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Simple Bicarb May Help Autoimmune Diseases

Simple Bicarb May Help Autoimmune Diseases

References: J. Immunology,

Fascinating! When you drink simple bicarb (Yes, Arm and Hammer cheap stuff) you send several messages in your body we didn’t know about. The first is to make more acid the next time around to help digest the next meal. And the second is for mesothelial cells on the spleen to signal to all the immune cells inside the spleen to chill out. “Don’t make an immune response.”
What are mesothelial cells? They are the lining of your guts, your abdominal cavity. Every organ is lined with them on the outside. We thought they were there primarily so that the organs can slide over each other with no friction. That feature allows you to move without things being caught up inside. But the surface of mesothelial cells have an interesting feature. They have tiny little fingers called microvilli that signal messages internally to the organ beneath about invasion or intrusion. Mount an immune response, or not!

Here is what this study found. Drinking bicarb for a couple of weeks changed the internal splenic macrophages from a population of mostly M1 macrophages (turn on inflammation) to M2 macrophages (Turn off inflammation). Considering that the spleen is the main repository for immune cells waiting for dispatch, that effect is pretty meaningful. What is unique is that the message is transmitted through the wall of the stomach, via these mesothelial cells, into the wall of the spleen via its mesothelial cells with a result of lowered inflammatory response. Macrophages are typically known for gobbling up garbage from old, dead, dysfunctional tissue and they are some of the first to arrive on the scene in inflammation to clean up the “battlefield” of dead and dying tissue. Autoimmune diseases are thought to be a whole scene of dysfunctional, overreactive inflammation and activation of macrophages. Turning them off is a key thing.

It’s not just macrophages but also Treg cells that get altered with bicarb. Treg cells are supposed to be regulators of immune response and help dial it down. This dialing down is helpful at controlling weird autoimmune reactivity too. And this also occurs because of the messages from those mesothelial cells putting out acetylcholine, acting almost like nerve cells even though they are lining cells of organs. Strange cross over reactivity.

Where does alkaline predilection come from? Through most of human history, we were vegans, starting to eat meat just a few million years ago when our brains started getting bigger and needed animal energy to power them. Animal protein has lots of sulfur in it making for a biological ash of acid when all is digested and done. Plant sourced food ends up making alkali with all the magnesium and potassium salts. Most of our biological processes evolved in an alkaline environment. The range and intricacy of our immune function is all founded on an alkaline milieux. Animal food, hence acid, is new. You can measure this in yourself. Eat a diet of pure green vegetables for a week and measure your urinary pH. It will be above 7. Have some cheese and steak and watch your urine pH plummet to 5.5. Every drug store carries pH sticks you can measure on your own.  Ten servings of vegetables is about 1 tsp of bicarb.  Simple

WWW.what will work for me. Considering how much of the Longevity Diet by Longo is based on vegetables, we may find that part of its power comes from shifting the immune response from inflammatory, to anti-inflammatory. Here is a clue that we are probably all better served with more vegetables. Their alkaline salts help you out. So, I ordered doubled vegetables for dinner last night instead of a potato. Then the blooming onion hors d’oeuvres did me in. I’m not sure it really counts as a vegetable.


Pop Quiz

  1. Your internal organs are lined by what type of cells?                         Answer: Mesothelial cells
  2. Mesothelial cells are lined by what cellular feature?                          Answer: Tiny fingers called “microvilli”.
  3. This article says these cells do what?                                                    Answer:  The communicate across organs and down regulate inflammatory immune response
  4. What class of diseases is this particularly useful?                               Answer:  Autoimmune in which there appears to be unregulated inflammation.
  5. You can get the same effect of a tsp of bicarb by eating what type of food?                 Answer:  LOTS of vegetables, green in particular.  Roots won’t do it as well, if at all.

Fast Mimicking Diet #7: Autoimmune Disease

Fast Mimicking Diet #7: Autoimmune Disease

References: Longo in Longevity DietCell RepStem Cell StemCell Reports,

How autoimmune (AI) diseases come about is gradually coming into focus. There is clearly some role to attribute to stimulation of our immune system by foods, lectin foods in particular (of which modern wheat is the champion), lack of sufficient Vitamin D, chemical irritants, leaky membranes in gut and elsewhere and probably some genetic risk factors to boot. Add aging and some 40% of American women have one autoimmune diagnosis, and where you have one, you find more. Longo quotes 9% of the world has one of the major 29 types,but rising at 19% a year.
In autoimmune diseases we find dysregulation of Th1 and Th17 cells, antigen presenting cells and all sorts of other subtle shifts in immune cell populations. And with that, our current intervention based medical system has developed specific strategies to develop methods to inhibit those populations of abnormal cells. These strategies have yielded some impressive gains for MS and RA patients, for which we are grateful.

Is there another way? Well, the Fast Mimicking Diet is catching a lot of folks imagination because it appears to have almost as powerful effect as anything else we have developed to date. Because there are so many AI diseases (130+) it is difficult to find studies using the FMD on any but just a few. Longo found that hisstructured fasting caused a significant dip in circulating white blood cells followed by a burst of new stem cells. In yeast, it can be shown that it’s the down regulation of the PKA glucose sensing system and the TOR protein sensing system. But he admitted they could not have predicted the surge of new hematopoietic stem cells that lead to a normal balance of TH1 and TH17 that he observed.

