Monthly Archives: August 2015

Is the public hospital health system terminal?

Bulging hospitalThe Tasmanian State hospital system is failing – might as well throw in the Australian one as well.

Increasing demands on the system are causing bed shortages, blown out waiting lists for elective surgery and several months of waiting just to get appointments to get into the system.

This is just bad for everyone. Patients are suffering and when they finally get in are often sicker. That just costs more to everyone and not just money.

It would be good if the politicians and bureaucrats had it worked out but they don’t and they don’t look like they are going to sort it out any time soon. Continue reading

Statin side effects or LCHF?

Gary Fettke No Fructose's photo.

How do statins create their side effects?

Statins provide only a small benefit of reducing your risk of dying from a heart attack if you have had a previous heart attack but they come at a cost. And that cost looks to be increasing. There is now increasing evidence of increased risks of diabetes, cancer, dementia, cataracts and musculoskeletal pain for those taking statin drugs.

Anything that reduces cholesterol production has far reaching consequences. Cholesterol is an integral part of our cell membranes, it holds us together. It makes up nearly 20% of our brains and it is integral to hormone production. If we keep affecting the building blocks of our cells then we have the potential to affect our long term health.

Most of the statin trials have been short term and tend to skip over the side effects. The benefits of reduction of risk sound a lot better when the drug companies push the relative risk reductions of these drugs rather than the actual numbers. A 1% absolute reduction from 3% doesn’t sound nearly as impressive as a 33% relative risk reduction. Guess what the drug companies push? It’s just statistics but… it’s also marketing. The long term studies are starting to look dubious when it comes to side effects. This just released paper looks at how that ‘collateral’ damage is occurring.

“The risks of statin use are associated with statins’ negative effects on stem cell function, according to the researchers. Statin therapy benefits individuals with atherosclerosis, but because of its effects on stem cells, it may not be appropriate as a preventive measure for those who do not have cardiovascular disease.”

The other more effective option is lifestyle changes – diet and exercise. That can reduce your risk of cardiovascular disease by factors of 40% plus in some papers. The literature is hard to pin down on those figures but virtually every paper puts diet, exercise, weight loss and cessation of smoking at the top of the list. Unfortunately for the individual that means some responsibility, some effort and some changes. But those changes are infinitely more effective than taking a tablet.

Those lifestyle improvements will not just help your heart, they have far reaching benefits across all diseases.

A Lowering of your sugar and Carbohydrate intake and replacing it with the right amount of Healthy Fats (LCHF) is an effective lifestyle choice. I can’t work out why the medical profession is taking so long to work this out – to ‘get it’.

I honestly believe that with the right dietary changes many people could reduce their medications and particularly statins. Having the right blood investigations at the beginning – a Lipid Subfraction Analysis is the only true test reflecting your lipid profile.

There is no way that I would start a statin drug until I have that test. Find out exactly what the particle numbers are before starting a lifelong intake of a drug that may not be quite as good as the drug companies tell us. Please have this discussion with your doctor – and hopefully they ‘get it’.

Come and ‘get it’ at our Choose Health forum next month. More importantly, drag your doctor along to ‘get it’ at http://www.eventbrite.com.au/o/nutrition-for-life-7299741993

More on cholesterol testing and the Lipid Subfraction Analysis at http://www.nofructose.com/introduction/cholesterol-testing/

http://www.newswise.com/…/new-research-shows-why-statins-sh…

The articles and the references at http://www.nofructose.com/?p=3008

https://www.facebook.com/393958287365295/photos/a.407869679307489.94446.393958287365295/879077048853414/?type=3

Statin side effects or LCHF?

Get itHow do statins create their side effects?

Statins provide only a small benefit of reducing your risk of dying from a heart attack if you have had a previous heart attack but they come at a cost. And that cost looks to be increasing. There is now increasing evidence of increased risks of diabetes, cancer, dementia, cataracts and musculoskeletal pain for those taking statin drugs.

Anything that reduces cholesterol production has far reaching consequences. Cholesterol is an integral part of our cell membranes, it holds us together. It makes up nearly 20% of our brains and it is integral to hormone production. If we keep affecting the building blocks of our cells then we have the potential to affect our long term health.

Most of the statin trials have been short term and tend to skip over the side effects. Continue reading

Skipping breakfast makes it easier to maintain and lose weight.

