(Getting up on my soapbox) Dr Wayne, I'm married to a 30+ year career nurse so I also get around other nurses. In my personal opinion the medical community, in general (there are exceptions), is full of professional arrogance by looking down their noses at the patient. These nurse do not think scientifically. What I mean is that they don't use any healthy skepticism about their own beliefs. They never attempt to falsify their beliefs. They just follow the script that was handed down to them from on high (the "anointed ones", if you watched one of my recently posted videos or see below). My wife will not watch these videos because.... "It's just your genes." Genetics haven't changed in 50 years.Dr.Wayne wrote:here are some risk factors off the top of my head (cardiovascular disease):
1. high cholesterol
2. smoking
3. uncontrolled diabetes
4. uncontrolled hypertension
5. moderate to severe sleep apnea
6. stress/type A personality
7. lack of quality sleep
8. sedentary lifestyle
obesity in general:
-stress
-lack of sleep
-poor diet
-lack of regular exercise (heck, id be obese if I didnt run 3.5 miles a day for the last 10 years, and im still fat)
I'm 58 years old and began bodybuilding at 20. For most of my adult life I listen to the American Heart Association on dietary advice. As far as I'm concerned the AHA can kiss my...butt. Even though I worked the oilfield every day and lifted weight and ran most weekdays, I always found it tough to keep my % of body fat down without going hungry.
My two brothers went on high blood pressure meds in their 20s. They both went on statins (although my older brother quit his). They liked their beer. Beer has three things going wrong with it: the alcohol and the brewer's yeast both of which raise uric acid contributing to increased blood pressure and the maltose (malt sugar). All three of those promote weight gain. University of Colorado's researcher Dr Richard Johnson talks about that in his book The Fat Switch ( It's why you get a beer belly and not a liquor or wine belly. I drank my share of beer, too, but kept it to the weekend. My blood pressure was always 120/70. Until....
...I got into my 50s and was finding it harder to stick to an exercise program. I would quit exercising for a year at a time. I still adhered to the AHA diet guidelines. My body weight went up to 236lbs (38" pants waist). My cholesterol went to 265 so I went to my doctor who said he didn't want to put my on statins (he didn't like them). He said "you know what to do so get your weight down." I cut out the saturated fat and brought my total cholesterol down to 245. Plus, somewhere during this time my blood pressure went to 152/103. That freaked me out. So I got busy trying to get the excess weight off. I cut back on calories and got on the treadmill for 4 miles per day (even though I knew a person doesn't burn many calories per mile). I got my weight down to 225lbs and the weight loss stopped. If I tried to eat any less I would've felt starved. I had gotten my total cholesterol down to 187 and my doctors comments on the panel was "Holy cow, you did it." I'd like to go pull that report to see the ratio of triglycerides to HDL. It wasn't a VAP panel.
Then I heard about this paleo diet thing. Did some research and said to myself, "this makes sense" and gave it the 30 day trial. 25 years earlier, I had already began thinking about evolutionary biology applied to bodybuilding, ie what would be the ideal ratio of muscle to stamina for a hunter/gatherer. I just didn't think to apply that to nutrition. It just so happened that at the end of those 30 days I had to take my aunt to see my doctor. I noticed he'd lost some weight. So I asked him if he'd ever heard about the paleo diet and he said "yeah." I said, "Well, I went on this diet about a month ago and lost 10lbs like that (snapping my finger). Then he asked, "How do you feel?" I said, "That's the other thing. My energy has gone way up and my concentration is up. I can now spend all evening reading a book. I've read four in the last month." My doctor then admitted he'd been doing a paleo diet for 6 months. He now prescribes it to patients. My blood pressure two weeks ago at the dentist was 126/76.
I have never been on any kind of medications.
OK....What do you mean by high cholesterol? Anything over 200? IMO Bull. There is no statistically significant evidence of total cholesterol under 300 contributes to heart disease. Here's the argument for how the under 200 came about and the financial conflict of interest involved.
