A Hierarchy of Carbohydrates

I’ve been thinking about an idea that I’m going to call a “hierarchy of carbohydrates.”  It’s based on the concept of dividing the large and grand category of carbohydrates into several discrete groups, each of which may affect insulin release differently.

Any critical discussion about the carbohydrate in our diets begins with white flour and sugar.  Remember that if you look outdoors, you will notice that carbohydrate virtually never exists without the fiber intact.  So how did it get that way?  We humans removed it.  

White flour and sugar, at the top of the hierarchy of carbohydrates, are examples of what happens to carbohydrate after it’s been stripped of its fiber.  Remove the fiber from beets, dates, or sugar cane, and what’s left is sugar.  Remove the fiber (and germ) from wheat, and what’s left is called white, or refined, flour.  “Refined” means to remove the coarse impurities.  Or not.  Historically speaking, these are relatively recent inventions of the past 200 years or so.  We did not eat stripped carbohydrate much before that; it didn’t exist.  

Eating stripped flour and sugar is like being served carbohydrate on a silver platter.  It’s been pre-digested, at least in part, and all that’s left is for us to finish the process.  Since the food has already been partially broken down, there’s less work of digestion.  So we absorb these carbs exceedingly quickly, and our blood sugars rise accordingly.  The more rapidly your blood sugars rise, the more insulin you release to catch it.  This wastes insulin, which is the opposite of your intended goal to conserve insulin.

By the way, a terrific side benefit of cutting the white flour and sugar in your diet is that you end up decreasing significantly the amount of manufactured calories, or processed food-like items, in your diet.  You stand to reap substantial benefits by doing this. That’s why anyone attempting to conserve insulin is advised to limit, as much as possible, their consumption of white flour and sugar.  Of course, you may eat birthday cake, preferably homemade, on occasion.  But a diet that includes 6-10 (or more) servings of stripped carbohydrate on a daily basis is asking for trouble.  

This recommendation leads inevitably to the next question:  What about whole grains?  Grain is level two in the hierarchy of carbs.  And here’s where it gets more personal.  Large numbers of people report that the more grain-based food they eat, even whole grains, the more difficulty they experience maintaining a healthy weight, modulating their appetite and “cravings,” and stabilizing their energy levels.  Though not all people feel this way, some do.  To these folks, I say — trust your body.  Respect what it is telling you.  Do an experiment: try avoiding all grain-based products for a couple of weeks.  No wheat, barley, corn, oats, buckwheat, rice, or stuff made from them.  See what happens. See how you feel.  See how your pants fit.  

Assume now that after two weeks off grains you like how you feel, but your clothes are as tight as ever.  Level three in the hierarchy of carbohydrates is root vegetables (potatoes, parsnips, beets, squash).  These kinds of produce ripen at the end of the growing season.  If you think about it, food was traditionally more scarce in the wintertime.  Hence, a cellar filled with root vegetables is a kind of insurance policy against starvation.  It’s as if these foods are designed by nature to provide the body with a little bit of winter insulation, i.e., fat storage, at precisely the time we need it.  

So should you be avoiding root vegetables?  Of course not —  if you are active and at a healthy weight.  If, on the other hand, you are struggling to keep your personal winter insulation in a reasonable range, even with adequate exercise, and you’ve already markedly decreased the amount of grain in your diet, you may discover that decreasing root vegetables, especially white potatoes, makes a big difference.  

Level four in the hierarchy of carbohydrates is fruit.  Remember that some fruits, like mangoes and watermelon, contain larger amounts of sugar than others, like berries, cherries, grapefruit, apples, peaches, plums.  The more sugar, the greater the insulin release.  So if you’re looking for a way to further improve your insulin conservation, think about that.

Level five in the hierarchy of carbohydrates is beans.  Black beans, fava beans, pinto beans, kidney beans, navy beans, and America’s favorite bean, peanuts.  Yes, peanuts are a bean.  There are only a few diets that advocate the avoidance of beans, but the people who thrive on a diet low in grains, root veggies, high-sugar fruits and beans are proud and vocal.  I have to believe they struggled for a long while before they found success.  I theorize that some people are so exquisitely sensitive to carbohydrates that even beans, such a great source of nutrition in general, are a problem.  If this sounds familiar to you, check out the work of the indomitable Dana Carpender.

