Monkeying with Calorie Restriction

If you thought yesterday’s post about calorie restriction was interesting, you’ll love this report—it’s got monkeys! Everyone loves monkeys. Especially a healthy looking social monkey and an overweight lethargic grumpy one—the primate odd couple!

The New York Times introduces us to Canto and Owen, two rhesus monkeys on totally different sides of the calorie restriction spectrum. Canto who eats 445 calories a day is healthier and much younger looking than his buddy Owen who consumes 885 calories daily—Owen doesn’t appear happy about it. Some scientists believe the plight of Canto and Owen sheds serious light on the benefits of calorie restriction for humans. Michael Mason reports:
Researchers at Washington University in St. Louis have been tracking the health of small groups of calorie-restricted dieters. Earlier this year, they reported that the dieters had better-functioning hearts and fewer signs of inflammation, which is a precursor to clogged arteries, than similar subjects on regular diets.

In previous studies, people in calorie-restricted groups were shown to have lower levels of LDL, the so-called bad cholesterol, and triglycerides. They also showed higher levels of HDL, the so-called good cholesterol, virtually no arterial blockage and, like Mr. Linksvayer, remarkably low blood pressure.

“Calorie restriction has a powerful, protective effect against diseases associated with aging,” said Dr. John O. Holloszy, a Washington University professor of medicine. “We don’t know how long each individual will end up living, but they certainly have a longer life expectancy than average.”

Researchers at Louisiana State University reported in April in The Journal of the American Medical Association that patients on an experimental low-calorie diet had lower insulin levels and body temperatures, both possible markers of longevity, and fewer signs of the chromosomal damage typically associated with aging.
Anyone else want a pet rhesus monkey now?

Announcing Radio Fuhrman

“Nutritional Wisdom” with Dr. Fuhrman will debut Wednesday, November 15, 2006 at 11 a.m. E.S.T. on the VoiceAmericaTM Network, www.modavox.com/voiceamerica, the world’s leading live Internet Talk Radio Broadcasting company.

Each week, Dr. Fuhrman will discuss vital health topics that will put you in control of your own health destiny. He will speak with guests, including patients, who have had successful recoveries utilizing his nutritional and natural methods. Dr. Fuhrman will also answer questions from listeners during the broadcast and conclude each show with a scrumptious nutrient-rich recipe.

For years, Dr. Fuhrman has been advising clients through a simple scientific formula: Health = Nutrients / Calories. Through this simple formula, Dr. Fuhrman’s advice has helped individuals reduce their need for medications, lose weight faster than ever thought possible, and dramatically improve their overall health.

VoiceAmerica Network, online since 1999, is a world-renowned live internet talk radio broadcasting company. Monthly listeners on the VoiceAmerica Network as a whole currently stand at over 550,000 listeners.

Tune in weekly, Wednesdays at 11 a.m. E.S.T. to www.modavox.com/voiceamerica to listen to “Nutritional Wisdom” with Dr. Fuhrman. Also for your convenience archived shows are available on the network.

Check out the list of upcoming shows:

SHOW #1 Wednesday, Nov. 15, 2006
Topic Title: Nutrition Can Win the War on Cancer

SHOW #2 Wednesday, Nov. 22, 2006
Topic Title: Nobody Should Die of Heart Disease

SHOW #3 Wednesday, Nov. 29, 2006
Topic Title: Food Addiction – the Cause of Obesity

SHOW #4 Wednesday, Dec. 6, 2006
Topic Title: The secret weapon for permanent weight loss

SHOW #5 Wednesday, Dec.13, 2006
Topic Title: Don’t Control Your Diabetes – Get Rid of It!

SHOW #6 Wednesday, December 20
Topic Title: Childhood Diets Create Adult Cancers

SHOW #7 Wednesday, December 27
Topic Title: Nutrition Can Defeat Autoimmune Disease

SHOW #8 Wednesday, January 3
Topic Title: Banish Your Headaches

SHOW #9 Wednesday, January 10
Topic Title: Why Eat to Live – The Basics

SHOW #10 Wednesday, January 17
Topic Title: Nutrition Beats Drugs for High Blood Pressure and Cholesterol

SHOW #11 Wednesday, January 24
Topic Title: Feeding Kids Right

SHOW #12 Wednesday, January 31
Topic Title: Strong Bones for Life

SHOW #13 Wednesday, February 7
Topic Title: Why All Diets Fail

Gaining Weight During the Holidays

Believe it or not, but the holidays are fast-approaching and you know what that means? Lots and lots of eating. Believe me I know, I’m Italian and we eat at the drop of a hat—birthdays we eat, Christmas we eat, somebody’s born we eat, somebody dies we eat—bottom line, we eat!

How about you? Do you up the eating around the holidays? If you do, you’re not alone. Anahad O’Connor of The New York Times reveals that most people gain one pound due to holiday feasting. Not too bad considering the popular belief is five to ten pounds. Here’s more on this:
According to most studies on the subject, the average person gains one to two pounds from Thanksgiving to New Year’s Day. One of the most recent and thorough studies to examine the idea, published in The New England Journal of Medicine in 2000, followed a diverse group of about 200 adults, half men.

Although this isn’t the same for everybody, O’Conner points out that some studies indicated ten percent of people gained more than five pounds during the holidays—that ten percent is probably coming from my family.
So, what do you do if you’re an Eat to Liver and you’re worried about weight-gain, but you don’t want to miss out on holiday festivities? Remember this excerpt from Eat to Live? It should help you manage your cheating ways:
We are all tempted by treats. It is easier to resist if you get them out of the house completely. All cheats should be done outside of your home. If possible, associate with friends who will support you in recovering your health—or may join you in trying to be healthy.

Once you regain your health and feel great, you are less likely to crave these foods or be so tempted. Then, when you do deviate from a healthful diet, it is likely you will feel poorly, have persistent dry mouth, and not sleep well. If you go off your diet and eat junk food on occasion, mark it on your calendar and consider it a special occasion that you won’t repeat too often.

Nobody is perfect; however, do not let your weight yo-yo. You must adhere to the plan strictly enough so that you never put back on whatever weight you do take off.

Is Heart Disease Totally Preventable?

From the November 2003 edition of Dr. Fuhrman’s Healthy Times:

If we do a careful look at the scientific evidence at our disposal, we can make some claims with a strong degree of certainty. It is my belief that every heart attack death is an appalling tragedy because that person did not have to die. I believe every bypass surgery, every angioplasty, and every emergency treatment for heart attack could have been prevented. If all cardiac patients, heart-disease sufferers, and even those who will soon die of cardiac arrest were given the option a few years ago to choose to eat and live healthfully in order to be free of heart disease, what do you think they would have chosen to do?

I am convinced that if all of these individuals had been convincingly informed that heart disease and premature death could be avoided and that health could be improved dramatically with changes in diet and lifestyle, they would not have chosen suffering and premature death. Faced with this sober choice, diet and lifestyle changes would seem a delightfully enjoyable choice.

Here is the preliminary evidence and experience we have accumulated so far:

1. The Eat to Live vegetable, fruit, nut, and bean-based diet has been shown to be the most effective cholesterol-lowering dietary approach in medical history. This newsworthy data with the potential to save millions of lives has been ignored by the mass media. With this dietary approach, most patients drop their total cholesterol below 150 and LDL below 100, without the need for medications.

2. During the two years that the Eat to Live vegetable, fruit, nut, and bean-based diet has been under research study by the University of Southern California, patients have shown an average weight loss of forty-nine pounds, the most sustained weight loss ever recorded in a medical study in history.

3. In areas of the world where people eat a diet of unrefined plant foods, people have total cholesterol levels below 150, and there is zero incidence of heart disease in the population.1

4. Caldwell Esselstyn, Jr., M.D., of the Cleveland Clinic Foundation followed a group of eighteen patients with advanced heart disease who adopted a plant-based vegetarian diet, with the addition of cholesterol-lowering drugs to maintain cholesterol levels below 150. These individuals experienced no heart attacks and no cardiologic interventions over the next twelve years, whereas in the eight years prior to the study, these patients had experienced forty-nine coronary events. Adherence to the diet was the key factor determining the absence of future cardiac disease.

5. My experience with thousands of patients over the past thirteen years, utilizing a high-nutrient, plant-based approach to diet, with the addition of natural cholesterol-lowering therapies when needed to assure adequate cholesterol-lowering, corroborates Dr. Esselstyn’s observations. No cardiac events have occurred in my patients, even patients with advanced disease, who were long-term-compliant to this cardio-protective lifestyle. Both Dr. Esselstyn’s and my patients report that their physician’s commitment to the same dietary approach was a powerful aid to patient compliance.

6. Combining modest dietary changes (as suggested by the American Heart Association and conventional physicians and dietitians) with medications to aggressively lower cholesterol lessens risk but does not result in the elimination of cardiac disease.2 To be 100 percent effective in preventing cardiac death, you need both cholesterol-lowering and adherence to the protective diet outlined in Eat to Live.

7. Aggressive dietary intervention alone significantly lessens risk, but does not preclude the possibility of cardiac disease. You need to assure cholesterol-lowering in conjunction with a protective diet to ensure maximal effectiveness. You also need to assure homocysteine levels are normalized, with supplementation if necessary.

8. The vegetarian diets typically suggested by leading vegetarian authors and advocates do not lower cholesterol or triglycerides or improve lipid profiles to the extent that the vegetable-based Eat to Live approach does. Neither do they result in the dramatic protection and dramatic reversal of atherosclerosis seen by my patients. My approach emphasizes the consumption of cholesterol- lowering fibers and nutrients found in natural foods—greens, fruits, beans, and nuts. The Ornish studies, which demonstrated reversal of coronary artery disease in the majority of patients, likewise did not see the dramatic benefits I routinely observe.

9. Attempting risk factor reduction with drugs while patients continue to eat the toxic American diet results in only marginal benefits because patients remain overweight and glucose intolerant, and have low levels of protective phytochemicals. Since the dietary causes of disease are not eliminated, chronic illness advances. Medications can result in dangerous side effects, including muscle and liver damage, memory loss, and—in some rare cases—death. Lowering cholesterol, blood pressure, and blood sugar with medications while giving patients permission to continue their toxic dietary habits is unacceptably inferior care—care that results in patients gradually growing sicker and sicker.

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Salmonella in Our Food

Evidently food contamination is this year’s next big thing. First it started with spinach, then carrot juice, and now health officials believe a recent salmonella outbreak is linked to lettuce and tomatoes—the salad industry must be annoyed. Mike Stobbe of the Associated Press has more:
Health officials think the bacteria may have spread through some form of produce; the list of suspects includes lettuce and tomatoes. But the illnesses have not been tied to any specific product, chain, restaurants or supermarkets.

No one has died in the outbreak, which stems from a common form of salmonella bacteria. Eleven people have been hospitalized, health officials said.
The CDC discovered the outbreak using a national computer system; the states involved are Arkansas, Connecticut, Georgia, Indiana, Kentucky, Maine, Massachusetts, Michigan, Minnesota, North Carolina, New Hampshire, Ohio, Pennsylvania, Rhode Island, Tennessee, Virginia, Vermont, and Wisconsin.

Halloween Grand Rounds

Giving Calorie Restriction a Whirl

Ever heard of calorie-restrictive diets? If you read Eat to Live you’ll probably remember Dr. Fuhrman saying, “Reduced caloric intake is the only experimental technique to consistently extend maximum life span. This has been shown in all species tested, from insects and fish to rats and cats.” Intriguing, right?

Recently Julian Dibbell of New York Magazine played the part of journalist/guinea pig as he assumed an ultra-extreme calorie restrictive diet for two months. What he uncovered is fascinating.

Most impressive is after two months of CR (what the cool kids call calorie restriction) he dropped over twenty pounds, going from five-eleven 178 pounds to his high-school weight of 157. One thing Dibbell points out that really grabbed my attention was the “high” a calorie restrictive diet can create. No, I’m not kidding. Apparently CR actually induces a bona fide chemical high. Check it out:
Had I noticed the manic gleam in Paul’s eye before this? Maybe not, but there is no mistaking it now, and as I contemplate his peculiar fervor for the food he isn’t eating, I am brought face to face at last with a question that’s been taking shape within me from the moment I met him: Dude, are you high?

I don’t put the question to him in quite those terms, but his answer, basically, is yes: He is high, and chemically so. “When you fast for seventeen hours at a low glucose rate, brain-derived neurotrophic factor is released, which is a chemical which creates optimism,” says Paul. “This brain-derived neurotrophic factor is actually a natural part of the chemical thing that happens to me every day … I feel pretty exhilarated right now.”

I believe him, but only because I’ve felt something like it myself.

It’s no secret. From mystics to anorexics, people who go for long periods without eating often report feeling more awake and energetic, even euphoric. It’s nice for a while, but even the calorie-restricted can get too much of it. When April started CR, she often went long stretches between meals and eventually decided something was a little off. “It makes you feel like you’re on drugs; I got too euphoric,” she says. “You know, thinking you’re in love when you’re not.” She switched to a more consistent, balanced eating schedule, came back down to Earth, and that, she says with a shrug, was that:

“It’s like, ‘Eat something! You’re not in love.’ ”
Dibbell also points out that CR in some cases can heighten sex-drive (it can also reduce do it too). CR sounds pretty appealing to me—you lose weight, get high, and have lots of sex—where do I sign up?

