Showing posts with label Dr. Neal Barnard. Show all posts
Showing posts with label Dr. Neal Barnard. Show all posts

Tuesday, March 27, 2018

Learn How to Heal Yourself Event in the Bronx

Phenomenal Event last night with Bronx City Councilman Fernando Cabrera, Brooklyn Borough President Eric Adams and Dr. Robert Ostfeld as keynote speaker. The occasion was the introduction of the #banthebaloney bill in the City Council and the introduction of meatless Mondays in the Bronx. The background was the presentation of the Whole Foods, Plant-Based diet as the alternative.

Brooklyn Borough President Eric Adams told the story of his own complete healing from a disastrous diabetes diagnosis with complications, and subsequently the complete healing from diabetes of his 80-year old mother, who had been an active diabetic for 40 years.

The story of city Councilman Fernando Cabrera was almost more powerful than that, for when he was hospitalized, he was given 24 hours to live and he recovered completely with the whole foods, plant-based diet.

Both recognize the issue that school lunches establish bad habits for life and are introducing the #banthebaloney bill in the NY City Council to get processed meats out of school lunches, as they are no classified by the World Health Organization as a class 1 carcinogen, along with plutonium, tobacco and asbestos.


 Dr. Robert Ostfeld discussed the full range of health conditions that are improved dramatically by the Whole Foods, Plant-Based diet, more so than by any drug known to man:
ALS,
Dementia,
Stroke,
Depression,
Skin Appearance,
Ear Infections,
Periodontal disease,
Acid Reflux,
Laryngeal cancer,
Lung disease,
Breast cancer,
Heart disease,
Obesity,
Hypertension,
Diabetes,
Inflammation,
Colon cancer,
Constipation,
Lower back pain,
Sexual Function,
Osteoporosis,
Athletic performance,
Arthritis

In other words, what else do you need to know? Well maybe the following table, comparing the level of nutrition that you get on a plant-based diet versus an animal foods based diet.

The differences are laughable:
                                           Plant-based versus Animal-Based
                                           (Nutrition per 500 cal consumed)   

Cholesterol (mg)                0                             137
Fat (g)                                4                              36
Protein (mcg)                    33                            34
Beta-carotene (mcg)         29,919                     17
Dietary  fiber (g)               31                            0
Vitamin C (mg)                 293                           4
Folate (mcg)                     1168                         19
Iron (mg)                          20                             2
Magnesium (mg)              548                           51
Calcium (mg)                   545                           252

As I said: What else do you need to know?

Dr. Ostfeld also made mention that the results from the #WFPB diet for diabetics are 3x better than from a standard ADA (American Diabetes Association) diet, as documented recently by Dr. Neal Barnard in the new release of his book, Dr. Barnard's Program for Reversing Diabetes.

Wednesday, March 21, 2018

The therapeutic value of cooking, especially #WFPB

(Note: An expanded version of this note can be found here: https://hippocratessays.com/let-your-hands-do-the-talking/)

Before enlightenment, chop wood, carry water. After enlightenment, chop wood, carry water. (Zen saying)
One thing I have noticed in the transition to #WFPB is that food preparation becomes more important if you're eating more plants. Interestingly, when my girlfriend and I compared notes about our favorite moments of 2017, they were both in the kitchen. Hers was when we cut up a 60 lb jackfruit together and froze most of it, spontaneously working in perfect sync. Mine was when we were peeling some fresh beans together spontaneously after I brought them home from the local green market. I had been sitting in the kitchen peeling the beans and she saw me and joined in the fun.

How busy hands can alter our brain chemistry

Even at the busiest times in my life, cooking was always a favorite activity, and for twenty years I was married to a woman who could barely boil water, so that was a great motivation. I ran the kitchen, while she volunteered for clean-up detail.

Presently, however, my food preparation is becoming both more professional and more fun. For one thing, my current kitchen is probably 1/3rd the size of what I was used to and space efficiency counts. But, I also teach classes now.

Lately, I have been on a tour of new appreciation of simple kitchen tools. For one thing, lots of gadgets are unnecessary if you keep a good set of knives.
Also, I am finding out that sharpening knives is particularly satisfying if you learn to do it properly with whetstones. These days I am finding out that cutting up veggies with a super sharp knife is immensely satisfying, beginning with cutting up an onion without tearing. It becomes a really enjoyable craft.