Finally, level six in the hierarchy of carbohydrates is green vegetables.  Yes, green vegetables are, technically, carbohydrates.  But the total amount of carbohydrate is so low that I encourage you to pile your plate as high as you like with all kinds of salads and green, leafy vegetables.  Unless you are a carb-counting Type 1 diabetic, there is no need to be at all concerned with the amount of green leafy vegetables you eat. Really, even if you are.

Use the hierarchy of carbohydrates to figure out your own best strategy for healthy living.  To summarize: Level 1 is stripped flour and sugar, and none of us should be eating much of these. Level 6 is green vegetables, and all of us should be eating plenty of these.  

Level 2 is whole grains, level 3 is root vegetables, level 4 is fruit, and level 5 is beans.  I have no specific recommendations here, because I believe that each person has their own unique optimal solution. But know that somewhere within these levels is a balance that will provide you with the raw materials you need to thrive.  

 

The War Between Shelf Life and Health

Let’s say there’s a guy in your neighborhood who’s a real troublemaker.  Anytime something goes wrong, he’s right in the middle of it.  Now you have two choices.  You and the gang can banish him, send him away forever and forbid him to come around.  Or you can get him to mend his ways and change.  This is the story of fats and oils in manufactured, processed, food-like items.  

From the point of view of the food processing industry, fats, or oils (you may use the terms interchangeably), are troublemakers.  They are fragile.  They break down easily.  Oxygen in the air causes them to become oxidized, which gives them a nasty taste.  When this happens, we say that a product has gone “rancid.”  The food industry will do anything to keep a product from going rancid.  Rancidity is the enemy of shelf life.  Oxygen is the enemy of shelf life.  But you may have noticed that oxygen is everywhere.  So the food industry needs to employ some pretty drastic measures to keep it away from fats.

You know that strange, “off” smell that old whole-grain crackers get?  That smell develops when the oil in the germ of the grain becomes oxidized and turns rancid.  So the first innovation involved learning to remove the oil-rich germ from whole grains to make “white,” or “refined” flour.  To refine means to remove the coarse impurities.  It’s advertising spin, pure and simple.  

The bad guy was simply banished.  No germ means no oil; any product without the germ is going to have a substantially longer shelf life.  Longer shelf life, of course, translates into more reliable profits.  Which wouldn’t have been a problem, except for the fact that it isn’t an even swap.  We have paid the ultimate price — our health.  But luckily it’s reversible, so you don’t have to worry.

The second technological innovation was to figure out how to convert fats to a form that made them more chemically stable, and less susceptible to the degradative effects of oxygen.  This is like the case of the bad guy who changed his ways and stuck around.  As a result of this chemical transformation, the shelf life of products made with converted fat  increased markedly.  Think Twinkies, or Ho-Hos, or fast-food french fries that still look great six months after they come out of the deep fat fryer.

I make it a policy not to eat anything that won’t go bad relatively soon.  To my way of thinking, if the bugs won’t eat it, it’s not food.

Take a stick of margarine, for example, and toss it up on top of the refrigerator for a few months.  It might get a little dusty, but otherwise it should be good to go.   That can’t be a good sign.

Have you, yourself, ever had a jar of Crisco go bad?  Think about that…
 
The explosion of the 20th century food industry would not have been possible without these two technological innovations.   I hesitate to call them advances, because although they may have seemed beneficial at first, in hindsight they are not.  It took time, close to a century, to realize that manufactured calories aren’t an improvement over the real thing.

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If you’ve never been on “Your Health is on Your Plate” before, and you’re not sure where to start, visit Let’s Start at the Very Beginning to get a jumpstart on preventing diabetes and obesity in yourself and the ones you love!!

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YOUR HEALTHY PLATE: Butternut Coconut Soup

What’s for Thanksgiving dinner today? Here’s a delicious and different squash soup.

