Dr. Aseem Malhotra addressed the European Parliament on February 26, 2019 – see the video recording to on the left side of this screen. You may view his powerpoint here as well.
“The science of reversing type 2 diabetes with a low carbohydrate diet (and overcoming opposition from vested interests)”
Dr. Aseem Malhotra
Honorary Consultant Cardiologist, Lister Hospital Stevenage
Academy of Medical Royal Colleges Choosing Wisely Steering Group
King’s Fund – Member of Board of Trustees
(With special thanks to Professor Sir Muir Gray, Dr. Robert Lustig, Professor Simon Capewell, Dr. Kevin Hall, and Dr. David Unwin)
Dr. Malhotra pulls no punches.
“This evening I had the honor of speaking In parliament to a packed audience of MPs, lords, healthcare practitioners, and members of the public including Dr. Michael Moseley. There were no holds barred in calling out dietary misinformation coming from the establishment including Public Health England, ignorant scientists and the British Dietetic Association. Evidence based medicine has been hijacked by commercial influence but we have the solutions to fix this broken system and we must. It was also a pleasure to meet with a very receptive and friendly Secretary of State for health who was delighted to receive a copy of the Pioppi Diet. He also promised he would watch my talk and that of Dr. Zoe Harcombe that has been recorded by Ivor Cummins for you all to see soon. Special thank you to Tom Watson and Keith Vaz for making this happen!”
-Dr. Aseem Malhotra
Intro by MP Tom Watson
Two Presentations with Dr. Lustig offered by the New Jersey Academy of Pediatric Dentistry and the American Academy of Pediatrics, New Jersey Chapter offered April 12, 2019 in East Brunswick, NJ
Tooth Decay and Liver Decay
Mountain Dew Mouth has been the scourge of dentists for decades. But there’s a new disease which affects even more people: Mountain Dew Liver. Non-Alcoholic fatty liver disease (NAFLD) wasn’t even discovered until 1980; and now up to 1/3 of Americans suffer from it. Especially children – 13% of autopsies in children show NAFLD; and 38% of of obese children. Both tooth decay and non-alcoholic fatty liver disease rates have increasing. And excessive sugar consumption explains both.
Dietary sugar is composed of one molecule each of glucose and fructose. It is the fructose that is the primary driver of both diseases. While glucose contributes to the oral biofilm, fructose doesn’t. It is metabolized by oral bacteria into lactic acid, which readily diffuses though the biofilm and into the tooth. Alternatively, fructose gets turned into fat in the liver mitochondria, which drives NAFLD, which is the leading cause of liver transplantation now, surpassing alcohol. And yet who is most susceptible to both diseases? Children, because they are the biggest sugar consumers.
Doctors and dentists must be united in supporting public health measures to reduce chronic disease. Altering our diet is where public health prevention starts.
The Hacking of the American Child
Everyone is looking down. But especially kids. There is something unnatural about a 15 month old using an iPad to soothe himself or herself. Everyone assumes this is just the natural progression of our “tech society.” But what if this is doing harm to us, and to our brains? And what if children are more vulnerable than adults? Numerous politicians are calling for “reigning in” of the internet. Is this necessary?
We will answer five questions:
1) Is there such a thing as Tech Addiction?
2) Is it similar to or different than drug addiction?
3) Does technology lead to depression and suicide?
4) Have our minds been hacked?
5) Are children more at more risk?
The answers to these questions provide us a blueprint to harness technology for good, and not for ill.
“In youth-onset type 2 diabetes, the major modifiable risk factors are obesity and lifestyle habits of excess nutritional intake, low physical activity, and increased sedentary behaviors with decreased energy expenditure, resulting in the surplus of energy being stored as body fat.”
Worst yet, the authors are my Pediatric Endocrine academic colleagues. They should know better. I’m supremely disappointed in them.
The Guardian enters “The Butter Battle 2.0”. More heat than light.
Here are the 10 things everyone need to know to navigate this minefield.
- LDL-Cholesterol (LDL-C) levels (from dietary fat) correlate (but poorly)
with CV mortality.
- Triglyceride levels (from dietary sugar) correlate (much better) with CV mortality.
