More Saturated Fat, Less Stroke

This recent study from Japan found that middle-aged men and women who ate more saturated fat had a lower risk of stroke. The rate of strokes was 30% lower in the highest intake quintile compared to the lowest quintile. There was a non-significant reduction in heart disease.

Other big differences were correlated with saturated fat intake. For example, those in the highest quintile had more college education than those in the lowest quintile and were more likely to do sports >1 hr/week. These data by themselves won’t convince anyone that saturated fats are beneficial. But they should push you in that direction. Contrary to what you’ve heard a million times.

As far as I can tell, eating lots of butter has lowered my blood pressure. High blood pressure is associated with greater risk of stroke.

Although pig fat certainly helped me (I slept better), I’ve found butter is even better. Butter has considerably more saturated fat than pig fat. The fat in butter is 60% saturated fat, whereas pig fat is 40% saturated fat. My consumption of 60 g/day of butter gives me 36 g/day saturated fat. In this study, persons in the highest quintile of intake averaged 20 g/day. The highest intake in the whole study (60,000 people) was 40 g/day. In addition to butter, I eat cheese, whole-fat yogurt, and meat, so I’m surely higher than that.

Via Whole Health Source.

Arithmetic and Butter (continued)

At my Quantified Self talk I described data that suggested butter improved my mental function. During the question period, a cardiologist in the audience said something about me killing myself — butter is unhealthy. The usual view.

I said I thought the evidence for the usual view was weak. He said, “The Framingham studies.” That was epidemiology, I said. It is notoriously hard to understand. My data was from something like an experiment. Much easier to understand. (And the Framingham study is a terrible example of the supposed evidence. To quote from it: “In the period between the taking of the diet interviews and the end of the 16-year follow-up, 47 cases of de novo CHD developed in the Diet Study group. The means for all the diet variables measured were practically the same for these cases as for the original cohort at risk.”) He replied that the reduction in heart disease in recent years was more support for the usual view. I said the recent decline in heart disease could have many explanations other than a reduction in animal fat intake. Many things have changed over the last 20 years.

There is epidemiological evidence that saturated fat is bad, yes, but it is not the Framingham study nor the recent decline in heart disease. And it really is difficult to interpret. The butter-is-bad interpretation could easily be wrong. The obvious problem is that, after people are told butter is bad, people who try hard to be healthy avoid butter. And they do a lot of other things, too, to be healthy. So butter consumption ends up confounded with a dozen other variables believed to affect your health. When I was growing up, my parents avoided butter because margarine was much cheaper. So butter consumption is confounded with income, another problem.

My tiny experiment, whatever its problems, was much easier to interpret.

Arithmetic and Butter

On Tuesday I gave a talk called “Arithmetic and Butter” at the Quantified Self meeting in Sunnyvale. I had about 10 slides but this one mattered most:

It shows how fast I did simple arithmetic problems (e.g., 2*0, 9-6, 7*9) before and after I started eating 1/2 stick (60 g) of butter every day. The x axis covers about a year. The butter produced a long-lasting improvement of about 30 msec.

I think the hill shape of the butter function is due to running out of omega-3 in Beijing — my several-months-old flaxseed oil had gone bad, even though it had been frozen. When I returned to Berkeley and got fresh flaxseed oil, my scores improved.

This isn’t animal fat versus no animal fat. Before I was eating lots of butter, I was eating lots of pork fat. It’s one type of animal fat versus another type. Nor is it another example of modern processing = unhealthy. Compared to pork fat, butter is recent.

Most scientists think philosophy of science is irrelevant. Yet this line of research (measuring my arithmetic speed day after day, in hopes of accidental discovery) derived from a philosophy of science, which has two parts. First, scientific progress has a power-law distribution. Each time we collect data, we sample from a power-law-like distribution. Almost all samples produce tiny progress; a very tiny fraction produce great progress. Each time you collect data, in other words, it’s like buying a lottery ticket. I realized that a short easy brain-function test allowed me to buy a large number of lottery tickets at low cost. Second, we underestimate the likelihood of extreme events. Nassim Taleb has argued this about the likelihood of extreme negative events (which presumably have a power-law distribution); I’m assuming the same thing about extreme positive events (with a power-law distribution). We undervalue these lottery tickets, in other words. Perhaps all scientists hope for accidental discoveries. I seem to be the first to use a research strategy that relies on accidental discoveries.

In the graph, note that one point (actually, two) is down at 560 msec. This suggests there’s room for improvement.

