While Dr. Terry Wahls‘ experience with MS shows food to be more effective than supplements at providing nutrition for neurological diseases, there is a place for supplementation with vitamins and minerals, provided they are taken together with food to make up for deficient nutrients in our foods. Paul Bergner researched the decline of minerals Continue reading Useful Supplements for Parkinson’s Disease: Part 3
In Part 1 I discussed what to eat if you have Parkinson’s Disease. PD is only partially genetic and can be induced by exposure to pesticides, herbicides and other chemicals, some of which are found in food.
This is what to avoid: Continue reading What Not To Eat With Parkinson’s Disease,Part 2
Nutrition for Parkinson’s Disease has four components: What to Eat, What Not to Eat, Useful supplements and How to Eat, given symptoms of the disease. This will be a four piece series. Some of it is basic: the foods and superfoods that enrich the diet. Some is specific to the typical complaints from either the disease, the medications and the often restrictive lifestyles that PD patients often adopt. And the how-to acknowledges that the disease creates some physical problems that adaptive devices might help.
Nutrition for Parkinson’s Disease Part 1: Continue reading Nutrition for Parkinson’s Disease- Part 1
I spoke with a medical doctor, a women’s urologist, the other day about a mutual client. The discussion was frustrating for both of us, with disagreements about what I thought were perfectly obvious physical characteristics. Afterwards it hit me that we were speaking different languages with enough overlaps that we didn’t realize there were two different sets of definitions. For those of you going between two practitioners with different paradigms or for practitioners of Chinese or Naturopathic medicine who need to communicate with medical doctors, I thought I’d write about this. Continue reading Doctors speaking a different medical language with a 70% overlap
Changing diets and lifestyles are hard work. Most people want a magic bullet to make their conditions go away, especially with the newest exotic fruit juice from a faraway tropical island. (Noni, anyone?) My friend Alan Tillotson wrote this: Continue reading The Newist Magic Bullet
After a trip to Guatemala where a few of us ended up with severe parasites and after the death of my friend Keiko Golambos to virulent malaria, I was asked to put together an emergency travel kit for international outreach. This is a kit for Continue reading What Is In Your Natural First Aid Travel Kit?
Yom Kippur is coming and people will be fasting. I was asked to put together some information on what will allow people to have a good fast that will allow them to focus on the meaning of the holiday without keeling over from blood sugar fluctuations. Here are a few tips to keep the fast from debilitating you and to keep hunger pains from being a major distraction. (You will still know you are fasting.):
- In the weeks preceding Yom Kippur consider shrinking your stomach by reducing portion size. You can get used to less food intake which will lessen the shock.
- From the first of Elul, reduce carbohydrates like bread and sugar. This allows your body to get used to not depending on regular sugar rushes. (Starches become sugar within minutes.)
- Keep those honey cakes and sugary treats for a sweet new year to the first part of the 10 days before Yom Kippur and only take a little starch the day before. You don’t want to have huge fluctuations in blood sugar.
- The day before eat proteins and fats that will not cause your blood sugar to rise and crash. You can prepare with either a meat or dairy meal. Eggs, beans, fish, cheese, chicken, quality meat if you can get it, nuts, butter, and avocado will help maintain your blood sugar. Continue reading Foods and Herbs to Prepare for a Fast
I have always found the scheduling of Rosh Hashana, Jewish New Years to be far superior to the nethertime after Christmas and the Winter Solstice. Rosh Hashana better aligns with the autumn, the new school year and you get to enjoy it in pleasant weather for the most part. It starts a 10 day period called the Days of Awe where you take stock of your shortcomings and make amends before Yom Kippur.
Rosh Hashana is celebrated with a feast that symbolically aligns us to the holiday’s purpose. A special round challah (gluten free recipe here) celebrates the cycle of the seasons. Size isn’t important, so if you are eating paleo or are triggered by bread take just a tiny piece or buy a challah roll to divide. A fish head stew reminds us to align the brain with our practice, and carrots in the stew would be to lessen God’s judgement against us, based on the word in Hebrew. The many seeds of the pomegranate are to remember the 613 commandments, and to ensure fertility. Honey is used for the sweetness of the mitzvahs, but a dip of apple slices in a small amount of local honey will fulfill the symbolism with more health than a honey cake. Finally the feast is celebrated with a kiddush cup of wine or grape juice. The picture at the right also shows the shofar, a ram’s horn, used to herald the two days with a hundred blasts.
Brooklyn has a diverse richness found in few places and people form unlikely alliances. Two years ago, I was out on Seventh Avenue, the main street of Park Slope. The Reform Jewish Congregation Beth Elohim had roof trouble and had to move its Rosh Hashana services to Old First Reformed Church which is located on Seventh Ave. A Chabad Hasidic Jewish rabbi had brought his shofar to the street to convince non-observant Jews to practice rituals. He greeted the ushers, stopped in front of the church, sounded the shofar for the Reformed congregation, using the full range of four soundings, wished everyone a happy new year and continued on his way.
And in other New Years activity, a shofar flash mob at Lincoln Center from Art Kibbutz NYC:
I was recently asked, under the anonymity of a Google comment, how I can be into herbs and health when I am clearly fat, I’m sure the question has been let unasked a lot more than it was voiced. And my first instinct was to get all defensive: the great American herbalist Michael Moore was fat. The great Annishinabe medicine woman and ethnobotanist Keewaydinoquay Peschel was fat. What does fat on your body have to do with what you know, anyway?
The short answer is that once you are fat, unless you are slightly fat or you had a short term weight gain, it is incredibly difficult to reverse. You can lose weight, but it doesn’t last. You can do quite a bit to stay healthy via your diet and lifestyle, but you may end up healthy and fat.
I’ve been fat since age 5, with a short break during my late teens and 20s when I felt like and metabolically was an underweight fat person. Maybe it was my grandmother’s Native genes clashing with a 1960s Standard American Diet- I took after her rather than my parents. Maybe it was a reaction (mine? my parents?) from nearly dying as an infant from weight loss due to digestive problems, although I didn’t notice them pushing food. Perhaps I caught one of those obesity-promoting adenoviruses. Maybe it was all those fattening antibiotics I had for ear infections before anyone considered that dairy might be the culprit. Perhaps my body had to sequester exposures to pesticides painted on the walls at the cabin. Maybe I overate when they pulled me out of my sweet smelling acacia tree to send me to a dismal school and my happiness quotient fell. In any event I was on Metrecal, the Slimfast of the day, by the first grade, embarrassed as we discussed our breakfasts in health class. Junior high was torture, where I was relegated to the few chubette clothes available, until I discovered Guatemalan skirts and peasant blouses. I focused on learning instead of socializing.
I had by this time become quite expert on calories, carbohydrates and food exchanges, not to mention setpoints and portion sizes. My doctors had suggested everything from locking cupboards, to liquid meals to diet pills that left me wired, but I believed there might be better ways. I was under orders to lose weight by any means possible. I biked, swam in the summer, lived on a hill so steep the school bus couldn’t drive up so I walked it instead, went hiking in the woods behind our home, and had daily physical education classes taught by self-hating drill sergeants, I wasn’t exactly a couch potato although I preferred reading, acting in school plays and establishing an underground school newspaper to afterschool sports.
I finally lost weight when I left home, had a new start, and went on a zero carb diet (in Italy, yet.) I kept most of it off when I got home because I lived a mile’s walk from campus and took five 1-2 hour dance classes a week, blessedly subsidized by parents and low tuition. And as a young single who chose a bike rather than a car, I swam daily and went scubadiving on weekends, so it only slowly crept back. But the job ended, I moved to New York where work hours were long, picked up an inactive husband who preferred restaurants to Appalachian trail hikes and saw my weight skyrocket with the hormonal changes of pregnancy. Periods of stress drove my cortisol through the roof. By the time my children were born I was over a threshold where I could lose weight without getting sick or exercise without injury. Not that I didn’t try: Weight Watchers, Optifast, vegan diet, vegetarian diet, Atkins diet, metabolic bump diets, macrobiotic diet, fermented foods, paleo diet, Paul Bergner’s insulin resistance class, hypnosis, therapists, personal trainers, one- hour exercise sessions that didn’t work, two- hour exercise sessions that burned fat but left me too exhausted to work. There was a lot of good stuff in many of those plans. I lost some weight. And I gained everything back.
Was I perfect? Of course not. As a teen I had justified saving calories from eggs for ice cream (after all, a calorie is a calorie isn’t it?) I have caught myself eating emotionally, but it was aberrant enough to stand out and my thin friends do the same on occasion. Portion size may be an issue, but the fat cells themselves call out constantly to eat more, something not true of thinner people. Occasionally I go on tiramisu jaunts. I go between wondering if I am gluten-sensitive or just carb-sensitive and go in and out of drinking milk.
