Skip to main content

What to Eat? Going by the Textbook

"Out with the old spiritual mumbo jumbo, the superstitions, and the backward ways. We're gonna see a brave new world where they run everybody a wire and hook us all up to a grid. Yes, sir, a veritable age of reason." -Ulysses McGill, O Brother, Where Art Thou?

If only. Eighty years after the Tennessee Valley was put on the grid, health gurus recommend mumbo-jumbo like two-thirds of a cup of sugar a day for diabetics,* inflammatory foods like wheat for the inflamed, and a low-fat, high-fiber, grain-based diet that fattens up livestock (in weeks!)** but is supposed to make humans slim and trim. The crazies are running the asylum. Are there any reasonable people in the mainstream?

I recently sent a friend of mine the book It Starts with Food. It discusses the major hormones involved in fat storage, fat burning and inflammation, along with the authors' dietary recommendations based mostly on our paleolithic ancestors' diets and their clinical experience. All their advice sounds right to me, but I know my friend is going to be skeptical about ditching the grains and beans and eating a lot of fat. To that end, following the lead of Dr. Eades, I checked some of the major tenets in the book with endocrinology textbooks available in Google Books. Where I'm writing "check," that means that the fact checked out with an endocrinology textbook.

  • Insulin is a hormone that is released to put blood glucose into cells. Check.
  • Consuming carbohydrate raises your blood glucose level. Check.
  • Cells can become insulin resistant, which prevents glucose from entering the cells. Check.
  • Your body then produces extra insulin to force glucose into the cells. Check.
  • Glucagon raises blood sugar levels when they're too low. Check.
  • High insulin levels prevent glucagon from acting. Check. 
  • Leptin is a hormone that signals satiety. Check.
  • Cells can become leptin resistant, preventing satiety signals. Check.
  • Leptin resistance is related to insulin resistance. Check.

In plain English, too much carbohydrate can make you fat and diabetic. It can also distort your appetite and possibly give you hypoglycemia. This isn't opinion, theory, or part of a fad diet, this is straight out of endocrinology textbooks.

Let's look at their paleolithic principles. The authors recommend meat (preferably pasture-raised), vegetables, fruit, animal fat (must be pasture-raised), natural plant fats, and limited nuts. They discourage grains, legumes, sweeteners, seed oils, hydrogenated oils, and dairy except butter. With the exception of butter, this is probably similar to how our ancestors ate for two and a half million years. I base this statement on books written by paleoanthropologists such as Richard Leakey, Alan Walker, Brian Fagan, Peter Ungar, and Loren Cordain. Except for Dr. Cordain, none of these authors promotes any diet that I know of. I've written about evolutionary diets here and here, and the bunkum of the "science" of vegan diets here and here. The short answer is that we've been eating meat as a substantial part of our diet for over two million years. We're pretty sure of this because of the evidence of stone tools, cut marks on animal bones, isotope analysis of our ancestors' bones, and the small gut size of Homo erectus. That our ancestors dispersed and became thin on the ground and rapidly developed big brains point to their being predators, not lotus eaters. I don't think there's any controversy over the notion that grains, dairy and beans are not paleolithic.

Despite this probably being close to our native diet, some of the recommendations are controversial. However, they have to be taken in context. The authors concede that a high-fat diet is inflammatory in the context of a high-carb diet. (I can attest that a high-fat, high-carb meal is hard on my stomach.)  Toxins are stored in animal fat, but pasture-raised animals have far fewer toxins. Some people have problems with low-carb diets, but you have to eat sufficient fat and give yourself time to adapt to the diet. Clogged arteries are full of cholesterol, but your body makes most of your cholesterol. (Check--it's in an endo textbook.) Cutting out dairy means cutting out a calcium source--but some vegetables have calcium and bone health depends on other vitamins and minerals as well as calcium.

I doubt these details are in any endocrinology textbook; however, there have been some clinical studies on paleo and low-carb diets showing favorable results.

As to the efficacy of the diet, the authors rely on their clinical experience with thousands of people. Their diet is very close to what I follow, and my own experience is that I take no medications, have a normal weight, normal lipids, good complexion, no tooth decay, no allergy symptoms, no GI problems, good sleep, and good energy. In the end, you should do what works. As my thermodynamics instructor said, "Concepts are fine, but if you can't get the right answer, you're no use to anyone."

*A person with normal blood glucose has about a teaspoon of glucose in the entire bloodstream.
**The cattle ate a bunch of oatmeal. Sure, it fattened them up, but just think of how they lowered their cholesterol.

Click here for Part II.

