Dear Dr. Carlson,
I have been reading the chapters of your book online.
I'm writing to buy an electronic copy of your book and also to ask for your
advice if you're able to give it. I want to thank you in advance for spending
your time responding to my questions. I think you've done a very valuable thing
writing your book.
I am a 49 year old woman who was obese for over 10
years. I have lost most of my extra weight and I've been researching how to
keep it off and be healthy long term. I am also experiencing long-term (years)
fatigue and mild depression symptoms, and I was diagnosed this January with mild
sleep apnea, which is being successfully treated with cpap at this point.
I've been eating very low carb (high fat and protein) for over two years
now. I eat organic dairy and grassfed meat and mostly organic
veggies/fruit/nuts. Low carb eating is a big part of how I lost all the weight,
and it's definitely the only thing that keeps the weight off -- it still keeps
trying to sneak back on, very difficult to maintain, wish I understood better
how to maintain. It's hard to pinpoint what foods are causing me to gain. I
weigh every day and chart it, and I do write down what I eat, but I think some
very low-carb foods, like almond flour recipes, or homemade crustless quiche
(eggs/cream/cheese/veggies), still do trigger weight gain for me. The only
sugar I eat is a little in dark chocolate. I don't eat any grains. I have a
serving of strawberries or an apple every day or two, no other fruits. I just
wish I could actually figure out what I "can" eat, and settle down to that, so
my weight wouldn't keep creeping up again!
I am 5'6", 159 lbs right now.
My highest was 242 lbs, 3 years ago. My lowest was 143 lbs last April, but
couldn't keep it there. I exercise 2-3 times a week (mild circuit training-
Curves) trying to work up to more times, but I have a tricky right knee and
lower back, so have to go kind of slow to not mess them up and have to stop
again.
From my reading, It seems like my test results are looking pretty
good. I'd like to know if you see what might be missing still in my
understanding of all this and how I can keep the weight off easier and feel
better. I know you can't advise me as a doctor. Please advise me as a
researcher, trying to understand the science of how all this works. In case it
fills in any blanks, I will tell you that I have also had shingles and active
Epstein-barr virus in the past 10 yrs, that I have an autistic son, that my
father was malnourished as a baby, and that my paternal grandmother was also
very obese, and apparently at about 40 "went to bed" and wasn't really able to
do much the rest of her life. I think that was the direction my health was
going, before I started on this quest, and I am determined to stay active and
get healthier and healthier.
MY STATS
Fasting blood sugar most days is
around 90 (this makes me really happy - a year ago it was 103)
Cholesterol,
total - 140
Triglycerides - 53
HDL cholesterol - 74
VLDL cholesterol
Cal - 11
LDL cholesterol Calc - 55
T. Chol/HDL Ratio - 1.9
C-Reactive
protein, Cardiac - 0.71 (ref 0-3.00) - this was up in the danger range when I
was obese.
I've been reading your book and also Gary Taubes, Robert
Lustig, Mary Fallon, and others, and as I understand the scope of the health
emergency here, and how all roads lead to the same answer - stop eating carbs
and sugar - I'm finding myself needing to tell other people what I know about
how they can be healthier for the rest of their lives. I know you can relate,
as you are on that mission, too. Most adults, even very smart ones, know so
little, and hear so much misinformation! I hate it that they're still being
told to eat low-fat and whole grains, it just kills me to see my young adult
kids eating lots of flour and sugar, and also friends who are my age eating in
ways that will make them sick. It doesn't work to just tell someone what
they're doing wrong, though. With my own kids, I'm thinking I can at least ask
them to get their lipids tested, fasting blood sugar and BMI, and what to do if
they are not in range. With others, I'm not sure how I can effectively help.
Do you have any advice for me? I'm not sure they'd read a whole book if I
handed it to them, but maybe they would read a booklet, something shorter,
especially if it seemed really credible and scientific. What do you think?
Have you had luck getting your family and friends to change their
eating?