Ingredients:
1 medium-large butternut (or other) squash
2 cloves garlic
2 tablespoons olive oil
2 teaspoons grated fresh ginger (or 1 teaspoon powdered ginger)
1 ½ teaspoons curry powder
½ teaspoon cumin
½ teaspoon cayenne pepper
3 cups water or vegetable stock
1 cup coconut milk (canned)
2 tablespoons fresh lime juice (approx 1 lime)
salt and pepper
Preheat oven to 400°F and place butternut squash halves (soft flesh side down) on a foil-covered cookie sheet.  Roast for approx. 1 hour until squash is soft enough to pierce easily with a fork.  Let squash cool for a bit.

Heat oil at the bottom of a large soup pot.  Add garlic, ginger root, curry, cumin and cayenne, and stir 3-5 minutes until fragrant.  Immediately pour in coconut milk, lime juice, and water or stock, and turn the heat down to medium.

Now remove and discard the seeds from squash.  Scoop out the flesh, and add it to the soup pot.  Blend the ingredients of the pot using an immersion blender.  (Alternatively, you can transfer the solid ingredients to a food processor or standard blender, and then add them back to the soup pot.)

Heat through, and serve with a sprinkle of parsley or cilantro.  Serves 4 generously.

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If you’ve never been on “Your Health is on Your Plate” before, and you’re not sure where to start, visit Let’s Start at the Very Beginning to get a jumpstart on preventing diabetes and obesity in yourself and the ones you love!!

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My Healthy Plate? Try My Healthy Grocery Cart Instead!

The other day, a thought crossed my mind about the USDA’s new MY HEALTHY PLATE — we’re focusing on the wrong part of the equation.  I have spoken before about my impression that the time for constructive decision-making about what we eat is not when it’s time to prepare the food.  It’s when it’s time to purchase the food.  MY HEALTHY PLATE is trying to capture the horse after it’s left the barn.  In my humble opinion, we will get better results from learning to fill MY HEALTHY GROCERY CART.  Let’s take a look at the standard shopping cart.

What first occurs to me is that the standard grocery cart is designed to be filled not with fresh produce, but with boxes and cans!  Most of us use only the little baby seat for produce, and when it’s full, we unconsciously decide that we’ve purchased enough, so we move on to other parts of the store.  That’s because placing fresh produce into the deep part of the cart is a problem; it increases the likelihood that our carefully selected fruits and vegetables will be crushed under the weight of all the other stuff.  

MY HEALTHY PLATE stipulates that fully half of our plates should be filled with produce.  So if we use MY HEALTHY PLATE as a guide, that means we need to fill at least HALF of the cart with produce (to account for waste, like apple cores, carrot peels, and pineapple skin).  Our grocery carts should be filled mostly with fruits and vegetables. But standard grocery carts are designed preferentially to store boxes, cans, and other items with similarly long shelf lives.  If we want to arrive at the checkout counter with loads of unbruised, intact fruits and vegetables, grocery carts need a design overhaul.  

I recently saw a cart with a shallow, though broad, rectangular basket at a nearby health food supermarket.  The basket is set much higher up than in standard design carts, so the shopper need not reach deep into the cart to place or retrieve purchases.  Of course, the total volume of the basket is somewhat smaller, so people might complain that they have to shop more frequently.  I say, make more soups. Buy more beans.  Buy nuts.  Buy dried fruit. You can tuck them between the lettuce and kiwis.  They last a long time, the great-grandparents would have recognized them as food, and you won’t have to race back to the supermarket tomorrow. Plus, the blackberries won’t get squashed.

In my mind, the new grocery cart will consist of a new broad shallow shelf above, a new approximately one-foot deep basket at mid-level, and a shelf below, like on the standard grocery cart.  Fresh produce will be placed on top, bags of potatoes and onions can be tossed into the mid-level basket, along with a package or two of fresh fish or meat, a dozen eggs, beets and squash, containers of plain yogurt and tofu, and a bottle of wine.  Large items (like a half-gallon jug of vinegar) can be shelved below, along with a small case of, say, avocadoes, on special this week in the produce section.

