormonal cancers.

2002
Sun CL and others. Dietary soy and increased risk of bladder cancer: the Singapore Chinese Health Study.Cancer Epidemiol Biomarkers Prev. 2002 Dec;11(12):1674-7. People who consumed 92.5 grams of soy per 1000 Kcal were found to be 2.3 times more likely to be at risk for bladder cancer. The results were calculated to factor in levels of education and cigarette consumption in study participants.

2003
Lack G and others. Factors associates with the development of peanut allergy in childhood. N Engl J Med 2003 Mar 13;348(11):977-85. The number of children with life-threatening peanut allergies has tripled during the last decade. This study suggests a link between consumption of soy-based formula and the development of peanut allergies. Scientists at the University of Bristol monitored 14,000 babies in the southwest of England. Among the 49 children who developed a peanut allergy, almost a quarter had consumed soy milk during their first two years. (Less than 5 percent of babies overall receive soy formula in the UK.) According to lead researcher Gideon Lack, “These results suggest that sensitization to peanut may possibly occur. . . as a result of soya exposure.”

2004
Conrad S and others. Soy formula complicates management of congenital hypothyroidism. Archives of Disease in Childhood 2004 Jan;89(1):37-40. Soy formula was found to increase the level of thyroid stimulating hormones in infants.

2008
Hogervorst E and others. High Tofu Intake Is Associated with Worse Memory in Elderly Indonesian Men and Women. Dementia and Geriatric Cognitive Disorders 2008;26(1):50-7. The study found that those who ate tofu regularly had worse memory than those who did not. The study also found that tempe consumption increased memory, possibly due to its high levels of folate caused by fermentation.

2008
Banta JP and others. Whole soybean supplementation and cow age class: Effects on intake digestion, performance and reproduction of beef cows. J Anim Sci 2008.86: 1868-78. Experiments conducted found that whole soybean supplement caused increased luteal activity in mature cows at the start of the breeding season . In 2 year old cows it caused less luteal activity than normal.