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How is eating like a toddler different from how adults eat?

Additional Info

  • Segment Number 2
  • Audio File healthy_talk/1520ht4b.mp3
  • Featured Speaker Eddie Fatakhov, MD
  • Book Title The Doctors’ Clinic-30 Program
  • Guest Bio Eddie FatakovEddie Fatakhov, M.D., M.B.A., has spent years as a personal trainer and nutritionist, helping his clients with weight issues and providing them with tools for a healthier lifestyle. He is also author of the Doctors' Clinic 30 Program.

    Now, as a physician in training and a member of American Society of Bariatric Physicians, he plans to dedicate his focus on bariatric medicine (weight loss management specialist) to help his patients not only lose weight, but to keep it off.
  • Transcription RadioMD Presents: Healthy Talk | Original Air Date: May 14, 2015
    Host: Michael Smith, MD

    Anti-aging and disease prevention radio is right here on Radio MD. Here's author, blogger, lecturer and national medical media personality, Dr. Michael Smith, MD with Healthy Talk.

    DR MIKE: So, what do I mean, eating like a baby can help with weight loss? My guest is Dr. Eddie Fatakhov. He was first, I think, a personal trainer, a nutritionist and he spent a lot of time helping clients with weight issues, healthier lifestyles. He even authored a program or book called Doctor's Clinic 30-Minute Program. And now he's a physician. I think he's in his residency, if I'm not mistaken. He's a member of the American Society of Geriatric Physicians. He plans to dedicate his focus on weight loss management to help his patients not only lose weight but to keep it off.

    Dr. Fatakhov, welcome to Healthy Talk.

    DR FATAKHOV: Thank you so much for inviting me, Dr. Mike.

    DR MIKE: So, how did you know, being a young physician, how did you know you wanted to focus on weight issues?

    DR FATAKHOV: Well, ever since a young age, I was overweight myself as a preteen and teen. Actually, I moved from Russia to New York. So, you never have to take your shirt off because it's cold. So, when I moved down to the south down here in Atlanta, George, and, you know, just going to the pool and being around everybody I just kind of became self-conscious and it wasn't until I broke my arm and went into rehab that I started going to the gym, working out and playing sports, I became an advocate about it and I became self-confident about myself. And a big part of my life as a personal trainer, as nutritionist as a dietician major, now, as a physician and an obesity specialist, so that's something I'm passionate about.

    DR MIKE: Yes That's awesome. And I was familiar with your story a little bit because my producer Sheldon Baker sent me your bio. I like it when practitioners, doctors, trainers, whatever, have kind of like that personal connection to the specialty that they are going in. That adds a lot of passion and motivation to it. So, great job there. What do we mean or what do you mean eating like a baby helps weight loss? Maybe we need just to start there. What does that mean to eat like a baby?

    DR FATAKHOV: So, basically, it's the pattern or behaviors that's like a baby. People come in to my weight loss clinic and all of them, and you've probably heard this. You've probably done this with some of your patients. They come and they say...I'm like, "What do you eat?" I ask two questions to everybody before I get [inaudible 02:35] "How many meals do you eat? Do you eat six meals times a day and do you eat breakfast?" More than 90% say "no".

    And so, I pose a question to them. So I say, "You're pretty much eating like a sumo wrestler." And then they're baffled. "Oh, my god." And then I say, "Sumo wrestlers eat one or two meals a day. They skip breakfast, they fast when they work out.

    They binge eat at night, they go to sleep. They go out to drink beer and alcohol like most Americans do. Go out to restaurants and when they thought about that and so they're eating to gain weight and you're coming here eating like a sumo wrestler expecting to lose weight. And that's why I make the conditions. She said, "Well, I'm a sumo wrestler, doctor. What do I need to eat? How should I eat like? And I said, "You need to eat like a toddler?" And that's where the concept kind of...why I started on the concept.

    DR MIKE: So, explain then what is the eating pattern of a toddler?

    DR FATAKHOV: Okay, so a toddler has a natural rhythm. They're born with it. The first day, their stomach size is small, size of a grape, size of a walnut by the second day. By the tenth day it goes to large grapefruit and then adult stomach is about the size of a big softball. So, they can't eat big portions. They eat small portions. So, what I tell my patients is, toddlers never skip breakfast. And they've done studies in 2010 in that people who don't eat breakfast tend to be overweight and obese versus their counterparts. So, I said, "Toddlers never skip breakfast like the 36 million Americans do." There was a recent Huffington Post article on that. So, it's the pattern of a toddler. They eat six meals a day. They've done studies on blood sugar control and metabolism and we lose more if we eat more frequently, so, you know...