And then CBS Sunday Morning recently aired a piece on how that satisfaction in manual work can work wonders for you: How busy hands can alter our brain chemistry. Suddenly, it all made sense.

Food addiction and conditioning

We are starting to understand a lot about food addiction and how we are conditioning even young kids with dairy and sugar to become addicts later in life. We now know from Dr. Neal Barnard's book The Cheese Trap, how cheese is naturally addictive. But in the packaged food and fast food business, foods are routinely engineered consciously or sometimes unwittingly for addictive properties, all in the pursuit of higher sales. It all results in a permanent state of nutritional deprivation which is the perfect setup for addictions of all sorts later in life. Often times the addictions start via the medical route. Fortunately these days there is growing awareness in the nutritional field that nutrition has a lot to do with breaking addiction. One program that is working in this area is Dr. Keith Kantor's N.A.M.E.D. program, which boast vastly improved recovery and significantly lower relapse rates in treatment of many addictions.

Medical Collusion

Sometimes consciously and sometimes unwittingly, the industrial medical complex is the perfect enabler of this type of malnutrition and nutritional deprivation, for it will sell you the drugs that allow you NOT to ever address your bad nutritional condition you are in. Thus starts the vicious circle that leads to drugs and ever more drugs, and eventually to chronic illnesses which makes you the drug industry's favorite milking cow. The diabetes pandemic is pharmageddon's best friend, and so is the cardiovascular disease complex, starting with baby aspirin, viagra, blood pressure medicines and cholesterol-lowering drugs. Each and every step gets you deeper into drug dependency and allows the disease to progress in the meantime, thus insuring that you will keep coming back.

Nutritional uprising: Whole Foods, Plant-Based diets

Currently, the Whole Foods, Plant-Based nutritional revolution is becoming almost a popular uprising against the industrialization of food, which sacrificed convenience for nutrition. In one fell swoop it is also eliminating the use of supplements and prescription drugs, as well as over the counter drugs. Plus on the whole, this new enjoyment restores the natural high that comes from great food, and from simply feeling healthy - which beats the alternative.
I recently wrote about the iThrive program, which is organized by a lay person, Jon McMahon, who is himself recovering from food addiction, diabetes and morbid obesity.
The stories abound. In a way it all started with Dr. Esselstyn and his original group of heart patients who had all been given less than a year to live by their 'expert cardiologists,' as Esselstyn refers to them, all the while taking plenty of medications. Of the eighteen, one strayed and died, but the other seventeen were still alive twenty years later, having dropped their meds, and adopted a healthy diet instead. Of course, as Esselstyn and others have pointed out, ED is just the canary in the coal mine of Cardio Vascular Disease (CVD), and prescribing Viagra is a way of suppressing the symptoms, and allowing the disease to progress unfettered, because the cause, bad diet, is never addressed. The same can be said for baby aspirin, statins, and blood pressure medications. Suppressing the symptoms in the short run makes for repeat customers later on. The population is now starting to rebel, however. Better food is something you can do yourself.


With Jon McMahon and iThrive it is the turn of the diabetics. The standard medical protocol means an average life expectancy of ten years less than of non-diabetics, and a living hell of medications and medical interventions at tremendous. Of course there had been many doctors active in this area, such as Dr. John McDougall, Dr. Neal Barnard and others. But iThrive is making it into a popular movement, and again the stories abound of people dropping hands full of medicines. If you look at the FaceBook group for iThrive, there are regular stories of diabetics getting off of insulin sometimes in a month or less, and in other cases it may take a little longer, and many drop all medicines soon after that. These were the drug industry's best customers, who are now getting their get out of jail free card, courtesy of the Whole Foods, Plant-Based diet.

Dr. Saray Stancic is adding Multiple Sclerosis (MS) to the #WFPB vocabulary as well and again, patient are dropping hands full of meds and reversing an incurable disease.

Well-being, being well and Healthy Living

It is all coming together now that health and well-being are a decision one must make. On the one hand, it is true that seven out of ten out of the leading causes of death can be prevented or reversed by changing to a Whole Foods, Plant-Based diet. This change will tend to increase life expectancy, but more importantly a better overall health will make us more resilient. A better functioning immune system will help us resist a lot of diseases, or if we do have an illness, recover faster. Sports figures are reporting in growing numbers that the Plant-Based, Whole Foods diet helps them recover from injuries quicker.