Longo specifically mentions a study of 20 patients with MS placed on a FMD program. With only twenty subjects, it’s hard to state unequivocal success, but the folks who were in the FMD branch reported feeling better, and in that group there were only 3 relapses in the next 6 months, versus 4 in the control group. Not enough to be statistically significant.

What was remarkable to Longo were the people who wrote to him from around the world who had read his mouse research and enacted their own FMD trials. This isn’t research because there are no controls, but his inbox had many stories of positive results. Larger studies are in progress and starting. His advice: wait, but the diet has been shown to be harmless. (Wink, wink….)

www.What Will Work for me. I’m in. This flood of autoimmune disease I think comes about from the confluence of many factors that are hard to avoid: notably the infiltration of high lectin foods like wheat into every aspect of our diet, the wide spread use of NSAIDS, antibiotics and PPIs making leaky gut, and a sea of chemicals affecting us at every turn. We are all vulnerable to these diseases. Avoiding them is a high priority for me. I’m doing if for my diabetes risk, but this adds to my certainty. If I had MS, I would be all over this. I called as many as remembered in my practice to alert them when I read this. If I neglected anyone, please call!


Pop Quiz

  1. Autoimmune diseases have been increasing lately at what rate?                           Answer: 19% a year.
  2. Reasons for autoimmune increase could be?                                                     Answer: lectin containing foods like modern wheat, nightshades, antibiotics, PPIs, NSAIDS, and any given chemical you have stored in your basement to spray on whatever.
  3. Folks with autoimmune diseases have dysfunctional balances of their T cells. T or F     Answer: That’s a simple but accurate answer. (Lots of nuance)
  4. The FMD diet seems to result in a burst of stem cells that are normal. T or F                 Answer: True, though that is so simply stated, most researchers would grind their teeth but the beauty of it is that it is that simple.
  5. The FMD diet is safe to conduct in folks with AI?                                              Answer: As best we know, true, though Longo repeatedly begs you do it under a doctor’s supervision. I’m happy to oblige if you want help.




Eat Spinach, It’s High Fat Food

Eat Spinach, it’s High Fat Food

References: WikipediaBMJHarvard HealthJ Clin GastroScience Based Medicine,

I’ve learned that sugar and white flour is bad for my brain, my weight and just about everything else. Everyone around me is on a Keto Kick trying to lose weight with the Ketogenic diet. And it doesn’t work for me. How can I eat a high fat diet? And what I’m most worried about is my brain. How can I prevent Alzheimer’s?
Well, step one and two of Bredesen’s RECODE program are to eat a low carb high fat diet, and to not eat each night for 12 hours. This is how you teach your brain to run on ketones.

The conundrum comes when I try to eat low carb by having steak, bacon, eggs and cheese. And then my weight doesn’t budge. What gives? Turns out that animal protein and fat are not so good for us. Animal protein turns on the mTOR gene, that makes me age faster. I don’t want to do that. In the last few years, two studies about eating more animal and heart disease have bothered me. A BMJ article from Sweden shows that men who eat animal protein have a 5% increase for heart disease for every 5 gram increase in animal protein. And the Harvard Professional Men’s Study showed that men in the top quartile of meat consumption had 70% more heart disease.

What’s a person to do? Well, eat more vegetables. Guess what happens to vegetables and resistant starches? Where are they digested? Turns out not in your stomach, and not in your small bowel but in your colon by the biome of bacteria in your colon. Resistant starches are carb rich foods prepared in a certain way or eaten before fully ripe. Green bananas, for example are quite resistant and get digested in your colon into short chain fatty acids. Ditto for Peruvian potatoes, cooked and then cooled. The amylose molecule changes its shape with heating, and then again with cooling, making it indigestible in your upper gut which delivers it to your colon, where the bacteria break it down to short chain fatty acids. Propionate and butyrate are amazing super foods. They are the short chain fatty acids that nourish you and your whole body. They are fats. Eating spinach makes for fat. Green beans, ditto. Asparagus, broccoli, cabbage– if it’s above ground, its probably going to go the same route.

Enter the Kitavans. A small island off New Guinea where 80% of folks smoke, but they eat no sugar or western food, and have 70% of their diet from resistant starch and coconut. They are all slender, have no vascular disease or AD. One could properly conclude that their diet is high fat: a combination of coconut and resistant starches from yams and taro.
Hence, a vegetable based diet can be ketogenic. Get it? Eating salads with lots of olive oil, is more fat based than you thought. Do you see the path forward?
www.What will work for me. I went to a Mexican restaurant last night. We had guacamole for hors-d’oerves and I had a shrimp and avacodo/lettuce salad. I felt quite smug navigating a typically high carb, high animal fat environment and escaping feeling good about my meal. This morning, a spinach omelet. I’ve finished 3 cycles of the Fast Mimicking Diet and I’m done another 4 pounds.