- LDL particle number (LDL-P) is the right measure for CVD, and higher is worse. But a standard lipid profile measures LDL-C, not LDL-P. Wrong test.
- Dietary fat raises LDL-C, but not necessarily LDL-P, while sugar raises triglyceride levels.
- Red meat is associated with increased CVD. But maybe not because of its saturated fat. In fact, dairy saturated fat is protective against CVD.
- If you have a super high LDL-C (over 200), then you probably also have a high LDL-P, and you might need a statin.
- If your LDL-C is between 70 and 200, maybe your LDL-P is high, but maybe it is not. Statins are not prescribed based on LDL-P; they are prescribed based on LDL-C. This is a bad idea, yet doctors do it all the time.
- 4/5 of the people taking statins were prescribed for high LDL-C. But this is the wrong reason. And 20% of statin takers get side-effects.
- That doesn’t mean you should stop your statin. But it also doesn’t mean you can eat butter without abandon.
- A doctor who knows what they are doing can figure your situation out. But most don’t know what they are doing; they do as they’re told.
There are two kinds of fiber. Soluble (e.g. pectins, inulin), and insoluble (cellulose). You need both. When you have both, 6 good things happen:
- The insoluble fiber forms a latticework in the duodenum, and the soluble fiber plugs the holes in the latticework to create an impenetrable secondary barrier. This limits simple carbohydrate absorption in the duodenum, thus preventing the liver from receiving all that carbohydrate at once, tamping out the tsunami of carbohydrate.
- This also reduces the glycemic excursion in the blood, so that the insulin response will be attenuated.
- If the carbohydrate isn’t absorbed in the duodenum, it goes to the jejunum, where the microbiome is, promoting microbial diversity and gut health.
- Grains are covered in insoluble fiber (the husk). If you consume them whole and non-pulverized, the enzymes in the intestine have to strip that covering off before the starch is released. That takes a lot of time, and so it happens later in the intestine, so the the bacteria can get to it.
- The soluble fiber can be fermented by intestinal bacteria to make short chain fatty acids, which also suppress insulin release and improve gut health.
- The insoluble fiber acts like little “scrubbies” on the inside of your colon to remove old and damaged cells, thus reducing risk for colon cancer.
The best fiber is where there is both soluble and insoluble. That’s everything that comes out of the ground — before it’s processed. As soon as it’s processed, it loses many of these six properties.
Photo credit: Fancycrave, Unsplash
METABOLIC SYNDROME AND MENTAL HEALTH
Modern health means metabolic health. The main pathway to chronic diseases today is the breakdown of our finely tuned metabolic machinery inside, due to processed food, lifestyle and – mental health? Stress and depression have potent effects on our behavior and creating imbalance of hormones such as glucose, insulin and inflammation. Poor mental health contributes to the metabolic syndrome, a cluster of common maladies including a large waist, high lipid levels and blood pressure, breakdown of the balance between insulin and glucose, and the most invisible to all, a fatty liver. You will hear from four experts in this area on the important topics of nutrition, optimal daily habits and how to prevent depression and the cascade of dysregulation that manifests as the metabolic syndrome.
Elissa Epel, Ph.D, is a Professor in the Department of Psychiatry at UCSF. Epel studied psychology and psychobiology at Stanford University (BA), and clinical and health psychology at Yale University (Ph.D.). She completed a clinical internship at the Palo Alto Veterans Healthcare System. Her research aims to elucidate mechanisms of healthy aging, and to apply this basic science to scalable interventions that can reach vulnerable populations. She is the Director of the Aging, Metabolism, and Emotions Lab, and the Center for Obesity Assessment, Study, & Treatment, (COAST), and Associate Director of the Center for Health and Community. With her collaborators, she is conducting clinical trials to examine the effect of self-regulation and mindfulness training programs on cellular aging, weight, diet, and glucose control.
Wolfram Alderson’s career in pursuit of social and environmental change spans across four decades. He currently serves as CEO of the Hypoglycemia Support Foundation. The broad focus of his lifetime of work has been improving human and environmental health–often by developing programs and organizations that accomplish both. In addition to being a social change agent, Wolfram is also a visual artist and writer, and has built two major therapeutic arts programs, one for refugees and one for abused children.
