5 Steps to prevent Heart Disease

Friday, May 25, 2012

Obesity Crisis: The Hunger Games

There are basically three diet options and they are all restrictive:

1- Low calorie diet- eat 500 cal/d less than what you normally eat and wait for the energy gap.

2-Vegan diet- eat till full just no meat and no cheese cake and no joy

3-Low carbohydrate diet- eat till full but no bread or pasta however meat, bacon, butter and mayonnaise are okay. And guess what? the high protein and fat reduces hunger.

The HUNGER GAME is which can you do for the rest of your life?

The question is not which is the healthiest because whichever diet allows you to maintain your weight loss for 10 years or more is the healthiest diet.

The National Weight Control Registry proudly shows its 7,000 people who have maintained their weight loss for more than 10 years. Guess what, they are on 7 calories/day/pound and exercise off 500 calories a day. Talk about the village of the damned. This sub-starvation puts one in the psyche of a concentration camp detainee.

The common knowledge that high fat diets are deadly has been found to be questionable.

There is a sea change in the science of diet and obesity. Lets try to find the truth.

Part Two of my best video. 5 steps to prevent heart disease.

Thursday, May 24, 2012

Largest Plain Waterfalls in Europe 1969

The Rhine Falls on the Upper Rhine near Schaffihausen in Northern Switzerland.  

Sunday, May 13, 2012

Exercise will not cure the Obesity epidemic

I watched the lady Judge on Fox TV this am. The two physicians on the health segment seem to think the USA obesity epidemic can be prevented by exercise. Remember the 50's when only kids exercised. Then President Kennedy told us to walk 50 miles in a day. I remember being testing in grammar school on how many sit ups and push ups I could do. We really don't know how to cure the obesity epidemic as we don't really know what caused it.

Tuesday, May 8, 2012

Post World Cruise Lab Results

I returned home from my 112 day world cruise yesterday.  I weighed in on my home scale at 251.5 pounds.  I attribute the weight loss to taking Victoza injections.  I also attribute the improvement in my Hgb A1c down to 8.1 to Victoza as well.  I tried to walk two hours a day on sea days.   I tried to stay on a low carbohydrate diet.  I drank at least one glass of wine a day.  I was never hungry.

The LDL particle number is the most important lipid metric to prevent heart attacks and strokes.
Berkley Heart Lab does an excellent apo B test.
My apo B before the cruise was 62.  After the cruise on May 2, 2012 my apo B was 47.

The routine lipid panel was also done on 5/2/12:
Total Cholesterol          109
HDL-C                           45
Tubby Factor                  64
LDL-C                            50
Triglycerides                  72

This data is not included in my book, The Tubby Traveler from Topeka as that manuscript is at the printers.

It is very important to focus on the fact that this excellent lipid profile is obtained while eating 60% fat. 

I lost 5-7 pounds while on the cruise.
My Hgb A1c improved.

 I switched from Crestor 5 mg to Atorvastatin 20 mg to save money.
 I stopped Endur-acin because I found I had an asymptomatic peptic ulcer.
  I increased my exercise and continued my actos.
  Off the niacin my HDL-C fell, however I don't know what my HDL-P is.   But does it matter?

Dr. Dayspring has always taught that the main goal is the particle number.  We don't treat HDL-C or triglycerides.  The AIM HIGH TRAIL confirmed this.  Particle size is also not important.  I have included as many lipid results in my book because it is a case study.
For the average patient going on a low carbohydrate diet.  Get your CAC, CIMT and Tubby Factor (non-HDL cholesterol).  If you have plaque go on a statin.  If you can afford a baseline LDL-P or apo B, I strongly advise it to make certain you do not have discordance.  As you eat 60% fat in your low carbohydrate diet, please check your Tubby factor or LDL particle number every four months if you are on a statin.

Much of the Low carb promoters push that the LDL-C may go up but the particles are larger.  The HDL-C goes up and the Triglycerides go down.  I try to bridge this point of view to the lipidologist viewpoint that it is the LDL particle number that we have to keep our focus on.

Vegans point out that Ornish had regression of plaque.  Similar to the lipid neutral trials of Gardner and Sachs, the CONFOUNDING COVARIABLE of weight loss obfuscates the interpretation.

In any vegan diet that is low calorie, the total carbohydrates are also reduced.

I hope my case study brings some clarification or at least a reduced fear of going on a high fat diet if you follow your LDL particle number. 

In 2011 I did not gain or lose weight by the end of the year.
My Hgb A1c was worse as I went off actos for a few months.
My exercise was zero to 40 minutes a day.
I tried to minimize the CONFOUNDING COVARIABLES in 2011.
My lipid panel remained quite good during most of  the year and I have no increase in plaque on my serial CIMT.  My CAC increased a little but was done while I was in Atrial fibrillation and was still lower than my highest CAC of 20 before I got my LDL-P below 750.

Thursday, May 3, 2012

Florida Gulf Beach at Fort Walton

We checked into the Four Points Sheraton here.  Our platinum membership gave us a great upgrade to a corner balcony on the beach front.  No oil on the beach.  The sand is beautiful while and soft.