The International Journal of Obesity says that of people who lose 75 or more pounds, 95-98% gain back every pound within 3 years, 2/3 of them within the first year. Even Oprah who can afford cooks, a personal trainer and all the backup possible gains it back. People who keep weight off are a statistical aberration, unless the gain was transient. Younger men who haven’t been obese long and are willing to, say, become exercise instructors or indulge in full time physical labor stand the best chance of joining that elusive 2-5%. as do people who spend the rest of their lives monitoring every mouthful and every bit of exercise. The National Weight Control Registry tracks strategies and data on those who lose at least 33kg and keep it off or 5 years. Even they say that only 20% of dieters are successful at a 10% weight loss for over one year. You have to make your life about keeping weight off and maybe change your work to something physical all day.
I haven’t tried everything. Tapeworms, for instance seemed to work for Maria Callas, but I’m squeamish and like my B vitamins. Nor have I tried surgery, although I did check it out. The painful death of my pharmacist after gastric bypass surgery destroyed any question I might have had about a procedure that creeps me out on the face of it. (What colonizes that empty length of intestine cut off by the surgery?) Two of my obese patients had the surgery and are still fat- and one lost her spleen during the operation. And while a lap band seems less intrusive, I watched one patient struggle for a year with infected ports. For a cool $25,000 plus extra surgery for the sagging skin you get an 80% complication rate and 5 years of becoming thinner before you gain it back. Even if you get thin, you are metabolically fat compared to an always thin person, with every deflated cell urging you to eat at any moment. And the yo yo is harder on your heart and toxin release harder on your brain than just staying fat. Thanks, I’ll work on health at any size.
The truth is, despite Joy Nash’s wonderful YouTube Fat Rants, fat is a matter of shame in our society. We don’t criticize the selfish or the vain nearly as much as the fat. Obesity is treated as a character flaw instead of just extra avoirdupois. It is extra flesh not failure incarnate. Heck we have a worldwide epidemic of obese 6 month olds who probably eat and move much like infants always have, so it makes no sense to blame. And we need to get real about it.
I have no question that if I had bypass surgery and lost weight that people would congratulate me on becoming healthier and it might well help me get a teaching job or keep patients. It would not be true. My digestion would be permanently ruined, I’d weaken the muscle in my heart along with all the other muscles (non ketogenic weight loss lowers your muscle mass and the heart is mostly muscle) and I would have scars through my meridians. To be fair my feet and knees would feel better and I might have more energy during the low weight phase, but the assumption of health would be falsely generalized. It is possible that I would live up to 3 years longer, although those figures were not derived by comparing fat and formerly fat people and they certainly didn’t sort out the physically fit fat people for comparison. We aren’t talking decades of life. Besides the most recent word is that thin people with big bellies die sooner than the obese.
What I can do, even if the fat is intractable, is something about is my health and fitness. A low carbohydrate diet including good fats, green vegetables, seaweeds, low glycemic flavonoid-rich fruits and clean protein will keep my blood sugar down and normalize my cholesterol and triglycerides. Exercise will keep my circulation and lung function intact. Weight training will build muscle mass. Yoga, qigong, MELT or Pilates will stretch my muscles and strengthen my core. Regular acupuncture, massage or craniosacral balancing will keep me centered and enough sleep will allow restoration.
Most important I love the work I do and would rather be fat than work at a different, more physical job or spend an additional hour at the gym when I could be spending time figuring out how to affect patients with difficult problems that don’t lead to easy resolution. While my preference for treating zebras, as difficult cases are called, may not make me thin or rich, at least I learn things that help others.
So what have I learned about weight loss?
- Statistics on health and Body Mass lump couch potatoes together with the fit fat people. You don’t want to be a couch potato. If you work out regularly and eat well, your main problems will be structural.
- Overweight people react differently to dieting strategies than do obese people. Formerly fat people are metabolically quite different than always thin people of the same weight. Don’t assume that everyone can do the same thing to either lose weight or stay thin.
- Most fat people do best on low carbohydrate diets, without appreciable grains. Even if you might have done well with grains pre-obesity, your metabolism is probably damaged by long term weight gain. Go Paleo, for good.
- If you want to lose weight, you need to restrict food even on a low carb diet. You may be too satisfied to overeat, but many fat people have lost touch with their body’s signals.
- Ketosis (not the dangerous ketoacidosis) metabolically causes you to lose fat rather than muscle, provided that you don’t overeat. There are entire civilizations in ketosis (traditional Inuit, Bantu, hunter-gathers) who are not in active weight loss. Nonetheless I know of no better start for fat burning.
- To start a ketogenic diet, mineralize yourself with magnesium, potassium, iodine, trace minerals, sea vegetables and kale. Otherwise the first two weeks while you are transitioning from glucose-burning to ketone (fat) burning will be hell. Which is probably why Atkins allowed free consumption of fats during that induction period.
- For a long term diet, a food plan that hovers between ketosis and low carb just above ketosis is probably the best. Green vegetables and clean fish or pasture-raised meat, eggs from outdoor chickens and small amounts of berries, yellow fruits and vegetables or pickled root vegetables should be the basis of your diet.
- This actually can be done with a vegetarian diet but will be a lot more interesting with animal protein. The infamous low glycemic vegetarian diet that beat the ADA diet for diabetes was basically vegetarian Atkins.
- Weight gain after periods of intense stress may be more benign than other self-medication (although others may not act as if it is.) The weight won’t necessarily go away when the stress does or just because you take up yoga, even Birkram.
- There is a threshold beyond which losing weight is close to impossible without extraordinary changes, so don’t get there. Overweight is better than obese.
- The kind of extraordinary changes that allow weight loss include moving away from family and friends who may reinforce inactivity or stress, changing to a very physical profession, radically increasing exercise and changing the kind of food you need and a spiritual renewal that doesn’t involve lots of sitting or reading. Move to a 5th floor walk-up or work a half hours walk from home to build in exercise. You also need to make peace with monitoring everything you eat, monitoring exercise and monitoring weight.
- Some people become fat in reaction to sexual abuse, negative feedback from family members, dissatisfaction with a lack of purpose, or to hide sources of shame. Others pick up a sense of shame after they become fat. Continued emotional eating may or may not play a part in this reaction. Getting rid of the shame is essential to your well-being, whether or not it converts to being thin.
- If you suddenly gain weight, loose it as soon as possible so that your setpoint weight doesn’t increase.
- When you take medications like steroids, antidepressants, antipsychotics, long term antibiotics or insulin you will probably gain weight, often substantial amounts. Statins can cause diabetes, but are pushed on people with insulin resistance. It may be worthwhile, but consider the effect in evaluating your course of treatment and also whether protective lifestyle changes are realistic.
- Most benefits of weight loss happen in the first 10%.
- After 10% weight loss, your setpoint tries like crazy to make you regain the lost weight.
- While some people can, I have never lost weight from exercise alone but I also don’t lose significantly without exercise, including interval aerobics, weight training and stretching. Don’t skip the stretching, because heavy weight predisposes you to injury if your muscles are in the wrong place.
- If you lose weight, you will free toxins locked up in your fat which may be redistributed in your organs. Take detoxifying herbs like dandelion, chickweed, Oregon grape, triphala or coptis and seaweeds to tie them up. Getting sick will derail your exercise program.
- Extra weight is especially hard on your feet, hips and knees. A heel spur or knee problems will also derail exercise. Get good shoes, watch Katy Bowman’s biodynamic body DVDs, stand on little balls to massage the small areas of your feet, vary your exercise and be proactive about foot, leg and hip care.
- Modify exercises to function like they should, not to look like what thin people do. Maybe that means your toe touch only goes to your thighs. Maybe your push-up is against a wall, not the floor. And you need a total substitute for the plough asana if your bust or belly won’t let you breathe.
- Minerals are essential, especially magnesium which is no longer in soils in appreciable quantity, iodine, potassium, chromium and trace vegetables. Seaweeds are the main food source of minerals. Additionally octacosanol will bring down triglycerides.
- If your endocrine system is unbalanced, try adaptogen herbs like rhodiola, ashwaganda, ginseng and eleuthero.
- Weight loss herbs basically fall into a few categories: detoxification, bulk laxatives, liver support, starch blockers, fat blockers and thermogenic herbs. Studies are minimal and are often done on small groups of slightly overweight people.
- Thermogenic (heating) herbs like cayenne are fine if you run cold. Otherwise go to cooler circulatory herbs like turmeric, frankincense, myrrh or chuanxiong. A bit of pepper, long pepper (pipalli) or prickly ash will help the herbs to penetrate and won’t be too hot in small doses.
- Starch blockers, from phaseolus beans usually give you gas while you don’t assimilate the starch. Just stay away from starch.
- Liver herbs like dandelion leaf, green coffee extract, Oregon grape, berberis and milk thistle will help you convert fat and get rid of toxins that were locked up in your fat. Also see detoxification herbs.
- Fat blockers are basically liver herbs that cause you to dump. The pharmaceutical version Olestra (orlistat) can cause explosive diarrhea and deplete you of fat-soluble vitamins and EFAs, but does cause your body to dump toxins. A less intensive intervention using 7 fat free Pringles a day got rid of both persistent organic pollutants like chlorohexabenzene and fat in some studies. Pringles of any sort are not food, but personal experience using fake fats to get rid of artificial toxins were not notably successful.