Health Points: Monday

More than two dozen "food detectives" fanned out in the quest to determine where the contamination had occurred along the greens' journey from field to fork. They collected spinach leaves from processing plants. They frightened cows near fields of greens to induce defecation and collect their manure. They dipped beakers into water used to irrigate farms or wash the spinach.
  • Wait, no more trans fat? Time to run out and eat Kentucky Fried Chicken—not! Well, I guess it’s still a good thing that KFC is switching to no-trans-fat soybean oil. But you still won’t find an Eat to Liver hanging with the colonel anytime soon. David B. Caruso of the Associated Press has more:
KFC's systemwide rollout is to be completed by April 2007, but the company said many of its approximately 5,500 restaurants already have switched to low linolenic soybean oil, replacing partially hydrogenated soybean oil.
  • Why—since obesity is so bad—are there so many obese people in this country and abroad? That’s a complicated question, with probably no single answer, but one thing’s for sure there’s more than just one drawback to being obese—like Polycystic Ovary Syndrome, Robert Preidt of Healthday News explains:
Overweight and obese women are five times more likely than lean women to have polycystic ovary syndrome, a new Spanish study finds.

Polycystic ovary syndrome, which decreases fertility, occurs when the ovaries malfunction and levels of the hormone androgen in the body are unusually high. Symptoms include acne, excess hair growth, and irregular or no menstrual periods.
The idea of using economic incentives to help people shed pounds comes up in the periodic calls for taxes on junk food. Martin B. Schmidt, an economist at the College of William and Mary, suggests a tax on food bought at drive-through windows. Describing his theory in a recent Op-Ed article in The New York Times, Dr. Schmidt said people would expend more calories if they had to get out of their cars to pick up their food.
  • I’m hardly trendy—text messaging, reality television, and the Atkins diet are all totally wasted on me. So it shouldn’t shock anyone that energy drinks don’t turn me on either. Although many doctors have taken notice because as Carla K. Johnson of the Associated Press reports caffeine overload is dangerous:
Nutritionists warn that the drinks, laden with caffeine and sugar, can hook kids on an unhealthy jolt-and-crash cycle. The caffeine comes from multiple sources, making it hard to tell how much the drinks contain. Some have B vitamins, which when taken in megadoses can cause rapid heartbeat, and numbness and tingling in the hands and feet.
Nuts and chocolate: Dr. Walter Willett, professor of epidemiology and nutrition at the Harvard School of Public Health. "They might be cashews or almonds or something like that," he says. Not peanuts, though, because of the issue with allergies. He doesn't think sugar candy is a better nutritional choice. "That sounds like a little bit of lingering fat phobia," he says. "Sugar candy has zero nutrition. Chocolate does seem to have some health benefits."

Why NFL Players Shouldn't be Nutritionists

When Chicago Bears wider-receiver Bernard Berrian isn’t torching defensive-backs—and my fantasy team—he occasionally shares dietary advice with school children. His number one recommendation? Bacon and maple syrup. I know what you’re thinking—what the? Yeah, I’m calling a foul on this one too.

Yesterday during ESPN’s Mayne Event he shared some dietary advice with bunch of school kids. Here’s how it went:
Bernard: Hello kids.


Classroom: Hello!

Bernard: Do any of you know what it takes to make it in the NFL?

Redhead freckle-faced ginger-kid: Four-three forty speed?

Kid-giggles.

Bernard: That always helps, but first you have to lay a foundation—make your body strong. Do any of you know how to do that?

Pretentious kid with overly dramatic delivery: Massive amounts of jumping-jacks?

Bernard: No, I’m talking about diet—the food you put in your body. Before ever game in college I used to eat bacon and syrup, and I brought some with me. Come on everybody let’s eat!

And the crowd goes wild.
What ensued was a melee of animal fat drizzled in hearty helpings of liquid sugar. Correct me if I’m wrong, but aren’t these the types of things school food reforms are trying to knock out? It gets worse, here’s my favorite—well not-so-favorite—quote from Bernard:
It’s the perfect combination, you should eat it everyday and you’ll be in the NFL too.
Now, I’m not so Fuhrman-ized that I don’t realize this piece is intended for humor. I know Bernard Berrian isn’t really campaigning to make bacon and syrup one of the food groups, but still, what kind of a message does it send?

Especially—as Dr. Fuhrman puts it—a lot animal products aren’t exactly longevity-promoting:
For athletes, as I explain in Eat to Live, I recommend much more nuts and seeds, and a diet mugh higher in fat. Because keep in mind that bulking up is dangerous to one's longevity and power lifters and football linebackers often eat in a way that radically shortens their lives. If you were a weightlifter, for instance, you might improve your chances of muscle growth with more animal products then I recommend, certainly. But my point is too much animal products is not conducive to longevity. But if size is your only goal, go for it.
NFL players aren't the only ones with twisted diets, take a look at what Detriot Pistons' shooting-guard Richard Hamilton is eating.

Score a Goal, Eat a Cupcake

I admit, I’m more than eager to trot this story out again-again, but do you remember last week’s post about England’s meat pie pushing mothers? You know. Those uber-moms who started selling hamburgers to students outside of schools in spite of the recent initiatives to improve school food. You got to appreciate that kind of caring—and degree of mental illness!

Well, here’s an example of some homegrown, good old-fashioned American dietary dopiness. How many of you remember the post-soccer-game orange slices? You do, good. But what about the post-game chips, juice-boxes, Ho Hos, and Hawaiian Punch? No? From The New York Times Op-Ed section, Harlan Coben tells us all about it—and he’s none to happy:
Are none of us reading about the obesity of our young people? Do you think it helps their well-being that after every sporting event our children gorge themselves Fall-of-Roman-Empire style on extra calories, extra sugar, extra hydrogenated fat? I recently sat down with Annette O’Neill, a registered dietitian and bona fide nutritionist, and asked her, “Do you think it’s a good idea for our kids to have Cheetos and Kool-Aid after a sporting event?” Her response: “Uh, no.”
Coben certainly is amazed with our cultures propensity to incorporate snacking into every facet of our lives. I guess that’s one reason why it can be so hard to teach kids the importance of healthy eating, especially since—as Coben puts it—every classroom celebration involves softball-sized cupcakes.

If you’re fed up like Coben, check out this podcast where Dr. Fuhrman offers up tips on getting children to eat well.

Dietary Restriction, Health Eating, and Anorexia Nervosa

Adapted from Dr. Fuhrman’s book Disease-Proof Your Child:

Some parents fear that adopting dietary guidelines for health and discussing proper weight with their children could lead to anorexia nervosa, particularly in girls. This myth should be dispelled.

While kids on one extreme are getting bigger, a small percentage of children (usually teenage girls) suffer from eating disorders that can cause dangerous malnutrition. Such low calorie and nutrient levels can be harmful and even fatal.

We should not forget that the most common eating disorder is the high-calorie, empty-nutrient diet that most teens eat, leading to an epidemic of overweight adolescents. We know that overweight adolescents have double the chances of heart disease and dying of prematurely of their non-overweight peers.1 The fear of discussing healthy eating and the importance of a healthy, slim weight should not be discouraged due to an unfounded fear of causing anorexia. We know that anorexia is not the result of teaching and encouraging healthy eating to achieve an ideal weight.

Anorexia nervosa is a serious problem, potentially life-threatening mental disorder, manifesting itself as a failure to maintain a minimal body weight. It occurs predominantly among adolescent females, the majority of whom have underlying depression and anxiety.

This condition stems from psychiatric issues; anorexia is not simply a nutritional problem and its management is difficult and challenging. In many cases the disturbed eating pattern represents a coping effort to manage anger, sadness, and frustration. It is recognized that dysfunctional family dynamics are frequently involved and need to be addressed. This disorder is often preceded by parental psychopathology, maladaptive parenting, childhood maltreatment, and other childhood adversities.2
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Health Points: Friday

Samples taken from a wild pig, as well as from stream water and cattle on the ranch, have tested positive for the same strain of E. coli implicated in the outbreak, Dr. Kevin Reilly of the California Department of Health Services said in a conference call with reporters.
For state officials and environmentalists, the notice, released in the form of an official advisory urging children and women who might be pregnant to eat Puget Sound chinook no more than once a week, served as "another sign that Puget Sound is sick and we must take action now," said Gov. Christine Gregoire, who is pushing for a new plan to clean up the Sound.
Chapman screamed for her husband and called 911. She ran upstairs to put on clothes for the ambulance ride and passed out in her bedroom. When firefighters arrived, they almost beat down the door before a groggy Randy Chapman turned the knob.
At Cheesecake Factory Inc., "we're known for our generous portions" and the value they offer, said Howard Gordon, a senior vice president of the chain whose signature dish is dozens of varieties of cheesecake, the ultimate sin dessert.
The incident was the latest in a string of mass food-poisoning outbreaks since August, all but one of them in schools. The cases appear to be unrelated.
"The trick is that you still have to give them candy," Aquafresh senior brand manager Tom Baxter said with a laugh. He handed out the contradictory combination of candy and toothpaste from his house in Pine last year, the first Halloween the company tried it, and he will do so again next week.
Allergic reactions differ from one person to the next and can occur within minutes to as long as eight hours after eating a peanut. A mild reaction might include an itchy rash or a tingling feeling on the lips, tongue or roof of the mouth, or nausea or stomach cramps. A more severe reaction, known as anaphylaxis, may include swelling of the face and throat, difficulty breathing, collapse or drowsiness.
''I think that parents, when they realize they just can't roll down the (vehicle) window to protect their children from second hand smoke ... will stop smoking in their cars,'' said Action on Smoking and Health director Becky Freeman.

Veggies Not Great for Cancer Protection?

In Eat to Live Dr. Fuhrman says he considers cancer a disease resulting from fruit and vegetable deficiency. Here are his reasons:
  • Vegetables and fruits protect against all types of cancers if consumed in large enough quantities. Hundreds of scientific studies document this. The most prevalent cancers in our country are mostly plant-food-deficiency disease.
  • Raw vegetables have the most powerful anti-cancer properties of all foods.
  • Studies on the cancer-reducing effects of vitamin pills containing various nutrients (such as folate, vitamin C and E) get mixed reviews; sometimes they show a slight benefit, but most show no benefit. Occasionally studies show that taking isolated nutrients is harmful, as was discussed earlier regarding beta-carotene.
  • Beans, in general, not just soy, have additional anti-cancer benefits against reproductive cancers, such as breast and prostate cancer.1
I point this out because today there’s a video on CNN stating that fruits and vegetables just don’t offer the big-bang for cancer protection that researchers once thought. Now, I’ve watched the video a few times and I still don’t understand their claim.


They say fruits and vegetables aren’t the saviors many thought them to be, but the report still recommends people eat a diet heavy in diverse plant matter. Hard to know what to make of that.
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Getting Their Garden On

Remember The Edible Schoolyard from earlier this year? The program designed to help counter childhood obesity by teaching kids the importance of growing and eating natural food. It’s the brainchild of Alice Waters, restaurateur and founder of the Chez Panisse Foundation. Well it appears The Edible Schoolyard isn’t the only game in town—or should I say garden.

Today I discovered Urban Sprouts School Gardens, a nonprofit organization that uses school gardens to encourage young people to grow, harvest, prepare, and eat fresh vegetables. That ought to cure the notion that food magically appears in grocery stores.

Here are a few posts of note:

Dr. Fuhrman's Diet Advice for Prostate Health

From the July 2005 edition of Dr. Fuhrman’s Healthy Times:

1. Eat a variety of colorful fruits and vegetables, rich not only in lycopene but in thousands of other protective compounds. Each year, researchers find another carotenoid that has powerful beneficial effects and reduces cancer. Spinach was this year’s recipient of the anti-prostate cancer award, with researchers in Japan finding neoxanthin compounds (a class of carotenoids) that powerfully inhibit prostate cancer. In the past, pink grapefruit, watermelon, cooked tomatoes, pomegranate, cruciferous vegetables, red peppers, berries, figs, and many other foods all have been shown to inhibit the development of prostate cancer.

2. Drink a glass of fresh squeezed vegetable juice daily.

3. Have a bowl of soup made with cruciferous greens, leeks and beans almost every day.

4. Limit or avoid animal products to less than 5 percent of total calories, and don’t drink milk or eat cheese or butter. Do not take flaxseed oil; studies suggest it may worsen prostate cancer. Limit the use of all oil, using avocado, whole nuts, and seeds as the main source of fat in your diet and in sauces and salad dressings.

5. Take a multivitamin daily to assure adequate selenium, iodine, B12, and other trace minerals.

6. Take a small amount of DHA fat daily or a few times a week, to assure ideal omega-3 status.

7. Get a blood test for vitamin D every few years to assure you do not need additional supplementation. At the same time, check blood for homocysteine and MMA (methylmalonic acid) to assure that B12 and folate status are ideal.

World's Strongest Delivery Man

To be honest this article seems like an idea for a beer commercial—postal workers, FedEx drivers, and contractors the same as professional athletes? It’s not as crazy as it sounds. Bradley Melekian of The New York Times explains many blue-collar workers are getting fit to better endure the rigors of their jobs:
But today, a growing number of men and women whose jobs are unrelenting marathons of exertion have realized that they have more in common with professional athletes than deskbound professionals…


…To be able to run up flights of stairs with a hundred pounds of roofing material on his back, John Entrekin, a self-employed contractor in Cherry Hill, N.J., hired a personal trainer. Several nights a week, he undergoes a cross-training regimen at a branch of Velocity Sports Performance, a nationwide personal-training facility.
Melekian explains that many employers are embracing this trend and hiring on-site athletic trainers to help these “industrial athletes” develop exercise routines.

Even though this still makes me think of construction workers in plaid flannel downing cold ones after a hard day’s work, I totally relate to the trend. Having worked on my feet during most of my adolescence, I can honestly say I was never more fit than when I was stocking shelves and unloading boxes. And to make my job easier, I did a lot of exercising.

