Wednesday, December 26, 2012
Wednesday, December 19, 2012
Found at http://suppversity.blogspot.com/
Wednesday, December 12, 2012
- Grain-based desserts
- Chicken and chicken dishes
- Sodas and other sugary beverages
- Alcoholic beverages
- Pasta and pasta dishes
- Tortillas, burritos, tacos
- Beef and beef dishes
- Dairy desserts
Wednesday, December 5, 2012
First, is a study that over six months looked at Vitamin D 3 supplementation at 2000 iu a day in patients with Type II Diabetes. There were several metabolic improvements. Most notably, significant decreases in LDL (commonly called "bad cholesterol") and LDL/HDL ratio. Given our current accepted understanding of cholesterol (which may be changing, but that's a conversation for another day) and risk for coronary artery disease, you would expect to see decreased risk for cardiac events. Problems with this study are the relative small size and lack of placebo arm for comparison.
Secondly, a recent meta-analysis looked at Vitamin D supplementation and prevention of dental caries. This did show a positive association with Vitamin D supplementation and decreased dental caries up to the age of 13, at which the association did not continue. Unfortunately, this study did not break out traditional Vitamin D supplements with Vitamin D3 supplementation and as noted this was not a causal relationship but an association. Certainly, more study is warranted.
Third, a large study looked at Vitamin D levels and risk for development of diabetes. It did confirm a large relationship between Vitamin D levels and likelihood of developing diabetes. I found the following quote interesting (it does make sense):
"As the researchers explain, worldwide rates of type 1 diabetes vary by latitude, with annual age-standardized incidences ranging from a low in the tropics (0.5 per 100,000 in Venezuela) to a high near the Arctic Circle (60/100,000 in Finland). "
Another study showed a link between low Vitamin D levels and severe mental disease in adolescents. This study showed a link between development of seasonal allergies and asthma and low Vitamin D levels. Also, Low Vitamin D Linked to Alzheimer's.
These are just some highlights from the last couple of months. The bottom line is that low Vitamin D levels are highly correlated with numerous disease and metabolic abnormalities in the human body, but is it causative or associative? Which came first the chicken or the egg? Does Diabetes or Alzheimer's cause changes in the human body which inhibit Vitamin D levels? Also, does absolute level matter or does source of Vitamin D (artificial supplementation versus sun exposure)?
We need more "good" (double blind placebo controlled trials) to answer these questions. For now, I continue to recommend Vitamin D3 supplementation (dose depending on what patient's levels are found to be - usually 2000-5000 units a day). But also, get out in the sun a little. Some some exposure daily is good for us! Just don't overdo it!
Wednesday, November 28, 2012
Tuesday, November 27, 2012
Monday, November 26, 2012
My Thanksgiving meals I was able to stay Paleo without cheating, however, with travelling we did not have many fresh fruits and vegetables and hand and so the weekend meals did suffer somewhat!
So I am starting a Whole 7 challenge to myself to be ultrastrict on diet and exercise over the next seven days. Weight this morning was 182.6 pounds, up about two pounds from one week ago. I hope to get to the 178 pound mark by the end of this challenge! More updates to come!
Tuesday, November 13, 2012
This great illustration comes from the study Physical Inactivity as the Culprit of Metabolic Inflexibility. In short, physical inactivity leads to decreased clearance of cholesterol from the blood, a shift towards hyperinsulinemia and glucose as main energy substrate, increased fat deposition, and diffuse insulin resistance.
This goes in line with the blog post from a couple of weeks ago that showed decreased lipase activity with just a simple change from standing to sitting.
Get up and move! Find your inner athlete!
Friday, November 9, 2012
Friday, November 2, 2012
Thursday, November 1, 2012
My wife and I hope to compete in a couple of these in the coming year. Hope to see you there!
Wednesday, October 31, 2012
This is truly a must read piece! Unfortunately, it goes to show how "science" can be used with bias to prove just about any point. We must all exercise due diligence and use critical thinking when confronted with any news or information. Who paid for the study? Who do the researchers get grant money from? What type of study is it and how well designed is it? These are all questions we need to ask when evaluating new information.
Thursday, October 25, 2012
From their website:
"In 2008, fitness professional Sean Marszalek and food science expert Devenee Schumacher looked around at the growing number of protein supplement products, and didn’t like what they saw. Too many artificial ingredients, artificial sweeteners, inferior protein concentrates, and very few options for people with certain dietary restrictions such as diabetes."
They have developed some of the most Paleo friendly workout supplements that I have seen! The above product has zero sugar, zero carbs and zero fat! Includes high quality 100% Whey Protein Isolate and sweetened with the natural non-caloric sweetener Stevia!
They also have meal replacement bars, antioxidant drinks and fill and go shakes.
