What I’m Working On: content on senescence and expiring senescent cells (via autophagy/apoptosis) using hormetic stress; Type 2 Diabetes Mellitus (T2DM), TYPE 3 DIABETES MELLITUS (T3DM), and hyperinsulinemia; and cancer developing from related insulin resistance and inflammation.
Quick primer on Type 3 Diabetes Mellitus (T3DM): T3DM is built-up insulin resistance and related inflammation in the brain. Evidence is mounting and revealing this “diabetes of the brain” is what leads to [is] degenerative dementias, Alzheimer’s disease being one of the most common forms. More on this soon. – Bobby
12/07/2017 8:30 AM
“Carbohydrates restriction was particularly successful before the discovery of insulin, where Elliot P. Joslin successfully treated his patients diagnosed with fatty diabetes (later known as type 2 diabetes) with a diet that contained only 2 % carbohydrates and 75 % fat. His eccentric diet was reincarnated later as the Atkins diet. Such extreme reduction of carbohydrates, despite being successful in treating type 2 diabetes, was shown to be associated with side effects like constipation, headache, bad breath, and muscle cramps. Although the amount of carbohydrates intake was significantly relaxed after the insulin discovery, it never exceeded 40 % of daily caloric intake—an amount that was shown to reduce the glucose and triglycerides area under the curve by around 40 %. Since 2003, many clinical trials confirmed that reducing carbohydrates was superior to reducing fat in decreasing body weight and in improving glycemic control. It was later shown that reducing carbohydrates for patients with diabetes improves insulin sensitivity, reduces visceral fat and triglycerides, and increases HDL-cholesterol. More recently, a metaanalysis showed that reducing carbohydrates load and glycemic index was associated with a reduced risk of developing type 2 diabetes.“ – Osama Hamdy, MD, PhD, FACE, Medical Director, Obesity Clinical Program, Director of Inpatient Diabetes Management, Joslin Diabetes Center, Assistant Professor of Medicine, Harvard Medical School
(Joslin Diabetes Center is an independent, non-profit institution affiliated with Harvard Medical School, and one of only 11 NIH-designated Diabetes Research Centers in the U.S.)
Read the full publication and more on the Diabetes page.
Added: 12/05/2017 11:30 AM – Type 2 Diabetes Mellitus
Low Carbohydrate Diets Can Prevent and Treat Type 2 Diabetes Mellitus and Hyperinsulinemia
“It is nonsensical that we’re expected to prescribe these techniques to our patients while the medical guidelines don’t include another better, safer and far cheaper method: a diet low in carbohydrates.
Once a fad diet, the safety and efficacy of the low-carb diet have now been verified in more than 40 clinical trials on thousands of subjects. Given that the government projects that one in three Americans (and one in two of those of Hispanic origin) will be given a diagnosis of diabetes by 2050, it’s time to give this diet a closer look.”
“Encouraging patients with diabetes to eat a high-carb diet is effectively a prescription for ensuring a lifelong dependence on medication.
At the annual diabetes association convention in New Orleans this summer, there wasn’t a single prominent reference to low-carb treatment among the hundreds of lectures and posters publicizing cutting-edge research. Instead, we saw scores of presentations on expensive medications for blood sugar, obesity and liver problems, as well as new medical procedures, including that stomach-draining system, temptingly named AspireAssist, and another involving “mucosal resurfacing” of the digestive tract by burning the inside of the duodenum with a hot balloon.
We owe our patients with diabetes more than a lifetime of insulin injections and risky surgical procedures. To combat diabetes and spare a great deal of suffering, as well as the $322 billion in diabetes-related costs incurred by the nation each year, doctors should follow a version of that timeworn advice against doing unnecessary harm …”
Added: 11/18/2017 10:30 AM – Insulin Resistance!
Aside from the well-established therapeutic benefits of fasting (see Why I Fast), there is probably not a more important consideration for your overall “healthspan” than insulin resistance and the problems it can create as you age.
“However beautiful the strategy, you should occasionally look at the results.” – Sir Winston Churchill
Noakes: It’s time to change, to take charge of our health
The Most Important Test Your Doctor Isn’t Doing: A Hyperinsulinemia Test (aka Hyperinsulinemia Workup)
Hyperinsulinemia is a condition in which there are excess levels of insulin circulating in the blood relative to the level of glucose. While it is often mistaken for diabetes or hyperglycaemia, hyperinsulinemia can result from a variety of metabolic diseases and conditions.