Health Points: Wednesday

Antioxidants, like those found in fruits and vegetables, may help prevent damage to sperm that causes them to become sluggish and lose the ability to fertilize an egg, Dr. Vivian Lewis, a professor of obstetrics and gynecology at the University of Rochester in Rochester, N.Y. said.
Some 1.7 million cars could be filled with gas for an entire year using the 938 million gallons of fuel that could be saved by trimming down the weight of drivers and passengers, Sheldon Jacobson, a computer science professor at the University of Illinois at Urbana-Champaign said.
  • Since we live in a country with a significant obesity, it should surprise anyone that many of our pets are battling the bulge too. Surprise-surprise it’s not good for them either. Dawn Fallik of The Philadelphia Inquirer explains:
It's not so cute anymore. With 40 percent of animals over the age of 4 regarded as overweight, veterinarians say they are seeing more diabetes, joint problems and other health issues similar to those of their heavy humans. And they are calling on owners to step up to the plate, so to speak, and put their pets on a diet.
  • Just this morning, I jumped out of bed and wondered out loud—we need purple tomatoes damn it! Well today must be my lucky day, because according to the Associated Press scientists have struck gold, purple gold:
Oregon State University researchers are fine-tuning a purple tomato -- a new blend of colors and nutrients. The skin is as dark as an eggplant. But it doesn't just look cool -- it could be better for you.
  • Convincing kids that smoking isn’t cool has got to be a tall order. Heck, I grew up thinking it was cool. A new strategy aims at discouraging teens from picking up the habit—anti-smoking messages in DVDs. Reuters reports:
"These messages will fight false film images of healthy and hip smokers with the real hard truth of addiction and disease," Connecticut Attorney General Richard Blumenthal said in a statement Tuesday announcing the agreement.
After statistically adjusting for age, body mass index, physical activity, alcohol intake and other factors, they found that the more cola women drank, the lower their bone density. Compared with those who drank none, those who drank cola daily had reduced bone density at the hip ranging from 2.1 percent to 5.4 percent, depending on the exact site of the measurement.
The study found that dronabinol relaxes the colon and reduces post-eating contractions and cramping. The effect was most apparent in women.
This isn't the first time Cocaine has been yanked. Some stores in the New York area pulled the drink after local politicians complained. It's all part of the company's plan to stand out in the fast-growing energy drink market.

Wednesday: Vegan Points

Nobody loves fruits and vegetables like vegans...
The boys were VERY excited to see each other, and we wanted to run some energy out. Well, they ran around, but still had lots of energy! We got back to Clay's house, and made pizza for supper, then the boys danced around crazy to some techno-dance music that Lucas brought over. They all had fun.
The researchers found that a low-fat vegetarian diet may be even more effective at treating Type 2 diabetes symptoms than the standard diet recommended by the American Diabetes Association.

Check out the news report: Vegan Diet Can be Beneficial

Okay, so I'm not 100% there yet. I've been at it for about 3 months now (more like 2 1/2) and the transitioning process for myself and my family is going okay. I've hit some bumps along the way but it's getting there. My husband still comes home from the grocery store with what he thought were some good vegan buys, and lo and behold, there's something in it like whey or casein. He's not that great at reading labels.
Cholesterol is only found in foods sourced from mammals, birds or fish, and since oats are a grain product they do not contain cholesterol. An easy way to remember which foods contain cholesterol is to ask yourself whether the product came from something that used to walk, fly or swim. If so, it contains cholesterol.


Here's the link to Quaker Oats Canada.

ADHD Over-Diagnosis and Treatment Options

When I was a kid, as far as I was aware, not one of my classmates had Attention Deficit Hyperactivity Disorder (ADHD). In fact, it wasn’t until high school that I realized lots of grade school children had this condition. Now, many years later, it seems ADHD is everywhere.

In Disease-Proof Your Child Dr. Fuhrman says, “The diagnosis and treatment of Attention Deficit Hyperactivity Disorder has skyrocketed in recent years, with a tremendous increase in the percentage of our elementary school children who are taking amphetamines and stimulants such as Ritalin, Adderall, Concerta, Cylert, and others.” So as a layman, I wonder—what's going on here? Is this some kind of epidemic?

Dr. Flea, a doctor-blogger offers some evidence for the over-diagnosis of ADHD. He references an article in The Scientific Review of Mental Health Practice (SRMHP):
ADHD is diagnosed and treated differently in communities across the United States, as evidenced by the 30-fold variation in per capita rates of Ritalin use. The probability that ADHD is diagnosed appropriately in some communities should not serve to dismiss concerns about overdiagnosis in all communities. Rates of treatment are consistently highest among younger (i.e., under age 10), nonminority, and male school-age children. The evidence of ADHD overdiagnosis is obscured when findings are reported without respect to geographic location, race, gender, and age. The fact that ADHD is clearly overdiagnosed in some communities and among some groups of children (e.g., one in every three white elementary-aged boys in southeastern Virginia) is lost in nationwide estimates of ADHD drug treatment. It is essential that mechanisms be established to track rates of child mental health diagnoses and psychotropic drug treatment and its outcomes among American children. Until we have a better understanding of these issues, it is appropriate to be judicious in our use of psychotropic medications and cautious about dismissal of concern about ADHD overdiagnosis.
In Disease-Proof Your Child Dr. Fuhrman explains that, “As many as 9 percent of school-age children show symptoms of ADHD such as inattention, hyperactivity, impulsivity, academic underachievement, or behavioral problems.”1 He goes on further to explain that stimulants and amphetamines are unnecessary for treating these children, and that nutritional excellence is a better option:
These medications with their reported adverse effects and potential dangers were simply unnecessary for so many children whom I have seen as patients. I have witnessed consistently positive results when these children followed my comprehensive program of nutritional excellence. The scientific studies lending support to a comprehensive nutritional approach to treating ADHD are ignored by physicians, and drugs are generally the only method offered.


Most new cases of ADHD are of the inattentive subtype. Inattentive ADHD are the children who have a short attention span, are easily distracted, and can appear to be a brain fog; they do not have hyperactivity. Research on the use of psychostimulants in these patients has shown high rate of nonresponders, and although medications showed a short-term decrease in symptoms, they did not improve grade point averages.2

Before a parent begins to consider the pros and cons of starting their inattentive child on stimulants such as Ritalin, they should give nutritional excellence a trial. Nobody knows for sure the long-term dangers of these stimulant drugs or if taking them for a long period of time during childhood increases one’s later life risk of cancer. There certainly is some risk, especially because they can cause cancerous tumors in mice.3

What has been shown to be highly effective in some recent studies is high-nutrient eating, removal of processed foods, and supplementation with omega-3 fatty acids.4 The difference between my approach and others is that it changes a poor diet into an excellent one, supplying an adequate amount of thousands of important nutrients that work synergistically as well as removing those noxious substances such as chemical additives, trans fat, saturated fats, and empty-calorie food that place a nutritional stress on our brain cells. I believe this comprehensive approach is more effective; the scientific literature suggests this, and I have observed this in my practice with hundreds of ADHD children who have see me as patients.
Check out this previous post for George Grant’s success story: Children, ADHD, and Nutrition
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Vegetables and Brain Health

A staple topic for Followhealthlife are the many benefits of eating leafy green vegetables—just look at all the posts:
I’m sure in a few months we’ll have double that! And news like this will certainly help get us there. According to the Associated Press new research shows eating green leafy vegetables including spinach, kale, and collards may help slow the mental decline associated with getting older. Lindsey Tanner reports:
On measures of mental sharpness, older people who ate more than two servings of vegetables daily appeared about five years younger at the end of the six-year study than those who ate few or no vegetables.
Researchers believe that the healthy amounts of vitamin E contained in leafy greens help fight chemicals that damage cells. Behold the power of the green!

Grand Rounds 3.5: A Visual Tour

The latest Grand Rounds is now up on Health Care Law Blog. This week includes Followhealthlife's post Gone Fishing Again.

Health Points: Monday

Doctors say it is good news that the number of pounds gained is less than the widely believed 15, but bad news that "Generation XL" kids seem to be learning patterns of gradual weight gain that could spell trouble way beyond graduation.
  • Okay fellow gym rats, how many of you get stiff or sore from working out? It certainly happens to me from time to time. Jeannine Stein of The Los Angeles Times explains the right stretches can help get you right:
Your stiffness and soreness might be due to the fact that although weight-lifting increases the size of the muscle, it does nothing to make the muscles more flexible, according to Suzanne Martin, an Alameda-based physical therapist, Pilates instructor and author of the book "Stretching." For that, you need to stretch.
But a now-ponderous stack of research has shown that trans fats raise heart disease risk four to five times more sharply than do saturated fats. Trans fats both raise "bad" cholesterol, or LDL, and cause "good" cholesterol, or HDL, to drop, while saturated fats only raise LDL. Moreover, trans fats are linked to ailments such as diabetes and dementia, said Walter Willett, chairman of the department of nutrition at Harvard University's School of Public Health.
Scientists pointed to numerous factors that contribute to 32.7 percent of boys under 10 and 27.8 percent of girls being overweight: massive portions at meals, the "energy density" -- calories per gram -- of food eaten, children being drive rather than walking to school, and ethnic group, among others.
Obesity -- which affects one in every three Americans -- and the illnesses associated with it cost the United States some 90.7 billion dollars a year in health care costs, a University of Pennsylvania researcher said.
  • I don’t think this will alarm too many Eat to Livers, but we have an egg salad crisis. The Associated Press reports suspected contamination caused a particular brand to be recalled from seventeen states:
Ballard's President David Ballard said the company has temporarily suspended producing egg salad while it investigates the contamination. Consumers can return the 12-ounce containers of egg salad for a refund.
"There is an overwhelming number of studies that show a link between obesity and breast cancer," Cheryl Rock of the University of California, San Diego said at the annual conference of the North American Association for the Study of Obesity (NAASO).

Hospital Food Woes

Having worked at a hospital, I can tell you—the food is pretty iffy. But to be fair it wasn’t all that dissimilar from other cafeteria fare I’ve encountered. It looked a lot like the grub brooding lunch ladies used to ice-cream-scoop onto my tray in high school—probably the same half-life too!

Now, I’m not the only one to call into question the biology of hospital food. UroStream, the friendly urologist, was on call this weekend, meaning she was stranded at the hospital—and hungry! What did she do? The real question is what did she encounter? I’ll let her explain:
The soup today was something called "Chef Special Gumbo". After stirring the pot, I'm convinced it's an amalgamation of all the leftover soups that were prepared during that week. I'm seeing some chicken, beef, rice, beans, tomatoes, okra and other unidentifiable veggie parts swimming in a brownish broth. The main entree, labeled "Chef Surprise" looks like meat in a heavy sauce. I think the surprise is in guessing what this mystery meat is. At least the fries are fresh, and you can't really mess up coffee and sodas.
I’m a little concerned, aren’t you? Amalgam soup and meat with heavy sauce? Poor UroStream.

I point this out not only because it’s a funny story, but because the quality of hospital food never ceases to amaze me. The hospital, the place most people consider tabernacles of health—serving French fries, brownish broths, and mystery meat? I don’t get it. You’d think hospitals would be the strongest pushers of fruits and veggies.

Not so, at my old job I repeatedly saw coworkers flooding out of the cafeteria with lunch trays piled high with soft drinks, desserts, burgers, and just about every form of "al fredo" you can imagine. And to make matters worse, many of them were a little more than pleasantly plump!

To be honest, I don’t find stories like UroStream’s so surprising anymore, with so much obesity news out there it almost seems logical that hospitals would at least be partially responsible too. I guess in some respects they are just as guilty of working around obesity (that was a pun) than trying prevent it. Want an example?

Earlier this year the Associated Press reported that some hospitals are buying larger more heavy duty equipment to accommodate the needs of obese patients; items like bigger hospital beds and lifting contraptions. Like I said in April, more evidence of our band-aid approach to controlling obesity:
Barnes-Jewish Hospital in St. Louis [is] finding better ways to deal with the growing number of very obese patients, an issue for many U.S. hospitals. Barnes-Jewish is replacing beds and wheelchairs with bigger models, widening doorways, buying larger CT scan machines, even replacing slippers and gowns.


Last year, patient care director Colleen Becker decided to check the numbers. She looked at a daily hospital census — about one-third of the 900 patients weighed 350 pounds or more.
And as for UroStream, hopefully next time she ventures into the hospital cafeteria there will be at least a few desirable items for her to choose from—maybe some identifiable veggie parts!

Monday: Vegan Points

Urea—Urea comes from urine and other "bodily fluids." It’s used to "brown" baked goods, like pretzels. Um, yeah. And the oven is for ??
My Monstera fruit finally ripened. This is really not a good fruit for someone who is impatient. From all accounts, if you wait until it's not fully ripened the black stuff you see in the center can be toxic. Not lethal or anything, but it might cause a reaction.
I have been mostly off Eat to Live in the last week as money is really tight because of tires, brakes, and new “used” clothes so I couldn’t splurge on fruits and vegetables as I have been doing in the last few weeks. And I am having such a hard time finding great fruit ! I don’t know what is happening but the last two batches of nectarines were so awful that nobody ate them. It’s apple season and that is mostly what I have had for fruit. It gets boring rather quickly. I still don’t eat vegetable oil though. BUT, the BUTT is still there, and I am stuck at 164. I eat bread, pasta, and I don’t limit the amounts.
"Many foods contain goitrogens, compounds that interfere with thyroid function (and in extreme cases can cause an enlarged thyroid, called a goiter). Along with soyfoods, millet, cruciferous vegetables and other foods contain goitrogens. Generally, these foods cause problems only in areas where iodine intake is low since this mineral is important for thyroid function. The effects of iodine deficiency can be made worse if the diet is high in goitrogens."

Pediatric Grand Rounds, Volume 1, Edition 14

Gone Fishing Again

Obesity and weight-loss are incredibly popular and often reoccurring topics in health news, but another one that comes up a lot is fish. Is it good for us? How much should we eat? What about mercury contamination? The list goes on and on. There is a lot of uncertainty surrounding fish, but one thing is for sure, the mass media message to consumers is mixed.