- The only laxatives I would suggest are triphala, a nourishing and detoxifying group of fruits, and if you are constipated, psyllium, flax or cannabis seeds (sterilized and legal in Chinese medicine stores.) If it is really bad one dose of senna, cascara sagrada, aloes, or da huang (rhubarb), but only for the first bowel movement. Eat seaweeds and okra. Take probiotics or probiotic foods. Drink lots of water.
- Did I say drink lots of water? And yes, some of that can be coffee or teas. Best to avoid diet drinks, even the fairly benign stevia-sweetened ones. Or save them for special occasions. Taste can trigger your insulin secretion.
- Go for periods of time without appreciable carbs, like between dinner and lunch with salmon salad or a veggie frittata for breakfast. When your blood insulin goes up you can’t burn fat or make muscle.
- Don’t graze. See above for why.
- Eat before exercise, which brings your insulin curve back down. If you eat or swill a sports drink afterwards, you defeat the metabolic effect of exercise. (Marathoners or Iron Men are an exception and aren’t losing weight, but if you have read this far it probably doesn’t apply to you!)
- Exercise after eating, even a short spin around the block.
- Take pride in what you do well, how you affect the world and in who you are. There will always be people willing to see you as a size rather than a person. Don’t fall for their shortsightedness.
Green coffee beans are the unroasted seeds of the coffee plant. I purchased some last year after reading that they tasted better when immediately roasted. My initial efforts were unimpressive so I put them aside.
A month or so ago I started getting emails promoting green coffee extract “as seen on Dr Oz.” Since I frequently write about the virtues of coffee, I clicked on one which had the show embedded. The claims sounded too good to be true, so I started searching PubMed. And there is compelling research,including human research that was done on overweight (but not obese) humans.
Roasted coffee is one of the few bitters that Americans regularly consume, one of the highest sources of flavonoids and intake is associated with lower diabetes, by 67%. Some of the benefit is due to caffeine, some to chlorogenic acids, some to magnesium and other constituents like trigonelline and some to roast products. Decaffeinated coffee also has similar effects., Parkinson’s disease, asthma, inflammation as measured by C Reactive Protein (CRP) and a host of other benefits. Epidemiological evidence has shown that a high level of coffee consumption lowers the risk of type 2 diabetes
Coffee is a complex aqueous beverage and there is a great risk that assuming the effects of a single constituent like caffeine represent the effects of the whole herb. While widely denounced in health columns until recently ( some people either do not do well on coffee or abuse it) the benefits of coffee have brought an appreciation that the beverage is more than caffeine.
Marketing has focused on chlorogenic acid (or more properly chlorogenic acids) as the main source of benefits, although one rat study showed that green coffee extract works better than chlorogenic acids alone. Chlorogenic acids are a group of cinnamic acids found in blueberries, peaches, prunes and bamboo shoots as well as in coffee. They are anti-inflammatory antioxidants that reduce the release of glucose into the bloodstream. Contrary to what you will read on the web, some of the chlorogenic acid survives roasting, albeit in lower and different ratios. Unroasted green beans have chlorogenic acid levels from 61-86 %, while roasted beans have levels of 31-41%.
Apparently you can choose your favorite coffee source and still get some benefits for your liver. Dark roasted coffee is higher in a detoxifying compound called N-methylpyridinium (NMP) while light roasted coffee has more detoxifying 5-O-caffeoylquinic acid (CGA) and green coffee is higher in chlorogenic acids. Dark roast coffee is more effective than light roast coffee in reducing body weight, and in restoring red blood cell vitamin E and glutathione concentrations in healthy people. This may because dark roasted coffee beans have less caffeine which stimulates absorption of glucose than medium roast arabica beans and both have less caffeine than robusta beans. (Caffeine may counteract that glucose absorption effect by stimulating metabolism because it alone has a small weight loss effect.) Chlorogenic acids interfere with glucose absorption. But chlorogenic acids are a group and one study indicated that roasting changes the proportion so unroasted and roasted beans will have different effects.
Green coffee takes the prize in weight loss. There have been a number of studies showing the benefits of green coffee extract to the liver, fat and glucose metabolism and weight. In one by Shimoda et.al., mice fed green coffee extract lost more fat than those fed caffeine or chlorogenic acid, although all lost weight. The green coffee extract mice lost visceral fat and lowered triglycerides. The researchers concluded that green coffee extract inhibited both fat absorption and fat metabolism in the liver.
Other studies concluded that coffee extracts lowered fat and sugar intake with a variety of mechanisms listed below and that the constituents were bioavailable, used in both the small and large intestines. A human study found daily consumption of coffee that was rich in the compounds that are found abundantly in green coffee beans, and also in roasted beans, did indeed result in lower food intake which reduced weight and body fat, along with increased glutathione and Vitamin E.
In one small human study of instant coffee enriched with chlorogenic acid, reductions of 6.9% in glucose absorption were found. The same scientists did a 12-week, placebo-controlled human study with thirty overweight or obese humans who took either the extract or a placebo, dissolved in instant coffee. The chlorogenic acid enhanced extract produced an average 11 pound weight loss with a decrease in glucose absorption and an increase in glucose utilization. The researchers suggested that the lower availability of glucose could cause the body to increase the metabolism of fat reserves, eventually decreasing body fat and BMI.
In the best known study cited by Dr. Oz, 16 women and men from India lost 17.6 pounds average or 10% of body weight in 22 weeks, with over 16% fat lost. This means that fat was preferentially lost. This was aso subjects were not on the coffee extract for the whole time. They were on high dose green coffee extract (1050 mg) for six weeks of the trial, lower dose green coffee extract (750 mg) for another six weeks and a placebo for the other third, in three groups which rotated which blinded portion they were on. Between each arm of the study they went without treatment (a two week washout period.) The participants consumed 2400 calories a day (15% protein, 25% fat and 60% carbohydrate), but reportedly expended only 400 calories which should have resulted in a weight gain. (Exercise is referenced but not specified in the study. It was discussed on the Oz show so may have been described elsewhere and I suspect that the 400 calories refers to a specific exercise program rather than total daily motion, but this is conjecture based on the study saying that exercise was discussed at each meeting.)
There are some concerns about this trial, which has had better results than other studies. The other studies had lower dosages so it wasn’t surprising that results were more dramatic. However:
- The trial was quite small. 12 people do not make a reliable study.
- While we know that the sample included overweight men and women who were nondiabetic and without thyroid dysunction, not taking medication affecting blood sugar, we do not know how they were recruited or what their expectation was which could affect placebo effects.
- While a crossover trial eliminates differences between groups it also sets the expectation that everyone will be given an active ingredient at some point. So it can enhance the placebo response.
- The group was divided into groups with either the placebo, high dose or low dose first. This is standard for a crossover trial. However the placebo-first group lost weight in the first six week arm. All groups continued to lose weight during the washout periods. That could be explained by a long term effect on the liver, but the placebo-first group shouldn’t have lost weight during the first arm of the study or its initial washout period.
- There could have been an additional placebo effect from just participating in the trial and recording food eaten on the placebo-first group. Its weight loss was less than the green coffee extract groups. It could be due to drinking a full glass of water before the meal, triggering satiety. Or there may be a problem with accuracy in recording food and exercise.
- The placebo and high dose were given three times a day and the low dose only twice a day, so participants were not really blinded. However it was a crossover trial so they knew the supplements would change and that defect doesn’t greatly concern me.
- Food intake was self recorded, but it was done on a daily basis so bias is likely to be small.
- Since the diet was apparently prescribed, we should have more information on it. Did it lower carbohydrate intake for the participants?
- We do not know if the study was done on people who already drink coffee. Since the study was done in India where people tend to drink tea, the addition of green coffee extract may be different than to people who already drink coffee.
- The trial was done on people who were overweight, not obese. Obese people are metabolically different from the merely overweight, and this group has yet to be studied.
- The trial was only 22 weeks, with supplementation given for 12 weeks. That is probably not enough time for a study dealing with weight and the follow-up was also minimal.
My conclusion is that the preponderance of evidence from human and rat studies indicates a likely but not proven effect on weight and perhaps more importantly the liver. While there is much to be studied, the supplement is safe, low in caffeine and seems to be without reported side effects. The participants may well have done other things to supplement its effect- most of us will do that too. It may or may not work as well with the obese or with people who already drink coffee. There is still enough for me to try it along with a low carb diet (since I am more concerned with fat loss than proving the effectiveness of the ingredient) but I am not expecting changes as dramatic as in the trial.
How Does It Work?
Michael Downey of the Life Extension Institute has an excellent review of research on green coffee extract and cites the research behind most of the points listed below. Otherwise in text links show references. Although research is at its early stages, there is evidence for multiple mechanisms of action. Research shows that green coffee extract interferes with glucose transport and the production and storage of fats; and promotes utilization of glucose and breakdown of fats:
- hydrolysis of the enzyme glucose-6-phosphatase irreversibly. This mechanism allows chlorogenic acid to reduce transformation of glycogen into glucose in the liver. s have been shown to inhibit the
- It reduces the absorption of new glucose.
- It reduces the formation of new fat by reducing the sterol binding proteins
- In addition animal studies have demonstrated chlorogenic acid lessens the hyperglycemic peak , so blood sugar (and blood insulin) will not spike.