Pop Quiz

  1. Eating leafy green vegetables turns your fibrous foods into?                      Answer: Fat in so many words, short chain fatty acids
  2. What other foods turn into beneficial fats?                                                     Answer: Resistant starches like cold potatoes and cold rice (emphatically NOT fresh not rice or potatoes), green banana, kasava,
  3. What small group of people smoke like chimneys but have no heart disease and live into their nineties?                                                                                             Answer: The Kitavans
  4. Bredesen calls for a diet composed of?                                                        Answer: Healthy green vegetables, olive oils and very low carbs, low animal fats and low animal protein
  5. What are we trying to teach your brain to do with this strategy?                 Answer: stop running on glucose and learn to use ketones as fuel (small fatty acid molecules) obtained from eating coconut oil, olive oil, and ironically, green vegetables.


Fast Mimicking Diet 6: Implications for Coronary Artery Disease

Fast Mimicking Diet 6: Implications for Coronary Artery Disease

References: Whitehall StudyScienceBMJPublic Health NutrAnnals of Int MedBMJ,

Heart attacks are what we die from in America. Fifty percent of us will meet our maker via heart attack, both men and women. It is the penultimate sign of aging, and the last sign for 30% of those who present with sudden death as their first indication of heart disease. We have made huge strides in reducing morbidity and mortality from heart disease in the last 50 years. Longo’s estimate is that we would have roughly 3-4 times the effectiveness on reducing mortality if we focused on enhancing resilience and longevity with the Fast Mimicking genetic program.
Ok, I’m in. Give me the details as they exist now. Let’s start with historical perspective. We know from the Whitehall Study in England that heart disease declines in frequency until your blood glucose is 86. We define diabetes as 124. Hmm. That’s obviously an arbitrary definition made by a committee. The implication is that the lower your glucose is, the less heart disease you will have.

All right. Second concept. The Madison, Wisconsin Rhesus monkey study in which two groups of monkeys were compared with normal diet versus 30% reduction showed that 42% of the normal control diet developed diabetes versus none of the calorie restricted. And cardiovascular disease was reduced 50% in the calorie restricted diet.

What we don’t have is large studies looking specifically at the “Longevity Diet” for coronary artery disease. Instead, we have studies that are close, and probably close enough to be legitimate comparisons. For example, Sofi and Cesari show that adherence to a “Mediterranean Diet” has dramatic reductions in heart disease, Parkinsons, cancer, diabetes. And the closer you adhere to a “Mediterranean Diet” the less heart disease you have. The overlap of “Mediterranean” and Longevity diets is significant. Both are founded on high olive oil, legumes and unrefined cereals, low meat, eggs and cheese, What the Longevity adds is evidence based additions like Time Restricted Feeding with an 11-12 hour feeding window and a 12-13 hour fasting daily, lower animal protein intentionally and lower fruit use.

And the opposite argument is valuable too. If you eat more animal protein and less carbs, as in one arm of the Harvard Professional Health study, you show that mortality doubled from all causes and increased 40% with cardiovascular disease. If low carb but vegetable based, increased CV disease disappeared. Another study from Swedenof 43,396 women showed a 5% increase in cardiovascular disease for each 5 gram increase in protein intake concomitant with a 20 gram decrease of carbs.

Finally, we have Dean Ornish’s and Caldwell Esselstyn’s diets in which folks are kept on extremely low fat, vegan diets. Their patients also showed regression of coronary artery disease. Their limitation is that compliance requires intense discipline, and most folks can’t maintain it.

My conclusion: we have something real here. The challenge is to make it palatable and sustainable. Well, nuts and olive oils are tasty. Fish is pretty good too. Including these fits in the Mediterranean construct, but also matches the behavior of long lived populations like the Okinawans, Greeks of Ikaria, Italians of Calabria, Seventh Day Adventists of California.

WWW.What will work for me. Heart disease is the elephant in the room. It’s what we Americans get. And we get it in proportion to our obesity, and our blood sugar level. I’ve eaten low carb, high protein for two years and ended up with an A1c of 5.9. Low carb is a fine way to lose weight, in the short term. The longer term is now revealed with this new idea: episodic 5 day fasts combined with a low animal protein, high olive oil, high vegetable diet. I’ve switched my breakfast from two eggs to one egg with spinach made in coconut oil.


Pop Quiz


  1. Increasing animal protein by 5% will increase your risk of heart disease by?             Answer: 5%
  2. Animal protein turns on what “aging” pathway?                                               Answer: The mTOR pathway
  3. At what level of glucose does heart disease no longer occur?                        Answer: 86 (And we define diabetes as 124)
  4. Name key components of the Fast Mimicking Diet.                                        Answer: Daily 12 hour fasting, monthly-quarterly 5 day fasting, low animal protein, high vegetable, low sugar, low refined grains, no trans fat,
  5. The best research studies we have that show the benefit of the Longevity diet looks at what current eating pattern?                                                                                        Answer: The Mediterranean Diet, but we will give you credit for saying Ornish’s or Esselstyn’s too



Fast Mimicking Diet 4: Reversing Diabetes

Fast Mimicking Diet 4, Reversing Diabetes

References: Whitehall StudyCirculationAgingDiabetes CareCell,

This is a big deal. If you read no email this year but this one, you will be well served. The reversal of diabetes is so important, it is a game changer for all of medicine. Why? Two reasons.

