Solve Your Health Issues with a Ketogenic Diet
Ketogenic Diet Plan: Get Started Here! Here's how to start a ketogenic diet plan, what to expect, whether it's dangerous and the great benefits. |
Ketogenic Diet Plan: Get Started Here! Here's how to start a ketogenic diet plan, what to expect, whether it's dangerous and the great benefits. |
Many aggressive cancers depend on anaerobic glycolysis for ATP production, as has been known since first described by Otto Warburg in the 1920’s. The remarkable success of modern PET scanning in the detection, staging and prognosis of many cancers using F-18 Fluorodeoxyglucose (FDG) reflects this dependence. Very low carbohydrate ketogenic (VLCK) diets have inhibited cancer growth in animal studies and in a human case study. Ketone bodies in culture media have inhibited cancer growth in cell culture studies [1], [5], [6]. While the mechanism of cancer inhibition is unlikely to be simple glucose deprivation, several plausible mechanisms have been proposed. VLCK diets cause tonic reductions in hormones that are supportive of tumor growth including insulin, IGF7, IL6 and other inflammatory cytokines. Other metabolic effects include apoptosis due to increased plasma fatty acids, and inhibition of fatty acid synthase, a target of chemotherapeutic agents. While we actively explore cellular and metabolic effects of ketone bodies themselves in our own laboratories, we are also recruiting patients in a nutritional Clinical Trial of carbohydrate restriction in collaboration between the Albert Einstein College of Medicine and Downstate Medical Center. The two principle aims are to: 1) Determine safety and feasibility of a 28 day VLCK diet in 12 subjects with FDG avid cancers. 2) Monitor change in PET FDG uptake between the beginning and end of the trial as a surrogate marker for efficacy (as has been done in lymphoma, lung cancer, breast cancer and other malignancies). Five patients with metastatic cancer have completed four weeks of a VLCK diet without adverse effects. We are looking to recruit another 7 patients. Please take a look at our website for more information. |
"For those of us who have been on board with, and operating under this paradigm for some time now, there is really nothing new at all in this review. However, it does provide a good summary of all of the common issues and concerns around low-carbing, particular those that are often put forward by clinician's themselves. There is the nod, in this review, to the fact that these clinicians are clinging to a wisdom and practise that is protective of their own beliefs and biases rather than focused on the patient. As suggest by the authors, you can advocate all the low glycaemic index breads you like as a way to manage diabetes, for example, but the glucometer doesn't lie.
Is this a game changer? Doubt it. As I mentioned in my introduction, I have had health professionals tell me that they would only consider a change in clinical approach if I could provide a solid meta-analysis or Cochrane review (obviously thinking I couldn't). When such evidence is produced, it still isn't enough and other reasons as to why 'the science' is wrong come to the fore (clinical best practise seems to be a matter of faith rather than physiology and commonsense). However, there will be those clinicians who have perhaps been sitting on the fence with this paradigm and who just haven't had the time to do an in-depth review around all the common issues. This paper is for them, and may just be enough to knock them off the fence and onto the low carb side. More importantly, this paper, with its ease of reading, is for the patient. There isn't a lot in here that would bog a patient down, and for clinicians wanting to take their patient down the low carb pathway (maybe by applying paleo principles), this could be the ideal review to pass on to their patient to give them confidence in that pathway.
This review isn't going to create a seismic shift in paradigm, but it is certainly building pressure and rumbling in the right direction."