- Green coffee extract inhibit the enzyme amylase, which breaks starch into sugar so would decrease the absorption of sugar and calories. (So don’t take digestive enzymes with your food.)
- It inhibits pancreatic lipase which breaks down fats.
- It interferes with the absorption of glucose molecules in the small intestine and sends them to the distal end of the small intestine where they are less likely to be absorbed.
- It inhibits the enzyme alpha-glucosidase, which breaks apart complex sugars and enhances their absorption into the blood
- It detoxifies the liver.
- It reduces triglycerides.
- It increases glutathione but not as much as dark roast coffee.
- It increases insulin sensitivity by increasing signal protein for insulin receptors in the liver.
- Green coffee extract reduces fatty acid and cholesterol synthesis.
- Green coffee extract enhances whole-body metabolism, as shown by greater oxygen consumption.
- It alters body fat distribution.
There are two sets of reasonable dosage recommendations. Life Extension recommends green coffee extract standardized to 50% chlorogenic acids at 400 mg three times a day 1/2 hour before meals instead of Dr. Oz’s 800 mg twice a day dose given a half hour before the two largest meals with a glass of water. This is because people with a tendency to hypoglycemia could theoretically go too low and get dizzy or worse. The figure suggested on the Oz show seems to be a compromise of the values in the Indian trial, especially since there wasn’t a huge difference between the lower and higher doses. Doses lower than given in the low dose arm had shown a lesser effect in earlier studies. But there is nothing sacrosanct about the 800 mg figure and you should listen to your body.
As long as you purchase it from a reputable company I wouldn’t worry about excipients to keep the extract from flowing freely. That seems to be a marketing gimmick which doesn’t affect absorption appreciably. If there are multiple ingredients- for instance raspberry ketones- check for explicit numbers on each ingredient. Do not accept “1000 mg of a proprietary extract containing green coffee extract and …” because you can’t tell the dosage. There is probably fake green coffee extract out there after the Oz show so open a capsule, looking for a tan powder that tastes quite bitter if the source is questionable. If it tastes like mocha, it is fake.
Doing it Yourself
There are two ways to process green coffee yourself, making a brew or making a tincture. They are likely to offer a different balance of constituents since alcohol-soluble constituents are not always water soluble and alkaloids like caffeine may come out more strongly with water. The green coffee in the studies was first ground and then soaked in alcohol which then was evaporated to make a dry extract. If you need the coffee ground I suggest using a commercial grinder in the place where you purchase the beans. I have tried both a Vitamix and a Braun coffee grinder on my green beans, but since the beans are not dried and brittle from roasting, both methods left sizable chunks. Soak the ground coffee in 90 proof alcohol at a 1 g/5ml ratio for two weeks and strain out well, squeezing the bean powder. It is probably easiest just to take the tincture as is, but you will need to experiment with the dosage. Start with 30-60 ml three times a day a half hour before meals. You can also purchase the dry extract wholesale and add a reasonable amount to your coffee, taking it before meals. Or you can do a water extraction by either making a tea or mixing it in with coffee. This may extract different constituents and should be regarded as experimental. Add the green coffee to your usual coffee measurement because it dilutes the taste otherwise. Or put it in your French press and let steep before drinking. It is bitter but lacks the roasted aroma we usually associate with coffee.
I like the idea of combining the green coffee extract with dark roast coffee which has been shown to enhance weight loss, increase glutathione and increase vitamin E. The synergistic effects bring us closer to a whole herb beverage.
Sources are linked in the text, but special mention to:
Reduce Blood Glucose and Shed Pounds Fast Lifeextension.com
Randomized, double-blind, placebo-controlled, linear dose, crossover study to evaluate the efficacy and safety of a green coffee bean extract in overweight subjects full study Diabetes Metab Syndr Obes
See Related Posts:
I was asked about whether vinegar is a good thing to consume because of its effects on probiotic bacteria. The suggestion was based on the idea that the acidity of vinegar might kill off beneficial bacteria. The questioner heard that lemon juice might be better.
Acidity is measured by a scale called the pH scale which goes from zero to 14. Neutral is 7.0, acid is lower than 7 and alkaline is a number larger than 7.0. Your blood must stay within a very narrow range on the most barely alkaline side of neutral and if it threatens to go outside the range, your body automatically adjusts your breathing or urinary output to bring it back.
First off, the pH of vinegar and lemon juice are about the same and less acidic than a healthy stomach during digestion, which is between 1.5 and 2.5. (Wikipedia gives a wider range, but averages are not the same as optimal.) The pH of distilled vinegar is 2.4. When the pH gets low enough it triggers the esophageal sphincter to close, preventing acid reflux and after the food has been disinfected and broken down, it triggers the lower sphincter to open. So if you have reflux it is because your stomach acidity is too low (numbers too high) to close the sphincter and consuming vinegar or bitters before meals may help.
The bacteria in the gut evolved to survive in an acid environment. (Note the name in Lactobacillus acidophilious “Acid-loving”) When the acidity is insufficient, the bacteria won’t be happy, but it doesn’t need to be as low a pH as in the stomach which has special mucosa to protect it and needs to disinfect and break down food. Bile from the liver at a pH of 7.0-7.7 raises the pH of the food bolus after it leaves the stomach. The pH of the gut is probably around 4, which is what is needed by healthy gut bacteria. Fat breaks down in the gut along with the residual products that survived the stomach.
It would not be correct to say that because a high concentration of acetic acid is poisonous, that vinegar should be avoided. The dose makes the poison and virtually everything we need to take in – oxygen, water, essential minerals like iron and magnesium, essential fatty acids- is poisonous in a large enough range. Although pure acetic acid is classified as a weak acid, concentrated acetic acid is corrosive, and could attack the skin. Vinegar on the other hand protects the acid mantle of the skin which is needed by our protective skin bacteria. Why take it? The acetic acid in vinegar which is about the same acidity as our gastric juices, produces acetyls in the body which are fundamental to all forms of life. When bound to coenzyme A, acetic acid is central to the metabolism of carbohydrates and fats. This is why a spoonful of vinegar at meals is often suggested for dieters.
Note that while most table vinegars sold are 5% acetic acid (with a range of 4-8%), the base material may affect the pH of the vinegar itself. Balsamic vinegar has two different origins: true balsamic vinegar is made from a concentrated grape must, aged for years in a variety of different wooden casks. The commercial balsamic sold in supermarkets is typically made with concentrated grape juice mixed with a strong vinegar, which is laced with caramel and sugar.
If you want to make a good balsamic vinegar without all the additives, take a jar and fill it with white pine, balsam fir or other conifer needles that aren’t too resinous. Fill with apple cider vinegar and let soak, with needles covered, for 4 weeks. It isn’t dark, but it is tasty. My experiments with commercial wine vinegars have not been successful, but you would probably do well with a home made wine vinegar which tends to be stronger.
Distilled vinegar as shown below has no nutrient value, and I reserve it for cleaning because of its disinfectant value.
Nutritional Content of Vinegars (per cup)
|Balsamic||Apple Cider||Red Wine||Distilled|
|pH (most acidic reported)||2.4||3.1||3.2||2.4|
|Compiled from: Nutritiondata.self.com|
Now vinegar itself may be probiotic, much like kombucha, which is basically a vinegar grown on a sugar sweetened tea base. The mother of vinegar, also called Mycoderma aceti or scoby, is a biomass of mostly Acetylobacter bacteria which has been valued over history for producing vinegar, along with beneficial yeast. If you leave apple or grape juice or wine exposed to the air and protected from fruit flies, you may get wild acetylbacter and yeast, or more reliably you can inoculate it yourself to produce vinegar. Bragg’s vinegar for instance is not completely filtered and you can see small amounts of the mother. If you add it to a an acid juice and leave it in a warm place you will eventually see a round gelatinous mass floating near the surface or stringy pieces in earlier stages. This is the mother of vinegar.
You can also purchase mothers of vinegar from Northampton Beer and Wine, Amazon, a local brew and wine shop or use a kombucha scoby. (A mother of vinegar can also be used for kombucha- the bacterial masses are made up of a variety of organisms and they will each adapt differently to the base used.) Kombucha mothers, for instance have a predominance of Gluconacetobacter which makes gluconic acid from the glucose in the sugar -the Acetobacter will flourish instead when grown in apple juice where fructose predominates. Purists who grow kombucha (at least commercially where they can check it) may also have the probiotic yeast Sacchermyoces kombuchaensis. However kombucha which is fermented too long becomes an acid vinegar. All scobys and mothers of vinegar vary, especially since vinegar can be grown on wine, grape juice, apple cider, malted barley, rice, or a variety of other bases, provided they are sufficiently acid. Don’t worry about it too much unless you don’t like the flavor. If you are making your own and want to add herbs, do wait until you filter out your mother because I have killed mine by adding herbs during fermentation. (Makes sense- most culinary herbs help preserve foods from bacteria!)
I had an unexpected growth of a mother when I tried Paul Bergner’s recipe for colloidal magnesium: one part Philips Milk of Magnesium to five parts apple cider vinegar. I left one capped, about 2/3 full on my top shelf. When I returned eight months later there was a four inch thick mother.