    DR MIKE: Yes. So, I would--just backing up to that so, going back to that concept of the small stomach. So, they have a small stomach, they can only eat so much anyway. They can only get so many calories in there before it extends and they feel full, requiring them to have another meal, maybe two or three hours later. So, what we're trying to do is re-train the adult stomach to kind of act that way and we do that by these smaller meals. That's basically the theory, right?

    DR FATAKHOV: Exactly. So, eat the small meals and it stabilizes the blood sugar which prevents a lot of insulin release; prevents fat [inaudible 04:40] promotes fat burning by re-programming the metabolism.

    DR MIKE: Now, that's an interesting concept because I even did some of my own research, Dr. Fatakhov, on the link between insulin sensitivity issues and weight gain. We know that when people are insulin insensitive, I'm not going to call it insulin resistant because that's Type 2 Diabetes but we can - it's kind of a spectrum of levels of insulin sensitivity The worse that gets, the harder it becomes to manage sugar, the harder the cell has a time in burning sugar versus storing it as fat. And what you're saying, if we go back to eating like a toddler that alone also helps in insulin sensitivity. Correct?

    DR FATAKHOV: Correct. And if we look at what toddlers eat, they actually have a pretty good ratio of fats and carbohydrates. They eat a well-balanced meal and so another reason is they eat healthy. There's no mother I know that won't cook good, organic food, natural food, spend hours cooking for their toddler.

    So, mothers and family members make sure the child gets the best nutritious food and the healthiest food so that they can have proper food. We don't do that as Americans and the last time I checked, toddlers don't go to Burger King and eat. They don't go out and get drunk as their adult counterparts. So, just having the behaviors of a toddler promotes a healthy lifestyle.

    DR MIKE: So, working. I've been in corporate America now, Dr. Fatakhov, for maybe twelve years and I see that very pattern. I have colleagues that I know they rush in, they've had their Starbucks coffee or latte or - there's usually some sort of whipped cream on top of it. So, they got their sugar load, their caffeine load. They work pretty much through lunch, maybe at lunch they have a small something, whatever. They're starving by the time they go home. They go to a restaurant, they pig out, they have three or four drinks and then they go home and go to bed. That's a pretty typical day for a lot of my colleagues and that is completely the opposite of a kid, right?

    DR FATAKHOV: Exactly. That's more of a pattern of a sumo wrestler. And they probably aware and they've done studies where if you go out to eat with your colleagues, 40% more fat you consume. 30% more calories consume because we are socializing and don't think about it. Plus, at the restaurant, you don't know how many calories there are preparing the food versus at home when you're mother or father and you're preparing the food for this individual. You know exactly what you're putting into his body.

    DR MIKE: So, how do we do this then? How do we help somebody? Help an adult break this pattern that I just described which we both know is very - and my listeners know it – it's a very common scenario of that type of pattern of eating, gorging yourself, usually in the evening. How do we break that? We can't just tell patients and friends and family, "Well, don't do that. You got to eat six meals a day." Do you have like a step-up program that you put people on? What is the best way to get someone to break that pattern?

    DR FATAKHOV: Yes, with my patients it's hard because they're 60 years old, some of them are 70, and they've been eating like that for twenty, thirty years so hard to convince them eat six meals all of a sudden. So, I say, let's just say you eat breakfast or you might eat dinner and what I try to do is I'd incorporate snacks in there. That's what I do. People can snack on something that's healthy.

    Let's fill in one snack. Let's do 4 meals for this week and I'll keep them at 4 meals because anything is better than the one or two meals because you don't want to have your biggest meal ...70% of your meal every day should be throughout the day and maybe 20-30% at night. But it's the opposite. You're having 70% of all you're calories at night. When you come home from work, when you're relaxing in front of the TV and 30% is throughout the day. Now, we have to change it up a lot. [inaudible 08:19] a good pattern. You know?

    DR MIKE: Yes. What I like about your system here,

    Dr. Fatakhov, is I think sometimes in the weight loss industry we ask the wrong question. So often people will ask, "How do I lose weight? What's the best diet for me to go on to drop the pound, shed the weight, etc. etc.?" When really maybe the better question is why we're gaining the weight in the first place? Right?

    DR FATAKHOV: Exactly.

    DR MIKE: And we know that there are physiological reasons for that. We just talked about insulin sensitivity. There is hormone issues. There's a lot of reasons there but what you've identified is an eating pattern that might be driving that weight gain. So, maybe the first thing we do is we got to correct that underlining problem and then when they do try, maybe they want to eat more protein, less carbs, whatever. That's fine. That might have a better chance of working. Correct?

