Category: nutrition

The American Dietetics Association Wants No Competition

Seth Roberts4 Comments

Michael Ellsberg has an excellent article about the American Dietetic Association’s attempts to make it illegal for anyone they haven’t approved to give nutritional advice. In this document, they are frank that this is their goal. After Ellsberg drew attention to it, it was taken down. I look forward to learning why it was taken down.

The Washington State chapter of the ADA, now called the Washington State Academy of Nutrition and Dietetics, is responsible for taking down the document. The organization has this mission statement:

Empowering the people of Washington to improve health with safe, effective and reliable food and nutrition information.

Our Vision: Optimize the health and well being of Washington State individuals through food & nutrition.

Our Mission: Empower members to be Washington State’s food and nutrition leaders.

Long ago, in the civil rights or suffrage movements, for example, empowerment meant removal of barriers. This organization preaches empowerment by creation of barriers. Their empowerment is someone else’s disempowerment.

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Seth Roberts4 Comments

Thanks to David Cramer and Nadalal.

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Thanks to Anne Weiss.

Tucker Max on How to Eat an Egg

Seth Roberts22 Comments

A few months ago I blogged that a rat had persuaded me to eat more eggs. This particular rat liked scrambled eggs. Rats are omnivores, like humans. Unlike humans, they ignore advertising, nutrition fads and disinformation. Related to this, Tucker Max emailed me:

Have you thought about eating your egg raw? It sounded weird to me at first, but after looking extensively into it, there was a lot of good evidence that cooking an egg destroys a lot of the beneficial nutrients/enzymes in it. Once I started doing this, I noticed a HUGE increase in energy from the egg. It was like I almost eating a different food. In fact, the very first time I did it was at night, like 9pm, and I couldn’t get to sleep until 3am I had such a huge burst of energy. It’s not quite like that anymore, but I take it about an hour or two before I work out, and its like taking a red bull (I may be a bit vitamin B12 deficient, which would explain this).

As to how I do it, I just crack the egg into a coffee cup, and swallow it whole. It has pretty much no flavor. I also only do it with organic pasture-raised eggs. I don’t think I’d do this with normal, crappy store bought eggs.

I replied:

On my blog I said that butter and egg were in that way different from other foods — butter or at least milk must be a complete nutrient since it is the only food the baby gets. Other foods are under no such evolutionary pressure.

Tucker replied:

Which is why its SO important to get raw milk/butter from grassfed cows. Almost a completely different food than normal grocery store milk.

Yeah. When I get back to California I will compare raw and cooked eggs. In Beijing I eat mainly fermented eggs.

Is Epidemiology Worthless? The Case of Calcium

Seth Roberts11 Comments

Epidemiology has lots of critics. In this article, for example, it is called “lying on a grand scale.” Every critique I have read has ignored history. Epidemiologists have been right about two major issues: 1. Heavy smoking causes lung cancer. 2. Folate deficiency causes birth defects. In both cases, the first evidence was epidemiological. Another example is John Snow’s conclusion about the value of clean water. In my experience, epidemiologists often overstate the strength of their evidence (as do most of us) but overstatement is quite different from having nothing worth saying.

Let’s look at an example. Many people think osteoporosis is due to lack of calcium. Bones are made of calcium, right? The epidemiology of hip fractures is clear. In spite of the conventional idea, the rate of hip fracture has been highest in places where people eat a lot of calcium, such as Sweden, and lowest in places where they eat little, such as Hong Kong. (For example.) In other words, the epidemiology flatly contradicted the conventional idea. This was apparently ignored by nutrition experts (everyone knows correlation does not equal causation) who advised millions of people, especially women, to take calcium supplements to avoid osteoporosis. Millions of people followed (and follow) that advice.

Thanks to a recent meta-analysis we now know that experiments and better data firmly support the earlier epidemiology, which suggested that calcium supplements are dangerous. Here are its main conclusions:

In meta-analyses of placebo controlled trials of calcium or calcium and vitamin D, complete trial-level data were available for 28,072 participants from eight trials of calcium supplements and the WHI CaD participants not taking personal calcium supplements. . . .Calcium or calcium and vitamin D increased the risk of myocardial infarction (relative risk 1.24 (1.07 to 1.45), P = 0.004) and the composite of myocardial infarction or stroke (1.15 (1.03 to 1.27), P = 0.009). . . . A reassessment of the role of calcium supplements in osteoporosis management is warranted.

If the epidemiology had been taken more seriously, many heart attacks might have been avoided.

Is this an “anecdote” — a single example — proving nothing? Here’s how you can check. Randomly select a meta-analysis of epidemiological studies. Thousands have been done. Then ask if the results summarized in the meta-analysis appear random. Better yet, randomly pick two meta-analyses. Suppose the first summarizes 5 studies and the second summarizes 6. If the 11 results were shuffled together, how well could you assign them correctly?

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Seth Roberts9 Comments
  • More evidence that the SCD (Specific Carbohydrate Diet) diet really helps people with Crohn’s Disease. “Since starting this diet, I have had no pain. Some might attribute this to surgery, but I am convinced the diet has so much to do with it. My blood work is normal, and it hasn’t been in 8 years. The sed rate level in the blood is normal instead of elevated outrageously.”
  • How to improve on lectures when teaching physics.
  • More selenium, less risk of cancer. Contrary to what the researcher quoted in this article says, there is already substantial evidence that selenium reduces cancer risk. For example, in a county-by-county map of USA cancer rates, there is a clear rift in the north east. On one side of the rift rates are clearly higher than on the other side of the rift. The rift corresponds to geological fault line. On the low-cancer side of the rift, there is more selenium in the soil. There are also rat experiments. You certainly should take selenium supplements.
  • American health care plays a surprisingly large role in an excellent story by Peter Hessler in The New Yorker about the Japanese yakuza (mafia). 1. From 2000 to 2004, four yakuza members got liver transplants at UCLA at a time when liver transplants were hard to get. A few months later they made large donations to UCLA. The money went into a general fund at the surgery department. According to a UCLA spokesperson, there was no connection between the transplants and the donations. According to a UCLA press release, “No money or donation was offered or paid to anyone at UCLA as a quid pro quo for getting a transplant or moving up on the list.” Because a general fund is not a person, this is literally true. 2. In the early 1990s, at a Columbia, Missouri hospital, a nurse was suspected of killing patients. Hospital administrators covered it up. “Everyone took part in the coverup was promoted, everybody who tried to expose it was punished,” said someone who tried to expose it.