Persistent hyperinsulinaemia in insulin resistance, whether or not associated with Type-2 diabetes mellitus (T2DM), produces a collection of grave secondary consequences, listed below:
- Weight gain
- Increased fat in the abdominal organs (visceral adiposity)
- High blood pressure
- Abnormal blood fat, glucose and insulin concentrations (atherogenic dyslipidaemia)
- Elevated blood uric acid concentrations (gout)
- Impaired ability of arteries to dilate (endothelial dysfunction)
- Whole body inflammation
- Dysfunction of the mitochondria (cellular organs that produce energy)
- Progressive increases in insulin resistance (insulin-induced insulin resistance)
- Impaired exercise performance
Insulin resistance and hyperinsulinaemia are the necessary biological precursors definitely for four–and perhaps for all six–of the most prevalent chronic medical conditions of our time.
These conditions are:
- Arterial disease – local: Heart attack or stroke, disseminated: Type-2 diabetes mellitus
- High blood pressure
- Non-Alcoholic Fatty Liver Disease (NAFLD)
- Dementia (Alzheimers’ disease, also known at Type 3 diabetes)
I will be back to write/quote/link much more on this later, but for now here are some videos I edited to go along with the content. I urge you to watch or listen to these!
Insulin Resistance is from High Carbohydrate Diets
Insulin Resistance Causes Metabolic Syndrome Leading to Many Common Conditions and Diseases
Insulin Resistance and NAFLD
Diabetes and High Carbohydrate Diets
Insulin Resistance and Cancer? (it’s coming…)
Added: 11/13/2017 12:30 PM – High Cholesterol
Many nutritionists with a formal western education believe that conventional nutrition “wisdom” needn’t be questioned. One of the most strongly protected pieces of nutritional wisdom is that saturated fat is bad for you and will clog your arteries. The overwhelming majority of professionals in western medicine believe this to be true (because it’s what they were taught in school), but is it really?
The role of saturated fats in heart disease is a hot-button topic in nutrition today. This hasn’t made its way into the mainstream media flow (think for a moment about all the commercials for weight loss products, food, and drugs; all the money made on medical visits and procedures, and by facilities), but many of the top minds in science and medicine today are being forced to re-examine Ancel Keys’ unproven lipid hypothesis (several decades ago he hypothesized that dietary saturated fat coronary heart disease/cardiovascular disease).
High Cholesterol on Trial: Fear Sure is Lucrative, but…
Added: 11/10/2017 11:45 AM – LCHF on Trial
“All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident.” – Arthur Schopenhauer
This is just the first part of a pretty long video deposition by Tim Noakes during his recent trial–which he won–and serves as a very informative and evidence-based presentation on the legitimacy of a Low Carb, High Fat (LCHF) dietary approach to helping people prevent and treat or cure Type-2 diabetes, as well as other chronic diseases related to the long term development of greater and greater insulin resistance; it is extremely compelling.
I will be posting more of this content, and more on this subject as I have time. There are several other videos on the linked page as well (must see).
LCHF on Trial Part 1
Added: 10/20/2017 11:15 AM 21-Day Fast – Longer-term fasts are a thing. Millions of people around the world fast periodically, religiously. 21-day fasts seem to be the most common implementation in my culture, largely due to religious influence. I know people who undertake a 21-day fast each year as an organized group effort in their local (to me) Christian “mega church” of about 20,000 members (starting on the 1st Sunday in January each year). One of the people I know who does this happens to be one of the most well-rounded and capable athletic people I’ve known and been around regularly (weekly) for the past 5+ years.
So, let’s hear from a well-respected and well-published former NASA scientist in his 23rd day of a water-only fast: Ray Cronise (a great interview).
Ray Cronise on Cold Thermogenesis, Intermittent Fasting, Weight Loss & Healthspan:
Added: 10/20/2017 10:15 AM Sodium Levels – Higher levels of salt are often necessary (along with supplementing other important electrolytes, such as calcium, magnesium, and potassium) while fasting and in ketosis. A low carbohydrate diet is naturally diuretic, as is caffeine, so your body will be excreting more salt. Furthermore, have a look at the subsequent section on the “The myth of the low-salt diet”
Added: 10/19/2017 6:30 PM – Living Education – As has been said: in this age of information, ignorance is a choice. Examples of two FREE courses available from Harvard:
Principles of Biochemistry
This course explores the molecules of life, starting with building blocks and culminating in complex metabolism and associated diseases.
Cell Biology: Mitochondria
A human-centered approach to the fundamentals of cell biology with a focus on the power plants of the cell – mitochondria.
Added: 10/15/2017 12:00 PM (to The Deep End) Fat: Storing(insulin) vs. Burning/Wasting(ketones)
Added: 10/13/2017 12:30 PM
It’s breast cancer awareness month. I wanted to provide some additional information related to Intermittent Fasting (or “Time Restricted Feeding”) to help prevent breast cancer.
Breast Cancer and Fasting:
In patients with breast cancer, a short overnight fast of less than 13 hours was associated with a statistically significant, 36 percent higher risk of breast cancer recurrence and a non-significant, 21 percent higher probability of death from the disease compared to patients who fasted 13 or more hours per night, report University of California, San Diego School of Medicine researchers.