Live vinegar then is quite good for your your probiotic organisms and I recommend it for your health. It helps break down food if you take it with meals, lowers blood sugar spikes, metabolize fat, makes magnesium available for cramps and can be a great live food.
- Does it matter if I eat acid-forming foods? Not when you look at the research. (acupuncturebrooklyn.com)
- Dietary Protein and Bone Health: A New View by Dr Karl Insogna (wisdom_magazine.com)
- Vinegar, lemon juice and lactic acid fermented fruits and vegetables can reduce blood sugar spikes, lower the glycemic index of foods being fermented and can cause weight loss. Information on how to make lactic acid fermented foods. (acupuncturebrooklyn.com)
- Phys Ed: Can Pickle Juice Stop Muscle Cramps? (well.blogs.nytimes.com)
- Vinegar or Acid Food Helps Blood Sugar Go Down (acupuncturebrooklyn.com)
- If you fall for this “water fad” you could damage your health. (mercola.com)
- How to make vinegar from leftover wine (gangofpour.com)
- Kombucha pictures from the Happy Herbalist (happyherbalist.com)
- Kombucha SCOBYS vs. Mothers of Vinegar (MOVs) (www.kombuchafuel.com)
There is a widespread idea among health-seeking eaters that one ought to avoid meat, dairy and other “acid-forming foods” in favor of vegetables. The theory is that your body needs alkalizing foods or acid blood will leach minerals from your bones . Generally the effect is to get people to eat more vegetables, but after reading about this for 20 years I have to say that the evidence for the theory itself isn’t compelling.
First, what is an acid-forming food? Lemon juice is acid but it stimulates the release of magnesium which alkalizes. Vinegar (another acid) gets classified both ways, but it does function similarly to lemon juice. The makers of alkaline water like Kangen believe that alkaline water makes the body alkaline. Generally meat, dairy, sugars and some fruits are shown on the “acidifying” side while vegetables, good oils and most fruits (except blackberries) are shown as “alkalizing”. Some of the foods on lists are backed by research from the 50s and 60s, while others are conjecture. The problem is that the body has complicated feedback systems, food is eaten in groups and at different times of the day and constitutions differ.
A healthy stomach secretes gastric acid at a pH of 1.5 to digest food, including meat, and that extreme acidity triggers the esophageal sphincter to shut. The acid kills disease-bearing organisms and opens the sphincter at the bottom of the stomach to let the food get treated by bile, probiotic organisms and the intestines. If you have reflux, you generally have too little acid, so the esophageal sphincter doesn’t close and the lesser acid bubbles up where it can cause harm. (Starting the meal with bitters can help your liver and stomach produce sufficient acid, but you may need to take betaine hydrochloride, especially if your gallbladder has been removed. ) So if your body is producing hydrochloric acid at an extremely low (acidic) pH of 1.5, how does eating beef with a less acidic pH of 5.5 hurt your body? And why would lemon juice with a pH of 2 be better than meat?
So is alkaline blood good for your health? Well no. First of all you need to keep your blood essentially neutral with the slightest alkalinity. Second eating acid or alkaline food has very little effect on your blood pH because you automatically breathe deeper or pee more (but it does affect urinary pH). And if it were an issue, why do alkaline conditions translate into disease? For instance, low-protein vegans with alkalizing diets tend to have alkaline UTIs. Mercola believes that alkaline water is only safe for short term detoxification. A study published in the Journal of Biological Chemistry found that alkalosis (rising cellular pH) causes alkaline-induced cell death as a result of altering mitochondrial function. Mitochondria are the powerhouses of the cell and their dysfunction causes serious diseases like diabetes and Parkinson’s. Researcher Robert Gilles, who has studied tumor formation and acidity found that tumors make their own acidity even in an alkaline environment. Scientists developing new anticancer agents that selectively kill tumor cells by interfering with the regulation of intracellular pH, have found that alkaline treatments do not have the desired effect – but strongly acidic treatments do. A Swedish well water study found that drinking either significantly alkaline or acid water was undesirable, which suggests that drinking water with a pH between 6-8 is best.
Some old studies did show that eating a high meat diet could stimulate the release of calcium in the urine, but that effect stops after a few weeks (and the initial studies were only a week or two long.) Ten years ago a research group at Yale and the University of Connecticut under Dr. Karl Insogna began investigating the effect of dietary protein on bone health, believing that to be true. Actually it proved that urinary calcium was not from bones, but caused by a more efficient calcium uptake in the gut from dietary protein.
The body has mechanisms to keep the pH (measure of acidity or alkalinity] within a very narrow neutral range of 7.38 and 7.42. If your blood pH is 6 (slightly acid) or 8 (slightly alkaline), you can sicken and die. So your body has a variety of ways to buffer acidity or alkalinity. The body regulates the acid/alkaline balance primarily through the amount of carbon dioxide ( CO2) exhaled in the lungs and the acidity of urine. If the blood pH drops too low and becomes acid, the body will compensate by increasing breathing, expelling CO2, so fewer hydrogen ions are free and the pH will rise back to normal. For too much alkalinity the opposite occurs. Any shifts in acid/alkaline balance in the blood are minor and transient.
As Wikipedia says:
The body’s acid–base balance is normally tightly regulated, keeping the arterial blood pH between 7.38 and 7.42. Several buffering agents that reversibly bind hydrogen ions and impede any change in pH exist. Extracellular buffers include bicarbonate and ammonia, whereas proteins and phosphate act as intracellular buffers. The bicarbonate buffering system is especially key, as carbon dioxide (CO2) can be shifted through carbonic acid (H2CO3) to hydrogen ions and bicarbonate (HCO3–) as shown below.
Acid–base imbalances that overcome the buffer system can be compensated in the short term by changing the rate of ventilation. This alters the concentration of carbon dioxide in the blood, shifting the above reaction according to Le Chatelier’s principle, which in turn alters the pH. For instance, if the blood pH drops too low (acidemia), the body will compensate by increasing breathing thereby expelling CO2, and shifting the above reaction to the left such that less hydrogen ions are free; thus the pH will rise back to normal. For alkalemia, the opposite occurs.
The kidneys are slower to compensate, but renal physiology has several powerful mechanisms to control pH by the excretion of excess acid or base. In response to acidosis, tubular cells reabsorb more bicarbonate from the tubular fluid, collecting duct cells secrete more hydrogen and generate more bicarbonate, and ammoniagenesis leads to increased formation of the NH3 buffer. In responses to alkalosis, the kidney may excrete more bicarbonate by decreasing hydrogen ion secretion from the tubular epithelial cells, and lowering rates of glutamine metabolism and ammonium excretion.
So my conclusion is that moderation is key, where water should not be significantly far from neutral and food should have a balance of acidity and alkalinity. Eat real food, organic pasture-raised meat, local fruits and vegetables and don’t sweat the pH.
I don’t endorse this chart, but it shows common beliefs about alkalizing foods. It isn’t that simple:
- Dietary Protein and Bone Health: A New View by Dr Karl Insogna (wisdom_magazine.com)
- Vinegar, lemon juice and lactic acid fermented fruits and vegetables can reduce blood sugar spikes, lower the glycemic index of foods being fermented and can cause weight loss. Information on how to make lactic acid fermented foods. (acupuncturebrooklyn.com)
- Phys Ed: Can Pickle Juice Stop Muscle Cramps? (well.blogs.nytimes.com)
- Vinegar or Acid Food Helps Blood Sugar Go Down (acupuncturebrooklyn.com)
- If you fall for this “water fad” you could damage your health. (mercola.com)
This month’s Scientific American has an article on a subject close to my heart, “Your Inner Ecosystem.” Only 10% of the DNA in our bodies is human. In other articles I have advanced the idea that we are walking colonies of microbes, worms and fungi in a human superstructure, where ecological balance is the goal of health rather than purity. That begs the question of which creatures might be pathogenic- I certainly don’t want ebola in my ecology. Not only doesn’t it play well with my other creatures, but it is deadly.
Ebola is easy to classify. However some organisms are difficult to classify. Acidophilous is great in your gut, especially if you have difficulty assimilating nutrients but it can eat away at your teeth where you might prefer Streptococcus oralis. There are benign E. coli strains, sold in Europe but not the USA as probiotics, which tend to predominate in thin people while firmiciute bacteria like the Lactobaccili predominate in fat people and can make thin rats fat. Even low level staph infections on the skin may crowd out nasty drug-resistant MRSA.
Heliobactor pylori is another example. This bacteria increases acidity in the stomach, resulting in both the environment where it thrives and breakdown of food. However in susceptible individuals, it causes ulcers. When Dr. Martin Blaser, now professor of microbiology and internal medicine at NYU found H. pylori 25 years ago, he approached it as a simple pathogen causing ulcers- and with antibiotic treatment ulcer diagnoses have reduced by more than 50%. But in 1998 he published research showing that in the vast majority of people H. pylori is beneficial, regulating the acidity of the stomach properly. H. pylori was also linked to a reduction in adenocarcinomas. In 2008 he found that H. pylori regulates ghrelin which tells your body to stop eating. When ghrelin levels are high you become hungry. After you eat -unless your H. pylori levels are low- ghrelin levels plummet. In a study of 92 veterans treated with antibiotics to lower H. pylori for ulcers, gained weight in comparison to uninfected peers. Lower H. pylori is also linked to higher diabetes rates.