Chop wood, carry water

In the end, cooking and food prep becomes an almost meditative practice and a welcome balance to all the running around we do in our lives. In and of itself the act of cooking is therapeutic, and specifically focusing on the Whole Foods, Plant-Based diet becomes a wonderful example of day to day handiwork that becomes an almost meditative practice and in and of itself a healing process.

The pharmaceutical industry has succeeded beyond its wildest dreams in making legal drug dealers out of doctors, but the patients are now rebelling to the disguised death sentence of this type of medicine and choosing a healthy lifestyle instead. The answer to the healthcare crisis lies here.

Friday, October 27, 2017

The #WFPB Nutrition Paradigm Shift Is Under Way in the Bronx

On Friday October 27th, I attended the first annual Montefiore Preventive Cardiology Conference, which was an amazing experience.

Many of the heavyweights in the field were there, and it was a truly amazing experience. While the material was meaty, since the conference offers educational credits for medical professionals, it was accessible to the general public as well, and people had come from all over the country. There was even a delegation from the Brooklyn Borough President's office, as well as from the Mayor's office, in this week when it had just been announced that Brooklyn was launching Meatless Mondays in 15 public schools.

The speakers included the following:
  • Opening remarks by Dr. Robert Ostfeld, cardiologist at Montefiore, who was the conference organizer.
  • He was followed by Dr. Paul M. Ridker, Director of the Center for Cardiovascular Disease Prevention at the Brigham and Women's Hospital, who spoke on the issue of inflammation in cardiovascular disease. The bottom line is that cholesterol levels and inflammation are equally important in cardiovascular disease (CVD).
  • Next came Dr. Neal Barnard (he of PCRM fame), who spoke on the role of nutrition in the prevention and treatment of diabetes. The bottom line is that the ADA approach (low carb), does not work nearly as well as a Whole Foods Plant-Based diet without added sugar, oil or salt, and that this is now fully scientifically proven. It is notable that fruit is healthy for diabetics because the sugar in the context of fruit is not a problem, it's the refined sugar we add to food that is the problem. Carbs are also essential, and sugar in and of itself does not cause diabetes, fat does. So, the avoidance of added oils and fats is critical. Most importantly, once a patient starts on the diet, the changes can happen so fast that medical supervision is critical since otherwise people can become hypoglycemic if their medications are not adjusted in a timely fashion. Not in all cases, but for probably two thirds of diabetics it seems realistically possible to get off of medicine and insulin altogether within weeks or months.
    Dr. Barnard's graphical illustrations of the diabetes mechanism were extremely helpful.
    Barnard also brought up a fascinating report on Geico, where he was involved in lowering health care costs with a Whole Foods Plant Based diet, for a company that is self-insured for health. This type of development could point the way towards a better solution for our healthcare crisis. Whole Foods operates along similar lines.
  • Next was Dr. Kim Williams of Rush University Medical Center in Chicago and former president of the American College of Cardiology, who spoke on "Describing My Evolution Toward Advocating for a Lifestyle Oriented Approach for the Prevention and Treatment of Cardiovascular Disease. A very engaging speech - you can get a little taste here.
  • Next up was Dr. Caldwell Esselstyn, Jr. and it is always a delight to hear him state his core position, that heart disease is a toothless paper tiger that does not even exist, not to mention how amazing it is that this has become a multi-billion dollar medical specialty in the Western world, without anybody wondering why large parts of the world do not even have this problem. In short, coronary heart disease is entirely preventable and in most cases (except when it is totally critical) reversible with diet and exercise.
  • Finally, Dr. Robert Ostfeld spoke specifically on the challenges of the Bronx, the borough that steadily always comes in at #62 of 62 counties in NY in the Robert Woods Johnson survey of health outcomes for the state. With his customary sense of humor he described the challenges of working in a poor community and focusing on teaching people to make the transition to a WFPB diet on a budget.
  • Next, there was a panel discussion, which also included Dr. Michelle McMacken, Assistant Professor of Medicine at NYU School of Medicine and Director of the Adult Weight Management Program at Bellevue Hospital.
One of the more hilarious moments of the day (and there were many) was in the presentation by Dr. Kim Williams about a study where the relationship of dietary intake to premature death from heart disease was analyzed. At first it seemed the study indicated that red meat was worse than eggs, until it became clear that consumption of eggs causes cancer, and the patients in the study died from cancer before they died from heart disease. Conclusion: eggs are the incredible, edible carcinogen.