A recent article in The Los Angeles Times points out that even the Environmental Protection Agency acknowledges the confusion over fish consumption. Here’s an excerpt from reporter Marla Cone’s article:
The scientists, assigned the task of balancing the benefits of seafood with the dangers posed by contaminants, echoed the 2004 guidelines of the Food and Drug Administration and the Environmental Protection Agency. But they said the message to American consumers had been fragmented and confusing, and they advised the agencies to develop new tools for informing the public.
So, you’re probably asking, “What’s been done about it?” To answer that I’ll reference the title of Cone’s report, Scientists Say Seafood's Benefits Outweigh Risks. You can’t say it any clearer. According to scientists Americans do not eat enough fish. And since fish is high in protein, low in saturated fats, and contains omega-3 fatty acids, we should overlook its contamination issues and gobble up suggested “safe” amounts. What are they you ask?

According to Cone’s report adults, children, and people at risk of heart disease should eat two three-ounce servings a week. Children under the age of thirteen and women who are or may become pregnant, or who are nursing, should eat the two weekly servings, but should avoid larger predatory fish. How’s that sit with you? Let’s see what Dr. Fuhrman has to say about all this.

Dr. Fuhrman recognizes the confusion fish consumption can create. In a previous post entitled Fish: Pollution Risks, he expounds:
Fish and shellfish contain high concentrations of protein and other essential nutrients, are low in saturated fat, and contain the valuable omega-3 fatty acids, EPA and DHA. These food factors are thought to contribute to heart health and to children’s proper growth and development (there is overwhelming evidence confirming the health benefits of omega-3 fatty acids), which is why fish and shellfish are considered to be an important part of a well-balanced diet. Unfortunately, in addition to EPA and DHA, nearly all fish and shellfish contain mercury and other pollutants. Since these toxins in fish have potential health risks, wouldn’t it make sense to look for a cleaner, safer source for our omega-3 fats?
Okay, so what about the idea of acceptable levels of mercury and consuming so-called safe amounts of fish? More from Dr. Fuhrman’s post:
EPA makes recommendations for what it considers an acceptable level of mercury in a pregnant woman’s body. As the recognition that mercury damages the brains of our children has increased in the last two decades, EPA has had to lower the “acceptable” level more than once…


… No fish is completely free of mercury and other pollutants. If you eat fish regularly, your body is undoubtedly high in mercury. You cannot remove the mercury from the fish by trimming the fat or by cooking because it is deposited throughout the fish’s tissues. I’ve observed that a person’s mercury level correlates exceptionally well with the amount of fish consumed, and medical studies back up this observation. Individuals eating fish a few times a week have been found to have blood mercury levels exceeding the maximum level recommended by the National Academy of Sciences, which is a blood level of below 5 micrograms. Women eating seafood more than twice per week have been found to have 7 times the blood mercury levels compared with women who rarely eat fish, and children eating fish regularly were found to have mercury levels 40 times higher than the national mean.1,2
By now you’re probably wondering what Dr. Fuhrman’s recommendations for eating fish are. In Fishing for the Truth he gives his bottom line:
Choose fish over other animal products, but be aware that the place where it was caught, and the type of fish, matters. Don't accept recreational fish from questionable waters. Farmed fish is safer. Never eat high-mercury-content fish. Don't eat fish more than twice a week, and if you have a family history of hemorrhagic stroke, limit it further to only once a month.
And in case you’re interested, in Ten Super Foods to Use in Your Recipes and Menus Dr. Fuhrman provides an alternate source of omega-3 fatty acids, flaxseeds:
Flax Seeds are rich in lignans and omega-3 fatty acids, and scientific studies have confirmed that flax seeds have a positive influence on everything from cholesterol levels and constipation to cancer and heart disease. Use ground flax seed in oatmeal, or add them to whipped frozen bananas, stewed apples, and cinnamon and nut balls. Keep in mind that the scientifically documented benefits from flax seeds come from raw, ground flax seed, not flax seed oil.
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Ugly Veggie

Now, I know this is pretty neat, but still, these people have too much time on their hands. Ladies and gentlemen, The National Trust is proud to present the winners of The Ugly Veg Competition. It’s those zany English again—well at least it’s not as loony as hustling meat pies:
We are happy to announce that a parsnip grown in Bedfordshire, but resembling a creature from the abyss, is top of the crops in our Ugly Veg Competition to find the ugliest veg in England.

The overall winner, grown by Mrs. Hilary Nellist in Bedford, stood out from the rest of the vegetables, its tangled shape giving it an uncanny similarity to a creature from the depths of the ocean.
I think the parsnip is going to have some self-esteem issues.

Are You Ready for Some Weight-Loss?

The National Football League has joined the fight against childhood obesity. Recently giving 1.5 million dollars to fund the What Moves You program, designed to address the decline of physical education in schools. Karen Matthews of the Associated Press reports school children in Manhattan recently got quite the surprise visitor:
New York Giants quarterback Eli Manning dropped by a Manhattan public school this week where he showed eighth-graders how to add some exercise to their math class. He had them perform squats, then count their own heart rates for 15 seconds and multiply by four to calculate their heartbeats per minute.
The program is pretty far reaching. According to Matthews 25,000 middle schools from all over the country will receive lesson plans intended to broaden students’ physical activity.

Clearly this program has good intentions, but the irony is that many NFL players—who are professional athletes—have a high risk of developing metabolic syndrome, according to a June 5th article in HealthDay News. Reporter Steven Reinberg described metabolic syndrome as the group of risk factors for heart disease, including high blood pressure, obesity, high cholesterol, and high blood sugar.

For more on this issue read Weight-loss, Grief, and the Gridiron to learn why Philadelphia Eagles right guard Shawn Andrews decided to change his life around.

Do Microwaves Kill Your Food?

Anahad O’Connor of The New York Times investigates the concern that microwave ovens destroy the nutrients in food and vegetables. Studies contend that microwaves actually do less damage than conventional ovens because microwaves use less heat and require shorter cooking times:
In studies at Cornell University, scientists looked at the effects of cooking on water-soluble vitamins in vegetables and found that spinach retained nearly all its folate when cooked in a microwave, but lost about 77 percent when cooked on a stove.
O’Connor does mention in the piece that not all cooking compromises the nutrients in veggies. He points out that a study published in The Journal of the Science of Food and Agriculture determined broccoli when steamed retained most of its nutrients.

Dr. Fuhrman has tackled this topic on Followhealthlife before. In a previous post, The Cold Truth About Raw Food Diets, he examines the question, “Are cooked foods really dead foods?” Here’s an excerpt:
It is true that when food is baked at high temperatures—and especially when it is fried or barbecued—toxic compounds are formed and important nutrients are lost. Many vitamins are water-soluble, and a significant percent can be lost with cooking, especially overcooking. Similarly, many plant enzymes function as phytochemical nutrients in our body and can be useful to maximize health. They, too, can be destroyed by overcooking…


…In many cases, cooking destroys some of the harmful anti-nutrients that bind minerals in the gut and interfere with the utilization of nutrients. Destruction of these anti-nutrients increases absorption. Steaming vegetables and making vegetable soups breaks down cellulose and alters the plants’ cell structures so that fewer of your own enzymes are needed to digest the food, not more. The point is that this “cooked food is dead food” enzyme argument does not hold water. On the other hand, the roasting of nuts and the baking of cereals does reduce availability and absorbability of protein.

Wednesday: Eat to Live and Veggie Points

Today:
Breakfast: smoothie
Lunch: romaine with blood orange vinegar, baby carrots
Dinner: Dr. Fuhrman's Anti-Cancer Soup with broccoli raab
Exercise: 45 min w/Maya, 15 min bike
  • Veggielicious is detoxing. She’s trying stay on the Eat to Live bandwagon, but seems to be having a difficult time doing it:
I had a smoothie at 9am and it's 11am and I'm craving something (it's more of a detox thing than real hunger). I'm also feeling pretty tired- laying down on the couch sounds great-- but I'm at work. I sort of want Starbucks but I don't want to have to keep going through this detox over and over so I'm going to try and stay away. I'll probably snack on some of my lunch (raw baby carrots, snap peas and steamed asparagus with homemade hummus and an apple) soon to avoid that. I'm stressed but I'm trying not to make my food about that. I need to step up my game at work and at school before I get myself into a serious pickle. So on that note, I need to get back to work!
So I'll be training pretty much every day in order to get into shape! Speaking of getting into shape, I've lost 8lbs following a modified version of Eat To Live. I really admire the E2Lers who gave up sugar. I've tried and tried and I don't want to say I can't but it's so hard. But I have been consuming a lot less of it, which I am extremely proud of myself for. I've never really gave cooking the time of day, but when I went vegan I knew I needed to cook. Of course I would primarily cook sweets. Now that's changed. I still make sweets, but very rarely and usually for someone else (doesn't mean I won't eat any though :D). I've upped my veggie intake so I'm eating them at every meal, even for breakfast!! I'll usually eat a salad for breakfast now.
Hubby, the economist, thought that if we followed Eat to Live, we would be spending a lot of money on food (and our food budget is currently a big source of contention). So, I set off to determine how much it would cost the average American to follow Eat to Live.
i can't believe i've made it almost 3 weeks already this is a miracle honestly. i wanted to make it this far when i first started it up again, but i didn't have much faith in myself...i was taking it one moment at a time, now i'm getting more comfortable with being able to not eat stuff, because i have my goal in mind. right now there's apple pie on the counter, i don't even want any! how is that possible!?! it's amazing.
am i cured already from my unhealthy habits? my energy is amazingly high. i hardly feel tired anymore...i wake up refreshed.. it's madness.. complete and utter madness..
They actually remind of the raw bars I purchased once at Natural Zing. I'll probably make them on a regular basis. I found that eating one while I was on the bus going home prevented me from being ravenous when I got home, which is a good thing.

Eat to Live and Dietary Recommendations for Children

Adapted from Dr. Fuhrman’s book Eat to Live:

How do you modify your recommendations about superior nutrition and disease prevention for children or those not needing to lose weight?


I believe the diet we currently feed our children is the reason we are seeing so many frequent infections and such high levels of allergies, autoimmune disease, and cancer in this country. Unfortunately, what we eat early in life has a more powerful effect on your eventual health (or ill health) than what we eat later in life. I have three daughters and understand the difficulties of trying to raise healthy children in today’s insane world. It seems we are in an environment in which parents are enthusiastically and purposely breeding a nation of sickly and diseased adults.

In my community, parents and neighbors unknowingly attempt to poison their children at every opportunity. They don’t merely feed their own children a diet chock-full of sugar and trans fat, but at every birthday, athletic event, and social occasion they bring sugar-coated doughnuts, cupcakes, and candy for the entire crowd. The public schoolroom in my community also serves as another avenue for parents and teachers to regularly supply our children with junk food. I would expect, as parents, we all have the same goal of trying to get our children to eat more nutritious foods: more vegetables, fruits, raw nuts and seeds, and legumes and beans. However, no child will eat healthfully if he is allowed to eat unhealthy foods on a regular basis.

The only way to have a child eat healthfully is to clear all unhealthful foods out of the house, so when the children are hungry they are forced to pick from healthy choices. They will at least eat healthfully when they are home if they are presented with only healthy food choices.

Nevertheless, the dietary rules in Eat to Live would be too calorie-restricted and too fat-restricted for a child or thin athlete. However, the principles for healthy eating and longevity do not change. All that has to be done to increase the caloric density and fat density of the diet is to add more wholesome sources of fat and calories, such as raw nuts and seeds, nut butters, and avocados. Starchy vegetables and whole grains can be consumed in larger amounts, and vegetable and grain dishes can be flavored with sauces and dressing made with nuts and seeds.

If you want to gain weight, eating more—or eating differently to bulk up—will add mostly fat to your body. It is exceptionally rare for a person to gain more muscle just from eating more food. Forcing yourself to consume more food than your body wants is not in your best interest. If you want to gain weight, lift weights to add muscle; then the exercise will increase your appetite accordingly. When you eat a healthful diet, nature has you carry only the mass you need; your muscles will enlarge only if additional stress is placed on them. Of course, Eat to Live is designed for those who are overweight and desirous of losing weight. Those who are truly excessively thin, and need to gain weight, may have to modify this eating plan somewhat to meet their individual needs.

Slap a Mickey on that Banana

Last month the Associated Press reported that Disney was licensing its characters to farmers to help them market fresh produce to children; part of an initiative to improve childhood nutrition. Disney’s head of food products licensing had this comment:
"We're doing it predominantly because it is the right thing to do, but secondarily because it is the right business to be in," said Harry Dollman, head of food products licensing for Disney.

"Concerns about the right nutrition for kids is not a fad; it's not something that will be overtaken by another trend," he said.
Today The Los Angeles Times has a nice follow story that provides more details on the move. Times staff writer Joseph Menn explains Disney has tightened guidelines for which foods Mickey Mouse and the gang will populate:
In its licensing deals, which reach more consumers, by 2009 Disney will limit portion sizes and in most cases refuse to tie its brand to foods that get more than 30% of their calories from fat, more than 10% from saturated fat or more than 10% from added sugar. Exceptions will be reduced to 15% of Disney-related foods by 2010.
Menn’s article also points out that Disney failed to renew a 10-year, $1-billion promotional pact with the McDonald's Corporation. Disney felt a relationship with McDonald’s would be difficult to justify as the corporation made stronger inroads in the fight to prevent childhood obesity.

Like yesterday’s post Get Crafty With Your Veggies, I don’t think Dr. Fuhrman would be hip with everything Disney is up to. After all, according to Menn’s report, Disney would still allow their characters to endorse refined foods like Cheerios and Rice Krispies (and 30% of calories from fat is a lot) but, once again, it’s a start!

