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The Food Tree
 The Food Pyramid Revamped
A Rational Approach to Nutrition

       Ranveig Elvebakk, MD
Why the Food Pyramid And Diets
          don't work


  Because they are fads rather than science.
1918: Lulu Hunt Peters, MD

“Heretofore you have known, only in a dumb, despairing way, that all the

foods you like are f...
Normal Weight:



BMI: Weight in kilos/height in meters squared
What does the body have to work
             with?


 Protein           Protein

 Fat               Fat

                 ...
PROTEIN

Complete, all 20 amino acids
Sources: Animal, dairy, eggs, soy
Supports lean tissue
May be burned for energy
Dail...
FAT

Sources: 1) Sugar. 2) Fat
Not created equal: Good, bad and ugly
Needed for:
Insulation/Cell walls/Storage/Hormones/En...
CARBOHYDRATES (CHO)

CHO=SUGAR OR GLUCOSE/FIBER
Not created equal: Good, Bad and Ugly
Glycemic Index (GI) scale 0
        ...
The Glycemic Index
        of Carbohydrates
     (Ability to raise insulin)

   0-----------------------------------------...
INSULIN
         MASTERSWITCH :
      TURNED ON BY SUGAR

         RUNS YOUR WEIGHT
RUNS THE INFLAMMATORY CHAIN,
by divert...
Omega 6 fatty acids

                 INFLAMMATION

 This could manifest in anything from acne, asthma
  arthritis, depres...
Weight and Health are a Balance:


        Set our omega
                omega-balance
By keeping our Glucose
                  Glucose-Insulin
(G-I curve) in the G window
   I               G-I
        (see n...
Adding to The Food Tree to keep
us on that normal G curve:
                  G-I
The G-I curve of two types of
      I
        sugar--eaters



    Weight Gain and Inflammation
GLUCOSE-INSULIN CURVE
         INSULIN

Thermostat of Inflammation, Health, Illness.
         Satiety, Hunger, Weight
    ...
Markers of Inflammation and
    Cardiovascular Disease


Evidence for Inflammation as Key to Pathogenic
        Mechanism ...
METABOLIC SYNDROME


      Waist: Men 40”, women 35”
   Fasting triglycerides 150 or above
HDL cholesterol <40 in men, <50...
SUGAR EATER'S SYNDROME:


      Waist: Men 40”, women 35”
   Fasting triglycerides 150 or above
HDL cholesterol <40 in men...
DIABETES TYPE 2
        the overt expression of
        sugar eater's syndrome

     Exhaustion of our pancreas from havin...
What to do about it?



We could give more medications to lower blood
                   sugar.


       Look what happens...
UK Prospective Diabetes Study
  VA Feasibility Study 1998


“Tight glucose control does not improve events
 Increased mort...
Intensive treatment to lower blood
sugar may be dangerous to your
           health

      The ACCORD STUDY 1998
         ...
Bariatric Surgery

               Rx: Stop eating
“The best therapy we have for diabetes today”
 “Strong evidence that we ...
But we have to eat
                        eat---
     Sugar is a potential metabolic poison
 because it creates inflammat...
The Addictive Power of Sugar


       -can you imagine the utter disgrace
        can
of this man in the gutter with crumb...
So you say:



I am thin, I can eat what I want,
   this does not concern me”
Metabolically Obese Normal Weight
             (MONW)

         Normal weight persons with
  1)Muscle loss 2) Fat Storage ...
Cardiometabolic Abnormalities Associated
                          With Normal-Weight Obesity
                            ...
Overweight and Malnourished



Half of Americans do not get enough Calcium,
         Magnesium and Potassium


           ...
Proof of omega 6 inflammation
at work in normal weight persons:


 The omega 6 inflammatory C C-Reactive Protein
       is...
Khaw et al 2001/ Selvin et al 2005

Blood sugar predicts cardiac risk in an almost linear
         fashion in non-diabetic...
AHA/CDC Scientific Statement


   Markers of Inflammation can predict future
  Cardiovascular events even in healthy perso...
HgA1C as a marker of
          cardiovascular risk
   HbA1C concentration predicts CV risk both in
 people with diabetes a...
SUGAR EATERS SYNDROME
in NORMAL WEIGHT PERSONS


     Fasting triglycerides 150 or above
  HDL cholesterol <40 in men, <50...
How do we test for Sugar Eater’s
        Syndrome?