Another salient point that came out during the day was the difference between a "vegan" diet, defined in the negative (no animal products), but not observing the whole foods paradigm, which often produces worse health outcomes than a meat-based diet. This confirms again that "vegan" is not a useful category from a nutritional standpoint, for a whole foods plant-based diet, without added Sugar, Oil and Salt is really the issue. Potato chips, Coca Cola and chocolate may make a "vegan" diet, they do not add up to a healthy lifestyle.

Overall, it is increasingly clear that the Whole Foods, Plant-Based nutritional model is slowly becoming main stream and in fact that the adoption is picking up speed as evidenced by the developments in Brooklyn, which now are getting the support from the mayor's office, as well as the adoption in hospitals, such as the Montefiore health system, which includes five hospitals. Both AMA and the American College of Cardiology now recommend that hospitals offer plant-based menu options at every meal.

Throughout the day the food was excellent and a worthwhile demonstration of the variations that are possible within the #WFPB paradigm. The sky is the limit. Literally - as was also emphasized by various speakers - #WFPB is more bulky but you lose weight automatically and end up returning to a homeostatic, healthy weight. Overeating is never a problem because the diet is rich in fiber and nutritionally abundant as long as people eat enough different foods. There is no such thing as a protein deficiency if people eat a reasonably varied plant-based diet, and likewise the notion of supplements is completely moot, with the sole exception of B12. It was not discussed in detail, but there was mention of the fact that supplements from bottles can indeed easily be counter productive - everything is more easily absorbed from food, and the plant based diet will provide abundant nutrients.

Another simple way of looking at the problem is this: your body produces all the cholesterol it really needs, you need no dietary cholesterol ever. Plant-based nutrition has zero cholesterol and all animal-based nutrition has cholesterol, hence you should not eat it. 

As to added sugar, oil and salt: 
  • sugar is harmless in fruit, but adding refined sugar in any form is bad news
  • added oil is always bad, it damages the endothelium immediately, preventing your bloodvessels from dilating normally with exercise. You'll get about 10% of your calories from naturally occurring oil if you include small amounts of nuts, avocado or coconut in your diet, but, generally speaking, all plants contain small amounts of oil naturally, so it is easy to go over.
  • as to salt, 2,000 micro grams per day is all you need which is easy to meet if you eat all plants, and sometimes you can even add a sprinkle, but generally you want to use herbs and spices for seasoning, not salt. All vegetables and grains contain sodium naturally.
Meanwhile, it is clear that different doctors have slightly different attitudes in practice, but they all focus on helping patients with at least a half-day of intensive nutrition counseling that includes the significant other, in order to help people get on track about their diet and stay on track. In Dr. Ostfeld's program at the Montefiore Cardiac Wellness program, this is typically a half-day program on a Saturday, that includes food so people leave inspired about the many options that exist within the plant-based paradigm.

Ostfeld tends to be rather mild and focuses on not letting the perfect get in the way of the merely good: progress is progress. The other side of that coin is that, as reported above, a sloppy and only nominally "vegan" diet is really counter productive, and in practice is often the reason why would-be vegans fail. Esselstyn typically does not allow his patients any wiggle room for that reason, for he knows that once you are on the right track, you will feel so much better, you will not want to get off it. One thing sums up the difference perhaps. Esselstyn recommends 6 fist-sized green leafies per day, typically cooked kale with balsamic vinegar, which taken together is great for nitrous oxide production. Ostfeld, more modestly, ask for four. Personally I find that cooked kale, drizzled with balsamic vinegar is an absolute delight, and I miss it when I don't have it.

Post Script:
In other news, the movie Code Blue is being announced, which is going to be a next chapter in the adoption of the Plant-based nutritional program in clinical practice. It reminds us of the fact that 86% of our healthcare spending is on treating the degenerative chronic diseases, which by and large are the result of bad diet and conversely are preventable and most often reversible with a Whole Foods Plant-Based diet. If we can eliminate 75% of the 86%, we will have largely solved the healthcare crisis. In this conference only heart disease and diabetes were being discussed at length, though the more general application was mentioned. The movie Code Blue is going to add MS to the discussion. The implications are truly staggering.