NY Times: Puberty in Preschool

In Disease-Proof Your Child Dr. Fuhrman discusses the onset of early puberty in children consuming the Western diet. No one wants to think about preschoolers going through puberty, but a recent article in The New York Times investigates and the information is startling. Darshak M. Sanghavi reports:
Increasingly — though the science is still far from definitive and the precise number of such cases is highly speculative — some physicians worry that children are at higher risk of early puberty as a result of the increasing prevalence of certain drugs, cosmetics and environmental contaminants, called “endocrine disruptors,” that can cause breast growth, pubic hair development and other symptoms of puberty.


Most commonly, outbreaks of puberty in children are traced to accidental drug exposures from products that are used incorrectly.
In addition to these potential causes Sanghavi cites a study from The Lancet that connected breast enlargement among hundreds of Italian schoolchildren to estrogen contamination of beef and poultry.

Much of Disease-Proof Your Child describes the trend toward earlier puberty--which correlates with later cancer risk--and makes specific recommendations. Dr. Fuhrman describes how a diet heavy with fruit and vegetables, especially starting at a young age, can play a major role.
Worldwide, there is a linear relationship between higher-fat animal products, saturated fat intake, and breast cancer.1 However, there are areas of the world even today where populations eat predominantly unrefined plant foods in childhood and breast cancer is simply unheard of. Rates of breast cancer deaths (in the 50-to-70 age range) range widely from 3.4 per 100,000 in Gambia to 10 per 100,000 in rural China, 20 per 100,000 in India, 90 per 100,000 in the United States, and 120 per 100,000 in the United Kingdom and Switzerland2…


…Fat cells produce estrogen, so excess fat on the body during childhood results in more estrogen production. A large volume of high fiber from fruits and vegetables in the gut serves to lower circulating estrogen naturally. The high fiber and the resultant healthy bacteria that colonize the gut of a person consuming a high produce diet conjugates (binds together) estrogens so they are more readily excreted in the stool. As estrogen cycles into and out of the digestive tract, a person eating more animal products and less high-fiber vegetation reabsorbs more estrogen from the digestive tract, rather than losing more in the stool.

Diet powerfully modulates estrogen levels. One recent study illustrated that eight-to-ten-year-olds, closely followed with dietary intervention for seven years, dramatically lowered their estrogen levels compared to a control group with dietary modification.3 Clearly, changing the diet of our children after the age of eight is not futile. It will lower the risk of developing cancer, even when the most sensitive years affecting growth and age of puberty have passed. The good news is that we are not helpless after childhood to reduce the risk.
For more on this topic, check out these previous posts:
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Michael Pollan on American Farming

All this talk about spinach, E. coli, cow poop, and processing plants can really make your head spin. But, in case your brains aren’t fried yet, take a look this recent article by New York Times writer Michael Pollan. Maybe the problem isn’t just the E. coli, it might be our farms, pastures, and just are whole food chain in general:
If industrial farming gave us this bug, it is industrial eating that has spread it far and wide. We don’t yet know exactly what happened in the case of the spinach washed and packed by Natural Selection Foods, whether it was contaminated in the field or in the processing plant or if perhaps the sealed bags made a trivial contamination worse. But we do know that a great deal of spinach from a great many fields gets mixed together in the water at that plant, giving microbes from a single field an opportunity to contaminate a vast amount of food. The plant in question washes 26 million servings of salad every week. In effect, we’re washing the whole nation’s salad in one big sink.

Get Crafty With Your Veggies

If you sniff around the Followhealthlife’s recipe category you’ll see many of the recipes call for preparing veggies in unconventional ways, like the Green Banana Power Blended Salad and Dr. Fuhrman’s Famous Anti-Cancer Soup. How many people do you know who blend their greens?

Hey, if that’s what it takes to get people to eat their spinach—blend away! This kind of culinary creativity is catching on. In fact, Reader’s Digest has a great article about ways to include more veggies into your diet. Ever try pureeing veggies with tomato sauce? No? Take a look:
5. Once a week, have an entrée salad. A salade niçoise is a good example: mixed greens, steamed green beans, boiled potatoes, sliced hard-boiled egg, and tuna drizzled with vinaigrette. Serve with crusty whole grain bread. Bon appétit!


6. Fill your spaghetti sauce with vegetables. We typically take a jar of low-sodium prepared sauce and add in string beans, peas, corn, bell peppers, mushrooms, tomatoes and more. Like it chunky? Cut them in big pieces. Don't want to know they're there? Shred or puree them with a bit of sauce in the blender, then add.
Now I don’t know if Dr. Fuhrman would appreciate all of the suggestions, some of them include using salt, sugar, and artificial sweeteners, but, it’s a start.

Dr. Fuhrman on the Happy Housewives Club

Stay at home moms, working moms, dads—all sorts of parents play an important role in raising kids, especially when it comes to teaching healthy eating. How do I know this? Dr. Fuhrman wrote a book about it, Disease-Proof Your Child. Here’s an excerpt:

Here is the most important: No rules only for children. If the parents are not willing to follow the rules set for the house, they should not be imposed on the children. Don’t argue about what your children should and shouldn’t be eating; discuss this in private. As parents, we must be consistent, but not perfect. Likewise, it is okay for the children to be consistent, but not perfect either. For example, if the parents decide that an unhealthy food or a restaurant meal is acceptable for the children once per week, then that goes for the adults, too. Setting an example supported by both parents is the most important and most effective way for your children to develop a healthy attitude toward food.

Darla Shine of HappyHousewivesClub.com has taken a real shining to Disease-Proof Your Child, as a result once a week she’ll be broadcasting a podcast with Dr. Fuhrman. So, if you’re a stay-at-home-mom and you want you’re kids to grow up disease-proofed head over to HappyHousewivesClub.com, sign up, and start listening.

Fish Oils and Mood Disorder Prevention

From the March 2006 edition of Dr. Fuhrman's Healthy Times:

In addition to adequate micronutrient intake, fatty acid balance also plays a critical role in mental health. Low fish consumption has been found in multiple studies to be a statistically significant finding in those with depression. For example, this study showed that rates of depression increased more than twofold in women who were rare fish consumers compared with regular fish eaters.1 Research scientists consistently found a reduced level of omega-3 fatty acids in patients with mood disorders and mental illness. There is overwhelming evidence that omega-3 fatty acids are important to mental health.

The two main omega-3 fatty acids in fish oil, EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), have important biological functions in the brain. DHA is a major structural component of neuronal membranes, and changing the fatty acid composition of neuronal membranes leads to functional changes in the activity of receptors and other proteins embedded in the membrane phospholipid. EPA has important physiological functions that can affect neuronal activity. Clinical trials have suggested benefits from DHA and EPA treatments in borderline personality disorder, bipolar or manic-depressives, schizophrenia, and attention deficit hyperactivity disorder.

Our bodies have the ability to make these important fats from the short chain omega-3 fats found in leafy greens, walnuts, flax, and hemp, but some people do not fabricate sufficient DHA from the shorter length precursors as well as other people do, predisposing them to neurological problems. These individuals have a greater need to supplement their diets, especially since fish today is so polluted, and farm-raised fish is no longer a dependable source of DHA and EPA. Using a DHA supplement or a purified fish oil is cleaner and more dependable.

Documented benefits
The following interesting observations are found in the scientific literature:
1. Both lower DHA content in mothers’ milk and lower seafood consumption were associated with higher rates of postpartum depression.2

2. Depressed patients have lower levels of DHA in their fatty tissues compared to normals.3

3. Multiple studies indicate that in depression and schizophrenia, one gram a day of the EPA component is more effective than DHA, and a higher dose does not add additional efficacy.4
Depression is related to low levels of these long chain omega-3 fats in the brain, and it is apparent that supplementation with DHA and EPA have beneficial results in patients with mood disorders. Since studies have shown that EPA is even more effective than DHA for alleviating depression in the short run, and DHA is more important for structural normalcy to maintain long-lasting results, I recommend real fish oil containing both EPA and DHA for those with depression and related mood disorders. About two grams of fish oil usually contains about one gram of active ingredient (EPA + DHA) appropriate for those with mild mood disorders. With major depression, use about 3 grams to achieve the one gram of EPA that has documented clinical efficacy for depression. Look for an oil that gives the most active ingredients (EPA + DHA) per gram of oil. At my office, we have highly purified and concentrated fish oil in stock.

Other natural remedies for depression have only minor value.
DHEA—DHEA is a hormone in the steroid family produced by the adrenal glands. It has been shown in scientific protocols to have value in aiding mildly depressed elderly patients, since a fall in DHEA later in life may contribute to the development of depression.5 It is not without side effects or risks.


St. John’s Wort—Some studies show slight benefit; others show none.6 I do not recommend St. John’s Wort for major depression.

SAMe—SAMe is a methyl donor involved in the synthesis of various neurotransmitters in the brain. A small number of clinical trials have shown that, at doses of 200-1600 mg/d, SAMe is superior to placebo in alleviating depression.7 Most individuals require dosages of 600-1200 per day. I do not recommend it often as it is expensive and only mildly effective.

Tryptophan—A comprehensive metanalysis of all studies on 5- hydroxytryptophan (5-HTP) and tryptophan showed 108 trials, but of all these studies, only two trials, involving a total of 64 patients, were of sufficient quality to meet inclusion criteria. The evidence suggests these substances were better than placebo at alleviating depression; however, the evidence was of insufficient quality to be conclusive.8 The bottom line is that very few studies of quality exist, but it is likely to have mild beneficial effects.

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Monday: MD and RN HealthPoints

As the patients' panic calls begin to pour in, I do my best to quell fears, subdue the masses, and fight to get my hot little hands on enough vaccine to inoculate the thirty or forty most vulnerable of my caseload. Failing my ability to adequately meet my patients' needs, I punt, sending them to any and every flu clinic that I can locate in the city.
The White Rabbit: These patients actually don't request me specifically, they just want to be seen ASAP by the first available physician (which oftentimes is me). They don't seem to be aware of the concept of Time Management and Planning, and are always running late but wanting to be seen now.
Part of you is gone at the moment, but I'm here, I know you now. You trusted and let me in, you opened your belly to me, and I entered with force. I'll stay until it's right. It's what I must do. You think you'll never touch me so intimately as I've touched you. But you have. You have.
Tonight is one of those nights I leave-no run from--the department and never want to show my face there again. It was so busy, with very sick (and might I add, heavy) patients. It was one of those nights when I felt I was just putting out fire after fire but not really taking great care of my patients. I hate that feeling.
I mean, if somebody says he cannot make out a word you say because of your heavy accent, don’t take it personally. it is more likely the truth, and although truth usually is hard to accept, it does not change the fact that it is still the truth. what is so wrong if another person does not clearly understand you? is that supposed to be embarassing? next time, speak clearly, ask if you are getting through, and acknowledge the fact that you will never be able to speak and sound like an american, because you were not born here.
We humans are not alone in superstitious beliefs. Superstitious behavior has been documented in modern apes by anthropologists Jane Goodall and R. Schaller. And psychologist, B.F. Skinner noted superstitious behavior in pigeons he studied. Interesting, huh?

Californian Cattle Feces Tests Positive for E. Coli

The spinach-E. coli debacle rages on. Amanda Gardner of HealthDay News reports cattle fecal matter from a ranch in the Salinas Valley has tested positive for E. coli bacteria. The same strain that caused three deaths and sickened 199 people:
It's not certain that the ranch was the source of the outbreak, but it's an important lead in the continuing investigation, U.S. and California health officials said during a Thursday evening teleconference.


"We do not have a 'smoking cow' at this point," said Dr. Kevin Reilly, deputy director of the prevention services division for the California Department of Health Services. "We do not have a definitive cause-and-effect, but we do have an important finding."
Smoking Cow, isn’t that a rock band? Even though officials aren’t ready to label this location as the point of origin, Gardner does point out that contaminated fecal samples were found only a mile (and some areas less than mile) from the produce fields—and there a many possibilities as how the spinach was exposed, including wandering livestock, substandard worker hygiene, irrigation practices or even wild boar.

Friday: Vegan and Veg Points

During the whole e. coli outbreak, the most interesting thing I read was this. Did you realize that the e. coli couldn't have been washed off? That it got into the leaves through cut stems from a contaminated blade? Do you know what that means?
This new research in the journal Diabetes Care says that people with diabetes should avoid animal products such as meat and dairy. They also say the vegan diet is superior to the diet recommended by the American Diabetes Association, WebMD reports.
The whole of the beetroot plant is nutritious. The greens contain vitamins A and C, beta-carotine, iron, potassium and calcium being very similar to spinach in nutrition. The roots are an excellent source of folate, potassium, vitamin A and manganese, they also are a good source of vitamin B and C, dietary fiber, magnesium, tryptophan, iron, copper, boron and phosphorous. Although high in sugars they are low in calories.
There are many types of vegetarians – pesco/semi vegetarian, lacto, lacto ovo, ovo, vegan, fruitarian and macrobiotic.
WebMD says that hummus protein is a big yes. Hooray! Apparently, when you combine legumes and seeds, a complete protein source is established. You can go to the article to read about all the fancy terminology and the names of the different proteins.
I am not convinced anymore that a vegan diet is the optimal choice regarding health and nutrition. It may still be the optimal diet for peacefulness, compassion, and achieving advanced spiritual realms although I am going to explore this topic as well. I am certainly not giving up my levels of consciousness and awareness only to indulge in meat. I do not even crave meat. I am open to eventually concede either outcome.

Big Problems with Meat-Based Diets for Diabetics

From the September 2003 edition of Dr. Fuhrman's Healthy Times:

So-called “high-protein,” animal-based diets are particularly dangerous for diabetics. Many diabetes “experts” and authors recommend that diabetics limit their intake of refined grains and simple sugars. As a result, most people have accepted the faulty logic that if sugar and refined grains and other high-glycemic foods raise blood sugar and triglycerides, we should eat more protein instead of carbohydrate. They attempt to overcome the triglyceride-raising problems seen in those eating typical high-carbohydrate diets by recommending a diet based on animal products.