I am done with the first 10 chapters, so I guess I need to buy an
electronic copy of your book!
Please let me know how I can do
this.
Thanks!
My response;
Hi There!
Your story is so like all the thousands upon thousands of
e-mails I have received over the last few years since I had written my book. You
are so not alone. It is indeed difficult to eat the correct way because we are
inundated on a daily basis about the 'accepted' diet which in reality is simply
killing more and more of us. A few words of caution...get rid of the fruit and
berries, they contain glucose and fructose and this will slow down our ability
to lose weight and can be used to create not only fat, but cholesterol as
well.
Your lipid panel is awesome! Interesting how eating more fat and
cholesterol actually makes us more healthy....hmmmmmm :-)
As far
as your young adult children are concerned, that's a difficult prospect because
diets have become unfortunately a belief, rather than based on scientific fact,
so people continue to eat the way they believe is the right way,
despite the voluminous evidence to the contrary. Your children will need to come
to an understanding of the correct way to eat and then wish to implement a
change in their dietary habits, proselytizing rarely works.
I hope my
response was helpful and even though my response to you is for
educational purposes only, I implore you to continue to eat the scientifically
correct way :-)
Oh, as for the rest of my book, simply send $9.99 to
PayPal using drjim@drjamescarlson.com and I'll
e-mail a copy right on over. Now I'm off to have a nice grass feed cut of
beef!
dr jim :-)
And some follow-up questions....
Hi There Again!
See my italicized responses after your questions below
:-)
I am happy to support your work! I'm excited to get going on more
reading. I've been diagramming some of the processes out as I go through, to
help the information sink in so I can internalize it well enough to explain it
to someone.
If you are willing and have just another couple of minutes,
I was wondering if I could ask a few questions. These are the nagging things
that I worry about:
1. Cutting fruit entirely from my diet sounds scary
to me. Is there anything fruit adds to the diet that is essential to being
healthy? Aren't there some flavonoids in fruit/berries that are anti-cancer,
and are not in veggies? I definitely want to cancer-proof my body as much as
possible. I also understand that raw fruit has enzymes in it that help
digestion.
Nope, fruit adds very little to our diets other than
sugar. It is virtually devoid of nutrients due to all the processing so all it
really provides us with is, again, sugar. As far as the
phytonutrients/flavanoids stick with berries, but stay with blue, black and
raspberries avoiding strawberries which tend to contain more sugar. As far as
digestive enzymes I'm not aware of that.
2. Is there anything that
grain and carb foods provide for health that I am missing by not eating them for
years on end? Same question as above - any healthy nutrients in grains that are
essential? Seems intuitively to me that if people have been eating them for so
many years, there must have been a nutritional reason.
There is
nothing essential in grains that you are missing. Just because people have been
consuming them for years does not equate with them being healthy. Along the same
line of thought, is there an intuitive health reason people have been smoking or
drinking soda pop for so many years, that's certainly not healthy. I guess it
all goes back to the realization that low fat, low cholesterol diets are
unhealthy; then we look around and see all the major medical
organizations, doctor TV shows, magazines, medical schools, most
doctors/nutritionists/dietitians, major university studies (like Harvards latest
red-meat study) and then we look at how we're eating (which is correct) and then
we wonder how 'they' all can be wrong and how could 'we' possibly be right? So
then we step back and wonder about the possibility of nutrients in say grains
and apples or whatnot...Coming to the realization that low fat/cholesterol diets
are not just wrong but essentially will wipe out the human race is a very scary
realization...but a true one. Remember, beliefs can be right or wrong....the
facts just are....
3. If I am able to eat small amounts of
nutritious carbs and not gain weight, are they an ok addition to my diet? In
other words, would 1/2 cup of brown rice or a potato or a piece of sprouted
wheat bread now and then be ok, or even be a smart idea for some health reason,
as long as my numbers stay good, or is my goal really, really to cut
grains/carb-foods completely? Just trying to understand where that "line" is
that I'm trying to end up on the right side of! What about ketones? Is it
really ok to be in a ketogenic state on a semi-permanent basis? Maybe this is
in the part of the book I haven't read yet...