I am looking forward to trying their products and writing a full review in the future!
Wednesday, October 24, 2012
"It's not just the absolute amount of omega-3s that you take in, but also the amount relative to your levels of omega-6 fatty acids. The risk for depression may increase with a high ratio of omega-6 fatty acids -- found in corn, safflower, and soybean oil, and common in processed foods -- to omega-3s. "
Of course, those of us in the Paleo/Primal movement already knew that!
The take-home point is probably that exercise in general will help prevent or, at least, delay the onset of metabolic syndrome. More study is needed comparing the two against each other to see which is more beneficial.
In my humble opinion, I suspect that resistance training is superior. While the body's metabolic engine is superior during aerobic exercise, it fairly quickly falls off to its baseline, while resistance training generally will lead to increased metabolic efficiency throughout the day!
This is proposed by the Ontario Medical Assocation. Good for them! As stated atWeighty Matters, "A glass of grape juice contains nearly double the calories and sugar as Coca-Cola!"
Saturday, October 20, 2012
The body's utilization of lipids has clearly changed!
Wednesday, October 17, 2012
Tuesday, October 16, 2012
Next came Chris' pan seared ground chicken patty in a lettuce cup with a light sauce of lime, fish and oyster sauce and diced jalapeno. Really good!
Next came this dish that I prepared. Started with 4-5 lbs of butternut squash, which was skinned, seeds and pulp removed and then cut into 3/4" cubes. This were placed into boiling water, which was then turned down to simmer for 45 minutes. The cubes were then drained and placed into mixing bowl, salt and pepper to taste were added with 2 tbsp of butter. Then using a potato masher it was all mixed and mashed. One half of mixture was placed into bottom of 11 X 7 dish. Then a layer of pesto was added (about 1/3 a cup). I used Ina Garten's recipe. (I did not use pine nuts because of my wife's food allergy and greatly reduced the quantities in this recipe). Then 1/4 cup of grated parmesan was evenly spread on top of pesto. The rest of the butternut squash was added next and then finally another 1/4 cup of parmesan. This was then baked at 350 for 40 minutes. Cannot begin to describe how hearty this tasted!
Finally, my wonderful wive's gluten free brownie topped with a raspberry-goat cheese coulis and fresh raspberries with Danielle's chocolate-banana mousse! Along with some good Pinot Noir this was an amazing meal served with great friends!
Monday, October 8, 2012
At my medical conference, currently listening to a Harvard endocrinologist. 90 percent of what she has said is wrong! Calorie equals a calorie.....No! Avoid saturated fat ...... No! There is one word, and I'm serious, that she has not mentioned......... Sugar! How can you have a talk about obesity and not even mention sugar. Mind blowing! Simply mind blowing! Sad day for medicine.
Saturday, October 6, 2012
Will be attending a medical conference on Updates in Men and Women's Health. Look forward to writing some posts about living the Paleo lifestyle at Disney!
Friday, October 5, 2012
Tuesday, October 2, 2012
Bell Pepper Soup with Goat Cheese
2 tbsp EVOO
8 baby carrots, sliced
1/2 yellow onion, diced
1 tsp garlic
1 yellow bell pepper
1 orange bell pepper
2 red bell peppers
2 cups chicken broth
salt and pepper to taste
1/2 tsp thyme
1/8 cup goat cheese
Full fat sour cream
Saute carrots, onion, and garlic in 2 tbsp of EVOO in pot.Separate and remove seeds and pith from bell peppers. Roast and remove skins (Best done by placing in zip lock bag immediately after roasting until skins loosen). Add to pot with chicken broth. Use immersion blender to combine. Add salt, pepper, thyme and goat cheese. Use immersion blender. Plate soup in bowl. Add dollop of sour cream. Add small amt of basil pesto on top of sour cream. Sprinkle plate with parsley. Serve!
Wednesday, September 26, 2012
1/2 cup Prosciutto chopped
2 Tbsp unsalted butter
salt and pepper to taste
2 Tbsp Cracked Red Pepper Flakes
1 Spaghetti Squash, cut in half, baked at 375 for 40 minutes, pulp and seeds removed, spaghetti removed and set aside
1/2 cup low sodium chicken broth
2 Tbsp Goat Cheese, crumbled
Makes 2 Large Servings
Melt butter over medium heat, saute Prosciutto for two minutes, add Leeks and saute for 5 minutes, salt and pepper to taste, add Red Pepper Flakes, Add Spaghetti Squash and chicken broth, simmer for 10 minutes. Plate and top with goat cheese crumbles (May add more goat cheese if desired).