Thanks to Alex Chernavsky.

Ten Interesting Things I Learned From Adventures in Nutritional Therapy

Seth Roberts13 Comments

A blog called Adventures in Nutritional Therapy (started March 2011) is about what the author learned while trying to solve her health problems via nutrition and a few other things. She usually assumed her health problems were due to too much or too little of some nutrient. She puts it like this: “using mostly non-prescription, over-the-counter (OTC) supplements and treatments to address depression, brain fog, insomnia, migraines, hypothyroidism, restless legs, carpal tunnel syndrome, and a bunch of other annoyances.” In contrast to what “the American medical establishment” advises. Mostly it is nutritional self-experimentation about a wide range of health problems.

Interesting things I learned from the archives:

1. Question: Did Lance Armstrong take performance-enhancing drugs? I learned that LiveStrong (Armstrong’s site) is a content farm. Now answer that question again.

2. “If you return repeatedly to a conventional doctor with a problem they can’t solve, they will eventually suggest you need antidepressants.”

3. “When I mentioned [to Dr. CFS] the mild success I’d had with zinc, he said it was in my mind: I wanted it to work and it did. When I pointed out that 70% of the things I tried didn’t work, he changed the subject. Dr. CFS’ lack of basic reasoning skills did nothing to rebuild my confidence in the health care system.” Quite right. I have had the same experience. Most things I tried failed. When something finally worked, it could hardly be a placebo effect. This line of reasoning has been difficult for some supposedly smart people to grasp.

4. A list of things that helped her with depression. “Quit gluten” is number one.

5. Pepsi caused her to get acne. Same here.

6. 100 mg/day of iron caused terrible acne that persisted for weeks after she stopped taking the iron.

7. “ In September 2008 I started a journey that serves as a good example of the limits of the American health care system, where you can go through three months, 15 doctor visits, $7,000 in medical tests, three prescriptions and five over-the-counter medications trying to treat your abdominal pain, and after you lose ten pounds due to said pain, you are asked by the “specialists” if you have an eating disorder.” I agree. Also an example of the inability of people within the American health care system to see those limits. If they recognized that people outside their belief system might have something valuable to contribute, apparently something awful would happen.

8. Acupuncture relieved her sciatica, but not for long. “By the time I left [the acupuncturist’s office] the pain was gone, but it crept back during my 30-minute drive home.”

9. Pointing out many wrongs does not equal a right. She praises a talk by Robert Lustig about evil fructose. I am quite sure that fructose (by itself) did not cause the obesity epidemic. For one thing, I lost a lot of weight by drinking it. (Here is an advanced discussion.) In other words, being a good critic of other people’s work (as Lustig may be) doesn’t get you very far. I think it is hard for non-scientists (and even some scientists) to understand that all scientific work has dozens of “flaws”. Pointing out the flaws in this or that is little help, unless those flaws haven’t been noticed. What usually helps isn’t seeing flaws, it is seeing what can be learned.

10. A list of what caused headaches and migraines. One was MSG. Another was Vitamin D3, because it made her Vitamin B1 level too low.

She is a good writer. Mostly I found support for my beliefs: 1. Of the two aspects of self-experimentation (measure, change), change is more powerful. She does little or no self-tracking (= keeping records) as far as I could tell, yet has made a lot of progress. She has done a huge amount of trying different things. 2. Nutritional deficiencies cause a lot of problems. 3. Fermented food is overlooked. She never tries it, in spite of major digestive problems. She does try probiotics. 4. American health care is exceedingly messed-up. As she puts it, “the American medical establishment has no interest in this approach [which often helped her] and, when they do deign to discuss it, don’t know what the #%@! they’re talking about.” 5. “Over the years I’ve found accounts of personal experiences to be very helpful.” I agree. Her blog and mine are full of them.

Thanks to Alexandra Carmichael.

More Her latest post mentions me (“The fella after my own heart is Seth Roberts, who after ten years of experimenting . . . “). I was unaware of that when I wrote the above.

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Seth Roberts2 Comments

Thanks to Robin Barooah and Mike Bowerman.

Vitamin D3 Reduces Mortality

Seth Roberts17 Comments

A recent Cochrane Review summarizes several experiments that measured the effect of Vitamin D on mortality. Here is a summary:

This systematic review analysed the influence of different forms of vitamin D on mortality. In the 50 trials that provided data for our analyses a total of 94,148 participants were randomly assigned to either vitamin D or no treatment or a placebo. All trials came from high-income countries. The mean age of participants was 74 years. The mean proportion of women was 79%. The median duration of vitamin D administration was two years. Our analyses suggested that vitamin D3 reduces mortality by about 6%,

Vitamin D3 helped; Vitamin D2 and other forms of Vitamin D did not. The doses of Vitamin D3 were usually low: less than 800 IU/day.

Stimulated by Primal Girl’s discovery, I have been taking Vitamin D3 at about 7 am in the morning, slowly increasing the dose to see if there are any clear effects on my sleep (or anything else). I am up to 4000 IU/day.