One of the curious things is that two or three generations ago something like 80% of children were hosts to H. pylori. Now fewer than 6% of children have the appetite suppressing bacteria, perhaps because of broader-range antibiotics and the inclusion of antibiotics in meat production which could account for less exposure to seed the microbiota. There is apparently preliminary information suggesting a second mechanism for this where antibiotics silence bacterial signalling for undifferentiated stem cells to make tissue other than fat.
The hygiene hypothesis also may affect the acquisition of H. pylori. Water is cleaner. Plant food trucked across the country may contain fewer live bacteria. Increased C-section rates may prevent the transmission of a mother’s microbiota to the infant in the birth canal. We have fewer commensal bacteria now altogether and H. pylori is a stunning example of the reduction of a bacteria that can help keep us thin.
However it appears that adding H. pylori may not be helpful once you are fat and possibly the age of acquisition is important. In further experiments people who were obese and diabetic had higher levels of H. pylori. Researchers think lowering H. pylori with antibiotics might help lower A1c levels in diabetics. Is H. pylori exerting a U-shaped influence where too little and too much cause weight gain? We don’t really know. In the human body with all its feedback loops, direct interventions work quite differently than in petri dishes.
Still, farmers have known for some time that adding antibiotics and increasing starchy feed is the best way to get animals fat for market. When we do this to ourselves and our children, it should not surprise us if we get the same result. While it is not a likely single cause of obesity and diabetes, its effect may be far from trivial.
Your Inner Ecosystem: Jennifer Ackerman http://www.scientificamerican.com/article.cfm?id=ultimate-social-network-bacteria-protects-health
Endosymbiosis: Lynn Margulis http://evolution.berkeley.edu/evolibrary/article/_0/history_24
Ecological and Evolutionary Forces Shaping Microbial Diversity in the Human Intestine http://linkinghub.elsevier.com/retrieve/pii/S0092867406001929
Gut Reaction: Environmental Effects on the Human Microbiota http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=2685866&blobtype=pdf
Immune Gene Evolution May Be Driven By Parasites http://www.dana.org/news/features/detail.aspx?id=22816
The Body Politic http://seedmagazine.com/content/print/the_body_politic/ (picture from this article.)
Gut Bacteria Do More Than Digest Food http://www.hhmi.org/bulletin/aug2010/features/gut_bacteria5.html
Swapping Germs: Should fecal transplants become routine for debilitating diarrhea? Maryn McKenna http://www.scientificamerican.com/article.cfm?id=swapping-germs
Dr. Stephanie Senef, a MIT research scientist recently spoke out against Vitamin D supplementation at a Weston A Price Wise Traditions conference, saying that supplements are “a waste of money.” I believe she is wrong about supplementation although correct about the sun being a superior source for those lucky enough to live in the right conditions.
Senef believes that the beneficial products of sun exposure occur before you manufacture Vitamin D. When you expose your skin to sunshine, your skin synthesizes vitamin D3 sulfate. This form of vitamin D is water soluble, unlike oral oil-form vitamin D3 supplements, which are unsulfated. The water soluble pre-vitamin can travel freely in your blood stream, whereas the unsulfated supplement needs LDL ( so-called “bad” cholesterol) as a vehicle of transport. Dr. Seneff says:
“The sulfated form of vitamin D does not work for calcium transport, which I find very intriguing. And in fact, I think it’s the sulfated form for vitamin D that offers the protection from cancer. It strengthens your immune system. It protects you from cardiovascular disease. It’s good for your brain. It helps depression. I think all of those effects of vitamin D are effects of vitamin D sulfate.”
There are several problems with this. First, the research on Vitamin D status and cancer, cardiovascular disease, depression and other diseases was not performed only on people with sun-induced Vitamin D levels and it is likely that the relatively high levels of 25(OH)D in their blood would not come from sun alone unless they lived in climates south of the US (and most were done here.) For instance, in a recent study that I will describe below (video reference at end), pregnant women living in Charleston, SC where the sun shines strongly 325 days a year and the latitude favors the rays of sun that make Vitamin D, were overwhelmingly deficient or insufficient in their Vitamin D levels before supplementation. Another study on lifeguards in Hawaii found that many had suboptimal blood levels. Between sunscreen or blocking mineral particles in most skin products and cultural practices of showering frequently, we tend not to manufacture much Vitamin D. So to get relatively high levels shown in the chart below and at this link, It is likely that subjects used supplementation although only the resultant blood levels of 25(OH)D were canvassed.
Note that only rickets is prevented with low blood levels of Vitamin D
In a recent study at the University of South Carolina medical school, expectant mothers, especially African American mothers, tested as insufficient to deficient in Vitamin D. At the start of the study, deficient or insufficient levels of vitamin D were seen in 94% of the African-American women, 66% of Hispanic women, and 50% of white women who participated.. A select group was prescribed 4000 iu daily of Vitamin D3 in their second and third trimester and that group had 50% fewer adverse events such as to develop gestational diabetes, pregnancy-related high blood pressure, or preeclampsia than those taking 400 iu. They also had fewer preterm births. It benefited both the mother and baby and researcher Dr. Carol Wagner felt that in the future higher amounts would test as even better, seeing no problem with 10,000 iu. In a Norwegian study published in Epidemiology, pregnant women who took vitamin D supplements of 600-800 iu had 27 % lower rates of potentially fatal per-eclampsia. Doesn’t sound like a waste of money to me!
Reinhold Veith studied research on Vitamin D from the sun and supplementation. He found that supplementation in adults below 10,000 iu daily had a pretty flat effect on 25HydroxyD (blood Vitamin D) levels but that higher levels brought D up to levels found by ultraviolet light from the sun or fixtures. He did find that Vitamin D2 supplementation was less effective at raising blood levels of 25OHD than Vitamin D3, although some researchers dispute this.
I will be the first to say that supplementation alone is not the best way to get Vitamin D. According to researcher Michael Holick, this is difficult: to get it from the sun during late fall to early Spring, you must live south of Atlanta, go out without sunscreen between 11am and 1 pm and not wash it off for 3 days since bacteria on the surface of the skin synthesize it and can be washed off, even with plain water. If your skin is dark, you may need 6 times as much sunlight. How many people can do this? Sunshine produces more than Vitamin D and Holick believes it is likely that breakdown products from UV and excess Vitamin D that are missing from supplements are useful to the body. But that is a far cry from calling supplementation useless or a scam.
There are two forms of supplementation: oil and dry based Vitamin D3. I prescribe dry Vitamin D to clients without gallbladders and the concentrated Biotech dry form to people who need to build up stores rapidly. Neither form is sulfated, although we do not have evidence that they cannot become sulfated in the human body or in our flora. Perhaps Dr. Senef’s theory indicates that dry Vitamin D supplements would be better than oil based forms. However I see clinical results from oil based forms as well. Cod Liver Oil, proposed by the Weston A. Price Foundation is an oil-based form of Vitamin D.
There is no good evidence that all of our vitamin D should come from Cod Liver oil, although I personally believe some of it should. To get 10,000 iu via cod liver oil would incur toxic levels of Vitamin A. Some Vitamin A is probably needed although there is conflicting research on it- given that research is unclear, I stand behind traditional practices. Carlson’s cod liver oil is closest to the traditional A:D ratio in a commercial oil. Fermented cod liver oil is possibly superior, but there is no real research and I was unable to get data from the manufacturer Blue Ice, even on the relative levels of Vitamins A and D. I would have no hesitation to use it for my Omega 3 supplement, adding Vitamin D3 at levels of 10,000 iu, depending upon blood test results.
We have moved far from our equatorial origins and dress ourselves in clothing that usually covers all but 5% of our bodies. Most of us work indoors and are not suntanning at noon, and we shower frequently, washing away the skin bacteria that make the sulfated Vitamin D. Most facial make-up and skin lotions provide a level of sun blockage even if direct sunscreens are not added. While doctors used to think that such exposure was sufficient, that was based upon prevention of rickets, which as the chart show requires ridiculously little Vitamin D, and not the other conditions like cancer or heart disease that require higher blood levels. We know that Vitamin D is a natural hormone necessary for a broad variety of biological activities. While getting what sun we can is important, we should not let the optimal be the enemy of the good.
- Vitamin D supplements may protect against viral infections during the winter (eurekalert.org)
- How to Get Vitamin D From The Sun (acupuncturebrooklyn.com)
- And More On Vitamin D (Holick Video) (acupuncturebrooklyn.com)
- Vitamin D Reduces Pre-Eclampsia (acupuncturebrooklyn.com)
- What is the Right Vitamin D Level? (acupuncturebrooklyn.com)
- Could THIS Be the Factor Behind Obesity, Heart Disease and Chronic Fatigue? (mercola.com)
- Vitamin D Prevents (grassrootshealth.net)
- High Doses of Vitamin D May Cut Pregnancy Risks (webmd.com)
- Vitamin D Supplementation, 25 hydroxy D Concentrations and Safety (lassesen.com)
- Interview with Dr. Carol Wagner (Pregnancy) (grassrootshealth.net)
I had a homemade chai this week that blew me away. No cinnamon, no cloves, no allspice, although it could be modified if you prefer. And this was made without foamy milk:
Grate a 1″ x 2″ piece of ginger into a stainless steel pot with 3 cups of water. Simmer for 20 minutes, covered.