Dr. Lustig specializes in the field of neuroendocrinology, with an emphasis on the regulation of energy balance by the central nervous system. His research and clinical practice has focused on childhood obesity and diabetes. Dr. Lustig holds a Bachelor’s in Science from MIT, a Doctorate in Medicine from Cornell University Medical College, and a Master’s of Studies in Law from U.C. Hastings College of the Law. Dr. Lustig is the author of the bestselling books The Hacking of the American Mind: The Science Behind the Corporate Takeover of Our Bodies and Brains and Fat Chance: Beating the Odds Against Sugar, Processed Food, Obesity and Disease.
Dr. Rasgon is a professor in the departments of Psychiatry and Behavioral Sciences and Obstetrics and Gynecology at Stanford University’s School of Medicine. She began her distinguished career at Odessa Medical Institute and UCLA School of Medicine, and in 2002, she established the Center for Neuroscience in Women’s Health at Stanford University. Dr. Rasgon is considered a renowned expert in neuroendocrinology and women’s mental health. Dr. Rasgon is the author of more than 165 peer-reviewed publications, 25 book chapters, and is a reviewer for 30 professional journals. Her predominant research focus has been on neuroendocrine correlates in various models of affective and cognitive neuroscience, the treatment of bipolar disorder in women, the use of hormonal interventions during menopause and the effects on mood and cognitive function, and the interplay between endocrine function and aging.
Get Tickets Here:
The Commonwealth Club
110 The Embarcadero
Toni Rembe Rock Auditorium
San Francisco, 94105
The recent “news” about Coconut Oil may be inflammatory, but the oil is not.
Well, it’s sure not “poison”. Coconut oil has some palmitic (C16) acid, but also myristic (C14) and lauric (C12) acids. These fatty acids when free (non-esterified) are inflammatory, but in coconut oil they bound to glycerol, they are not “free”. They raise serum LDL levels, but the large buoyant, not the small dense LDL (the bad kind). There are benefits to medium-chain triglycerides (MCT’s), but coconut oil’s fats are larger than MCT’s. So coconut oil is no worse than saturated fat, and saturated fat has been shown to be neutral for CV disease and diabetes.
UCSF to Lead The Exposome & Metabolic Health on September 21, 2018
Livestreamed Sugar, Stress, Environment and Weight Symposium Fuses Research and Action
UC San Francisco experts on environmental exposures, social adversity, and health policy will lead The Exposome & Metabolic Health on Friday, September 21st at UCSF Laurel Heights Auditorium from 10:00 a.m. to 4:00 p.m. (PT).
The event, the twelfth annual COAST/Sugar Stress Environment, and Weight (SSEW) Symposium, will unite researchers, healthcare providers, environmental health, and policy advocates from across the UC Campuses in a day-long conference focusing on how exposures from our environment, both chemical and psychological, get underneath the skin and affect human metabolic health and obesity.
Obesity and related chronic diseases, such as type 2 diabetes, are some of the leading health crises of the 21st century and scientists are still trying to understand how our ‘exposome’ may play a key role. The exposome encompasses all exposures within the human physical and social environments, including air pollution, chemicals, pesticides, processed foods, chronic stress, and even our neighborhoods.
“We are at a critical moment in the history of human health and the environment, and the science we will discuss is of utmost important to public health, policy, and individuals. We must raise awareness of how our air, our food, and our social environments are impacting our health in dramatic ways, affecting us now and affecting the next generations,” says Elissa Epel, PhD, Professor of Psychiatry and Director of the UCSF Consortium for Obesity Assessment Study and Treatment (COAST): “This symposium will cover critical new science and policy actions that are of interest to all, from students to scientists to our grandparents”.
Speakers and panelists will describe the wide reaching and invisible impact of social stress and environmental toxics in our air and food on obesity. “Science shows that we are all exposed to multiple industrial chemicals, many of which are a concern for metabolic diseases. Pregnant women, children, communities of color and low-income communities can be more impacted by these exposures increasing the urgency to take actions to prevent harmful exposures” said Dr. Tracey Woodruff, Director at UCSF Environmental Health Initiative, co-sponsor of the event.