Vitamin Absorption With and Without Accompanying Meal

This pharmaceutical-company handout (thanks, Jen!) about their Vitamin K2 includes a description of an experiment where subjects took the tablets on an empty stomach or with a meal. The variation in stomach contents made a huge difference: absorption, measured by blood concentration, was 7 times higher when the K2 was taken with a meal.

This is going to change how I take supplements, such as selenium, for the rest of my life. I’ve often taken them on empty stomach. I never realized the effect of doing so could be so large.

Vitamin K2 and Fermented Foods

We evolved to like sour foods, foods with complex flavors, and umami foods, I believe, so that we would eat more bacteria-laden food. Why do we need to eat such food? Perhaps to get enough Vitamin K2. Vitamin K1 and Vitamin K2 are quite different. A brief introduction:

The term vitamin K refers to a group of compounds that have a 2-methyl-1,4-naphtoquinone ring in common but differ in the length and structure of their isoprenoid side chain at the 3-position. The 2 forms of vitamin K that occur naturally in foods are phylloquinone (vitamin K1) and the group of menaquinones (vitamin K2, MK-n), which vary in the number of prenyl units. Whereas phylloquinone is abundant in green leafy vegetables and some vegetable oils, menaquinones are synthesized by bacteria; therefore, they mainly occur in fermented products such as cheese.

A 2004 study found a huge protective effect of K2:

The scientists at Osaka City University gave 21 women with viral liver cirrhosis [which greatly increases your chances of liver cancer] a daily supplement of 45mg vitamin K2 (menaquinone) for a period of two years. A group of 19 women with the disease received a placebo for the same time. Liver cancer was detected in only two of the 21 women given vitamin K2 but nine of the 19 women in the control group, reports the team in today’s issue of JAMA (292:358-361). After adjustment for age, severity of disease and treatment, the researchers found the women receiving vitamin K supplementation were nearly 90 per cent less likely to develop liver cancer.

A huge effect, suggesting that K2 is necessary for a repair system to work properly. This recent article is more support for the idea that K2 protects against cancer. The effect is weaker, perhaps because there was less damage needing repair.

“Without Great Teachers, Nothing Else Matters”

I could watch these video clips (also here) all day. You may have learned about Doug Lemov from this NY Times Magazine article. The quote “without great teachers, nothing else matters” is from the website of the organization (Uncommon Schools) that Lemov founded. The clips show techniques he has isolated that great teachers use in elementary school.

My research is fundamentally about deficiency diseases. I find things present in Stone Age life but absent now whose absence causes problems. Sometimes I work backwards (from present to past): why am I not sleeping well? This turned out to have a Stone-Age-related answer. Sometimes I work forwards: I study something present in Stone-Age life but not now and learn it makes things better: standing (better sleep), morning faces (better mood).
So I know a lot about deficiency diseases. One curious thing about them is the opportunity they present. Without scurvy, we wouldn’t have discovered Vitamin C. Once we’ve discovered Vitamin C, we can figure out the optimal amount, possibly leaving us better off than before scurvy became a problem.

This is what I thought as I watched these clips. Formal education is unnatural. No wonder it’s so hard. These clips, however, show that with considerable understanding of psychology you can solve the problems it presents. And perhaps leave us better off than before formal schooling began.

Assorted Links

Thanks to Alex Chernavsky.

Restless Legs Syndrome, Niacin, and Web Search

Gary Wolf and I have a post on Boing Boing today about how Dennis Mangan cured his mom’s Restless Legs Syndrome. I mentioned this accomplishment earlier. Mangan’s story is an example of what I call personal science — doing science yourself about something you care about.

More One comment on Boing Boing is that niacin is also known as Vitamin B3 and if we searched “restless legs syndrome AND Vitamin B3″ we’d get lots of hits. I tried that search and got zero hits.

Brent Pottenger Comments

I asked Brent if he had any comments on his experience (after he adopted an ancestral diet, his migraines and sinus infections stopped). He wrote:

The quality of my life (mental + physical health) improved even further when I started eating slices of butter throughout the day awhile back. For awhile, I was using spoonfuls of coconut butter/coconut oil and/or Greek yogurt for this satiation role, but once I added butter slices to the mix, I beefed up my nutritional ‘bag of tricks’ quite a bit. Of course, I had cooked in butter for a few years, but I never made the link to simply eat it in slices, despite enjoying its taste so much. And, a little bit goes a long way. I eat cultured butter from a few different brands and a few different locations of the world (hoping this diversification may carry extra beneficial side-effects: different strains of micro-organisms, etc.). I try to find brands that are pastured too (more naturally-occurring Omega-3′s, evidently). I usually suck on/chew on the butter slowly because I’ve found this has improved my oral health too: animal lipids (plus coconut oil) are good for epithelial tissue health (that’s why I rub coconut oil on my face and skin and rub butter, coconut oil, and yogurt on my hands). Pairing butter and coffee (I eat the butter; I don’t put it in my coffee; I drink my coffee black) has become a nice start to my day (Dave Lull even found a study speculating on the benefits of coupling hyperlipidity and anti-oxidants together in this way; I think it’s also a useful approach to detoxifying the liver), particularly when I know I am going to workout that morning–this little hyperlipidity kick seems to help in the gym too (when I am not fasting). Using butter slices in this manner is a nice compliment to fasting intermittently–these two practices allow me to enjoy low-caloric intake periods pleasantly. They set up my “feasts” nicely. Whenever I have a “grumbling” stomach, or I feel a “biting” sensation in my stomach, I eat a small piece of butter, and my mood and body tend to stabilize. And, like bacon and yogurt and eggs, it’s cheap. Butter has certainly been an excellent ‘cheap health option’ for me.

He later added:

Now I am working intently on Meta-Rules. Meta-Rules are simply ‘rules for making rules’ to live by. Three dynamics concern me deeply: (1) The problem of induction; (2) biochemical individuality; and, (3) factoring for the unseen. For instance, one of my nutritional Meta-Rules is: “Don’t consume anything that causes a negative physiological reaction.” From this Meta-Rule, I have deduced the following rule to live by (as one example): “Don’t consume high-fructose corn syrup.” A marker for monitoring this rule could be facial inflammation and ‘puffiness’ post-consumption, as one possibility. That’s an example of a higher-level precept empowering an individual to deduce for him or herself how that concept applies (or does not apply) in his/her own specific case (I like the term: Patient of One). Over time, I suspect that something like William Baines’ Biomedical Mutual Organization (BMO) could emerge if enough people were self-experimenting with Meta-Rules and interacting about their experiences and results. Amongst this cohort of parallel n=1 clinical trials, some convergence of Meta-Rules may occur, indicating ways that our bodies are the same, and also showing how our bodies differ individually when it comes to things like diet, exercise, and lifestyle design.

To explain why headaches can be due to inflammation, he pointed me to this.

Positive Side Effects

What happened to Brent Pottenger — when he improved his diet along ancestral lines, a serious health problem unexpectedly went away — also happened to Aaron Blaisdell. He improved his diet along ancestral lines and his sun sensitivity went away. A non-nutritional version happened to me: By adopting elements of Stone-Age life, I slept much better. And, at the same time, I stopped getting colds. Another example involves flaxseed oil. My discovery that flaxseed oil made my brain work much better implied that prehistoric diets contained more omega-3. A dosage that produced brain improvement also greatly improved gum health and recovery from injury.

This is the opposite of conventional medicine. As far as I know, every major drug has serious bad side effects. The drugs often help the problem for which they are prescribed, but your health has a good chance of becoming worse — sometimes much worse — in other ways. Against Medical Advice (2008) by James Patterson and Hal Friedman is the true story of a boy (Friedman’s son) with severe Tourette’s. (Recommended by Alexandra Carmichael.) In an epilogue, Friedman says, “Our family is convinced that his most extreme symptoms were caused by medicines prescribed but with unhappy results, almost without exception.” The cure was worse than the disease.

The phenomenon of positive side effects isn’t mysterious. Our bodies need certain inputs to work well. The whole body evolved with the same inputs. When something crucial is missing, several things break down. And when the missing thing is supplied, several things get better. We write all our words using the same 26 letters. If one letter is missing, many words will be misspelled. When the missing letter is supplied, many words will be spelled correctly. Fixing one word fixes many words. For example, suppose you lack “k”. Blink will be spelled “blin”, mark will be spelled “mar”, and so on. When you realize you need “k” to spell blink, at the same time you will improve the spelling of many other words.
The implication of positive side effects is profound. Finding the right inputs isn’t a new wrinkle on current health care, it’s a whole new way of being healthy. Public health officials haven’t had much luck selling prevention but maybe that was because their ideas about prevention have been poor — telling people to eat according to the Food Pyramid, for example. And if you are sick (as Brent was), you are highly motivated to do something about it. The old saying an ounce of prevention is worth a pound of cure should be revised: a ounce of the right cure is worth a pound of prevention. The dietary improvements that cured Brent’s migraines will prevent many other problems. Going from the old saying to the new saying is like going from thinking the sun revolves around the earth to realizing the earth revolves around the sun.

A great change is coming.

The Ancestral Health Symposium.