Your Health is Where You Want it to Be

Good morning, and happy Sunday! I want to tell you about a conversation I had with a patient this week. She was someone I’d never met before, and, like many before her, she was absolutely flummoxed about what to try next. She had already done everything she could think of to lose weight. I think you know this story. I’ve told it many times before, and you may even have experienced it yourself. Maybe you’ve been on practically every diet, eaten cabbage soup, denied yourself your favorite foods, carved out time you didn’t really have to get more exercise than was comfortable at the time. Of course none of this was sustainable. You can’t eat cabbage soup for breakfast forever. So what’s next? Next comes balance. Continue reading


Is Morning Time the Best Time?

My sister told me the most interesting thing this week. She said that she prefers to prepare vegetables (like broccoli, for example) in the morning, when she has more energy, instead of leaving it to late afternoon, when she, along with the rest of her family, is hungry and running on fumes, as an old friend used to put it. She already buys her broccoli in bags of florets, so that part is done. Then she tosses a few handfuls into a steamer set in a pan containing a few inches of water, sprays them with olive oil, shakes on some salt and pepper plus Trader Joe umami seasoning (mushroom powder, onion powder, spices), and keeps layering until the bag is empty or the pot is full. Then she turns on the water to boil, and pretty soon the broccoli is bright green and ready to refrigerate, to be eaten later that day or the next. Single mom, super efficient. Say no more.

This story got me thinking about something else. Continue reading


How Much Stripped Carb is Safe to Eat?

Today’s post is about how much stripped (refined) carbohydrate is okay to eat.  Stripped carbohydrate means white flour, white rice, corn starch, corn syrup, sugar. Plus fruit juice and beer. Basically, stripped carbs are carbs (mostly grain, though not only) that have had their fiber and color stripped away. It’s not a coincidence that white flour looks exactly like corn starch and powdered sugar. They’ve all had their color and fiber stripped away, and all that’s left is a pile of white powder.

This post is only about stripped carbs. It is not a discussion about whether carbohydrates are okay to eat. There are people who feel that carbohydrate has no place in their diets, and who manage beautifully on a very-low-carbohydrate diet. I get plenty of comments from readers who eat this way. Someday, we may discover that this group of people share a combination of genes that makes it very difficult for them to tolerate even modest amounts of carbohydrate. For now, I am glad that they have figured out how best to protect their health. So this post is not for them. It is for people who tolerate whole grains, fruit, and beans without any problems. People who feel awful if they skip the vegetables, grains, beans, and fruit. Like Dr. Caldwell Esselstyn.

If you look out your window at some growing food, you will notice that there is no such thing–in nature–as carbohydrate without fiber attached. Stripped carbs are relatively recent  inventions. Stripped carbs are derived from raw ingredients — mainly grain and produce (dates and beets) — that are abundant in nature. Human beings figured out how to convert these ingredients to flour and sugar only in the past couple of hundred years or so. We did not evolve to eat these food-like products, and certainly not at the volumes we currently consume them.

How much stripped carbohydrate is it “safe” to eat? Not a lot. But I would not say zero. There’s a certain amount that probably doesn’t matter much, one way or the other. At the end of the day, I think it comes down to a relatively simple equation, one that is probably affected by three things: 1) your genes, which are heavily influenced by your environment, 2) the amount of unmanageable stress you withstand on a daily basis, 3) and the amount of activity in which you engage regularly.  

Stress can be physical, emotional, social, spiritual. It can come from within (fever, anxiety, bereavement, pregnancy) or without (a blizzard, a heat wave, a new baby, winning the lottery). It can be the result of circumstance (a safe falls on your head) or questionable decision-making (skipping breakfast). It can be due to conflict, real or imagined. Agents of stress can be small like a virus, or large like an asteroid. Pain, fatigue, sleep deprivation are serious and common causes of stress.  

And, yes, stress can be caused or exacerbated by eating foods that don’t provide the building blocks your body needs to function optimally. Like stripped carbohydrate. In other words, stress causes stress. That’s one place you do not want to be. So eating more nutritious food, which helps make your brain and body work better, is one way to decrease the amount of stress in your life. 

Are you looking for a number? Okay, here it is. You can have two servings of stripped carbohydrate. But how often, you ask? Well, that depends on you. It could be two servings per day, per week, per month, or even per year. If you are slender, active, comfortable, and quite healthy, you may be able to tolerate as much as two servings a day of stripped carb.

Note that this means not two cans of soda pop, but two ounces. A can of soda with 12 teaspoons of sugar is not one serving. It is 12 servings. Two servings is just one-sixth of a can.