Excellent question. OK,
so first off let's re-emphasize I am not talking about zero carbs, you'll need
to get some. If you suffer from heart disease, obesity, diabetes, heartburn,
asthma, allergies, colitis, irritable bowel, eczema, psoriasis, any connective
tissue disease (including fibromyalgia), have a family history of any type of
cancer (and this list goes on and on)...you will need to stay around 20 to 30
grams of carbs a day; and yes, watch your biochemistries because the proof lies
there (HDL, triglycerides, liver, kidney, blood sugar, HgBA1c etc). As far as
benign dietary ketosis is concerned, well, it's benign, so you can stay in this
state for your entire life and the only thing that'll happen is you will stay at
a healthy weight, your biochemistries wont stray into the danger range, you most
likely will not need medications and you will live a very long and
healthy life.
4. I'm not sure I agree with you about non-nutritive
sweeteners. Have you revised your opinions about them at all since you wrote
your book?
Yes, I have. My favorite remains the sweetener sucralose, ie
Splenda. But when cooking with it beware that Splenda also contains dextrose and
maltodextrin which, depending on how much Splenda one uses, can increase the
carb content significantly. In the interest of revealing to the public I do not
know everything (some people actually think I do :-) I just learned that about
Splenda a few weeks ago told to me by Judy Barnes Baker expert low carb author
and chef and has a few books of her own out there ('Nourished: A Cookbook for Health, Weight Loss, and
Metabolic Balance' & 'Carb Wars: Sugar is The New Fat') which are excellent
sources for delicious low carb cooking.
I just did an interview with the
Salt:NPR blog on the metabolism of sucralose & Stevia, both of which remain
inert and have minimal to no effect on our physiologies when ingested, so I gave
them a thumbs up at this time. And certainly better/safer to consume than
sugar/carbs.
A quick word about Aspartame, aka Nutrisweet. It is a
sweetener created by joining phenylalanine with aspartic acid. Allegedly
the only people who will have trouble with this sweetener are those lacking the
enzyme necessary to break these 2 molecules
apart rendering phenylalanine and aspartic acid. They are referred to as
phenylketonurics. Here in America, most children (and notice I used the word
most, not all) are screened for the absence of this enzyme at birth. If the
enzyme is absent, the parents are immediately told that their child needs to
avoid not only aspartame but phenylalanine containing foods.Sounds simple enough
but here's where it gets tricky; analysis of the nutrisweet molecule reveals
yes, one molecule of aspartic acid and one molecule of phenylalanine, but off to
the side is a molecule of methanol, which is a poison in our systems when
consumed in even a small quantity. Once cleaved from the larger molecule
methanol will be metabolized to formaldehyde (yes, you read that right) and then
to formic acid which in the quantities consumed in say a diet soda, passes
through the body without causing any damage. Hmmmmm. If that doesnt sit right
with you than we are on the same page. I have to state in the literature I
perused it was stated that the change from formaldehyde to formic acid was
almost instantaneous so those two species dont stay in our bodies long; and yes,
i am still squirming a bit uncomfortable in my seat right now....so I do tell my
patients to try and avoid nutrisweet in large amounts, but again, what is the
lesser of 2 evils nutrisweet or carbs...oh yeah, I am writing all this as I open
up another diet Pepsi...shhhhh, hey, nobody's perfect :-)
Hope these
answers help!
dr jim :-)
www.drjamescarlson.com
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Some interesting discussion about Splenda here:
ReplyDeletehttp://www.gnolls.org/3066/your-whey-protein-and-whey-isolate-may-not-be-gluten-free-beware-glutamine-peptides/
To my mind, it's questionable enough to avoid.
Thanks for the information; your blog is really helpful to me.
ReplyDeleteVLDL cholesterol