The first is that it is so destructive, effecitively being the cornerstone for all our diseases of modern society. We have defined diabetes by committee and decided that it really wasn’t a disease until you got to a blood level of 124 or so, measured twice, or a Hemoglobin A1c of 6.2 or 6.4 (Remember: the A1c is the percent of hemoglobin molecules with a glucose stuck on them. Red cells live 100 days, about, which makes the A1c a nice surrogate marker for your average glucose over the last 100 days.. But that is looking at a disease you might think about treating. What would happen if you decided to consider what blood sugar results in optimal function? I would refer you to the Whitehall Study from England, It showed that for every point of glucose above 86, you have a 5% increased risk of heart disease. And there is wide acknowledgement now that we need to lower blood sugar, which modern medicine does by treating with drugs. That means an optimal blood sugar should be 86. Bredesen shows abundant evidence that a HgbA1c of 5.5 is what you want if you are anxious about Alzheimer’s.

The second is that everyone has it. There are all sorts of papers saying how many millions of people have it, but that is the DISEASE. If you want optimal function, the picture is much gloomier. The simplest explanation of how your body progresses to diabetes is as follows: your fat cells become insulin resistant in relationship to their size. As you get fatter, your fat cells get bigger. You don’t make ore. And your insulin receptors get further apart, So you become insulin resistant. You raise your insulin to keep that blood sugar in control, which you can only so for so long. After a while, you run out of the ability to keep raising your insulin level. It’s as though you were only given so much insulin in a lifetime. As long as you were only burning a tiny amount a day, you can live a very long time. But it has become pretty apparant that once we get overweight, we are burning up our insulin supply faster than we can maintain for a lifetime of 100 years. And that is what we see today in modern medicine. As we age, being a bit plump gradually turns into our blood sugar slowing rising, and your being put on one pill after another until you get to age 55 or so, and then you flunk out and get put on insulin. Your islets in your pancreas look shaggy with fewer healthier insulin producing cells. And then your kidneys fail and you get on dialysis, and then you flunk and get Alzheimer’s. Till now, the key to reversing diabetes has all been about losing weight, making fat cells smaller and getting the residual ability you have to make insulin in line with your reserve of insulin producing capacity. Imagine having an insulin level of 35 when you weight 190, but a level of 2 when you weight 132. That’s what we see clinically happening.

Here is where the Fast Mimicking Diet (FMD) comes in. What would you think if I told you that the FMD turns on the genes that literally wipe out old, dead, decaying tissue and starts rejuvenation of new insulin producing cells? Yes, produces new insulin cells. We have never seen anything quite like this before. This is like the holy grail of medicine, and it’s right there in front of our faces. The FMD turns on genes that support resiliency, getting rid of old garbage that’s in the way and turning on the growth of new stem cells. This is dieting for your genes sake. And all we are asking of you is 5 days a month until you have got yourself fixed.

WWW.What will work for me. I’ve been getting older and I have a family history of diabetes. To my alarm, this year my A1c ticked up from it’s usual 5.2-5.4. I’ve already done one cycle. I’m starting cycle number two. I just came back from a trip to see old friends I grew up with in India. I’m going to send them copies of Longo’s book. My advice to you is to not trust me, or your own doctor on this topic. Trust your own lab results. Watch your own response. The data is there. This diet will eventually become the “human diet”. We will all be on a variation of it. The good news, if you don’t have any risk factors, is that you only need to do it twice to three times a year, provided you exercise properly.

Pop Quiz


  1. Diabetes starts at a Hemoglobin A1c of 6.2. T or F                                         Answer: true, if you call it as the disease and use current medicine’s standards. Optimal is a whole different story. If you have worries about heart disease, Alzheimer’s. autoimmune disease.. or just want to age gracefully into your 90s, you want an optimal A1c: below 5.5
  2. You can lower your A1c by losing weight. How does that work?                    Answer: your fat cells get smaller and the residual insulin you have left become in line with the amount you need to control those fat cells.
  3. If I’m getting a little older and a little heftier, what is happening to my insulin producing cells in the islets in my pancreas?                                                                                 Answer: They are getting fewer and making less insulin.
  4. How many days do I have to do this diet thing?                                                Answer: 5. Four, as best we know, isn’t sufficient.
  5. What is an optimal blood sugar?                                                                         Answer: Your family doctor will tell you under 100 or so but won’t call you diabetic until you are 126, or if they are just checking your urine, you will be normal when you have a sugar below 180 because your kidneys can reabsorb anything below 180. (I kid you not, I talked to a person this week whose doctor was still checking urine for diabetes.)


Fast Mimicking Diet 2: The Human Method Simplified

Fast Mimicking Diet 2 The Human Method

References: Longo: The Longevity Diet, ScienceGut,

Last week we heard about yeast being used to explore what genes are needed to make the right environment for longevity. Valter Longo’s hypotheses was that those same genes exist in mammals, humans included. If he could make the same changes in longevity by diet and its effect on genes in mice that he made in yeast, he would have a huge scientific win. He started looking at mice and their genetic code. Mice live about two years and start getting cancer around a year and a half. That makes a useful model.
What did he find? The exact same thing. Two key ideas. Extra sugar activate the PKA gene. That causes trouble. Mice with lower PKA activity, live longer. That simple. And extra protein activates the growth hormone receptor and TOR-6SK and increases the level of insulin and insulin like growth factor. Certain amino acids appear to be more potent at activating the TOR-6SK complex, like leucine. which then accelerates aging. That’s it. The foundation of aging down to two simple key processes. Too much sugar, and too much protein. That duo is the foundation of what Longo called his “basic juvenology research”, one of his Five Pillars of Proof.
The story is all about the nuance of glucose and protein.