Gary Fettke No Fructose's photo.

The ‘myth’ of having to have breakfast is up for discussion in this weeks Editorial of the American Journal of Clinical Nutrition.

Skipping breakfast (for adults) results in lower overall energy intake per day.

“Skipping breakfast should be enough to reduce, at least, the rate of gain in weight for people who regularly consume breakfast.”

The editorial is pretty damning on the food industry too.

“Unfortunately, the advice to eliminate breakfast will surely pit us, as nutritional scientists, against the very strong and powerful food industry. This industry has an economic interest in maintaining the current rate of energy ingestion by the population.”

“If we are truly concerned about the health of the American public, we must stand against these powerful forces and proclaim that we can no longer eat just because food is available. Rather, we must learn to live with consuming less energy.”

These comments are starting to come out in the literature. 🙂

http://ajcn.nutrition.org/…/ear…/2015/08/12/ajcn.115.118398…

Apologies if some of you cannot get the full article. I will try and source it as it comes out. Stay tuned.

Other food tricks at http://www.nofructose.com/food-ideas/food-tricks/

https://www.facebook.com/393958287365295/photos/a.407869679307489.94446.393958287365295/878548898906229/?type=3

Are our children drinking enough water? Probably not if this study is applied in Australia.

Gary Fettke No Fructose's photo.

Adequate fluid intake is critical to hydration, metabolism and hunger. A lot of the time we will confuse thirst for hunger. Simply increasing your fluid intake, preferably water, is a great way of keeping hunger at bay.

One of my tricks is to have 1 to 2 large glasses of water just before leaving work for home. I am then pretty ‘full’ when I get home and it is much easier to resist the before dinner snack. The same goes for children – a glass of milk upon hitting the front doorstep at home is much better than fruit juice.

“Children and adolescents in this sample consumed 2.9 (SE=0.1) servings per day of plain water, 2.0 (SE=0.1) servings per day of Sugar Sweetened Beverages, 1.1 (SE=0.04) servings per day of milk, and very small amounts of 100% juice, diet beverages, and unsweetened coffee or tea. Moisture intake from foods, which averaged 399.3 grams (SE= 9.0) in this population, contributed 21.1% of total moisture, with beverage intake contributing the remaining 78.9%.”

http://www.nofructose.com/food-ideas/food-tricks/

http://www.2ndchance.info/dxme-CRT-%20Kenney2015.pdf

http://www.hsph.harvard.edu/…/study-finds-inadequate-hydr…/…

https://www.facebook.com/393958287365295/photos/a.407869679307489.94446.393958287365295/872066276221158/?type=3

Dietary Cholesterol – No link to Cardiovascular Disease

Another nail in this cholesterol coffin. A systematic review and meta-analysis of 632000 patients involving longitudinal studies failed to show any links.

Eating cholesterol is not associated with an increase in Cardiovascular disease. This review even found an improved result in HDL’s – High Density Lipoproteins, the ones associated with a lowering of cardiovascular disease.

A doubling of deep bone infections in the last 40 years.

Gary Fettke No Fructose's photo.

A recent US paper has looked at rates of deep infection over a 40 year period.

The rate has doubled from 11.4 per 100000 person years to 24.4 infections per 100000 person years.

They cannot come up with a reason for this observation.

I wonder why that is so. What about nutrition, obesity and diabetes for a starter? We’re obviously getting unhealthy and I think it’s our nutrition or lack of it.

http://jbjs.org/content/97/10/837

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What to do with an outlier?

typeone gritWhat do you do as a doctor when a patient is doing something different, what appears to be against your conventional teaching, yet is having fabulous results?

If you are a smart doctor, you will pay attention. A lot of attention.

Ahmed Afifi is now a friend of mine, joined by a common goal of education and support for those people with Type 1 Diabetes looking at options in management. He has Type 1 Diabetes and running Low Carb in his own management. He has great control and doing well.

He is an outlier. He is also a diabetes educator and journalist in the Middle East.

Read his encounter when visiting an Ear Nose and Throat Surgeon who is becoming diabetic himself and married to a woman with Type 1 Diabetes. The medical profession have to pay attention to the outliers, the patients that are doing so much better than everyone else. Continue reading