Comments

Anonymous said…
Excellent post, Lori!
Lori Miller said…
Thanks, Carole.

Popular posts from this blog

1972: Carole King, M*A*S*H and...Food for 2014?

I feel well enough to try Atkins induction again. The palpitations are gone, even without taking potassium. My energy level is back to normal--no more trucking on the treadmill early in the morning  to burn off nervous energy or emergency meat, cheese and mineral water stops after yoga. It's back to lounging around to Chopin and Debussy in the morning and stopping at the wine bar for pleasure. I'm using the original Atkins book: Dr. Atkins' Diet Revolution from 1972. While looking in the book for a way to make gelatin (which is allowed on induction, but Jello(TM) and products like it have questionable ingredients), I felt the earth move under my feet : those recipes from 42 years ago look delicious and they're mostly real food. It makes sense, though: the cooks who wrote the recipes probably didn't have had a palette used to low-fat food full of added sugar or a bag of tricks to make low-fat food edible. Anyone who writes a recipe called "Cottage Cheese and...

Mince Meat Pie Recipe, low carb

The star of Christmas dinner this year was made of unlikely ingredients. Fruit and beef tongue sound high carb or unpalatable, but mince meat pie was so popular 250 years ago that it was in many cookbooks from the time--and it wasn't just for Christmas. My version cuts the carbs by using tart cooking apples, cranberries, monk fruit sweetener and a nut flour crust. The main flavors are orange and slightly tart fruit; the meat and fat make it filling. Have it for dessert or with coffee or tea for breakfast. Make some soup with the collagen-filled broth and discover how tender and tasty the rest of the beef tongue is. Worth the time and effort. IMPORTANT--start this recipe the day before. Links in the recipe go to hard-to-find ingredients and directly to the cookbook with the recipe for the pie crust. (I made the almond flour variation of the crust.) Recipe 1 beef tongue (I get mine here ; look for farms or ranches in your area that sell directly to consumers) 2 Granny Smith apples 1 ...

In Defense of Fast Food

Another modern trend - healthy food should be expensive, not nutrients-dense and preferably exotic, or you would be eating like plebs who live on a dollar McD menu. --Galina L. I don't try to jump over seven-foot hurdles, I look for one-foot hurdles I can step over. --Warren Buffett, pleb who eats at McDonald's Despite all the talk about wild-caught v. farmed, grass-fed v. CAFO and the vilification of fast food, a lot of us plebs benefit simply from carbohydrate restriction. But even though diabetes and obesity are rampant, and carb restriction alone would help millions of people, the impression is out there that you need to eat in a very specific way, far beyond just watching the carbs. Following a low-carb diet is already a high hurdle for many people. If some people want or need to raise the bar for themselves, that's fine with me, but there's no need to turn low-carb into a hurdle that a lot of people can't jump over. Organic produce and grass-fed or p...

My New Favorite Sweetener

If you're looking for a low-carb sweetener with no aftertaste, no franken-ingredients, and that doesn't upset your stomach, try monk fruit (also known as luo han guo). This is what Quest bars were sweetened with when they first came out. Monk fruit is Dr. Davis approved. You can buy monk fruit in powdered or liquid form; both are super-concentrated. They might seem expensive, but you use the powder by the spoonful (even in baking recipes) and the liquid by the drop. The baking recipes I've made with the powder have turned out well. Available from Amazon . Beware monk fruit sweeteners with erythritol.  The package of powdered monk fruit sweetener I bought says, "Use 1/8 teaspoon to create the same sweet taste as 1 teaspoon of sugar." But it's so sweet that I use 1/10 the amount. To replace a cup of sugar, I would use 5 teaspoons of monk fruit sweetener. Tip: hand-stir this in before using the beaters. It's such a fine powder that it flies up and out of the ...

Blog Lineup Change

Bye-bye, Fathead. I've enjoyed the blog, but can't endorse the high-fat, high-carb Perfect Health Diet that somehow makes so much sense to some otherwise bright people. An astrophysicist makes some rookie mistakes on a LC diet, misdiagnoses them, makes up "glucose deficiency," and creates a diet that's been shown in intervention studies to increase small LDL, which can lead to heart disease. A computer programmer believes in the diet and doesn't seem eager to refute it because, perhaps, scientists are freakin' liars and while he's good at spotting logical inconsistencies, lacks some intermediate knowledge of human biology. To Tom's credit, he says it's not the right diet for everyone, but given the truckload of food that has to be prepared and eaten, impracticality of following it while traveling (or even not traveling), and unsuitability for FODMAPs sufferers, diabetics and anyone prone to heart disease (i.e., much of the population), I'm...