Short-term benefits

Carbohydrate-restricted diets rich in animal products, often called “high-protein diets,” offer some short-term improvement in glucose control and weight loss. The problem with them is the increased protein intake promotes the progression of diabetic kidney disease, and the higher saturated fat intake raises cholesterol and promotes heart disease. I have observed numerous diabetic patients over the years who caused significant damage to their kidneys attempting to improve diabetic control with such high-protein, carbohydrate-restricted diets.

Long-term dangers
High-protein, carbohydrate-restricted diets also are heart unfriendly. One comprehensive study on the Atkins’ approach showed that after one year on the diet, blood flow to the heart diminished by an average of 40 percent and inflammatory markers that predict heart attacks increased.1 The low levels of plant fiber, phytochemicals, and antioxidant nutrients on these unbalanced, low produce diets expose the diabetic patient to additional risks. So-called “high-protein diets” may be short-term diabetic-favorable, but they are long-term dangerous.

Long-term benefits

The low-glycemic benefits of “high-protein” diets are achieved by the high-fiber, vegetable/bean/ nut-based Eat to Live (ETL) approach that I recommend, without the health problems linked to eating so many animal products. In addition, because the overall ETL diet contains high levels of fiber and micronutrients that cause triglycerides and blood sugars to fall dramatically, diabetics on this program can consume small portions of fruit safely, allowing them to enjoy the nutritional benefits of these healthful foods. The ETL program is the healthiest way to reverse diabetes.

For more of Dr. Fuhrman's thoughts about
meat-based diets and diabetes, check out these previous posts:

 

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Longevity Experts Agree

Written by Dr. Fuhrman’s colleague Jeff Novick, M.S., R. D. for the January 2003 edition of Healthy Times:

The most powerful anti-aging tools available are diet and exercise. It is fair to say that just about everyone is looking for the fountain of youth—the secret to longevity. But most of us are not just looking for a long life, we want a long healthy life. After all, what’s the purpose of living long if you can’t enjoy it?


These days, we are bombarded with product after product promising to be the fountain of youth. There are even claims that aging is a disease that can be “cured.” Advertisers say that aging is caused by a decline in certain hormones (such as melatonin, testosterone, human growth hormone, DHEA, and a host of others).They say that if you just take these hormones (which are very expensive), you can stop the aging process. People are running to them in droves and spending huge amounts of money on them.

But is aging caused by a decline in these hormones? Or is the decline in hormones a normal part of the normal aging process? Here is what a few experts on longevity had to say about the subject. The PBS television show, “Closer to Truth,” is a series of discussions by leading scientists on the fundamental issues of science. Segment 108 dealt with the question, “Can you really extend your life?” The host of the show was Robert Lawrence Kuhn, Ph.D., and the panel of experts featured Roy Walford, M.D., professor at UCLA Medical School and author of The 120-Year Diet and The Anti-Aging Plan; W. French Anderson, M.D., Director of the USC Gene Therapy Laboratories and known as the “Father of Gene Therapy”; Arthur S. De Vany, Ph.D., professor of economics at University of California at Irvine and the author of Evolutionary Fitness; Sherwin Nuland, M.D., clinical professor of surgery at Yale University, where he also teaches medical history and bioethics, and author of the bestselling books, How We Die and How We Live; and Gregory Stock, Ph.D., Director of UCLA’s Program on Medicine, Technology, and Society, where he focuses on genetic engineering.

Drawing on all of the expertise and experience of this panel, it would be reasonable to expect that they would reveal a multitude of chemical, biological, and technological advances that might enhance longevity. But their recommendations were entirely physiological. They did not recommend any new products or technologies, but stated, in essence, that our longevity is entirely up to us. Here is what they recommended:
Eat a plant-based diet that is low in calories but high in nutrients; take low-dose supplements; exercise vigorously and regularly; and stay mentally and physically active.
Sound familiar?

Health Points: Wednesday

"We are relieved that all results were negative, and we are confident our product is safe," company president Tom Nunes said in a statement.
Much of the research is showing real promise. Knowing that heart disease is twice as likely to strike diabetics, it would behoove many of us to take a chance with a few cloves of garlic every day. What have you got to lose? Studies suggest that fresh garlic may prevent blood clots and destroy plaque.
The operation involves breaking the patients' legs and stretching them on a rack, and has led to several cases of disfigurement, the Xinhua news agency said, citing the health ministry.
Cola consumption (4 colas a week or more) was linked to a lower bone mineral density in three hip sites (but not the spine) - and the association was only with colas and not other carbonated beverages.
Based on their findings, the researchers predict that 1 out of 623 people with severe psoriasis in their 40s will have a heart attack related to their psoriasis each year, Dr. Joel Gelfand of the University of Pennsylvania said. For mild cases, 1 in 3,646 people in their 40s would have a heart attack each year.
Sleep disturbance is a well-recognized feature of acute psychiatric illness, and is included in the diagnostic criteria of many of the affective and anxiety disorders. Recent research has found that disrupted sleep and sleep complaints are common in patients with affective disorder even between mood episodes.
A week after Bolthouse Farms issued a continental recall of its carrot juice, at least 10 Toronto businesses still had the product on their shelves over the long holiday weekend, prompting health officials to call on the media to warn households and shopkeepers to throw away the juice.

School Food Reforms In Action

Few would argue that our nation’s obesity epidemic is not wreaking havoc on public health. In fact, just this month numerous articles hit the wire illustrating the consequences and complications of being obese. Don’t believe me? Check out Followhealthlife's obesity archive for posts like these:
All this worrying about obesity has brought prevention of childhood obesity to the forefront. Prompting many schools to overhaul the food they serve to their students. Gone are the potato chips, ice cream, and white bread; replaced by things like baked chicken nuggets, whole wheat bread, and stir-fried veggies. Marcelle S. Fischler of The New York Times examines some of menu changes occurring in tri-state area schools:
In many lunchrooms, school food directors have taken up the challenge. French fries are baked, if they haven’t disappeared entirely. Vending machines are being restocked with bottled water and juice instead of Gatorade. Snacks like baked soy and fruit chips are replacing deep-fried potato chips. Soft pretzels are shrinking; frozen-fruit bars fill the Chipwich racks.
Some of the students interviewed in Fischler’s article appear optimistic about the changes, they themselves are cognizant of the obesity epidemic, but others miss their deep-fried goodies or complain that smaller portion sizes aren’t enough to satisfy them—and some avoid the changes altogether by brown-bagging food from home.

Now you have to applaud the efforts of the school system, even though Dr. Fuhrman would hardly call baked chicken nuggets and stir-fried veggies the pinnacle of healthiness, but it sure seems like a step in the right direction. How many of us can recall classmates wolfing down trays of fries five days a week? Heck, I knew kids in college that still did that.

According to Dr. Fuhrman the best way to ensure your children are eating healthfully and getting the proper nutrition, might be to send them to school with a bagged lunch full of nutrient-rich food. He talks about it in this post from a couple of months ago: Packing A Lunch For School
Some children are happy to eat healthfully, but when it comes to school lunch they don’t want to look different from the other kids. Packing fresh fruit and a healthy bread with some nut butter and unsweetened fruit spread can be a quick option. My children love raw cashew nut butter. If using peanut butter, purchase a brand without salt and other additives. My daughters also like to take peeled orange or apple slices with their lunch. We cut the apple into four sections around the core, most of the way through, keeping the apple intact, and then wrap it in silver foil. This way it stays fresh, without discoloration, and they can easily separate it into slices.

Reverse Heart Disease Aggressively!

From the November 2003 edition of Dr. Fuhrman's Healthy Times:

Most people are not aware that the development of heart disease is very likely a death sentence—especially for women. Not only does heart disease kill more women than men, women die more quickly from it. Thirty-nine percent of women who have heart attacks die within a year, compared with 31 percent of men. During the first four years after a heart attack, the rate for a second heart attack is 20 percent for women, 15 percent for men. Clearly, physicians are not doing enough to intervene in this disease process and are not giving heart patients the information they need to protect themselves.

Once significant heart disease develops, we know that the likelihood of this patient having future cardiac problems is great. Twenty-five percent of patients who undergo coronary bypass surgery die within ten years. One study compared a group of patients who had a heart attack and then underwent bypass surgery with a comparable group of heart attack patients who did not undergo bypass. Both groups had comparable coronary artery disease. Seventy percent of the patients who underwent bypass surgery had heart attacks or other cardiac problems necessitating hospital admission within five years, compared with 49 percent for the control group.1

These statistics are disappointing and avoidable, since aggressive medical management that successfully achieves optimal levels of cholesterol and blood pressure can prevent about half of all cardiac events.2 Unfortunately, most patients do not achieve optimal levels of cholesterol and blood pressure even with aggressive medical management. Aggressive drug therapy is certainly better for many patients than little or no therapy, but it is still not ideal.

A safe, effective approach

When you normalize your blood pressure and LDL cholesterol with nutritional intervention rather than drugs, you accomplish even greater risk reduction. As your weight drops, your blood sugar, triglycerides, blood pressure, and cholesterol also drop dramatically. Your body is flooded with nutrients that protect your blood vessels from disease and rupture. This approach provides maximal protection and offers benefits beyond merely lowering cholesterol.

The dietary program I recommend for heart-disease reversal utilizes natural cholesterol-lowering therapies instead of drugs, which eliminates the risks of drug side effects. And because my dietary program is richer in fiber and nutrients than the typical vegetarian diet, my patients achieve spectacular reductions in cholesterol, body weight, and blood pressure. Fortunately, this approach also can help those who already have heart disease. They can avoid future heart attacks and reverse and remove atherosclerosis. It is never too late to make the delicious and lifesaving change to the Eat To Live diet.

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Defeat Heart Disease Now!

From the November 2003 edition of Dr. Fuhrman's Healthy Times:

Today, when Americans’ concerns about external threats to our safety and security are at their highest levels, there is a surprising lack of concern about the very real dangers posed by homegrown threats to our well-being.

Each day, the media presents horrific news of death and destruction caused by war, terrorism, and other violence. It virtually ignores a silent but much more deadly enemy that is causing untold suffering to families and undermining the health and economic well-being of our country. I am talking about the many deadly diseases—especially heart disease—we bring upon ourselves through our unhealthful diet.

When we consider the recent losses of thousands of lives in events here and around the world, we experience a tremendous sorrow. We also experience a desire for steps to be taken that will prevent these tragedies from happening again. What should our response be to the millions of unnecessary deaths caused by preventable illnesses? Let’s look at the most deadly of these diseases—heart disease.

A deadly enemy

More than 1.5 million people will have a heart attack this year, with about 1 million deaths due to heart attacks. That amounts to a death every 30 seconds. (As you read this article, three more people will die.) In 1997, the direct medical costs attributed to heart disease came to $58 billion—more than any other medical condition—and 17 million new cases of heart disease were diagnosed that year.

Are we helpless against this onslaught? The answer is an emphatic “no.” But, if we are to put an end to this health nightmare, people need much better diet and health information than they currently are receiving.

Dangerous misinformation

When it comes to combating heart disease, most information sources promote drugs and surgery as the only viable lines of defense. As a result, the demand for high-tech, expensive, but largely ineffective medical care is high, causing medical costs and insurance rates to skyrocket. This chase for “cures” is both financially devastating and futile. Morbidity and premature mortality from heart disease continue to rise, with no sign of abating.

Interventional cardiology offers only partial benefits, since these procedures do not remove the causes of the problem. Attempts to intervene with invasive procedures or surgery after the damage already has been done have not been shown to offer a significant reduction in cardiac deaths. We need to keep in mind that angioplasty and bypass surgery have some significant adverse outcomes, including heart attacks, stroke, and death. These invasive procedures only attempt to treat a small segment of the diseased heart, usually with only temporary benefit. Patients treated with angioplasty and bypass surgery continue to experience progressive disability, and most still die prematurely as a result of their heart disease.

The average person is not aware that there are safer, more effective options available. Unfortunately, government agencies often are slow to respond to new scientific information and continue to advocate outdated recommendations. Economic and political forces also make it difficult for Americans to be clearly informed that heart disease is nutritionally-induced and totally avoidable by eating a nutritionally-excellent diet. For example, six of the eleven members, including the chairman, of the USDA’s Dietary Guidelines Committee in the Year 2000 had financial ties to the meat, dairy, and egg industries. Not surprisingly, the foods these industries produce figure prominently in government dietary recommendations in spite of their documented links to increased health risks. Similar problems exist in recommendations by non-profit health organizations. Sadly, even the American Heart Association advocates a diet that actually has been shown to increase heart disease.1

Accurate information
Fortunately, we can win the war against heart disease by making a few simple, but profound, dietary and lifestyle changes. By following the recommendations in my book Eat to Live, virtually everyone can improve their heart health. In fact, if you start in time, you actually can make yourself heart-attack proof. I believe all people should be informed they have a choice to protect themselves.

There is no magic to heart health. Educating yourself with the latest scientific findings and eating a diet of delicious, natural, unprocessed food allows you to protect yourself and your family from the heart disease tragedies you see all around you.

Following this approach, you can achieve positive results simply by making the right diet and exercise choices—consistently, without the use of drugs or surgery. Almost everyone can achieve protection against heart disease by reaching the following goals:
  • Achieve an LDL cholesterol of 100 or lower.
  • Achieve a homocysteine level below 10.
  • Achieve healthful weight and blood pressure.
These are realistic goals. All who truly desire to protect themselves can do so, without expensive and risky prescription drugs. Self-care is more effective and overwhelmingly less expensive than conventional care. My high-nutrient, vegetable-based diet has enabled patients to achieve remarkable reductions in these cardiac risk factors. Furthermore, by adding natural side-effect-free nutritional supplements for those who do not reach an LDL under 100 from dietary changes, we can enable almost everyone to achieve this protective level without medications and their risky side effects.

