Insider/Outsiders, Chinese History, and the Shangri-La Diet

Darwin was an insider/outsider; so was Mendel. Insider/outsiders are close enough to their subject to have a good understanding and skills yet far enough away to have freedom. In the case of Chinese history, a journalist named Yang Jisheng has filled that role. He wrote a book called Tombstone (Mubei) about the Great Famine (1958-61). He was able to write what professional historians could not:

Why are you the first Chinese historian to tackle this subject seriously?

Traditional historians [i.e., college professors] face restrictions. First of all, they censor themselves. Their thoughts limit them. They don’t even dare to write the facts, don’t dare to speak up about it, don’t dare to touch it. And even if they wrote it, they can’t publish it. And if they publish, they will face censure. So mainstream scholars face those restrictions.

But there are many unofficial historians like me. Many people are writing their own memoirs about being labeled “Rightists” or “counter-revolutionaries.” There is an author in Anhui province who has described how his family starved to death. There are many authors who have written about how their families starved.

“If they publish, they will face censure.” With respect to weight control, I am an insider/outsider. When I published The Shangri-La Diet, I did not expect censure. My colleagues (other psychology department faculty) wouldn’t care what I wrote about a different subject. To my surprise, I was censured — maybe a better word is denounced — by a nutrition education lecturer in the UC Berkeley Nutrition Department. The woman who denounced me had not seen my book. Based on what a reporter told her, she expressed her opinion of it in an email she sent to twenty people in her department and the chairman of my department. It said, in part:

I did give the SF Chronicle reporter my opinion of the diet making these points:
– one cannot possibly meet nutrient needs on 1200 kcals per day
– sugar and oils are not nutrient dense; they are calorically dense and thus dilute the nutrient density of the total kcal intake.
– 1200 kcals per day is less than the semi-starvation diet used in the only published formal study ever conducted in this country on human starvation (Ancel Keys, 1950)
– human semi-starvation is not a path to health whether one is discussing physical, psychological, or social well-being
– the results of single subject research are applicable only to that subject; they cannot be generalized to others.
– I cannot recommend this diet, in fact, I recommend against it.

In other words: Ridiculous. Her many misconceptions (e.g., she is unaware of many examples of path-breaking self-experimentation in the field of nutrition) aren’t terribly interesting. What’s fascinating is her decision to trash a book she hasn’t read to a large number of her colleagues.

Thanks to Steve Hansen.

Demand Pricing and the Shangri-La Diet

Demand pricing (also called dynamic pricing) is adjusting the price according to demand. More demand, higher price. It is being considered for movie tickets:

If a movie is hot, the price could rise to whatever the market will bear. For example, I’d have paid $20 per ticket to see “Avatar” in 3-D when it first opened; maybe others would have been willing to pay even more. As demand becomes clear through lower ticket sales, prices would drop. So “Avatar” might cost $15 a few weeks after opening, gradually making its way to $10.

The theory behind the Shangri-La Diet says that body fat is adjusted in a similar way. When food is abundant, the set point (which controls how much fat you have) goes up (= you store more fat). When food is scarce, the set point goes down. This is how many storage systems work, of course; they increase the amount stored when the price is low and decrease the amount stored when the price is high.

Perhaps one day weight control will be explained to children by telling them it is like the price of airplane tickets: “When more people want to go to Los Angeles, the price goes up. When more food is available, your set point goes up . . . “

10 Years of Weight Measurements: What Was Learned

For ten years Alex Chernavsky has measured and recorded his weight (above). I asked what he learned from this. Here’s what he said:

I started the tracking because I thought that the very act of measuring (and recording) my weight every day would inspire me to lose weight. I don’t think it really worked that way, though. In order to lose weight, I had to take active measures.

What did I learn? I learned that low-carb diets work well in the short-run (as you said), and I also learned that eating low-carb is far, far easier than eating a calorie-restricted diet (which I’ve tried in the past, before I began recording my weight daily). I learned that regular exercise does lead to weight loss, although I can’t rule out a possible confounding factor: I wouldn’t be surprised if it turned out that I changed my eating habits at the same time that I started an exercise regime. That’s probably what Gary Taubes would claim.

I also learned that the Shangr-La diet works well for me. I think that the current upward trend is caused (at least in part) by the fact that I’m eating breakfast more and more often. I didn’t start eating breakfast until sometime last autumn. I will try eliminating breakfast again to see if it reverses the trend. I must say, though, that it’s a little difficult to watch my wife eating some scrumptious morning meal while I just drink coffee. The temptation is hard to resist.