The study, published online in the Journal of the American Medical Association Oncology on March 31, also found a non-significant, 22 percent higher risk of mortality from any cause among patients with breast cancer who fasted for shorter periods compared to those who fasted for 13 hours or more overnight.
Researchers also reported that fasting fewer hours per night was associated with significantly less sleep and higher levels of glycated hemoglobin (HbA1c), which is a measure of average blood sugar levels over a period of months. These findings are relevant to cancer prevention and control efforts because elevated HbA1c and poor sleeping habits have been linked to an increased risk of breast cancer. These findings corroborate a paper published in April 2015, in which researchers demonstrated that shorter overnight fasts were associated with worse blood sugar control.
“Prolonging the overnight fasting interval may be a simple, non-pharmacological strategy for reducing a person’s risk of breast cancer recurrence and even other cancers,” said Catherine Marinac, lead author and doctoral candidate at UC San Diego Moores Cancer Center. “Previous research has focused on what to eat for cancer prevention, but when we eat may also matter because it appears to affect metabolic health.”
The study included 2,413 non-diabetic breast cancer survivors between the age of 27 and 70 who participated in a multi-institutional research study conducted between 1995 and 2007, with follow up for breast cancer recurrence and mortality. Participants were 86 percent non-Hispanic white and 55 percent were college educated.
“If future trials confirm that habitual prolonged nightly fasting improves metabolic health, this would be an important discovery in prevention that could reduce the risk of cancers, type 2 diabetes, and cardiovascular disease,” said Ruth Patterson, PhD, senior author and leader of the cancer prevention program at Moores Cancer Center.
Study: Prolonged Nightly Fasting and Breast Cancer Prognosis – https://jamanetwork.com/journals/jamaoncology/article-abstract/2506710?resultClick=1
9/25/2017 11:00 AM – We all know someone who is dealing with or has dealt with brain cancer. I wanted to provide some information related to Fasting, Ketosis, and the Ketogenic Diet to help stunt and thwart various brain cancers. There is actually a good bit of information on this type of adjuvant therapy, especially for the more common Glioblastomas (GBM). Fasting and Brain Cancer
9/21/2017 7:00 PM – I created a new “Notes” resource to share miscellaneous information with people who have specific questions. This resource is password protected because it is just for people with whom I am interacting. It would be like me emailing someone specific information, or handing them my personal notebook to show them something we are discussing.
9/19/2017 11:00 AM – We all know someone who is dealing with or has dealt with breast cancer. I wanted to provide some information related to Intermittent Fasting (or “Time Restricted Feeding”) to help prevent breast cancer. Though it begins with excerpts from two publication, be sure to watch the podcast interview by Dr. Rhonda Patrick with Dr. Ruth Patterson.
9/6/2017 11:00 AM – Opinion concerning Fasting and the Ketogenic Diet: I think Intermittent Fasting and Shorter-term Fasting (2-4 days) are much more important for health and wellness concerns than trying to adhere to a ketogenic diet. I get the sense that Ketogenic Dieting will become a fad in the mainstream soon, but unless you spend the time to research it well, follow it strictly, and test/monitor/confirm a personal state of ketosis, it’s probably not going to yield the body composition changes possible (keep/build muscle!), nor yield the advantages of a higher metabolism via mitochondrial biogenesis. You will realize great benefits just from fasting periodically, and eating a reasonable diet (perhaps a “Modified Atkins diet,” or a “Mediterranean diet” would be a better solution). That being said, if you have serious health concerns, such as seizures, cancer, et al., fasting and/or a ketogenic diet, or even a “fasting mimicking diet,” are super important (see Why I Fast).
9/6/2017 9:30 AM – I am beginning to make some changes to the structure of this site as it evolves. Previously, the home page was a blog post on Fasting from back in early August, but I have migrated that content to a dedicated page and menu item (above).
I want to use this home page for my latest updates, and to set some expectations concerning future content. As time permits, I will be posting more about:
Meditation – From my personal pursuits/practices over the past nine years.
Stoicism – I often describe myself as a stoic, or having a natural stoic disposition. What do I mean by that, and how might someone else find a practical application of stoic philosophy useful in everyday life? In clinical settings, modern-day stoicism is applied as Cognitive Behavioral Therapy (CBT), but stoicism ultimately has its roots in mindfulness; so from mindfulness -> to stoicism -> to CBT today.
Breathing – You may find it mentioned here that I have daily “go to” breathing practices I use. I will expound on this soon.
Cold Exposure Therapy – You may find it mentioned here that I take advantage of Cold Exposure Therapy (Heat Shock Therapy, as well). I will expound on this soon.
There is more, but the aforementioned gives you an idea of where I am heading with the content here.