At the 10 minute mark add 8 crushed cardamon pods and 1/2 tsp freshly ground pepper.
When finished add 2 tsp. of black tea leaves and steep 5 minutes. Strain and serve. Makes about 2 cups.
Traditionally evaporated milk and Demerara (brown cane) sugar to taste are added. The evaporated milk adds a unique richness, but I generally use milk from a grass-fed cows (and have never seen this in evaporated form,) but you could use an organic half and half.
This is an easy way to get your daily dose of carotenoids and coconut oil.
- 1 package organic coconut cream
- 1 can coconut milk
- 2 cups or 1 can pumpkin puree (pumpkin pie mix can be used instead, but omit the cane sugar.)
- 1/3 cup brown cane sugar
- Stevia powder to taste (green is fine)
- 1 tsp vanilla extract
- 1 tsp freshly grated ginger
- 3 cardamon buds mashed
- 1 tsp turmeric powder
- 1/2 tsp mace or freshly grated nutmeg
- 1/2 pint washed blackberries
- Optional blackberry all fruit syrup
Put the coconut cream, coconut milk, pumpkin puree and sugar in a mixing bowl and whip at high speed, taking care to scrape the heavier coconut cream off the sides of the bowel. Add stevia to taste. (Some sugar is needed for texture, however xylitol can be substituted or you can add 2 tsp freezer pectin and use stevia alone. You will need to let it stand longer before eating if you use the pectin.) Add vanilla and spices. You can either fold in the black berries or add them on top at the end. Pour blackberry all fruit syrup over the top if desired.
Energetically this warms the Spleen and Kidneys while nourishing yin, The carminative spices keep the dampness from being cloying. Provides carotenoids in their natural full spectrum, and the benefits of coconut oil.
As a little girl I loved it when my parents would rub Vick’s Vapor Rub into my chest. Eventhough my father claimed it was just a placebo, I still insisted he rub it over my congested chest. I knew it worked, long before the advent of nicotine patches which blasted away the idea that topical medications were ineffective.
Later I graduated to Tiger Balm, especially the red version, redolent of cinnamon and resinous infused oils. This worked not only on my chest, but also soothed sore muscles. I also played with the oil versions of Tiger Balm and Po Sum On oil. And while I prefer the absorption of oils for most muscle pain, there is much to be said for a salve that continuously leaks essential oils through the skin. The salve is also less likely to spill and easier to travel with.
The commercial Tiger Balm is made with petroleum jelly and paraffin wax to which essential oils are added. Different formulations of Tiger Balm have the following essential oils:
||Red – Extra Strength||
White – Regular Strength
18 gram glass jar
18 gram glass jar
28 mL glass bottle
Clove Bud Oil
I have formulated a salve that lacks the petroleum jelly of commercial salves and can be customized with essential oils for a variety of uses. I use coconut oil as a base for its many healing effects and pleasant odor, hardened with beeswax.
To make your salve you will need a stainless steel pan, a wooden spoon, and some containers. I like to use 2 oz or 4 oz tins or old body butter containers. Determine how many ounces your containers can take, and adjust the weight of the coconut oil and beeswax accordingly, preserving the proportions. For instance for three 2 oz containers (6 ounces) you will use 4 ounces of coconut oil and 2 ounces of beeswax.
I use a good virgin coconut oil from the health food store and organic beeswax. While the beeswax may come in bars, it is easier to melt a shaved or pelleted version.
- 2 parts coconut oil
- 1 part beeswax
- Essential oil of white camphor: 5 drops/ounce
- Essential oil of peppermint: 5 drops/ounce
- Essential oil of eucalyptus or lemon eucalyptus: 8 drops/ounce
- Essential oil of cinnamon: 3 drops/ounce
Melt the beeswax and coconut oil over low heat in a stainless steel pan. Do not burn the oil. When melted, remove from heat, cool a bit and mix in the essential oils. The essential oils are volatile and you don’t want to lose them. Put the container in the refrigerator and it should harden in 15 minutes. If too soft, remelt and add a little more beeswax. If too hard (and keep in mind that coconut oil will liquify at 76 degrees) add a little more coconut oil. If you remelt you may lose some of the punch of the essential oils, so you may need to add more.
Choose essential oils that are good for the condition you are treating. For instance, if you have a child with asthma, you may elect to use an anti-inflammatory oil like German chamomile along with eucalyptus, clove, mint and camphor. If you have arthritis that gets worse with cold, you may elect to warm it up with more cinnamon and frankincense. If you have dry skin with an angry hot rash, you may want to add peppermint, German chamomile and calendula. Other essential oils that can be useful include tea tree, myrrh, rosemary and thyme. You can also substitute infused oils like St. Johnswort, calendula, arnica or poplar bud for a third of the coconut oil. Don’t be afraid to play with it to suit your family’s needs!
I was looking for some multi-lingual no-gluten cards to take with me on my trip to Israel, when my sister called me with a new life-threatening allergy of her own. I wanted to find a card that was customizable and would work for multiple allergies for her and something that I could find in Hebrew and Arabic as well as English for me. I looked over a variety of cards and thought that some would be of interest to those of you with allergies.
Translation cards are essential to your travel whether you have ended up somewhere where English is not spoken or, say, the Olympia Holiday Inn where complex verbal planning negotiations may only cover two of your three days stay because the chef has a night off. (And the cards will help in the hospital too!) Even if you know the language it might be difficult to convey the detail required. These are cards in many languages and they will alert your server about your dietary restrictions. They help you bridge the communication gap and speak openly about your dietary needs without feeling like the characters on Portlandia.. You might want more than one to get your point across when traveling since they don’t have every conceivable situation on a single card. In my experience, most restaurant staff are happy to comply. There are free cards and pay cards and probably more if you do an allergy card search on Google.
Free Translation Cards
Special Gourmets Chef Cards
A list of cards prepared for food allergens in English, Spanish and Portuguese only.. The cards were made the size of a credit card to make it easier to carry them in a wallet. You can personalize your cards online (or after printing them if you prefer) by writing on the back of the card any hidden sources which may contain the allergen. (For instance, red wine vinegar can affect people with serious egg allergies from the clarifying process.) However it was difficult to format the fields and you only get one allergy at a time. They had a graphic which could be handy if the waiter or chef isn’t literate. I liked their design and especially liked the notes to the chef to wash cutting boards and knives, but would have needed a couple of cards, which defeats the purpose. Hint to provider: allow the front to be modified too so extra allergens can be added.
Free in English, Spanish, and Portuguese
Gluten-Free Passport Dining Sheets
These were pdf sheets and I liked them quite a lot, but was totally frustrated because I couldn’t get the right combination. The statement lists several forms of gluten as well as the various forms it might be found (like flour coating meat before frying.) .The languages they have print out in English on one side and your choice of Arabic, Dutch, French, German, Greek, Italian, Latvian, Portuguese, Norwegian, Russian, Spanish and Swedish on the other. I printed the Arabic, which is great. But when I tried Hebrew using the flag pictures at the bottom, it sent me to a Hebrew web site that had no English (just the aforementioned languages). There were tiny flag buttons on the bottom with a US flag that sent me to Google Translate where I could get a legible translation but couldn’t print it out. More on Google later. Free in 12 languages
CeliacTravel.com Translation Sheets
The gluten free restaurant sheets from CeliacTravel.com are free but donations are suggested. They print out at 8 ½” x 11”, so I wouldn’t call them cards, but I did print out the sheets in Hebrew and Arabic. One sheet per language, no translation to English, so I can’t tell you what they said. As of February 2012, these sheets are available in 51 languages.
CeliacTravel.com Translation Card iPhone App
Same as above, but for your iPhone. Don’t have one so I didn’t try it.
I tried using Google Translate to print out some multi lingual sheets of my own, using English, Arabic and Hebrew based on the Gluten Free Passport wording. Got a lovely translation (for one who doesn’t read the languages- caveat that Google Translate can do some crazy things). But you can’t print it out. So I decided to copy it into Word. But copying made the formatting and language separation disappear, so I ended up with interlinear Hebrew/Arabic all in one column. I changed the format to two columns and got the interlinear Hebrew/Arabic on one side and pasted English in the other column. Not optimal, but it will have to do.
For my sister, I ended up downloading a business card template from Avery. I used the Special Gourmet Chef Cards as a guide, with a statement about the allergy and washing cutting boards on the front and a list of hidden or trouble foods on the back, and a couple graphics for the foods involved. I used the “strong wording” about requiring emergency medical care, and of course I was able to include all her food allergies. The layout is two columns of five cards. I printed one column with the front, one with the back and will glue or laminate them together. (If you are good at psyching out your printer it you can probably do it two sided.) Requires business card stationary to punch out. A sheet of 10 makes 5 cards.
