We are, by evolution, omnivores, my friend. Way back we ate grubs - be pleased that I don't do that anymore. But I would, in a starving situation.
If I don't eat meat once in a while, I get weak - I tried it. I am small and slim (BMI around 21). Meat is on the table about once a week. Fish three times, vegetarian three times.
Occasionally, I do vegetable-broth fasting for detox. I cook and eat several fresh vegetables every day. I make green smoothies every day. But my body tells me that it needs meat and fats (good fats, like coconut, olive, duck). If I don't eat fat, I get voracious and crabby.
Besides, I have the same weight since age twelve ... I must be doing something right.
Having kept my weight (except for pregnancies - I gained twenty pounds with my daughter, and forty with my son, bouncing right back to my normal weight immediately - umh, with some attention and work) all my life, of course, disqualifies me to dispense advice - because overweight people think it is sheer luck that I am slim. I have a chubby sister and a heavy brother (I love them dearly – and worry about them); I have one slim brother - no, it's not genes! - he is the one who commutes by bike and ran a marathon.
My basic idea about nutrition is that we all are coming from different ethnic, geographical backgrounds and therefore really need slightly different foods. What works for me, might not necessarily work for you. What we don't need, however, is industrial junk labeled as "food".
But: In nature, there is no "vegetarian" or "vegan" animal, really. A cow in the meadow gobbles up tons of insects with the grass it is eating. A lion, when devouring its prey, goes for the stomach contents first - which contain grasses and grains.
We all belong to the same living web. Our brains don't make us superior, or different. Thinking you should be "vegetarian" or "vegan" does not make you so; it does not alter your evolutionary make-up and the ancient requirements of body … and spirit.
Lastly, having said that, I am compassionate for the animals who will die for me. The rare times I eat meat, it is organic, grass-fed, free-roaming, preferably local. The animals should be kept humanely, and killed swiftly. I say a prayer over each fish or flesh that goes through my kitchen - not a religious prayer - a prayer of gratitude. Read More
Blog: On Health. On Writing. On Life. On Everything.
Everybody Gains Weight When They Marry
September 23, 2011
You probably heard it: On average, people gain fifteen pounds in the first few years after their wedding.
It is only natural that we want to pamper our spouses and want to feed them – the birds and the animals do it. The point is to put the right and healthful morsels in your spouse’s mouth. Because food can hurt. And food can heal.
Also: Get moving – together! Because marriage can be more than watching the same TV programs for fifty years from the same sofa.
Here a few ideas:
- Attend a cooking course together
- Alternate who prepares breakfast and cooking dinner - and then discuss after which meals you feel better
- Stop all snacks, preferably before you have children who will follow your example
- Plan an outdoors activity every weekend: a hike, a bike tour, a walk, a (healthy) picnic, a dive - whatever moves you
- Have sex often – it’s good for the marriage and good for the immune systems
- Take turns on a simple rowing machine/stationary bike in front of TV
- Eliminate all dairy (butter, cream, yogurt, milk, cheese, etc.) most of the time – and experience the difference
- Find recipes for a sinful birthday cake made without flour (hint: Viennese walnut cake - made of nuts and cream)
- Don't spend your money on juices and soft beverages; stick to water, herbal teas, green tea, black tea.
Hug and kiss and touch often – and have a happy marriage! Read More
How to Measure Diabetes
July 21, 2010
In ancient times, diabetes was diagnosed by licking the urine of the patient. If it tasted sweet, a diagnosis of diabetes mellitus (“honeysweet flow”) was made. As a physician, I am glad we have advanced to better tests...
There are basically four different tests to diagnose diabetes (I am talking here mostly of type II):
• Spot blood sugar. Since sugars rise and fall depending what and when you ate, this is a very unreliable test.
• Fasting blood sugar. Does only take a bit of blood, is cheap and fast – but still can vary with what one ate the day before. However, if your fasting numbers are up consistently, you should pay attention!
• Oral Glucose Tolerance Test: a complicated procedure where one drinks an awfully sweet fluid before blood will be drawn in half-hour intervals to ascertain how fast the sugar load is cleared out. It’s complicated, and very time-consuming for the patient. I object of giving a patient a drink 75 to 100 gm of unpalatably sweet glucose solution – which can’t be healthy if there is a disease caused by sugar. My suspicion is that this test is still be used because doctors can bill the most for this.
• Glycosylated hemoglobin, also called A1c: An easy blood test that gives a rough average of your sugars through the last month. I like this one the best because the usual ups and downs of sugar are not interfering with the test, but going into the overall measuring. With frequent episodes of hypoglycemia (too low blood sugars), the test might come back falsely low or normal. In iron-deficiency, A1c are higher than they really are, suggesting diabetes where there might be none. Every time one eats sugar, it “glycosylates” (adding a sugar to the molecule) a protein on the surface of an erythrocytes (red blood cells), and the chemical process is never reversed as long as the blood cell lives. Red blood cells live about three months; blood we draw is always a mixture of very young cells, newly released into the bloodstream from the bone marrow, and older cells, soon to be discarded. Measuring blood glycosylation therefore represents a fair mirroring of recent sugar intake and over time, those numbers can be compared: A lower A1c means you have done something right lately.
In conventional medicine, A1c is called normal if it is below 6.0. A1c is measured in percent of how much of the blood is “sugared”. Starting at 6.1, you have diabetes. That in it itself is rather absurd: A little step upward from 5.9 to 6.0 does not give you diabetes – you had it coming all along. In Natural Medicine, we think that between 5.0 and 6.0, one has “latent” (developing) diabetes. Why that number of 6.0? Because if one would chose 5.0 as the cut-off point, most Americans would have to be diagnosed with the disease.
The Oral Glucose Tolerance Test is more sensitive to detect cases of diabetes – but only if the cut-off point for diabetes is set at 6.0 A1c.
Arbitrarily putting the number to 6.0 does not make a person healthier. In fact, at the date of diabetes diagnosis, I good proportion of patients have already end-organ failure, namely eye problems, kidney failure, neuropathy – to name a few.
Just looking around tells us that many people are overweight and have some of the telltale signs of diabetes: belly fat, scant hairs on arms and legs, rosy cheeks. One sign alone does not make the diagnosis – but several together gives me an idea. But one can be very overweight and never develop diabetes, because in order to get the disease, you have to have the genes AND an unfortunate lifestyle.
Don’t think that genes are an excuse. Because diabetes type II does not strike, if one lives frugally. For instance, after World War II in Europe, basically nobody had it (but people died in droves of tuberculosis then…). Ten years later, with ballooning economies and waistlines, diabetes was back.
But you don’t have to starve yourself, to heal diabetes. You need a mixture of moderate movement (walking, swimming, biking – or dancing; whatever you like) and a diet without sugars, white starches and bad fats.
In diabetes drug studies, diabetes often is called “controlled” if the blood sugar stays within the limits if 7.0 to 10.0 A1c. We can be sure that at those numbers the damage done by high sugars is continuing in the body. I personally favor an approach that does not “manage” the patient’s diabetes, but gets rid of it. And in many cases it can be done, with exercise, better nutrition – and determination on the patient’s side. Read More