I also learned that my weight fluctuates for no apparent reason at all. If you look at the period of roughly April 20, 2008 through mid-July 2008, you’ll see a drop of about ten pounds. I remember being surprised and puzzled during this time, because I could not think of any plausible reason why this weight loss would occur. I still don’t know. In any case, it was short-lived.

I also learned that I should have kept much better notes about what was going on during those ten years. I’m kicking myself now. I plan on continuing to collect data, and I will try to annotate the data better in the future.

My comments here.

Ten Years of Weight Measurements

Alex Chernavsky, whose Shangri-La Diet experience I described recently, has recorded his weight for almost ten years, with the results shown in this graph. During that period, he’s changed his diet and exercise several times.

The first change was to a low-carb diet (Atkins-like, with lots of meat and fat). He made this change after reading Gary Taubes’s New York Times article “What If It’s Been A Big Fat Lie?”. As advertised, the low-carb diet caused him to lose a lot of weight but — not as advertised — after about a year he started to regain the lost weight. For other reasons, he changed to a vegetarian and later a vegan diet. They slowed down the weight regain but did not stop it. In 2005 and 2006 he managed by walking a lot — in 2006, 90 minutes/day or more 5 or 6 days every week — to lose almost 30 pounds, but then his weight resumed creeping upward. Then he lost about 30 pounds due to the Shangri-La Diet. He did the diet by drinking 3.5 tablespoons of flaxseed oil instead of lunch. He drank a glass of water afterwards to get rid of the flavor.

I have never seen a weight record this long. It suggests several interesting points:

1. A low-carb diet, as advertised, quickly produces substantial weight loss.

2. Not as advertised, the weight loss is followed by regain after a year or so. This implies that studies of low-carb diets and weight loss need to last several years to give a clear picture of how much weight loss to expect.

3. Low-intensity long-duration exercise (walking for 90 minutes almost daily) causes substantial weight loss. This isn’t surprising.

4. … but it is surprising the effects of the exercise appeared to last at least a few years after the exercise was stopped. I have never seen this reported.

5. The Shangri-La Diet worked well. Alex did the diet somewhat differently than other people so it was not obvious this would be true.

6. After he stopped losing weight on SLD, his rate of weight gain was roughly the same as his rate of gain before he started the diet.

Another Reason the Shangri-La Diet is Not More Popular

On my Psychology Today blog someone left a surprising comment about why the Shangri-La Diet isn’t more popular:

Seth, I’ll tell you why. Because we are majorly competitive bitches, we women who care about our appearance. I’m 41, I have three children and I am a size 6. I fit into my wedding dress and the jeans I wore in college. How? Shangri-La. And there is no way in hell I am going to share my secret with anyone.

Went to the movies this weekend with a group of friends. They had the usual movie fare, I ordered a cup of tea (bag on the side), added two tablespoons of sugar (put the teabag in my purse for later), sipped it slowly throughout the movie, had not ONE craving for the popcorn or nachos or M&M’s everyone else was scarfing. I went home and had a light dinner and felt terrific!

Sounds more like an ad than an actual comment, but it could hardly be more vivid and I believe it.

Shangri-La Diet Success Story

On the Shangri-La Diet forums I found a link to this:
Weight Chart

A middle-aged man named Kainin has lost about 60 pounds since September (7 months) and described his experience in great detail. On Weight Watchers, he lost 40 pounds in 6 months before gaining it all back (plus 10 pounds more) — he started at 290, went down to 250, and back up to 300. On Nutrisystems, he lost 20 pounds in 6 weeks before gaining it all back. So the Shangri-La Diet has already helped him more than those two methods, not to mention being easier.

At the end of February, his BMI went below 35, the level indicating Morbid Obesity.

To celebrate I went to the local party store to look for a mylar balloon saying something like “Congratulations on being just Obese!” but found — NOTHING! The closest I found was a bereavement balloon that read “Sorry for your Loss”. Not exactly what I was looking for.

The roughly 100,000 posts on the SLD forums make the case for the diet far better than I ever could. Now, if I could just get rid of spammers …

1.5 Years on the Shangri-La Diet

Alex Chernavsky has kindly given me several years of weight data he collected by weighing himself daily. He read about the Shangri-La Diet in 2005 and several years later decided to try it. The graph above shows what happened: Starting at 222 pounds (BMI = 32), over 11 months he lost 31 pounds, reaching a BMI of 27. Since then — while continuing the diet — his weight has increased at roughly the same rate it was increasing before he started the diet.

He started by drinking olive oil and sugar water, switched to olive oil alone, and then, finally, to flaxseed oil alone of which he drinks 3.5 tablespoons/day (= 420 calories/day). He does not clip his nose shut when he drinks it but he washes his mouth with water afterwards. More about his method here.