Continue reading


Take Back Your Teaspoon!

Did you know that most sodas are sweetened with a teaspoon of sugar per ounce? That means the average 12-oz. can of soda (pop) contains the equivalent of 12 teaspoons of sugar. Excessive, to say the least. Actually, it causes diabetes and obesity. Not in my cup of tea. When would you ever consider putting 12 teaspoons of sugar in your glass of iced tea? It seems absurd when asked this way, but people are doing it all the time — every time they pop open a can of soda. This week, we’re talking here about the crazy amounts of hidden sugar in processed items. Continue reading



Try Nourishing Yourself with Joy

Today we’re talking about diets. To diet is to restrict oneself, to deny oneself pleasure. Well that sounds kind of miserable. No wonder diets don’t work. Who would want to do something that makes you feel bad?

Dieting is a logical consequence of the assumption that overweight is due to overindulgence. But there is a fault — a big, fat one — within this assumption: If it were true that overindulgence were the cause of overweight, then denial would be an effective and viable option for losing weight. But it is not, of course, which is why you have probably noticed that diets virtually never work. Continue reading


Insulin: A Very Good Place to Start

Here is why it’s important to use less insulin: The fact is that insulin is not your friend. You need it to live, but you want to use as little as possible. You want the levels of insulin in your bloodstream to stay as low as possible. Like sugar. The lower the better (within reason, say 80 to 99 for fasting blood sugars). When it comes to insulin, you want your levels to remain as low as necessary to do the job, not zero of course, but on the low side. Why is that? There are a number of reasons. Continue reading


One Step At a Time

Some time ago, Gene [not his real name] the computer guy showed up at my office for the first time in a while. Right away, I knew something had changed. I said, “You’re looking very well! How are you doing, Gene?” He responded with an uncharacteristic grin, and answered with an observation that all of us know, but few believe (despite numerous confirmatory personal experiences!). I sat up fast when he said, “Diets don’t work.” Continue reading


Is Obesity an Overindulged State? NO

I want to speak once again about a massive misconception, namely that obesity is an overindulged state. It is not. If obesity were an overindulged state, then diets would work. The reason that your appetite increases right along with your waistline is that the bigger you are, the more malnourished you become. And the more malnourished you are, the hungrier you get. Obesity is caused by malnutrition.

Have you ever said to yourself, “Why, oh why, did I drink so much olive oil?” Have you ever heard someone say, “Wow, I shouldn’t have eaten so much fruit salad!”? Of course not. Foods that are nutritious send signals to our brains to put the brakes on automatically when we’ve had enough.

In contrast, items without nutritional value send no such signal. So it’s easy to eat too much candy, too many potato chips, half a pan of brownies, a sleeve of Thin Mints, and two full orders of deep-fried whatever. Even on the same day.

That’s why the solution to overweight is not to eat less but to eat better. It’s why I want a lot of peanuts (or edamame or walnuts or almonds or chickpeas) in my salad. Because that salad is going to fill me up and stick to my ribs a lot more if I add plenty of nutritious oils and protein to that gorgeous, colorful salad. And I also want the salad dressing to be made with something rich and nourishing like olive oil or tahini, either of which will make the salad taste fabulous and satisfy me for hours. Fat-free salad dressing is not food. Neither is anything else made with corn syrup.

Portion control is a separate issue from nutritional density. Eat more nutritious food, and there is a good chance that your portions will begin, slowly, to take care of themselves. This means that portion control is not a solution, but rather a consequence of improving your nutrition. It happens by itself when you begin to eat in a way that supports your good health. The more nutritious food you eat, the better nourished you become, the more weight you “release,” the better your pants fit, and the more reasonable your appetite gets. What you weigh is a reflection of the choices you make. You don’t get to choose your weight. You don’t get to dial in what you want to weigh every morning. But if you begin to improve the nutritional value of the things you choose to eat, your weight begins to reflect the new choices.


Practice Makes Progress: Do the Math

I sometimes imagine that I have a sign in my office, just above the door, that says “Perfection is the enemy of progress.” I am drawn to this idea a lot, especially when I talk with people who are hard on themselves, who discount their own small but sincere efforts as insufficient, or who, sometimes, describe themselves as lazy, incompetent, or unfocused. They are, of course, none of these. If anything, in fact, they are usually exactly the opposite. Hard-working, goal-directed and applied, they tend toward the belief that if they can’t give it their all, there’s no sense even trying. The thing is, that’s not true, not even slightly. Continue reading