Tuesday, September 25, 2012
|Kenan Lecture Series presents: Marion Nestle, "Food Politics: How the Food Industry influences Nutrition and Health"|
Location: Haggin Auditorium, Mitchell Fine Arts Center Marion Nestle, professor of Nutrition, Food Studies, and Public Health at New York University, will present "Food Politics: How the Food Industry Influences Nutrition and Health." There will be a reception and book signing after the talk. For more information, contact Meg Upchurch at 8252 or firstname.lastname@example.org
Tuesday, September 18, 2012
Wednesday, September 12, 2012
"In the new report, published in the Journal of the American Medical Association, lead study author Dr. Evangelos Rizos and his colleagues completed an extensive review of existing data. They pooled results from 20 studies that included almost 70,000 adult patients.
Through rigorous statistical analyses, they said, they found no significant risk reduction in those getting increased omega-3 in their diet or through supplements."
I, personally, find nothing in this study that would make me change my high opinion of fish oil supplementation. There have been thousands of fish oil studies, why these 20 were chosen is unclear. Also, most of the f/u was for a very short duration, much too short to see a true reduction in adverse events.
Curiously enough, on September 10th the Endocrine Society released new treatment guidelines for Hypertriglyceridemia, which stated:
"Fibrates, niacin, or omega-3 fatty acids be used alone or in combination with statins in patients with moderate to severe hypertriglyceridemia."
I look forward to reviewing the full study in JAMA when released, but for now will keep up my daily Krill Oil!
Tuesday, September 11, 2012
This being my first day back after a quick trip to the Jersey Shore, it is so wonderful to have this be my first patient of the day!
Thursday, August 30, 2012
Wednesday, August 29, 2012
Tuesday, August 28, 2012
"A new study of six methods of determining a patient’s risk for heart disease has shown a CT scan of calcium build-up in the arteries around the heart might be the most accurate test.
The new study from researchers at Wake Forest Baptist Medical Center in Winston-Salem, North Carolina reviewed the effectiveness of six different heart disease indicators, including coronary calcium buildup (CAC), blood pressure in the arms and legs, carotid artery thickness, blood vessel health and family history of heart disease.
According to lead researcher Joseph Yeboah, any of these indicators could help improve the current standard of heart disease prediction, known as the Framingham Risk Score (FRS).
“We know how to treat patients at low and high risk for heart disease, but for the estimated 28 million Americans who are at intermediate risk, we still are not certain about the best way to proceed,” he explained in a news release.
“If we want to concentrate our attention on the subset of intermediate-risk patients who are at the highest risk for cardiovascular disease, CAC is clearly the best tool we have in our arsenal to identify them.”
I would be very cautious before jumping to order this test for my patients. First of all, the amount of radiation exposure is not insignificant. Second, how frequently do you have to have to test to watch for progression of disease. And, third, in my experience the coronary lesions with the most calcium tend to be the most stable plaques and much less likely to rupture and cause Acute Coronary Syndrome (a heart attack).
Saturday, August 25, 2012
It is not easy, but it can be done!
Most people are aware of the benefits of Omega 3 fatty acid supplementation via fish oil. Numerous studies show the improvement in lipid (cholesterol) parameters and some studies suggest a decreased risk for certain cancers and improvement in inflammatory conditions such as Rheumatoid Arthritis. But, it appears that not all fish oils are created equal. More studies are beginning to show that Krill Oil is probably the most beneficial fish oil supplement. Because of the unique phospholipids in Krill (the little crustaceans that whales eat), the human body shows greater absorption of the beneficial Omega 3's than any other fish oil. While studies so far have been small, their results have been very impressive!
Deutsch L. Evaluation of the effect of Neptune Krill Oil on chronic inflammation and arthritic symptoms. J Am Coll Nutr. 2007 Feb;26(1):39-48.
Kidd PM. Integrated brain restoration after ischemic stroke--medical management, risk factors, nutrients, and other interventions for managing inflammation and enhancing brain plasticity. Altern Med Rev. 2009 Mar;14(1):14-35.
Suzuki Y, Ohgami K, Shiratori K, Jin XH, Ilieva I, Koyama Y, Yazawa K, Yoshida K, Kase S, Ohno S. Suppressive effects of astaxanthin against rat endotoxin-induced uveitis by inhibiting the NF-kappaB signaling pathway. Exp Eye Res. 2005 Aug 25. Published Online Ahead of Print.
Kurashige M, Okimasu E, Inoue M, Utsumi K. Inhibition of oxidative injury of biological membranes by astaxanthin. Physiol Chem Phys Med NMR. 1990;22(1):27-38.
I have been using Neptune Krill Oil for approximately two years and I love the fact that there is no fishy aftertaste like some fish oils can cause. While any otc fish oil that states it is 100% Krill Oil should be beneficial, I personally use Neptune Krill Oil from Rejuvenation Science.