Nutrition Lecture Part 1: Avoiding Disease

Nutrition Lecture Part 1: Avoiding Disease


Nutrition. It’s a weird topic. The CrossFit message is a contrarian, it’s against the grain of what what has been going on commercially in most facilities. They got machines—we detest them—
in isolation movements we’re compound. Big box, little box,
low intensity, high intensity. Everything about this message is, for many people, antithetical
to all they thought they knew, and it’s a mind full. Now
comes the nutrition thing and there’s not much relief here. The theme
continues that what most everyone thinks is wrong. In July of 1989 in the “Archives of
Internal Medicine”—write it down everybody—July ’89 “Archives of Internal Medicine,” it’s a
peer-reviewed journal. A fellow by the name of Norman Kaplan wrote a piece that became dubbed the “Deadly Quartet,” and it was absolutely breathtaking bit of research and analysis that has gone entirely, completely, absolutely unchallenged—that doesn’t mean it’s right either, by the way— but there’s been no challenge to it.
By the way, a dozen Nobel Prizes in total have been awarded now for cholesterol-synthesis research and Norman Kaplan will undoubtedly get a Nobel Prize for this work someday.
And the impact continues to rip through the research, and medical and clinical communities
to this day. And what he was able to demonstrate by operative mechanism and through
correlation, but more importantly causally, was able to show that
hyper-insulinism was at the root of upper-body obesity—and we now know all of obesity, that’s just what he was able to
demonstrate metabolically. Glucose intolerance, it’s basically a
quantifiable measure as to how close you are to becoming
diabetic. If you are fully glucose intolerant you need
insulin. Hypertriglyceridemia: elevated triglycerides, hypertension, blood pressure high. And he was able to show that it was hyperinsulinism—too much
insulin— that was at the cause of this. Now, what is
insulin? Insulin is a hormone produced by the pancreas and you can’t live without it. You got a couple of choices: You can either produce insulin through the pancreas, or you can inject it, you can take it orally or you can die.
You can’t live without it. And what insulin does is it puts things into the cells and as a counter
regulatory hormone glucagon. There’s a big story here, don’t worry if some of this is swimming over you because I’ll make it easy for you know in a punchline at the end that anyone can wrap themselves around. But a glucagon is a counter-regulatory hormone, it lets things out of cells and one other things that insulin puts
into cells is fat. And insulin is the normal, essential
response to the ingestion of carbohydrate if
you’re healthy. And so you can see now that the way to
get your insulin level too high is to eat too much carbohydrate.
How much carbohydrate is that? In the qualitative sense, your insulin level is too high if it’s driving
up your blood pressure, making you fat, jacking up your triglycerides or effecting you’re ability to suppress blood sugar
after consuming sugar. If you’re
glucose intolerant, hypertensive, your triglycerides are too high or you’re
fat, you’re getting too much insulin and thus too much carbohydrate. Definitionally, that’s the case, if you’re concerned
about your health. And what we recognize here is those
total risk factors—markers—for what? Heart disease. Sudden death. Myocardial infarct. And this
is the process, by the way, by which we induce, what we say,
atherogenic. It produces atherosclerotic disease. For
us simple people, arteries paved over with plaque. Which leads to thrombosis, occlusion
myocardial infarction, and death and debilitation. But when physicians are
polled, “What is it doc that you don’t wanna get?” Cancer and heart disease don’t rank nearly so high— not by large margins—as does diabetes.
You’ve got to find a doctor that has really seen a lot of people dying and
what he’s gonna tell you is “I don’t want diabetes.” I can tell you how
to get it, it’s easy. You can get it—and I’m not
talking about the juvenile onset, the Type 1—I’m talking about the Type 2. In Type 1, by reasons
probably viral, the pancreas stops producing
insulin, you’re fucked. It happens to children, it’s horrible. It’s sad. Type 2 diabetes—the one that
grandma has— is caused by a receptor-downgrade phenomenon, the red blood cells, they have a receptor site
where insulin attaches. So the insulin molecule lands on this thing, and it’s got a funky little shape, and the receptor has a matching funky little shape, it’s a key
lock kind of physical deal. And when
insulin binds to the cell site, the cell can now receive all good things including amino acids and fat. And if you
expose yourself to too much insulin, pretty soon these cells and their
receptors become blind to the mechanism, and the lock-and-key phenomenon doesn’t work so well. It’s a receptor-downgrade phenomenon, and it’s not really much different, mechanically, the mechanism, than going
out and staring at the sun. You stare at the sun, you’re getting a whole bunch of light, right? Do it for a few minutes and later you’ll
never see any light again. You just burn out the receptors. That’s
what happens in Type 2 diabetes. It’s a horrible, horrible
thing. Now, what was revolutionary about this— and there is no better word for it, none at all—is that it put this model in the trash can, and this
is the old-school way of looking at it. And what we used to say is that a clinician—I would see Tony, this doctor, annually, and you’re in perfect health, you’re in perfect health, you’re in perfect health, whoa, your up 10 pounds but you’re in perfect health. Next year, you’re up 15 pounds but you’re in perfect health. Next year, you’re up 20 pounds, and