Almost all weight-control experts would say these results are impossible: 1. Alex lost weight because he ate more fat. Fat is fattening say most nutrition experts. 2. Atkins dieters, who don’t say that, think the secret of weight loss is to reduce carbohydrate. Alex didn’t do that (and eats plenty of carbohydrate). 3. He didn’t restrict what he ate in any way. 4. He didn’t change how much he exercised.

Quite apart from how it contradicts mainstream beliefs, including Atkins, the data are remarkable because the change was so simple, small, and sustainable, the weight loss so large, the rebound so minimal, and data period so long.

An ordinary clinical trial has obvious advantages over such one-person data, such as more subjects and more data per subject. Less obvious are the advantages of this sort of data over clinical trials:

1. Long pre-diet baseline. Clinical trials never have this. It allows one to judge if weight increase post-diet, often called “regain”, is due to the weight loss or other factors. In this case the rising pre-diet baseline shows that other factors are causing slow weight gain over time.

2. Motivation. In a clinical trial, the motivations of the researchers and the subjects are different. The researchers want to measure the effect of an intervention; the subjects want to lose weight. If paid, they may want to make money. The difference in motivations causes problems. How closely the subjects obey the researchers and how truthful they are is usually hard to know. This data does not have that clash of motivations and incentive to lie.

3. Realism — what methodologists call ecological validity. These data, unlike clinical trial data, come from the situation to which everyone wants to generalize: people trying a diet by themselves at home without professional support or guidance.

4. Level of detail available. You (the reader) have access to something resembling raw data. In clinical trial reports, the data available is heavily filtered (e.g., shortened, simplified) and the nature of the filtering rarely described. For example, you rarely learn in any detail what the subjects ate. With this sort of data, but not clinical trial data, you can get a better sense of whether the results are likely to apply to you.

The Shangri-La Diet: Why No Revolution?

David Mandel, CEO of Alliance United Insurance Company, asks a very reasonable question:

Despite all the success stories [on the Internet] regarding the Shangri-La Diet, and the mainstream media stories in 2006 after the book publication, the diet never picked up and seems almost unknown today.

Whether this is right or wrong depends on expectations. In December, SLD got a great push from being on the website of Tim Ferriss’s Four Hour Body under the attractive title “Alternative to Dieting”. Tim’s book was published in December and registrations to the SLD forums jumped dramatically. Yet even before that, forum traffic was growing. Traffic of course grew when the SLD book came out, later shrank, and now — surprisingly — is growing again. My interpretation is that the initial growth was caused by mainstream publicity and blogs. The current growth is caused by word of mouth.

If I google “Shangri-La Diet” I get about 800,000 hits, a decent amount. “Sonoma Diet” — the book came out the same time as mine — gets 200,000 hits. “Eat Right For Your [Blood] Type” and “Eat Right 4 Your Type” get a combined 150,000 hits. That book was a huge hit when it came out in 1997. The usual pattern is Google hits go down, but SLD hits have gone up over the years.

On the other hand, given that my book contained a new theory of weight control that made about 100 times more sense than the usual ideas and led to counter-intuitive new ways to lose weight that actually worked and that obesity is often considered the world’s #1 health problem — yeah, it is “almost unknown” compared to what one might have expected.

I was wondering if you had any insight as to why it did not go viral, if nothing more from word of mouth from success stories sharing with everyone who will listen to their excitement. It seems all but impossible to me that something this simple, and universally successful which can benefit the masses has managed to not go mainstream in all these years. I am utterly baffled, and assumed there must be a big downside, but all my searching online has revealed nothing but the success stories and initial feedback, mostly from 2006 and 2007, and little since. I am just overwhelmed with curiously as to how this did not become the norm for everyone.

When my agent circulated the proposal for the book, one editor regretfully declined to bid on it because she said the book was “15 years ahead of its time.” Perhaps she was just being nice, but when people tried the diet, and it worked, they wouldn’t tell other people because the diet sounded crazy. Which means it really was far ahead of its time. Good Morning America filmed me for a short Freakonomics-related segment and they played it for laughs: crazy professor.

So that’s my explanation for why it has spread more slowly than one might have expected: fear of ridicule.

Shangri-La Diet Uptick

During the last half of 2010, I noticed today, hits at the Shangri-La Diet forums steadily increased. The number of hits went from about 300,000 in July to about 500,000 in December.

Before that the number of hits had steadily declined from a high of about 900,000 in August 2009. The number of hits had tended to be higher in the summer so the recent increase is counter-seasonal.