- Dr. Eve Ekman, a leading scholar and instructor of meditation and emotion regulation will begin the day with an introductory level meditation instruction, integrating environmental issues.
- Dr. Tracey Woodruff, Director of the UCSF Environmental Health Initiative, offers an overview of the field of toxic exposures and their impact on health outcomes.
Understanding our “social exposome”
- Dr. Aric Prather, UCSF Professor and Co-Director of the Consortium for Obesity Assessment, Study, and Treatment discusses how social stressors and relationships can act like environmental toxins, a concept called “social exposome”.
- Dr. Barbara Laraia, UC Berkeley Professor reveals why neighborhoods and stress have a major impact on obesity, especially during pregnancy.
Understanding interdependence with our food systems
- Dr. Jenny Jay, UCLA Professor and Researcher at the Institute of the Environment and Sustainability provides perspectives on how processed foods and water use impact both the environment and public health.
Understanding the impact of our personal choices
- Dr. Dale Bredesen, UCSF/UCLA Physician and leading expert on neurodegenerative diseases discusseshow environmental toxins may lead to Alzheimer’s disease.
- Wolfram Alderson, a social impact innovator and expert on how we can remove toxins from our personal ecosystems and our communities.
Understanding how chemical exposures work in the body
- Dr. Michele La Merrill, UC Davis Professor of environmental toxicology discusses clinical research on pesticides and metabolic health.
- Dr. Bruce Blumberg, UC Irvine Professor of Developmental and Cell Biology and leader in the field of “obesogens” discusses the role of exposures that disrupt our endocrine systems and promote obesity.
- Dr. John Balmes, UC San Francisco Professor gives insight on how air pollution impacts metabolic health.
Understanding policy implications and actions
- Dr. Laura Schmidt, Professor, UCSF, Co-Director of SSEW Initiative, and expert on food policy and food environment.
If you can’t make it in person, consider watching the talks live, or logging into Facebook and visiting the UCOP Page (facebook.com/universityofcalifornia) from 12:30pm-1:00pm and ask questions to researchers during a Facebook Live Panel.
Topics include how environment, diet, and social experiences affect the health of the next generation.
Panel moderated by Elissa Epel, PhD, UCSF and includes:
- Tracey Woodruff, PhD, UCSF Expert on how chemical exposures in pregnant women affect the next generation
- Kimberly Harley, PhD, UCB Expert on how youth are exposed to toxic endocrine disrupting chemicals through beauty and hair products
- Martyn Smith, PhD, UCB Will define the exposome and share how diet and environmental exposures impact cancers and child health
- Candice Price, PhD, UCD How diets high in sugar and soda are toxics that get under the skin, leading to metabolic disease and obesity
The Exposome & Metabolic Health is sponsored by COAST, SSEW, the UCSF Nutrition and Obesity Research Center, and the UCSF Environmental Health Initiative and the Center for Health and Community at UCSF. It is led by Drs.Elissa Epel, Laura Schmidt, and Samantha Schilf the Executive Director of the SSEW Initiative.
The “I am Sweet Enough” event brings together three world-renowned experts who will explain how and why cutting processed sugar from your diet is one of the best things you can do for your health.
Sunday September 16, 2018 – 1:00 p.m. – 4:00 p.m.
The Ben Sadowski Auditorium, Mount Sinai Hospital, Toronto
Brought to you by Renascent, a national leader in treating substance use disorders. Since 1970, Renascent has helped almost 50,000 people, becoming an accredited expert in providing hope and healing to individuals, families, loved ones, communities, and organizations impacted by addiction. Renascent’s Food Addiction Program is the first of its kind in Canada, applying an addiction model of care to help people find peace and freedom from their relationship with food.
Click here to register: https://renascent.ca/iamsweetenough/
Everyone is worried about what happened to Trump’s brain, but no one seems to be particularly worried about what’s happening to ours. The Russians hacked the election, but it’s Trump who has hacked our minds. In fact, Trump has instead turned the tables and coined a new diagnosis in a tweet: “Some people HATE the fact that I got along well with President Putin of Russia. They would rather go to war than see this. It’s called Trump Derangement Syndrome!”
Click here to read the entire article in MedPage Today.