Our body runs on glucose. It is our preferred food for our brain, if present. The story is all about how it is delivered and what happens to our bodies if we get too much, too fast. When you get low glycemic carbs from vegetables, your blood sugar rises very slowly and you hardly get an insulin response. (For example, it takes 19 cups of asparagus to make 50 grams of glucose). If you have a diet of broccoli, spinach and green beans, you hardly get any insulin spike at all. A substantial portion of those vegetables make it to your colon where the biome in your colon changes those coarse fiber rich foods to short chain fatty acids, just like in gorillas (See this column from 2 weeks ago). Just like with gorillas, a high fiber diet actually results in substantial increase in fatty acids, or fat. Adhering to a Mediterranean Diet appears to make this possible, all due to the activity of the biome in your gut.
A high protein diet changes your gut biome and increases many markers of cardiovascular disease,TMAO (trimethylamine oxide). So we have seen these changes from other lines of research as well.

We are even beginning to understand the incredible complexity of our gut biome. Our colon is there to take high fiber foods and digest them for us, releasing short chain fatty acids, turning low glycemic vegetables into short chain fatty acids. Bacteroidetes are more abundant in the stool samples of those eating a mostly plant based diet, while Firmicutes were more abundant in those who eat a more animal products diet. From those major families, the specific bacteria Prevotella and Lachnospira were more common in vegetarians and vegans while Streptococcus is more common among the omnivores with higher meat intake.

Can we take this to humans with specific guidelines? Well yes. This is what Longo has come up with. Protein should be about 0.31-0.36 grams per pound per day, of which about 40 grams for women weighing 130 and 60 grams for men weighing 200. Once you hit age 65, you likely need a little more protein, but not that much. Just a little.

Your diet should be rich in healthy fats like olive oil, fish and coconut oil, walnuts and almonds. These fats essentially do the same process of helping you get more calories from fat, like the gorilla. Trans fats and saturated fats are to be avoided. And there should be plenty of Healthy Carbs – the type that make it to your colon and turn into fat. They generally have a glycemic index under 20, or 45 max which would include beans (if you aren’t lectin sensitive). The carbs that get digested in your small bowel and make sugar spikes look like ground flours of any kind, sugar in particular, high fructose corn syrup in double particular, fruit juices or too much modern fruit (modern apples are nowhere near the original Himalayan apple – ditto for pears, bananas, on and on that we have altered in the last 100 years to be much richer in sugar). Most grains are just too rich in carbs to be too good for you, unless you have changed them to be resistant, usually by cooking and then cooling. Same with potatoes. The original potato from Peru was a fine food with a GI of 40. Now it’s a glycemic index of 80-95, unless you boil it and cool it making it resistant. (Is this enough to confuse you a little?)
Finally, cut your meals down to 2 and a snack. Try to fit all your food into 11-12 hours of eating and not for 3 hours before bedtime. Breakfast is NOT the meal to skip as there is plenty of evidence that that habit correlates with many illnesses.

Ok? Next week, we will discuss how to FAST and do it right so that you kick start your genes into being supercharged. It’s cool, and it works.
WWW. What will work for me. This is evidence based and I get it. I’m so fascinated that I drew my own lab tests and started doing it full bore, as much as can be done living in a modern 8-5 work world. It’s the fasting part that has my attention. I’ve completed my first 5 day session and intend to do it again. It wasn’t so hard. More next week.

Pop Quiz


  1. Animal protein appears to shorten longevity? T or F                           Answer: True
  2. We need animal protein to support our healthy brain? T or F          Answer: Again true. Conundrum? Yup. We get B12 only from animal sources. But nature doesn’t care much about you once you have made your babies and passed on your genes.
  3. A high carb diet is bad for you. T or F                                                    Answer: All in the details. High in low glycemic green vegetables, it’s very good for you and is actually a high fat diet.
  4. The über enemy of nutrition is?                                                           Answer: Sugar, fructose in particular when it gets above the 6% found in fruit.
  5. How much protein can I have a day?                                                   Answer: 0.31-0.16 grams per pound when under 65 A little more after. But not much.


Eating Red Meat Raises Your Mortality

References: Archives Internal MedicinePNAS,

500,000 people aged 50-71 were followed for about 10 years with extensive questionnaires about food frequency. There were some 48,000 deaths in the men, 23,000 deaths in the women. This is a big study so should have validity. It was observational, not randomized, placebo controlled. They statistically controlled for age, education, marital status, family history of cancer (yes/no) (cancer mortality only), race, body mass index, smoking history, physical activity, energy intake, alcohol intake, vitamin supplement use, fruit consumption, vegetable consumption, and menopausal hormone therapy among women.
The findings are pretty interesting. Those who ate the most red meat had a 30% increased risk of dying. In women, those eating the most red meat were 36 percent more likely to die for any reason, 20 percent more likely from cancer and 50 percent more from heart disease. Men eating the most meat were 31 percent more likely to die for any reason, 22 percent more of cancer and 27 percent more from heart disease.
On the first blush, one things it must be the fat, and that is one of the reasons given in the article. I want you to think about possibly other reasons.