I did try to put the Hebrew on a card, but the formatting was over my head. So I’m using large sheets of paper, but she gets the cards. Maybe I’ll play with the translation program some more.
Paid Translation Cards
I ended up not using any of these either, although I did like SelectWisely almost enough to order it.
SelectWisely provides health and travel translation cards and services to people with food allergies and other medical conditions. I actually liked their designs best but ended up not ordering them. Cards can be used in foreign or local restaurants. Special medical conditions, special diets, single allergies, select multiple allergies, Gluten-Free, Tree nuts, Gluten-Free Asia & Europe cards, and Gluten-Free & Milk Allergy card available as well as a strongly worded card (important because some servers don’t understand you can end up in the hospital if your allergy is severe.) Not every language works with every card and I couldn’t find Hebrew for gluten. Thre are special orders available but I didn’t have time. While they have some dual allergy cards, they didn’t have egg and milk, which is pretty common.
Price varies but they run about $7.50 for a laminated card sent out in 2 days.
The allergy cards were pretty basic but allowed you to list as many foods as you want from the 175 they have listed. They also have free chef sheets which educate about cross-contamination in a variety of middle European, Slavic and Chinese languages. AllergyTranslation.com provides online food allergy and special diet language translations into a credit card-sized dietary card to be used to alert staff in restaurants, hotels and catered events and as a reference tool at grocery stores. They also cover vegan, kosher and 9 other special diets but I didn’t see those cards. I didn’t like needing to sign in to see what they have but you can evade it by clicking on the products button. .
$8 allows you to print out unlimited copies.
Triumph Dining Cards
Order gluten-free and safely in ten languages: English, Chinese, French, Greek, Indian, Italian, Japanese, Spanish (Mexican), Thai, and Vietnamese. Tailored to each cuisine. (Japanese card prohibits imitation crab, soy sauce, and tempura; Mexican card prohibits flour tortillas, etc.)
$18.95 for ten cards in ten languages
DELICARDO Food Cards
The DELICARDO foodcard is I believe a German card made for food allergy and intolerance sufferers, or people on restrictive diets, who want to hand a DELICARDO foodcard containing all dietary restrictions over to the service personnel.. DELICARDO offers both standard and personalized Foodcards but you can’t easily combine allergens on one card and I didn’t much like the design..
iPhone app with 45 of the most common food allergies in 33 languages. Haven’t tried it.
Most of us know that we have lots of organisms in our guts to help us digest food (and if we forget it, Jaime Lee Curtis is willing to tell us in her Activia commercials!) The microorganisms are so important that termites cannot digest wood without their gut bacteria and we cannot break down all our food without the human kind. What you might not know is that we have hundreds of trillions of organisms especially along our GI tract, respiratory system and skin. And they do a lot more than digest. They fight infections, create certain vitamins, form a living wallpaper on the intestinal wall to protect our bloodstreams from debris. Some help make us fat or thin. But did you know that our bacteria might affect our sex drive? At least they do for white fruit flies, known as Drosophilia. If you kill off their gut bacteria, they won’t mate the same way.
In the February 2011 issue of Surgery News, Lazar Greenfield wrote:
It has long been known that Drosophila raised on starch media are more likely to mate with other starch-raised flies, whereas those fed maltose have similar preferences. In a study published online in the November issue of the Proceedings of the National Academy of Sciences, investigators explored the mechanism for this preference by treating flies with antibiotics to sterilize the gut and saw the preferences disappear (Proc. Nad. Acad. Sci. U.S.A. 2010 Nov. 1).
In cultures of untreated flies, the bacterium L. plantarum was more common in those on starch, and sure enough, when L. plantarum was returned to the sterile groups, the mating preference returned. The best explanation for this is revealed in the significant differences in their sex pheromones. These experiments also support the hologenome theory of evolution wherein the unit of natural selection is the “holobiont,” or combination of organism and its microorganisms, that determines mating preferences.
- Commensal bacteria play a role in mating preference of Drosophila melanogaster (pubmed.com)
- Rapid spread of a bacterial symbiont in an invasive whitefly is driven by fitness benefits and female bias. (pubmed.com)
- The Microbiology of the Human Axilla and Its Relationship to Axillary Odor (pubmed.com)
- MHC-correlated odour preferences in humans and the use of oral contraceptives. (pubmed.com)
- Our Symbionts Ourselves (acupuncturebrooklyn.com)
- Microbes for the Lovelorn (syaffolee.wordpress,com)
- Bacteria determining our love life? (bio230fall2010.wordpress.com)
- Bacterium and Whiteflies: New Best Frenemies? (livescience.com)
Red clover, Trifolium pratense is one of my favorite herbs for gynecology, treating cancer and detoxification. The part used is the flowering top picked as soon as the dew has dried, with care not to bruise the flowers. It grows in moderate climates. Russians recommend the herb for bronchial asthma, and it is widely used for respiratory issues. The Chinese use the tea for respiratory infections with dry cough.
Energetically red clover blossoms are cool, sweet, with a mineral saltiness that makes them slightly moistening. The flower is classified as an alterative which means it encourages nonspecific elimination of the organs. It is also a lymphatic tonic. This makes it useful for detoxification and in cancer treatment.
It is slightly demulcent since its minerals attract moisture to the throat and bowels. On the other hand it is slightly expectorant.
The flower goes to the female reproductive system, the liver, the lungs and mucous tissues, the immune system, skin and blood. James Duke of the USDA describes red clover uses as including “alterative, antiscrofulous, antispasmodic, aperient, athlete’s foot, bronchitis, burns, cancer, constipation, diuretic, expectorant, gall-bladder, gout, liver, pertussis, rheumatism, sedative, skin, sores, tonic, and ulcers. ”
Red clover is a source of many valuable nutrients including protein, calcium, chromium, magnesium, niacin, phosphorus, potassium, thiamine, and Vitamins A and C. There are a number of isoflavones which can affect the hormones including daidzein, geneisiten, formononetin and biochanin A. Flavonoids which are antioxidant include trifoliin and calycosin. There are courmarins but this is not a concern for humans so long as the flower is not fermented: in ruminant animals like cows however there may be blood thinning with excessive use.
Red clover has a long history in Western herbalism. It has been used in Europe, the Americas, Africa and parts of Asia. It has been used in a number of alterative formulas. In the US, Parke Davis made Trifolium Compound which was used for cancer treatment, especially breast, lung and lymphatic cancers, malignant tumors, as well as skin conditions and arthralgias. The Eclectic Doctor Harvey Felter said it did not “cure” cancer but patients who took it after cancer surgery had less frequent and aggressive recurrences. Jason Winters tea, containing red clover and chaparral and some unidentified secret spice, sells at rather high prices as a “cancer cure.” It is also found in the 8 herb version of Essiac tea for cancer, improving the original formula. Far more effective is the Hoxsey Formula which is based upon the Trifolium Compound.
It is posited that the phytosterols in red clover may block estrogens by locking into the receptors. It is not exactly true to call the plant compounds phytoestrogens and expect that they will act like the stronger human hormones. While you may find sites on the web that caution red clover can cause proliferation of cancer cells, this theoretical concern ignores centuries of use against cancer. The isoflavones in red clover may also counteract cancer recurrence.
A study of nearly a thousand women suggests that red clover may interfere with an enzyme known to promote the progression of endometrial cancer. Similarly red clover may also block enzymes that contribute to prostate cancer in men. It has limiting effect in the development of benign prostate hyperplasia (BPH), a non-cancerous enlargement of the prostate gland.
The 19th Century popular herbalist Samuel Thompson used red clover topically as a poultice and salve for treating skin cancer, eczema and dermatitis.
David Winston uses red clover internally for ovarian cysts, fibroids, and mastitis with scrophularia, prunella, and fritillaria bulb. It is a lymphatic tonic that can work on swollen lymph nodes and fibrocystic breasts. Swellings due to mononucleosis or chronic fatigue may respond as well.
My favorite way to use red clover is in overnight infusions. I take half ounce to an ounce of red clover and pour a quart of boiling water over it, cover the pot and let steep overnight. In the morning I squeeze out the tea, pour into a water bottle and drink over the day. Overnight infusions give maximum mineral content, unlike tinctures so are more nourishing.
I have heard a group of women tell herbalist Susun Weed how she “knocked them up” by using overnight infusions to help their fertility. Gail Faith Edwards mixes red clover, red raspberry, wild grape leaves and tendrils in a fertility tincture. My own clients find that their skin clears, they feel more alert and then they conceive.
Red clover is also useful for osteoporosis due to its mineral content and phytosterols. It should be taken with Vitamin D for this purpose.
Menopausal hot flashes may also respond to red clover, especially when mixed with yin tonics like shatavari and rhemannia.
James Duke recommends red clover as a food. He claims that the best vegetable bouillon he ever made consisted of red clover and chicory flowers, boiled vigorously with wild onion and chives. I like to make a soup using the overnight infusion with an organic soup bone, sauteed leeks and a handful of dried nettles.
Red clover is a food and a medicine. However you take it, the herb is safe and nutritious.