Although appealing to an evidence-based methodology, the DGAC Report demonstrates several critical weaknesses, including use of an incomplete body of relevant science; inaccurately representing, interpreting, or summarizing the literature; and drawing conclusions and/or making recommendations that do not reflect the limitations or controversies in the science.In fact, the topic headings in the paper read like a list of charges. Here are few sample headings:
Macronutrients: Research questions are formulated in a way that prevents a thorough investigation of the literature
Macronutrients and weight loss: Science is inaccurately summarized
Low-carbohydrate diets: Science is inaccurately represented
Low-carbohydrate diets: Conclusions do not reflect quantity and/or quality of relevant science
Effects of saturated fat: Answers based on an incomplete body of relevant science
Effects of saturated fat: Science is inaccurately represented or summarized
Diabetes and fat: Science is inaccurately represented or summarized
Dietary fiber and whole grains: Conclusions do not reflect the quantity and/or quality of science
Salt: Recommendations do not reflect limitations and uncertainties of the science
You get the idea. Within each topic, the authors point out the many flaws in the scientific “evidence” cited to support the 2010 Dietary Guidelines … the cherry-picking, the incorrect conclusions, and the contradictions. If you’re interested in the details, you can read the full paper.
Jeff here- most of what is in the post is fully compatible with PaNu. But Matt Stone asserts that once you've been on zero carb or very low carb for a while [several years] you'll run into problems as specified above. The carbs he recommends sound like potatoes and rice, not clear what he thinks about whole grains, but the bottom line question seems to be about thyroid function over the long term. I read the post and it starts out reasonably. Matt's hyping a pseudo -contrarian position that has some truth to it, but reading him later he goes off the rails when he starts talking about cortisol and thyroid function.And therein lies the true danger of uber-low-carbohydrate diets. All my experience tells me that, the first few years aside, a low-carbohydrate diet and certainly a full-blown ketogenic diet exacerbates a low metabolism. It is not a matter of having a genetically-doomed dysfunctional thyroid gland; it is fixable, and it lies at the core of the health problems we’ve seen explode over the last century. This is why all prolonged restricted diets, low-carb included, in the words of Robert Atkins himself (from page 303 of Dr. Atkins’ New Diet Revolution):“…tend to shut down thyroid function. This is usually not a problem with the thyroid gland but with the liver, which fails to convert T4 into the more active thyroid principle, T3. The diagnosis is made on clinical grounds with the presence of fatigue, sluggishness, dry skin, coarse or falling hair, an elevation in cholesterol, or a low body temperature.”To that I will add constipation, bad moods, heartburn, cold hands and feet, and a whole host of other minor but significant health problems. To get an idea of how “shutting down the thyroid” can manifest, Mark Starr’s chapter on Hypothyroidism symptoms is 83 pages long.
3 | After finding low-carb paleo diet to be perfect for me and my lifestyle I am so dissapointed to hear Matt Stone at 180-degree health refute what I beleive. Stone use to be low-carb paleo and suffered several health problems and talks about his client with the lowest body temperature being a guy after he went LC paleo. I understand people gaining weight after stopping LC paleo bc I beleive they shouldnt be eating foods that aren't LC paleo. But Stone says LC paleo ruins metabolisms. What do you think? low low-carb metabolism thyroid temperature | ||
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Here’s the puzzle. Someone adopts a low-carb Paleo diet. Very healthy diet, right? But their LDL cholesterol level starts to rise. And rise. And rise.
Larry Eshelman emailed me last December with this problem. His LDL history:
(SI system readers, convert to mmol/l by dividing by 38.67.)
- 103 mg/dl (1990-2002, eating a low fat diet)
- 115 mg/dl (2002-2007, eating a low carb diet)
- 195 mg/dl (2007-2009, after reading Gary Taubes and adding saturated fat)
- 254 mg/dl (Dec 2009, very low-carb Paleo for 5 weeks)
- 295 mg/dl (Jun 2010, very low-carb Paleo for 7 months)
A common problem
This is not a terribly uncommon problem in the Paleo community; it afflicts famous and brilliant bloggers as well as ordinary folks. It’s been discussed by Richard Nikoley in several posts:
"Bread, gluten-free or gluten-containing, in terms of carbohydrate content, is equivalent to sugar. Two slices of store-bought whole grain bread, such as the gluten-free bread I discussed in my last post, equals 5- 6 teaspoons of table sugar. Some breads can contain up to twice this quantity, i.e., 10-12 teaspoons equivalent readily-digestible carbohydrate:"