            HbA1C
How do we treat it?



   THE FOOD TREE
The Food Tree

1) Target Protein to protect your lean body
2) Keeps insulin in the G- window
                           -I...
The Food Tree in Weight Loss


     Weight loss happens right after you eat.
          Space out your meals evenly
       ...
The Food Tree
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The Food Tree

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The Food Pyramid Revamped
A Rational Approach to Nutrition

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The Food Tree

  1. 1. The Food Tree The Food Pyramid Revamped A Rational Approach to Nutrition Ranveig Elvebakk, MD
  2. 2. Why the Food Pyramid And Diets don't work Because they are fads rather than science.
  3. 3. 1918: Lulu Hunt Peters, MD “Heretofore you have known, only in a dumb, despairing way, that all the foods you like are fattening and you must avoid them as the pestilence.” “Guide to Diets and Calorie Counting”
  4. 4. Normal Weight: BMI: Weight in kilos/height in meters squared
  5. 5. What does the body have to work with? Protein Protein Fat Fat Carbohydrates (Alcohol)
  6. 6. PROTEIN Complete, all 20 amino acids Sources: Animal, dairy, eggs, soy Supports lean tissue May be burned for energy Daily requirements
  7. 7. FAT Sources: 1) Sugar. 2) Fat Not created equal: Good, bad and ugly Needed for: Insulation/Cell walls/Storage/Hormones/Enzymes Essential Fatty Acids: Omega 3/6 Daily Requirements
  8. 8. CARBOHYDRATES (CHO) CHO=SUGAR OR GLUCOSE/FIBER Not created equal: Good, Bad and Ugly Glycemic Index (GI) scale 0 0-100, Sugar feeds the Inflammatory Chain: Omega 6 Creates Physical Addiction “The Other Alcohol” Insidious. Daily Requirements.
  9. 9. The Glycemic Index of Carbohydrates (Ability to raise insulin) 0-------------------------------------------------- --------------------------------------------------100 fiber<veg<legumes<berries<fruit<grains<sugar natural alcohols < beer < wine < liquor Micronutrients-------------------- --------------------Toxicity Addiction
  10. 10. INSULIN MASTERSWITCH : TURNED ON BY SUGAR RUNS YOUR WEIGHT RUNS THE INFLAMMATORY CHAIN, by diverting omega FA to omega 6 (MBS) RUNS YOUR WEIGHT AND HEALTH
  11. 11. Omega 6 fatty acids INFLAMMATION This could manifest in anything from acne, asthma arthritis, depression, insulin resistance, diabetes, heart disease, stroke, high blood pressure, migraines, polycystic ovarian disease, low sperm count, indigestion, psoriasis, gum disease and a host of other illnesses.
  12. 12. Weight and Health are a Balance: Set our omega omega-balance
  13. 13. By keeping our Glucose Glucose-Insulin (G-I curve) in the G window I G-I (see next slide) The Glucose-Insulin curve is our tool Insulin
  14. 14. Adding to The Food Tree to keep us on that normal G curve: G-I
  15. 15. The G-I curve of two types of I sugar--eaters Weight Gain and Inflammation
  16. 16. GLUCOSE-INSULIN CURVE INSULIN Thermostat of Inflammation, Health, Illness. Satiety, Hunger, Weight Quality of Life, Life Span Addiction Set by sugar
  17. 17. Markers of Inflammation and Cardiovascular Disease Evidence for Inflammation as Key to Pathogenic Mechanism in Atherosclerosis. Circulation 2003;107:499
  18. 18. METABOLIC SYNDROME Waist: Men 40”, women 35” Fasting triglycerides 150 or above HDL cholesterol <40 in men, <50 in women Fasting Blood sugar 100 or more Blood Pressure >130/85
  19. 19. SUGAR EATER'S SYNDROME: Waist: Men 40”, women 35” Fasting triglycerides 150 or above HDL cholesterol <40 in men, <50 in women BP 130/85 or above Fasting Blood sugar 100 or more
  20. 20. DIABETES TYPE 2 the overt expression of sugar eater's syndrome Exhaustion of our pancreas from having to overproduce insulin to keep up with the sugar we eat. This insulin feeds inflammation ever higher.
  21. 21. What to do about it? We could give more medications to lower blood sugar. Look what happens when we do:
  22. 22. UK Prospective Diabetes Study VA Feasibility Study 1998 “Tight glucose control does not improve events Increased mortality in metformin/sulfonylurea group” Giving more medications to lower blood sugar in diabetic actually increases the risk of death
  23. 23. Intensive treatment to lower blood sugar may be dangerous to your health The ACCORD STUDY 1998 1998-2004
  24. 24. Bariatric Surgery Rx: Stop eating “The best therapy we have for diabetes today” “Strong evidence that we can cure diabetes” DM remission 73% vs. 13% Dr John Buse, U of North Carolina, Chapel Hill
  25. 25. But we have to eat eat--- Sugar is a potential metabolic poison because it creates inflammation and addiction. Food is not addictive, sugar is Treatment for metabolic syndrome is not to remove our stomachs or food, but to remove sugar Sugar is also extremely Psychologically Addictive
  26. 26. The Addictive Power of Sugar -can you imagine the utter disgrace can of this man in the gutter with crumbs on his face
  27. 27. So you say: I am thin, I can eat what I want, this does not concern me”
  28. 28. Metabolically Obese Normal Weight (MONW) Normal weight persons with 1)Muscle loss 2) Fat Storage 3) Inflammation Ruderman 1998, Goodpasture 2003, Dr. Abel Romero,The Mayo Clinic at 2008 AHA conference from NHANES study 1998 1998-2004
  29. 29. Cardiometabolic Abnormalities Associated With Normal-Weight Obesity Normal-weight Normal-weight/ obese normal-fat controls Dyslipidemia 42.0% 33.9% Elevated apo B/apo A-I ratio 40.2% 27.2% Hypertension 27.7% 20.2% Elevated fasting blood glucose or diabetes 26.6% 16.2% Low HDL cholesterol 26.2% 22.9% Elevated leptin 25.6% 7.1% Elevated C-reactive protein 12.2% 8.7% Prevalence of metabolic syndrome Women 13.0% 2.8% Men 12.8% 5.4% Notes: Based on 12-year follow-up data from the Third National Health and Nutritrition Examination Survey of 2,127 adults. All differences are statiscally significant. Source: Dr. Romero-Corral
  30. 30. Overweight and Malnourished Half of Americans do not get enough Calcium, Magnesium and Potassium NHANES 2003 2003-2004
  31. 31. Proof of omega 6 inflammation at work in normal weight persons: The omega 6 inflammatory C C-Reactive Protein is found in people of any weight who eat too much sugar! Take a look:
  32. 32. Khaw et al 2001/ Selvin et al 2005 Blood sugar predicts cardiac risk in an almost linear fashion in non-diabetic subjects. diabetic Annual meeting of the European Association for the Study of Diabetes 2008: Every 1% rise in HbA1C increases Heart Risk by 11%
  33. 33. AHA/CDC Scientific Statement Markers of Inflammation can predict future Cardiovascular events even in healthy persons Circulation 2003;107 2003;107-499
  34. 34. HgA1C as a marker of cardiovascular risk HbA1C concentration predicts CV risk both in people with diabetes and in the general population. A 1% increase in absolute concentration of HbA1c is associated with a 10-20% increase in CV disease 20% risk. Current opinion in lipid therapy 17(6):637 17(6):637-643 Dec 2006. Khaw, Kay-Teewa, Wareham, Nicolas B Teewa,
  35. 35. SUGAR EATERS SYNDROME in NORMAL WEIGHT PERSONS Fasting triglycerides 150 or above HDL cholesterol <40 in men, <50 in women BP 130/85 or higher Fasting Blood sugar 100 or more
  36. 36. How do we test for Sugar Eater’s Syndrome? HbA1C
  37. 37. How do we treat it? THE FOOD TREE
  38. 38. The Food Tree 1) Target Protein to protect your lean body 2) Keeps insulin in the G- window -I to keep omega 3 high 3) The veg/fruits for fiber and other nutrients 4) Keeps meals small and balanced 5) Keeps you full! The Food Tree is anti-obesity and anti obesity anti-inflammatory and will naturally bring you back to normal weight and good health
  39. 39. The Food Tree in Weight Loss Weight loss happens right after you eat. Space out your meals evenly The more evenly spaced the better! The prescription for your individual Food Tree is in the book
  40. 40. The Food Tree

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