MY HEALTHY GROCERY CART will be filled at least half-way, if not higher, with produce.  The rest of the cart will be divided evenly between high-quality protein like nuts, tofu, chicken, beef, eggs, and fish; and then beans, whole grains, and a few dairy items.  I can already hear the voices of adherents to the Paleo Diet rising up against the voices of those who adhere to Caldwell Esselstyn’s virtually fat-free, 100% plant-based diet.  There is room for individual preferences in MY HEALTHY GROCERY CART.  But there is no room for processed, food-like, manufactured calories.

Next week:  The War Between Health and S
helf Life



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If you’ve never been on “Your Health is on Your Plate” before, and you’re not sure where to start, visit Let’s Start at the Very Beginning to get a jumpstart on preventing diabetes and obesity in yourself and the ones you love!!


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Or check out Your Favorite Posts for a list of great blog entries!


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YOUR HEALTHY PLATE: PEANUT BUTTER MOUSSE

This recipe comes from a friend whose young son cannot get enough of this great dessert!  If you still haven’t figured out what to make for Thanksgiving…

12 oz. light firm silken tofu
1/4 c. honey
1 c. smooth peanut butter
1 tablespoon vanilla
1/2 tsp. sea salt

Blend the tofu in a food processor 1-2 minutes until very smooth.  Add the honey and blend again.  Finally, add the peanut butter, vanilla, and salt and blend thoroughly until very smooth and light.  Refrigerate 1-2 hours until firm, and enjoy.  If it’s going to find its way to your Thanksgiving table, consider using it to fill a pie shell, especially one made with ground almonds.  

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If you’ve never been on “Your Health is on Your Plate” before, and you’re not sure where to start, visit Let’s Start at the Very Beginning to get a jumpstart on preventing diabetes and obesity in yourself and the ones you love!!

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Or check out Your Favorite Posts for a list of great blog entries!

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YOUR HEALTHY PLATE: TOFU SALAD WITH TURMERIC

Turmeric is a great spice, beautifully deep gold in color, and with a great dusky, smoky flavor.  Tofu takes on the flavors of anything you mix it with.  Thank you to Andrew Weil MD for this recipe.


1 pound tofu, firm

1 teaspoon turmeric

1 tablespoon mustard

1 tablespoon pickle relish

3 tablespoons celery, chopped

3 tablespoons onion, chopped

1 tablespoon fresh parsley, chopped

1/4 teaspoon paprika

salt to taste

Instructions:

Drain tofu well and mash.  Add vegetables and spices, mash more, and mix thoroughly. Serve on a bed of lettuce with something brightly colored, like carrot sticks, or red peppers.  You can add hot sauce, too, if you’re so inclined.  Of course, some people put hot sauce on just about everything.  I know someone like that.

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If you’ve never been on “Your Health is on Your Plate” before, and you’re not sure where to start, visit Let’s Start at the Very Beginning to get a jumpstart on preventing diabetes and obesity in yourself and the ones you love!!

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Or check out Your Favorite Posts for a list of great blog entries!

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How Much White Flour and Sugar Are Safe to Eat?

Today’s post is a guide to how much stripped carbohydrate is okay to eat. For purposes of today’s post, stripped carbohydrate means white flour and sugar.

This post is not a discussion about whether it’s okay to eat carbohydrate at all. There are people who feel that carbohydrate has no place in their diets, and who manage on a very-low-carbohydrate diet. Sometimes I receive comments from readers who eat this way. Perhaps someday we will discover that this group of people carries a combination of genes that markedly reduces their ability to tolerate even a modest amount of carbohydrate. No judgments here. Personally, I am glad that they have figured out how best to take care of themselves. This post is not for them. Instead, this post is for the vast majority of people who nourish themselves well with whole grains, fruit, and beans, among other foodstuffs.

If you think about it, you will notice that — except for perhaps honey and maple syrup —  there is no such thing, in nature, as carbohydrate without fiber. Where do white flour and sugar come from? They result from the stripping of fiber from whole grain wheat and sugar cane, respectively. Human beings figured out how to do this only in the past few hundred years. We did not evolve to eat stripped carbs, and most certainly not in the amounts at which we currently consume them. But consume them we do, at rates that are driving rates of diabetes and obesity sky high. 

Many people have asked me, over the years, how much stripped carbohydrate is safe to eat. In my opinion, not a lot, though I am not going to say zero. At the end of the day, I think it comes down to three factors: 1) your genes, which are also affected by your environment; 2) the amount of uncontrolled stress you are juggling; and 3) the level of activity you engage in regularly. 