What matters in cholesterol is particle size, ratio of triglycerides to HDL, inflammation. And there is zero evidence that eating saturated fat contributes to heart disease. Saturated fat raises HDL and A-LDL. Carbs raise triglycerides, raises B-LDL, and corispondingly lowers HDL. Accoding to Dr Peter Attia MD (see videos towards the end of my rant) the ratio of try/HDL is a four time better predictor of heart disease than total cholesterol.
And Credit Sussie's Research Institute just came out with this that affirms those same arguments:
https://doc.research-and-analytics.csfb ... RvaRWdQ%3D
The patients, like me, are waking up to this lipid hypothesis scam and here's how
Your #s 3, 4, and 5 are all caused by following the USDA's, The AHA's, and ADA's lowfat, high-complex carb diets. That diet is why we have an epidemic of metabolic syndrome.
Because doctors are limited in the amount of time they can spend with their patients I think is was very cleaver of Dr Ted Naiman to put up this youtube video for them to watch on their own time.
and, with Naiman's video, insulin blocks leptin at the brain
and why are you still fat if you run 3.5 miles per day? A 200lb person burns about 130 calories per mile. Let's use 100cal/mile.
At 3500cal in a pound of fat and 100cal per mile a person would have to run 35 miles to burn of the calories equivalent to one pound.
3500/100 = 35miles.
To burn off 20lbs a person would have to run 700 miles
35miles x 20lbs = 700
which is why I could gain fat while working the oilfield and exercising weekdays in my twenties.
As a runner you'll appreciate these two guys.
Prof Tim Noakes MD is a world renown sports medicine researcher works with world class marathoners and Iron Man Triathletes His book, The Lore of Running, has been called the bible on running. He now tears out the pages from his on book were he talks about the need for carbohydrates. And notice what he says about the whole lipid hypothesis and saturated fat. The LH has never been proven.
Dr Peter Attia MD got his undergrad and graduate degrees in engineering. He was accepted into an aerospace engineering PhD but decided to become a doctor instead. He studied medicine at Stanford and did his residence at Johns Hopkins. You say you're fat and running 3.5 miles per day....Attia says he got fat exercising 3 hours per day. He's an ultra-marathon swimmer and long distance biker. He swam the Catalina Channel twice, a distance of 25 miles. Here's his story and self experimentation. Notice how his blood work improved eating an 80% of calorie diet of mostly saturated fat.
and this is what Attia has to say about the official dietary guidelines
As far as my exercising is currently going. As it turns out I've been doing exactly what Dr Ted Naiman recommends. I do 5 -7 total sets on weights once per week. I do the Big 5 exercises: horizontal push/pull (bench press and back row), vertical push/pull (pull downs/chin ups, and shoulder press), and then leg presses. About mid week I do 8 Tabata sprints on an elliptical: 20 second sprint 10 second rest. Takes 4 minutes. Admittedly, on the other days I should be getting in some mileage walking and stretching. For work I'm a self employed disk jockey lucky enough to work from home.
https://www.youtube.com/user/tednaiman
So what kind of shape am I in? I weigh 208lbs and my bluejeans waist size is 33. I can't pinch an inch. The weight equipment I use is Cybex and on most of that equipment I have to use the entire stake. When I first went on the paleo diet I dropped my weight to below 200lbs and was in a size 32 jeans. I relaxed my carb intake and some of that weight came back. My vice is having a glass or two of wine before bed which usually means snaking on something like chips. If I want to get the weight off, which I currently am, I have to cut out that vice most nights.
I'll get off my soapbox, now
I spent much of my early adult life listening to those dietary guidelines. I bought and read the AHA nutrition book. But there was this nagging question: If I tell a cardiologist I'm eating a stick of butter/lard every day he'd say I was trying to give myself a heart attack. But this same cardiologist might tell me I need to lose 100lbs. OK, well how does that butter get from my digestive system and into my arteries? It gets broken down into saturated fatty acids. How would that 100lbs of body fat get out of my fat cells and into my arteries when it's locked up with a glycerol chain? My fat cells have to break that chain and then the saturated fatty acids are released back into the cardiovascular system. It's the same saturated fatty acids whether its coming from my diet or from my fat cells. 