Lifesaving dietary facts
The following dietary facts will give you some idea of the powerful heart-protective qualities of the diet I recommend in Eat to Live.
1. A diet that is based on vegetables, beans, nuts, and fruit has been shown in scientific studies to lower cholesterol more powerfully than drugs.2

2. People who adopt this dietary approach—consisting primarily of natural plant-foods do not develop heart disease.

3. Studies have shown that people with advanced heart disease who combine a plant based diet with cholesterol-lowering therapies are able to reverse their heart disease and totally prevent the future occurrence of heart attacks.3

4. When needed, natural (side-effect free) substances are effective at lowering cholesterol further, making an LDL cholesterol below 100 obtainable without (risky) medications for almost all patients.

5. The same diet that helps protect you against heart disease reverses obesity, high blood pressure, and adult diabetes also protects against cancer.
Firefighters’ heart disease
Heart disease is a much bigger problem than most people think. Consider a recent study on firefighters who die in the line of duty.

We think of firefighters as courageous, highly-trained men and women who risk their lives to save others. We imagine that they are at greatest risk when rushing into emergency situations and natural disasters where they are surrounded by dangerous conditions. Recent findings suggest otherwise.

All on-duty firefighters’ deaths are investigated by the US Fire Administration with the Federal Emergency Management Agency. During the decade between 1990 and 2000, 44 percent of all on-duty deaths were due to cardiovascular disease. Among firefighters aged fifty-five to sixty, 76 percent of all on-duty deaths were due to heart attacks.4

I believe that firefighters—like all other Americans—could stop dying needlessly if accurate diet and health information from respected sources were readily available to them.

Dangerous eating habits take away the lives of hard-working men and women every day. Americans simply have not been adequately informed about the deadly health risks of donuts, bagels, cheese, hot dogs, luncheon meats, and other “fast” foods. Would people commit what amounts to slow suicide by diet if they knew the importance of making more healthful food choices? I think not.

My Heart Disease Reversal Program
My book Cholesterol Protection for Life is designed to be distributed quickly, easily, and relatively inexpensively to many people. In about seventy-five pages, it clearly outlines the methods I recommend to people who want risk reduction naturally, without risky medication and surgery. It explains that cholesterol-lowering drugs, angioplasty, and bypass surgery are not the answer and do not offer real protection against future heart attacks.

Cholesterol Protection for Life supplies the plan and the evidence necessary to show how this program can work to prevent heart attacks with 100 percent effectiveness. Accurate dietary and health information can make a huge difference in your health and longevity. Information is the most powerful artillery we have to save lives. Continue Reading...

Eating Seeds

Sure, you can plant seeds—but is eating them a good idea? Today New York Times report C. Claiborne Ray investigates whether or not seeds make a good snack:
In some cases, yes, but in others, factors like the expense of the research and the inherent value of the seeds as just that — seeds for the propagation of the next generation of plants — have led scientists to ignore their nutritional potential, says Joseph H. Hotchkiss, professor and chairman of the department of food science at Cornell.
In the article Hotchkiss explains that the bitterness of most seeds is designed to dissuade predators (humans or animals) from eating them—but what about the ones that don’t taste bitter? After all, in a previous post Dr. Fuhrman called nuts and seeds “a natural part of the diet of homo-sapiens.” Here’s more:
They are perfectly adapted to the taste and ability of humans to pick, dry, store, and crack. No wonder study after study shows raw nuts and seeds not only lower cholesterol, but protect against common diseases of aging. I recommend almonds, Brazil nuts, cashews, pecans, pistachios, macadamias, filberts, and walnuts; and sunflower, sesame, flax, and pumpkin seeds. These delicious natural foods are high in nutrients and healthful unsaturated fats.
Need more convincing? In his book Disease-Proof Your Child Dr. Fuhrman includes flax seeds and sesame seeds in his list of the ten super foods to use in your recipes and menus:
Flax Seeds are rich in lignans and omega-3 fatty acids, and scientific studies have confirmed that flax seeds have a positive influence on everything from cholesterol levels and constipation to cancer and heart disease. Use ground flax seed in oatmeal, or add them to whipped frozen bananas, stewed apples, and cinnamon and nut balls. Keep in mind that the scientifically documented benefits from flax seeds come from raw, ground flax seed, not flax seed oil.

Sesame Seeds are one of the most mineral-rich foods in the world and a potent source of calcium, magnesium, copper, iron, manganese, zinc, vitamins, and fiber. They are also rich in anti-cancer lignans that are uniquely found in sesame seeds alone. Grind some unhulled sesame seeds into a powder to sprinkle on salads and vegetables. Toast lightly and mix with eggplant, chickpeas, scallions, and garlic for a healthy and delicious dip.

E. Coli's Deep Impact

It’s hard to believe that the Spinach-E. coli outbreak has been in the news for over a month now. Equally hard to believe is that the news never seems to get better. Like this item from yesterday. Rachel Konrad of the Associated Press reports that some lettuce has now been recalled over contamination concerns:
"We're just reacting to a water test only. We know there's generic E. coli on it, but we're not sure what that means," Tom Nunes Jr. president of Salinas-based Nunes Co. Inc said. "We're being extra careful. This is precautionary."
In the report Nunes goes on to point out that it is unlikely that the bacteria found in the lettuce shares the same source as that of the spinach.

Now, the theory of contaminated water supply is certainly nothing new. Remember this Reuters report from a couple weeks ago: E. coli found in cattle feces near spinach fields
The bacteria could have been transmitted by irrigation water, fertilizer, farm equipment or workers, livestock and wild animals, or it could have contaminated the spinach inside processing plants, during transport or on store shelves.
Oh Spinach-E.coli, what a complicated web you weave. Complicated is certainly the word for it because according to the Associated Press E. coli contamination is exposing a lot of complications in the American food chain. Libby Quaid reports:
"When you open a bag of spinach, do you wonder how many different plants are in there, and how many different fields it came from?" said Dr. Robert Tauxe, chief of foodborne diseases at the federal Centers for Disease Control and Prevention.
Towards the end of the report Tauxe remarks that it took the meat industry a while to “get a grip” on their own contamination issues, so produce companies will also need time to get it right. At what cost? I wonder.

In case you’ve fallen behind on the spinach E. coli news, here are some recent Followhealthlife posts:

Pediatric Rounds, Spell It G-R-A-N-D!

The new Pediatric Grand Rounds is up on Emergiblog. Included in the mix is Followhealthlife's post The Flu Is Coming.

Health Points: Friday

The toddler died Sept. 20 in Salt Lake City after developing a type of kidney failure caused by E. coli. Health officials had to wait for the results of genetic testing on the bacteria to determine whether his illness was from spinach.
A study published this week in the British Medical Journal suggests that the advantage of breastfeeding on baby's intelligence could be explained not by the effect of breastmilk on the infant's developing brain, but by the fact that women who breastfeed are more likely to have higher IQs.
Researchers at the Scripps Research Institute in California found that marijuana's active ingredient, delta-9-tetrahydrocannabinol, or THC, can prevent the neurotransmitter acetylcholine from breaking down more effectively than commercially marketed drugs.
There are few if ANY people in this world who have a true biological disposition toward massive accumulation of aesthetically excessive lean body mass--regardless of the intensity and volume of training. Professional bodybuilders are NARCISSISTIC FREAKS who utilize absurd training schedules, wacky nutrition practices and illegal substances to create unnatural amounts of lean body mass.
Nearly half of medical school students nationwide are now female, and as they enter the profession, they are making patient care friendlier and therefore may be less likely to get sued than male physicians. Women physicians also are more likely to serve minority, urban, and poor populations and are twice as likely to go into primary care.
It was just last week that Aerosmith singer Steven Tyler disclosed his fight against hepatitis C, a viral infection that causes liver damage. According to published reports, Tyler went through 11 months of treatment with the drug interferon. He now says the virus has been reduced to extremely low levels in his bloodstream, calling it virtually "nonexistent." Tyler's admission may help raise awareness of the potentially fatal disease.

Prostate Cancer Facts

From the July 2005 edition of Dr. Fuhrman's Healthy Times:

Debunking exaggerated claims about risks and treatment benefits. With the exception of skin cancer, prostate cancer is the most common cancer in men in the United States. Medical autopsy studies show that by age seventy, 70 percent of men who die from accidental deaths are found to have prostate cancer.

The simple fact is that if you are a male and you eat similarly to other Americans, you eventually will get prostate cancer. No one can escape from the biological laws of cause and effect, and the Standard American Diet (SAD) is powerfully cancer-promoting. The good news is that only an extremely small number of men eventually die from their prostate cancers. The prostate cancer death rate is 226 per 100,000 male deaths over age sixty-five, which is a pretty small death rate.

All of the biopsies, treatments, and surgeries done in the hope of helping men with prostate cancer live longer cause significant side effects, such as incontinence, rectal bleeding, and impotence.

It is reasonable to ask if men actually benefit from such invasive intervention, including the destruction of part of the prostate or its removal. Are the side effects balanced by clear-cut advances in life expectancy?

Long-term side effects
The side effects of prostate cancer treatment are debilitating and demoralizing, and the percentage of patients who suffer from them is shockingly high.
Erectile dysfunction: over 50%
Bowel dysfunction: over 10%
Urinary dysfunction: over 20%

PSA screening
In spite of being heavily marketed to patients by physicians, PSA (prostate-specific antigen) screening and the resultant treatments that follow have never been shown in medical studies to prolong life. In my “Why Prostate Screening and Treatments Don’t Work” article on page 3 of this newsletter, I explain some of the complicated issues regarding testing for and treatment of prostate cancer, to help you understand why it might be wiser to reject PSA screening for prostate cancer.

After a comprehensive review of the scientific studies available on this important issue, my conclusion is that men who are found to have low-grade prostate cancer would be better off not knowing about it because it is extremely unlikely to be their cause of death. Low-grade prostate cancer results in only 6 deaths per 1,000 patient years (number of patients with the disease multiplied by number of years they live after their cancer diagnosis), seen after 20 years of follow-up care.1

Men who are found to have high-grade prostate cancer do not benefit from surgery or radiation to their prostate, either. Invariably, this type of prostate cancer already has spread outside of the prostate when it is first diagnosed, and whether CT scans and bone scans show cancers outside of the prostate that are visible on these tests or not, it is still there. There is no technology to measure cancer at the microscopic level. So bone scans, CT scans, and MRIs cannot offer reassurance that the cancer has not spread. Cutting out, radiating, burning, and freezing the prostate with this more aggressive type of prostate cancer is futile. Yet, thousands of prostate operations and procedures are performed all over the country, every day, without probable benefit.

When it comes to the treatment of the higher-grade forms of prostate cancer, typically distinguished with a high Gleason score, only nutritional excellence and hormonal therapy— which can treat the cancerous cells that have already left the prostate, as well—are worthwhile.

For the majority of men treated for prostate cancer, it appears that their lives would have been much better off if their prostate cancer had never been diagnosed, since it is most likely that the side effects experienced from the treatment are not balanced by an increase in life span.
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Flu Shot: Supply Demands Demand

The most effective artillery we have to protect ourselves against the potential damaging effects of influenza and other infectious disease is nutritional excellence. Micronutrients—-meaning vitamins, minerals, and phytochemicals—-fuel various clever host defense mechanisms.
This from Dr. Fuhrman, but U.S. health officials would disagree, according to them our best defense against influenza is an annual flu shot. Amanda Gardner of HealthDay News reports that there are plenty of shots to go around:
Dr. Julie Gerberding, director of the U.S. Centers for Disease Control and Prevention, said 26 million doses of flu vaccine were distributed in September and another 50 million will go out in October. The extra supply is largely due to increased manufacturing capacity: This year four manufacturers instead of two are making the vaccine. A fifth may be added later in the season, if needed.
Gardner explains that officials expect the vaccine to be available more this year than ever before; seems to coincide nicely with the expanded group of people authorities recommend should get vaccinated.

Dr. Fuhrman is not against flu shots in every case. Check out this post for Dr Fuhrman on the risks associated with the flu vaccine:
All medical interventions have a benefit-to-risk ratio. One has to weigh the potential risks with the supposed benefits. Often the long-term risks of medications are not clearly delineated and the supposed benefits are exaggerated by doctors and pharmaceutical companies (because after all, medicine is still a business to make money).


Flu vaccines have benefits and risks too. If you read about the flu vaccine in the information supplied by the manufacturer you will learn it contains formaldehyde and 25 micrograms of thimersol (mercury) per dose, used as a preservative. The injection of even this small amount of mercury repeatedly year after year from multiple vaccines can cause neurotoxicity (brain damage). The American Academy of Pediatrics and the US Public Health Service have issued a joint statement calling for the removal of mercury from vaccines. Chronic low dose mercury exposures may cause subtle neurological abnormalities that rear their head later in life.
For more info take a look at Followhealthlife’s Cold and Flu archive.

Exposing Diet Myths

Over on Joy’s Health Bite she is debunking some popular diet myths, here’s one of note:
  • Fresh fruits and vegetables are more nutritious than frozen.
Not necessarily. Frozen can be a great produce option (just avoid varieties with added salt, sugar, and sauce). Frozen foods are picked in the peak of ripeness, then frozen. You can eat them as you need them -- and most of the nutrients are locked in. On the other hand, fresh fruit and vegetables are typically harvested before they ripen, and can have nutrient variability. Also, the longer fresh produce sits around in your fridge, the less nutrients it will contain.


Bottom line: Buy both fresh and frozen and eat as much as you can.

FBI Raids Spinach Plant

According to the Associated Press the FBI has raided two spinach plants suspected of not taking all the appropriate steps to ensure that their spinach was safe for interstate commerce. This news coming off the heels of the FDA’s declaration that fresh spinach is now safe for consumers to resume buying. More on the raid:
Federal officials do not think anyone at the plants deliberately contaminated spinach with the virulent bacteria, which has killed one and sickened more than 190 others in 26 states, and the searches do not mean there is an ongoing or new threat to public health.