Stress can be physical, emotional, or spiritual. It can be internal (anxiety, bereavement, fever) or external (blizzard, traffic, winning the lottery). Sometimes it’s both (newborn twins). 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 and fatigue are common and serious causes of stress. 

Nutritious food is one way to decrease the amount of stress in your life. Stripped carb does the opposite. Instead of serving as a source of nutrition, it directly stresses your metabolism. 

If you’re looking for a number, I’m going to give you one right now. You can have two servings of stripped carbohydrate. In how much time, you ask? Well, that depends. Maybe it’s two servings per day, per week, or per month. If you are active and your blood pressure is perfect, your metabolism might tolerate as much as two servings a day of white flour or sugar. Not two cans of soda, but two ounces. A can of soda with 12 teaspoons of sugar is not one serving. It is 12 servings. Two servings is one-sixth of a can. 

If, on the other hand, you are markedly overweight, with two diabetic family members, under a crushing amount of stress, and getting little or no exercise, I suspect that your metabolism is having trouble tolerating even two servings of white flour and sugar. Maybe twice a month would be better. In other words, save it for special occasions.

For comparison’s sake, the average American eats 10-12 servings or more of stripped carbohydrates every day. Be honest with yourself. If that describes you, don’t try to make big changes all at once. Instead, try reducing your stripped carb intake just a little bit. In another couple months, when you’re ready, you can try reducing it a little bit more. Small changes.

White flour and sugar don’t nourish you at all. They’re just for fun. 


YOUR HEALTHY PLATE: POACHED EGGS ON A BED OF SWEET POTATOES

Many thanks to Nancy and Bob Charles from High Meadow B&B in Wallingford, Connecticut, for this wonderful recipe!

First, cut a couple of sweet potatoes into thick slices and toss them with some salt and olive oil. Lay the slices on a cookie sheet and bake at 400 until soft.  Then slide them, one layer thick, into a wide pottery serving dish and set aside.
Now poach a few eggs.  Bob has one of those fancy poacher inserts that fits into a pot of boiling water.  I just crack the eggs into salted, boiling water and hope for the best.  As soon as the whites are cooked, with yolks just beginning to set and a bit on the runny side, scoop out the eggs onto the sweet potatoes and serve.  So good!
If you decide to serve this dish to guests, as Nancy and Bob did, you can serve the eggs and sweet potatoes with fresh papaya, homemade strawberry and ginger jam, and home- baked bread.  Yum!!!

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If you’ve never been on “Your Health is on Your Plate” before, and you’re not sure where to start, visit Let’s Start at the Very Beginning to get a jumpstart on preventing diabetes and obesity in yourself and the ones you love!!

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YOUR HEALTHY PLATE: Fall Soup

I got this recipe just today from a woman I work with.  I arrived home to find my daughter frying onions.  What’s for dinner? I asked.  I don’t know, she replied, this is as far as I’ve gotten.

So here is what we made:

Step 1:  Fry 2 medium diced onions in olive oil in a soup pot
Step 2:  Peel 3 beets, 3 carrots, 2 sweet potatoes and 1 turnip
Step 3:  Cut the vegetables into several large chunks each, and add to the soup pot
Step 4:  Cover the vegetables with water, and boil 15 min until softened
Step 5:  Scoop out the vegetables into a food processor or Vitamix, and swirl until smooth.
Step 6:  Return the puree to the pot of liquid, add a teaspoon each of thyme, salt, and pepper.
The soup was heavenly.  The color was divine and the flavor was a celebration of autumn, earthy and sweet at the same time.  I put a whole bunch of spices on the table for people to choose from, and they were terrific in all different combinations: turmeric, cumin, and hot paprika.  Rosemary would be good, too.
Hearty appetite!
 

In Hot Water? Decrease Your Risk of Heart Attack

A number of genes, one of which was given the name chromosome 9p21, have been associated with an increased risk of heart attacks, strokes, and hardening of the arteries.  Researchers are now interested in studying whether people with chromosome 9p21 can lower their risk of cardiovascular disease (CVD) with changes to their diets.  They can.