Here are a few. Ferritin. The more iron you consume, in the form of red meat, the higher your ferritin climbs. This has happened on Okinawa and there the mortality has risen sharply for cardiovascular disease and Alzheimers. Iron is a two edged sword. You need it badly if you are a young woman having babies every two years, our paleolithic past. But our iron absorption rate damages us badly when we get to menopause and stop losing iron through menstruation or babies. And men always have more iron. In fact, men live as much as 10 years less than women. Only 30% of that can be attributed to climbing ladders. A good portion of that is the excess mortality driven by the increased burden of ferritin in men, who never have a chance to lose it. The least Alzheimer’s in the world centers on places with ferritin of 20. American men average over 200 – some are as high at 6-800 and don’t know it.

Another reason. Lectins. In America we feed our animals corn. You can trace the corn through the food supply because of it’s mixture of carbon subtypes. The average American is 65% corn. The average European is 5%. Corn is loaded with lectins, proteins that bind to sugars and set off immune messages internally. You are not only what you eat, but what you ate, ate. When you eat a cow raised on GMO corn, or a chicken raised on GMO corn, you get the lectins from that GMO crop passed on to you. Lectins bind so tightly to sugars, and are pretty resistant to degradation, they survive the transfer. Corn makes cows fat, pigs fat, chickens fat and you fat. It’s not just the calories in the grain, it’s the hormonal effect of the lectins.
American red meat is full of ferritin, full of lectins, full of hormones all at the trace level that has been blessed as safe. It’s not safe. Eating red meat makes you die faster.
www.What will work for me. I’m startled by this. It is changing my mind. The ketogenic diet can’t be one of pure red meat. I’ve measured my ferritin and it was 160. I’m choosing salads much more now with traces of ocean raised fish. You should know your ferritin and get it down. You drop some 40 points every time you donate blood. Next week we will start a series on Lectins.

Pop Quiz


  1. Eating red meat is good for you. T or F                                              Answer: Way too complicated for T or F. You have to get B12 from red meat so we hav got eat a little. And women making babies need the iron. But men almost never need extra iron.
  2. If I cut down on red meat such that I’m at a serving a week, what will my mortality do compared to an every day kind of guy?                                             Answer: Down 30%
  3. American’s are composed of more corn based food that Europeans, by how much?                                                                Answer: We don’t have a huge study but 65% to 5% is one data point, American to European. Yes, you are made of 65% corn protein or fat.
  4. Name another source of possible problems with American red meat?                   Answer: by eating so much corn, the lectins in corn are passed onto the person who eats them
  5. What are lectins?                                                                                     Answer: proteins plants make to poison their predators. They attach to our feed animals meat and then we get them. They have many hormonal side effects. Read more next week.


Birth Control Pills Cause Breast Cancer


Birth Control Pills Cause Cancer

References: NEJM Dec 2017New York Times,

That’s it! They do. Birth control pills increase your risk of breast cancer. The issue should be, how much risk are you willing to take for the benefit of birth control. Pregnancy is not a benign condition either. It has risks. Labor and delivery used to be just about the most common cause of death in women, until we got modern medicine, ultrasounds, sterile technique, etc
What’s the data? The study followed 1.6 million Danish women for over 10 years. Their results showed that for every 100,000 women, birth control use increased risk by 13 women a year, from 55 to 68. Over 40 years, that would be 520 extra cases per 100,000 women. That’s 0.5% lifetime risk. Or, a 20% risk increase over baseline. In percent terms it doesn’t sound huge, and indeed, it isn’t compared to other risks. The study was not able to take into account confounding variable like weight, exercise, other disease, breast feeding, alcohol consumption, etc etc. What about IUD’s with tiny amounts of progestins in them? Nope. Still a problem.
What they also found was that lower doses in modern birth control pills still are risky and the use of “low dose estrogen” really doesn’t add much. And, the progestins (Manufactured artificial progesterone) may actually be the main culprit. If you look at the moleculeprogesterone, and compare it to the molecule medroxyprogesterone, you can quickly see that they aren’t the same thing. They have enough overlap in function to fulfill their duty of hormonal manipulation, but then confuse the body by not setting off the normal biological signaling that the proper molecule provides. The mid cycle surge of LH and FSH is suppressed by lowered free hormones, secondary to elevated Sex Hormone Binding Globulin. You don’t ovulate. Presto.
Are other methods of birth control any safer? You have to go through all the complex math of failure rate and risk of pregnancy, and consequences of pregnancy to come to your own decision. At the end of the day, birth control pills and the IUD are extremely effective at preventing pregnancy, but they do have some risk to them. Ok,, you are informed. (And we didn’t go into the risk reduction of ovarian cancer etc that birth control may help – whole other topic.)
Now, can you soften the risk. You bet. When you do get pregnant, consider breast feeding as your “anti-cancer”, “baby’s brain health”, strategy. For every 6 months of breast feeding, your future risk of breast cancer drops some 15-16 percent – with studies rangingfrom 20% to 60% lifetime risk reduction by getting in the habit and sticking with it.