funky thing is, check this out, your cholesterol’s really
jumped up, it was up a little but not like its decision to go rapid jump and not the good question I tht over the
bad cholesterol VLDL and in a year to later they’ve been
doing your blood pressure is running away from here and then ultimately we either see death
or glucose intolerance you become diabetic and the ordering was roughly obesity then hypercholesterolemia class
struggle up then the blood pressure goes up then you become diabetic and there was an assumption an
assumption and it is a classic a logical fallacy
that the ordering suggested causality that because this
happen first Dennis than this than that this caused
ultimately was the root cause of all these things this mall is now understood to be fatally flawed it was wrong and we can’t
even tell you what is %uh Post hoc ergo propter hoc fallacy after this therefore because I’ve that
order of the fence does not does not necessitate causality
you understand that just doesn’t work that way and what Norman Kaplan was able to do
was created scientific understanding to demonstrate
with powerful evidence that hyper insulin -ism was indeed
because of all these things in the cause a bath ranch in this city at the root about her chin is Seattle
sclerotic disease and & Co and cardiac death all this is collectively known as coronary heart
disease CHD or chair or even at Stanford University
referred to is syndrome acs. and has been a very powerful we ship $3
understanding and where the point right now usually
can’t find anyone anymore worth a shit that doesn’t know that what’s causing heart disease is not
dietary fat intake but excessive consumption of
carbohydrates that’s what’s it cost and things like the French Paradox the
many times the the fact that Americans do and have a
tribute to bono small percentage of the heart disease
that we do there’s no paradox the paradigm was
flawed they also consume almost adjusted just a
little bit under five percent to the refined sugar we do reading right now about 250 pounds of sugar per man woman and child
annually here Cheers it’s amazing what what efforts will go to the consumer I sugar for instance I know you had a banana
because it’s got potassium in it right inorite shared in it wasn’t for the
potassium the quick energy when’s the last time
you had kahler black beans they have a lot more out see anyway I mean my black beans I
want a passive know they your banana the potassium because it’s
foolish over to jacks have your blood sugar makes you feel good your interest in carbohydrates in its
profound is really no different in your interest in beer or a crack or opiates it tickles the brain and it
feels good and excuses will make this shit the
people come up with the get their unbelievable things people do to get to
that high are phenomenal phenomenal now and tell you how to avoid all that you
ready he did I dove meat vegetables nuts and
seeds some fruit little starch into sugar you know that their new example of magic
no problem meat and vegetables nuts and seeds some fruit little starch no sugar no CHD it’s just that easy now some have
said I’ve got physician on closet yes but
we’ve inherited the thrifty gene and there are diff Oct you it’s got nothing genetics the genetic part is an
intolerance to excessive amounts a carbohydrate
that’s the genetic part and it’s really no different than having print genetic
predisposition alcoholism suppose you have the gene for alcoholism
does that mean it will by necessity express what do you have to make express drink
alcohol if you don’t drink alcohol we suffer from alcoholism probably not at least not have the met
Matt clinical manifestations ovett no different with atherosclerotic
disease I don’t care what your grandfather died if your mother died of
your uncle byron your brother died at like Barry Sears all his uncles and father died all of
them at 49 from atherosclerotic induced thrombosis MI my
car to win for heart attack all awful he’s not gonna is not in the
cards they ate meat and vegetables nuts and seeds some fruit little starch
into sugar it’s also the pale your diet her to that if you can’t have you
couldn’t have harvested out of your garden or or or or or or farm and brought it in
and meet me in an hour later %uh if it if it’s not like that it’s not
going to give you another way to get to the right endpoint shop
around the perimeter of the grocery store don’t go down the aisles I give you know
the easy way to eat when I get to the same endpoint these are all just models
for effective nutritional strategies for avoiding heart disease
death and misery arm if it’s got a food label on it it’s
not food you know like how many grams of fat
Afghan Van Buren also do you know if it’s got
that on it isn’t food you don’t see that on the chicken is not on the tomatoes
it’s not on the apples it’s not on the corn it’s not on the pairs at maraniss
Paris is not on the brussel sprouts it’s not
you get it but it’s on the chips a hoy en no fuckin snack well at all the
bullshit Scott on if it’s gotten a little labels Tony did
and you won’t have heart disease hey if it’s not paracha beloved says
best if used before 2017 it’s not food it some other bullshit my
two star of one says corn somewhere but it came out at the
factory non-food not good for you anyone stand a table with it in 95 for
delivering almost the same lecture with just less
clinical experience and a the people just like home kidney in an era when in fact makes you fat
right I mean it’s just that network of the pun
nicely it’s not true it’s not true