A terrific new study was published last week on this topic.  The results, from McGill University, were published in Public Library of Science (PLoS)-Medicine and funded by the Heart and Stroke Foundation of Ontario.  The study compared the number of heart attacks in two groups of people with 9p21.  One group ate lots of fresh produce, while the other group ate the standard industrialized diet.  

Here is what the researchers found:  In a study of more than 8000 individuals of different ethnicities who carry the 9p21 gene, a diet high in raw fruits and vegetables decreased the risk of CVD by one-half.  They concluded that “These findings suggest that the deleterious [negative] effect of 9p21…might be mitigated by consuming a diet rich in fresh fruits and vegetables.”

Let’s take a closer look at this conclusion.  We know that the standard American diet causes obesity in approximately 65 percent of people who eat it, and diabetes in approximately 20-30 percent.  How do we know this?  Because these are the numbers that we are working with in the current American population.  We expect one-third of current ten-year-olds to become diabetic if present trends continue.

Remember that people who carry chromosome 9p21 have a higher risk of heart disease than average, and that they can halve their risk of heart attack by substantially increasing their intake of fresh fruits and vegetables.  Why is that?

Eating a diet rich in produce has two benefits:  The first benefit is that you eat more fruits and vegetables, but the second (equally important) is that by replacing manufactured items with produce, you end up eating fewer manufactured calories.  Depending on their genetic makeup, stripped carbohydrates and trans fats probably affect some people more quickly and severely than others.  

I would say that the standard industrial diet causes heart disease, but some people are more susceptible than others.  Humans are meant to survive on a diet containing large amounts of produce.  This is the diet we evolved to eat.

This, therefore, is my conclusion:  “These findings suggest that while the industrial diet is deleterious, its effect is worse in individuals who carry the 9p21 chromosome.  Consuming a diet rich in fresh fruits and vegetables will likely decrease the risk of heart attack in all individuals, but the benefit may be more dramatic in individuals who carry the 9p21 chromosome and/or other chromosomes associated with heart disease.”

Let me explain by sharing an imaginary experiment using frogs.  Frogs are meant to survive in cooler waters.  High temperatures cause death, and some frogs are clearly more susceptible than others.  Now put aside the gruesomeness factor, and remember that the frogs are just pretend.  Here is an example that gets the point across.

Let’s begin by filling a large pot with cool water, and then adding lots of frogs of all different sizes, shapes and colors, collected from all over the world.  Now put that pot over a blazi
ng fire so that the temperature of the water begins to rise.


As you can imagine, some of the frogs, just 2 or 3, are going to get into trouble pretty quickly. Maybe they come from near the South Pole.  Whatever the reason, these select few cannot tolerate even mildly elevated temperatures.  The temperature in the pot continues to rise, and by now almost half the frogs have died.  As the temperature gets hotter and hotter, more and more frogs die until, finally, the last few succumb.  Once all the frogs have died, the pot is removed from the fire.

You run the experiment a few more times and discover that you can actually predict how many frogs will die at each temperature.  Once the first frog dies, you observe that one-third of the frogs die by the time the temperature rises just five more degrees.  Ten degrees higher, and two-thirds of the frogs are gone.  Five degrees beyond that, and all the frogs are dead.  

Now you do a chromosomal analysis of the frogs’ DNA and discover that all the frogs who died at the lower temperatures contained a chromosome that we’re going to call F9HW.  All frogs with F9HW were in one of the first two groups to die, and none of the frogs in the last two groups had F9HW.  For some as-yet-unknown reason, frogs with the F9HW chromosome had a much harder time tolerating hot water than did the other frogs.  

You might draw this conclusion: “These findings suggest that the deleterious effect of F9HW might be mitigated by avoiding high heat.”  But then again you might see that such high temperatures constitute an unusual and extremely abnormal environmental stress, and that while some of the frogs appear to tolerate it better than others, it is, ultimately, lethal to them all. 

If I were to give this phenomenon a diagnosis, I’d call it “dyscalorimetry.”  But dyscalorimetry doesn’t mean that heat intolerance is genetic.  It means that hot water is deadly.  
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