And then there is iodine, 1 mg a day, Vitamin D to a level of 50, exercise, weight control, Vitamin K2, avoid xenoestrogens (BPA) and eat lots of organic vegetables, and you can keep dropping the risk further.

www.What will work for me. This is one of the most common questions I get asked. How safe are birth control pills. It’s a yin and yang. Life has risks and choices. Driving to my office has risks. Texting on the way is dangerous. What I do tell my clients is please, please take a 6 month sabbatical from birth control every 5 years. And if you don’t want any more children, male or female tubes can be clipped.


Pop Quiz

  1. Birth control pills cause breast cancer by how much?                                          Answer: 13 extra cases per 100,000 women per year – or .5% higher
  2. What is the risk of pregnancy?                                                Answer: in advanced nations with good prenatal health care, 12/100,000 maternal deaths from pregnancy is what WHO provides.   This low rate occurs where  we do not have a targeted strategy for all pregnant women, it’s higher that other parts of the world where risks are up to 200+/100,000 deaths per year from pregnancy
  3. What is the most effective method to lower my risk of breast cancer?                    Answer: breast feed for at least 6 months with every pregnancy. Try for a year.
  4. What other strategies can I do go lower my breast cancer risk?                               Answer: stay slender, exercise, avoid sugar, iodine 1 mg a day, Vitamin D, K2….
  5. Is the IUD any safer?                                                                                                          Answer: No.




Should I get a Flu Shot

Should I Get a Flu Shot?

References: CDC.govCell Mol Immunol,

This is the most common question I have sent to me by various people. I even have folks coming to ask me if I would sign statements about how they shouldn’t get a flu shot. The world I live in, functional medicine, has many anxieties about influenza shots and has not been quiet in voicing their concerns. Hence, confusion and uncertainty.

My response: let’s looks at the evidence and be a scientist. First of all, does the flu shot cause autism? The answer is NO. Does it cause Guillian-Barre? I believe it does have a slight risk for doing that. I’ve even had a close friend get it, and be hospitalized in an ICU for a week with it.

How dangerous is influenza for us? That’s the rub. The CDC says there will be between 9 and 35 million casesof it this year, with 12-56,000 deaths. The mortality is directly linked to age, with infants and elderly being most vulnerable: infants because their immune system is immature and elderly because their immune system is waning.

There have been reports that the flu shot this year is only about 10% protective. The virus that got loose in Australia, that has it’s flu epidemic when we are having summer turned out to be nastier and more virulent than expected, and the pick of viruses contained in the flu shot, wasn’t quite the right mix. The CDC has vigorously refuted that saying that the flu shot has never been perfect at preventing the flu, what it prevents is DEATH. That’s why you want to get a flu shot.

Here is my take on it. It’s DEATH you are most interested in preventing. Influenza does something most viral syndromes don’t do. It stirs up your innate immunesystem. When this happens with influenza you get a “cytokine storm” that is like runaway dominoes. The severe epidemic of influenza in the 1918-19 era was reported to have killed people in 12 hours. Young men, fresh of the plains of Kansas, coming from isolated communities where they had never had influenza before, died in just hours. Their lungs filled up with fluid and they drowned in their own congestion. Remote communities, like the Innuit in Alaska, were wiped out. That’s what influenza can do, and has done every 30 years for millennia. Regular flu feels like that, in mini form. Your lungs feel full. You have trouble breathing. You have a risk of getting pneumonia. But your immune system can limit the runaway “storm”.
Why? Because we, all of us, the collective human race, started getting flu shots. For 50 years now, we have been getting flu shots. When you get a shot, you get immunity to that particular strain of influenza, both A and B that will last you for 4-10 years to that strain. And that immunity overlaps enough with others to help you in other seasons,
Here is the devil in the details. The influenza virus is able to mutate every year and come back again. Your immune system can’t see it clearly. We have been waiting expectantly for another vicious epidemic, much like in 1918. But it doesn’t come. Why, we have to ask, why has this scourge not recurred, like it did for thousands of years? It’s because we are all getting flu shots, and the residual immunity doesn’t allow the cytokine storm to overrun us.

Should I get a flu shot. Darn right. Will it protect me from this years flu? Maybe, maybe not. Will you be around to complain about i? Yes. That’s the point.

Practicing emergency department physicians will point out to you that every year they are crushed during the flu season. Not from flu only. The frail elderly come in with strokes, heart attacks, pneumonia, kidney failure, failure to thrive, congestive heart failure – in droves. You name it. The ER is jammed pack. Do they have the flu? Can’t tell. You know they are sick. You know the hospital is full. You know it’s happening concurrent with half the ER staff being sick with the flu.

WWW.What will work for me. I get a flu shot every year. I’m over 65 so I get the heavy duty one for “frail elderly”. And, I take Vitamin D faithfully. Good evidence that taking D and getting a flu shot is synergistic (roughly 50% extra). And, I wash my hands, wash my hand, wash my hands.