“There is no indication there was any tampering of willful contamination or anything like that,” said FBI spokesman Joe Schadler.
The article goes on to explain that Natural Selection plant operators continue to point the finger at the growing fields as the source of the contamination, and they claim that proper measures have taken to prevent another E. coli outbreak from originating at their plants.

It seems there may be some credence to the accusation that the farms were the source of the contamination. A Reuters piece from a couple days ago reports E. coli was found in cattle feces on pastures near farms being investigated as possible sources of contamination:
The bacteria could have been transmitted by irrigation water, fertilizer, farm equipment or workers, livestock and wild animals, or it could have contaminated the spinach inside processing plants, during transport or on store shelves.
Quite the mixed message, one day spinach is ready for a return—and now this! No wonder why some people are leery about jumping back on the spinach bandwagon. I know I’ve referenced it a few times already, but in spite of all this controversy Dr. Fuhrman still insists people go green. After all, spinach isn’t the only leafy green:
Interestingly spinach and kale are the two highest nutrient foods on the American landscape and spinach is the healthiest food that Americans eat in any significant quantity.


During this crisis, I recommend people eat lots of frozen spinach—you can mix some defrosted frozen spinach on top of a salad. Of course you can shred cabbage, carrots, bok choy, and beets on top of lettuce salads to add substance too.

The risk of not eating greens is a significant risk to the health of Americans and there has not been one recorded case of E-coli from other greens in this timeframe. So bump up the other greens right now to make up for it. I encourage you to go green.
In case you’re not into frozen spinach, check out this previous post for other nutrient-rich greens: Nutrient Density of Green Vegetables

Acid Suppression Medication Increases Hip Fracture Risk

From the September 2005 edition of Dr. Fuhrman's Healthy Times:

A good example of doctor-induced (iatrogenic) hip fracture results from the use of medications to suppress stomach acid production in the treatment of indigestion, esophagitis, and gastritis. The typical doctor is unaware that these diseases are caused by poor nutrition. Likewise, these doctors also are blind to the positive health effects of nutritional excellence and unaware that high cruciferous vegetable consumption prevents Helicobacter zylori (bacteria that causes gastritis and pyloric ulcers) from setting up housekeeping in the stomach. Most doctors only know one option— acid-suppression drugs.

According to a recent study, long-term use of acid suppression therapy with medications (H2 blockers or proton-pump inhibitors) increases the risk of hip fractures. These medications interfere with calcium absorption, leading to osteoporosis and increased fracture risk. The study followed over 500,000 adults over the age of 40 for 15 years and found, in general, those on chronic therapy with these medications had about double the risk of hip fractures. Interestingly, the risk of hip fractures associated with these medications was even higher for men than for women.1

Remember, bone strength is directly proportional to muscle strength, and bone health requires a lifetime commitment to regular exercise and physical activity. Inactivity or bed rest can be disastrous to the bones. Go to the gym, walk, wear a weighted vest, do back exercises, work in the garden, and stay involved with sports or fitness pursuits appropriate to your ability and health. Nutritional excellence is vitally important, and cannot be replaced by supplements. Taking supplements is merely an adjunct to other critical lifestyle factors that reduce risk.

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Reduce Your Pesticide Exposure By 90%

From the July 2004 edition of Dr. Fuhrman's Healthy Times:

Powerful steps you can take to protect yourself and your loved ones!

If you avoid the top 12 most contaminated fruits and vegetables or only eat them when purchased organic, you can reduce your pesticide exposure by almost 90 percent. The four worst fruits are: peaches, nectarines, strawberries, and apples. The four worst vegetables are: peppers, spinach, celery and potatoes.



The pesticide contamination tests were performed on washed produce. If eating any foods from the 12 most-contaminated list, always peel them; washing is not sufficient to remove the residue. Wash all inorganic produce with soap.

We cannot rely on authorities or the U.S. government for protection. The EPA is mired in complex legal issues (delaying tactics) with chemical companies and is not an effective watchdog for our safety. Rather than preventing exposures and putting the burden of proving safety where it belongs (on pesticide and toxic chemical producers), most dangerous pesticides remain on the market with no threat of regulatory action. People are exposed to hundreds of chemical compounds in their diet every day. We will never have 100 percent accurate data on the potential risks from such consumption, so the consumer is wise to minimize exposure to pesticides whenever possible.

Video: Spinach Welcomed Back?

The industry needs to step up to the plate and to do more to correct the problem, and demonstrate to consumers that they’ve done more, because that’s what’s going to restore consumer confidence.

That from Dr. David Acheson of the Food and Drug Administration when asked about consumers’ willingness to start purchasing fresh spinach again. This CNN video report examines whether or not people are wary about spinach’s return to many supermarket’s shelves. As you’ll see, some people aren’t exactly in a hurry to resume buying the leafy green.

Check out Monday’s post for Dr. Fuhrman’s thoughts on the spinach-E. coli crisis: Spinach is Back

Stadium Food and You

I think we can all agree that some of the unhealthiest foods are found at sporting events; take Baseball’s Worst Burger for example. But amidst a roster of hotdogs, burgers, cotton candy, and nachos, are their any healthy options? Charles Stuart Platkin of The Seattle Times takes a look.

Platkin starts off by rounding up a list of the usual suspects; foods like peanuts, Cracker Jack, pizza, French fries, beer, chicken tenders, fruit cups, etc. Then he compares groups of them to determine what the best low-calorie option would be—as if calorie content is the only important factor. Here’s an example:
Hot dog vs. pizza vs. sausage and peppers
A regular hot dog with mustard is your best bet, totaling about 290 calories: 180 for the 2-ounce dog, 110 for the bun and virtually no calories for regular yellow mustard. Sauerkraut adds another 5-10 calories (2 tablespoons), ketchup adds 30 (2 tablespoons) and relish another 40 (2 tablespoons). Just be aware of the foot-long hotdogs sold at many stadiums, which can have double the calories in both frankfurter and bun, bringing the grand total to 580 without any toppings. Pizza at the stadium is a bit larger than a typical slice, about one-sixth of a 16-inch pie (rather than one-eighth), which comes to 435 calories per slice. And the sausage-and-pepper sandwich is about the same — 430 calories for 5 ounces, including the bun.
Okay, so maybe using Platkin's logic a singular hotdog is "better" than pizza or a sausage and pepper sandwich, but if I had to choose, I’d skip all three! Let me put on my Eating to Live on the Outside hat for the remainder of this post.


Of all the food selections referenced in Platkin's piece I’d only order the healthiest ones, regardless of their calorie content. I don’t care if peanuts are high in calories. At least they have some nutrition. I’d sooner eat an entire bag of them before I'd indulge on greasy chicken tenders or cheesy nachos. I think in this situation it’s less about choosing the better of two horrible foods, and more about making the best choice overall. What do you think?

To Platkin’s credit he does offer up some good tips to help you limit your intake of unhealthy stadium food, like eating before you head off to game. That seems like the smartest idea to me.

Health Points: Wednesday

The drug, known as MK-0557, was designed to focus on a "hunger-stimulating factor," which has long been considered a potential target for anti-obesity therapy. And while the drug was well tolerated by the 832 obese people who finished the trial, they only lost an average of 7.5 pounds during the 12-month study, compared with people taking a placebo who lost an average of 4 pounds.
they give other nurses report, unnoticing the meds that were not started, although ordered hours ago, because they can’t get over the fact that the doctors did not order a CT to confirm a diagnosis. they say they forgot to order your dose of tube feeding, or that they had no time to insert a catheter, because they can’t believe how pointless it was to send a patient for MRI when a different, much appropriate diagnostic test could have been done. they bombard the outgoing nurses with pathphysiology issues, unconcerned about the patient’s present needs.
Sam Farr made his remarks in front of an empty bowl that he had hoped to fill with spinach. He had intended to eat some and feed it to reporters, but said his attempts to buy spinach at two local grocery stores were unsuccessful. Both stores had signs that said they were not selling spinach, according to a Farr aide.
Over time, various changes to this effective document have been proposed by meddling management types, certainly with the best of intentions but unfortunately lacking the benefit of reason. For a few months we had a little red stamper the triage nurse had to stamp on this sheet and check off yes/no boxes relating to TB warning signs. Fever? Night sweats? Weight loss? I'm not sure who authorized the discontinuation of that initiative, but probably someone finally realized that we just don't have enough TB cases where I work to justify such an aggressive screening program during triage.

Now we have a little box in the corner for the triage nurses to check documenting that they have asked the patient "if anyone has threatened them." Yes/No. I'm not sure what we do with that answer, but the box remains. Sometimes checked, sometimes not.
Gyms are all too eager to tap into people’s fear of decrepitude. Walk into a Bally in the next month and you may be asked to fill out a RealAge questionnaire about everything from activity to cholesterol count to blood pressure. Then comes the bad news: Your body is on the verge of retirement though you’re actually only 45. The good news for horrified test-takers? A personal trainer would love to help chip away at that ghastly number.
I have been asked by patients to pray with them. I consider that an honor that a patient would ask me to join in what for them is a very sacred moment, and usually only say, “I would be honored to stay here with you and hold your hand.” I have never been asked my religious affiliation by a patient prior or after doing this.

Leave Trans Fat Alone?

Trans fat is a reoccurring topic on Followhealthlife, and lately the proposed New York City ban is garnering trans fat extra attention. Some people, like New York City Mayor Michael Bloomberg, are in favor of the ban and others, such as the Center for Consumer Freedom, don’t like the idea of a “food police.” Lisa L. Colangelo of The New York Daily News reports the group is funding an ad campaign to encourage leaving trans fat alone:
The Washington-based Center for Consumer Freedom is spending $125,000 to put the commercial in heavy rotation this week on CNN and the Fox News Channel.


Sarah Longwell from the center said the spot shows food being snapped from consumers' hands because "that is exactly what the New York City Board of Health proposes to do."
Colangelo explains many New York officials and restaurant owners are in favor of the ban. Health Commissioner Thomas Frieden likened the ban on trans fat to the city’s ban of lead paint. What do you think? Given all we know about the ills of trans fat, should it stay or go?


To help you make up your mind, check out these previous posts on trans fat:

Grand rounds volume 3 number 2.

The latest Grand Rounds is now up on RDoctor. This week includes Followhealthlife's post Ear Infections and Antibiotics.

I'm Turning Yellow!

From Dr. Fuhrman’s book Eat to Live:

My doctor noted that my complexion had turned yellowish and told me to cut back on foods containing carotene, such as mangoes, carrots, and sweet potatoes.

The slight yellow-orange tinge to your skin is not a problem; it is a marker that you are on a healthy diet. On the contrary, any person who does not have some degree of carotenemia in his or her skin is not eating properly, and such an eating pattern places him or her at risk of cancer—including skin cancer. I drink no carrot juice; however, my skin has a slight hue, especially when contrasted with the skin of people eating conventionally. When my patients eat a nutritionally packed diet, their skin changes color slightly as well. Tell your doctor it is he who has the dangerous skin tone. However, I still do not recommend taking a vitamin A or high doses of betacarotene from supplements.

Spinach is Back

Consumers can now resume buying and eating fresh spinach, the Food and Drug Administration said”; this from William Yardley of The New York Times. Given the recent hubbub about tainted spinach, I decided to ask Dr. Fuhrman for his thoughts. Here’s what he had to say:
Interestingly spinach and kale are the two highest nutrient foods on the American landscape and spinach is the healthiest food that Americans eat in any significant quantity.


During this crisis, I recommend people eat lots of frozen spinach—you can mix some defrosted frozen spinach on top of a salad. Of course you can shred cabbage, carrots, bok choy, and beets on top of lettuce salads to add substance too.

The risk of not eating greens is a significant risk to the health of Americans and there has not been one recorded case of E-coli from other greens in this timeframe. So bump up the other greens right now to make up for it. I encourage you to go green.
Growers are certainly hoping people are still willing to go green. Because as Juliana Barbassa of the Associated Press reports many farmers are worried that consumer confidence for spinach has been shaken:
During the two-week warning about E. coli in fresh spinach, growers said they re-examined the safety of their operations, anguished over the suffering of the 187 people sickened and one who died, and weathered significant losses as they watched crops go to waste.
Barbassa explains many farmers have staked their claim on spinach devoting significant acreage for growing the plant. Low consumer confidence could result in decreased harvest value and heavy losses for farmers.

Health Points: Monday

1) You walk pasta da bakery;
2) You walk pasta da candy store;
3) You walk pasta da ice cream shop;
4) You walk pasta da pizzeria;
5) And you walk pasta da fridge.
Researchers had 15 people with lab-confirmed rhinovirus colds spend a night in individual rooms at a nearby hotel and, after they checked out, tested 10 items they said they had touched. About one-third of the objects were contaminated with rhinovirus.
Of course, the best way to bring attention to something is to file a lawsuit, right? So that's what they've done. They're suing McDonald's, Burger King, Chick-fil-A, Chili's, Applebee's, Outback Steakhouse and TGI Friday's because they identified the PhIP in their chicken products.
Researchers have proposed that shorter sleep duration may affect levels of two weight-control hormones: reduced levels of leptin, a hormone associated with satiety, and increased levels of ghrelin, associated with hunger.
Let me encourage all my non-veg readers to find a vegetarian they know and ask them questions about the way they eat. Ask them why they are veg, or if its boring to be veg, or if they only eat vegetables or if they miss meat, or what they could eat if you went out to a particular restaurant together.
"There is clearly an association with abdominal obesity in these younger patients. Obese adults patients are at risk for this disease after 20 years of age," researcher Dr. Barry Daly of the medical center's radiology department said in a prepared statement.