Pop Quiz

  1. Getting a flu shot protects me completely from the flu? T or F                          Answer: False, false, false. Polio, small pox etc all are 100%. Flu keeps mutating. Even with that, it’s still only a 50% reduction in even getting it.
  2. What the heck am I getting it for?                                                                   Answer: So that you don’t die. In that regard, maybe as much as 95% reduction.
  3. But I don’t see people dying of the flu. What on earth are you talking about?           Answer: people don’t look like they are dying from the flu. But they are. The cytokine storm that flu sets off makes every underlying disease worse. Your death certificate will say “heart attack” but that crafty flu virus that was in you at the time is rubbing his greedy hands together with glee, cause he got another good one.
  4. What is a cytokine storm?                                                                                   Answer: It’s your innate immune system with dominos falling hyperbolically – accelerating faster and faster. Flu, uniquely sets that off when the pandemics come to town. It sets it off mildly with regular flu.
  5. Explain to me why we haven’t had a pandemic now for over 50 years when we used to have them every 30 years since time began?                                                          Answer: because the whole world has been getting flu shots, and damping down that cytokine storm this year with this years flu shot, so that next year it doesn’t run away from us. Got it?



Biotoxin XV: VIP – The Magic Bullet

 Biotoxin XV: VIP The Final Magic Bullet

References: Surviving MoldBiotoxin JourneyInternal Medicine Review,

100%. Did you catch that? Everyone with mold illness, following the 11 step program Shoemaker has put together, will find relief. Well, almost everyone. Some folks who have been sick for years have deeply imbedded patterns and may need to be on VIP for a long time, but nevertheless, Shoemaker has found that his program returns (almost) everyone back to much higher levels of functioning, if not complete cure. The limitations are more on getting to a completely clean environment free from biotoxin after a life time of training their immune system to be “sicker, quicker”. Remember, it’s not quantity that sets off the innate immune system, it’s just the first domino that sets off the storm.
Well, explain what VIP does. What is it first of all. Vasoactive Intestinal Peptide was discovered as being active in the gut, hence its name. But its most profound effects are more likely in the brain.

The sequence of events is as follows. You live in a moldy home, or work in a moldy workplace. The ceiling has black spots below the AC unit upstairs. You breathe in the mycotoxins. (They are TINY: if botulism toxin weighs 150,000 daltons, T-2 toxin weight 466). They set off the “cloud” of cytokines of your innate immune system: the fire alarm. The cytokines attach themselves to the Leptin Receptor in your brain which is the gateway to secrete MSH, VIP and ADP. First, you stop making MSH. With a mucked up VIP receptor, your whole POMC system goes down. You stop making beta-endorphin and you start to hurt all over. Your energy tanks. You gain weight. You are tired.
VIP dropping shortly follows. About 98% of folks with chronic fatigue syndrome have low VIP. It is a regulatory neuropeptide that acts in the hypothalamic suprachiasmatic nucleus. Does that sound like a mouthful? It appears to have a profound effect on Cyclic AMP which is a second tier messenger. But other than that loosy-goosey explanation, we haven’t a clue how it really works. And it just doesn’t work if you skip any steps in the 11 step program. But if you have done the other 11 steps, it becomes a secret super weapon. It works in minutes.

The sorts of things you can measure are almost immediate improvement in the pulmonary artery pressure. That means blood is flowing much faster, immediately. Breathing is easier. “Asthma” suddenly feels ok. That means energy perks up, right away. In two hours your fizz is back. In two days you feel like you were never sick. For those folks with joint stiffness, 10 minutes and you are feeling more limber. This is a real magic wand.

The protocol is to take it as a nose spray 4 times a day for 30 days; then twice a day for 30 days; then daily for 30 days; then off 30 for days.

Unless: you have any of the following: ERMI > 2 at home/work/school, your VCS (Visual Contrast test) still positive, still have MARCoNS in your nose, MMP9, PAI-1, leptin still high, Untreated C3a, C4a, TGF beta-1 still hanging around.

This is really cool. We have a final step that fixes things that is measurable, repeatable, explainable. I have met one person who flunked VIP, albeit they did feel a little better.

www.what will work for me. I’m eager to get experience of using it. Again, it will be a new modality in this town so getting a pharmacy to make it right might be a challenge. Getting insurance to pay for it. Well, dream on. But there are work-arounds for all those things. In the meantime, I’m still working on my own basement. My ERMI was 4 and I’m determined to get it down. When I see someone with a -6 ERMI, I’m jealous. They lived on the 16th floor of a pristine, new condo building. Lucky devils.


Pop Quiz


  1. Where was VIP discovered?                                                       Answer: as a regulatory peptide in the gut, hence the name, Vasoactive Intestinal Peptide.
  2. Where else does it work?                                                           Answer: very definitely in the brain – in the suprachiasmatic nucleus, to be exact – and many others.
  3. What does it do?                                                                          Answer: We haven’t a clue. It has effects on a secondary messenger inside cells called c-AMP but other than that, we are clueless. It just fixes everything like a magic wand.
  4. What makes it not work?                                                            Answer: anything in the previous 11 steps that weren’t fixed first. Still living in a toxic environment with an ERMI score over 2, still having MARCONs in the nose, still having elevated cytokines, etc etc.
  5. How quickly does it work?                                                           Answer: Minutes. And can be tapered over 3-6 months to off, provided the person doesn’t go back into their dangerous place.