    DR FATAKHOV: Correct. You actually hit the nail on the head. [inaudible 9:12]

    DR MIKE: I'll tell you what, Dr. Fatakhov, let's hold that thought. We'll come back to that. We, also in the next segment will get into losing weight without feeling hungry.

    I'm here with Dr. Eddie Fatakhov and we'll continue our discussion in a moment.
    This is Healthy Talk on Radio MD. I'm Dr. Mike. Stay well.
  • Length (mins) 10
  • Waiver Received No
  • Host Mike Smith, MD
If you have excess homocysteine, you might be at an elevated risk for heart disease, stroke, and other health issues.

Additional Info

  • Segment Number 1
  • Audio File healthy_talk/1520ht4a.mp3
  • Featured Speaker Mike Smith, MD
  • Transcription RadioMD Presents: Healthy Talk | Original Air Date: May 14, 2015
    Host: Michael Smith, MD

    Healthy Talk with Dr. Michael Smith, M.D. And now here's the country doctor with a city education, Dr. Mike.

    DR MIKE: So, I want to talk about homocysteine. Specifically, I want to talk about some newly identified risks of having too much homocysteine in your body. I think in the medical community most doctors accept now homocysteine or high levels of homocysteine as a risk factor for heart disease.

    But new research is showing that it can also impact dementia, Alzheimer's and diabetes--believe it or not. I want to talk about that. The first thing that I think we need to do is just talk about what is homocysteine? And, why is it so damaging to the body?

    When you eat dietary protein—proteins are made of building blocks called amino acids—when you eat chicken or whatever protein source, you digest the protein. Essentially, you release the amino acids that make up that protein. They get into your blood stream. One of those amino acids is called methionine. Methionine has a lot of roles in the body itself. It is an important amino acid in DNA protection and muscle production.

    Methionine will, inside of the cell, convert into homocysteine. Homocysteine is really just this intermediate amino acid because when you have vitamin B6 on board, homocysteine becomes cysteine. And cysteine is an important amino acid for all kinds of stuff, too. In particular, cysteine will convert eventually down to glutathione, which is the most important antioxidant for your body.

    That is kind of the pathway that we like to see when you eat protein. Methionine to homocysteine with vitamin B6. It turns into cysteine and then eventually glutathione. That is a very important pathway. However, if you don't have enough vitamin B6 on board, homocysteine cannot turn into cysteine and that pathway breaks down and homocysteine actually builds up. There is one little side pathway that can happen. Homocysteine can convert back into methionine with vitamin B12. So, vitamin B12 and vitamin B6 are critical to maintaining healthy levels of homocysteine in your body.

    But you might ask, "Okay, Dr. Mike, what is the big deal? So what if homocysteine actually builds up? What's the big deal?" There is some evidence, and I presented this to a group of cardiologist a couple of years ago here in south Florida, showing how homocysteine damages what are called "adhesion molecules" that hold together the endothelial lining. That is the inside lining of the arteries.

    So, there is some evidence out there that homocysteine is a direct insult—causes a direct damage—to the inside lining of arteries. That includes your heart and your brain and so forth. We want to keep homocysteine levels in a nice optimal range, usually less than about five. That is going to be a nice optimal range if you do check homocysteine on a blood test, which you can. B6 and B12 are critical to keeping that down. A high level of homocysteine is considered a cardiovascular disease risk factor, but there are some other problems with high levels of homocysteine. It is also implicated in vascular dementia.

    That is a form of dementia, not Alzheimer's dementia. There are different kinds of dementia. Vascular dementia is usually where you just have repeated small strokes and homocysteine seems to play a role in that.

    In a study published in 2014, 64 people with vascular cognitive impairment—like mini strokes—but they didn't really have dementia, they were studied. After only one year, patients with high homocysteine in that group showed a 4.2 fold increase rate of getting dementia down the line. Here you have a group of patients with multiple little strokes and you can actually see that on a CAT scan.

    They are able to do all of the cognitive tests, so they don't have dementia yet, but if homocysteine creeps up, there is a 4.2 increase risk of developing a vascular dementia down the line. As a matter of fact, the authors of that study said "Patients with vascular cognitive impairment should receive vigorous controls of high homocysteine level." The journal that came from, this was a Chinese study, I cannot pronounce the journal.

    It was a peer-reviewed Chinese journal from 2014. In another 2014 study, they looked at people with high homocysteine in uric acid and find a startling 10.5 fold greater risk for vascular dementia. So, when homocysteine is high and uric acid are high, you're talking about a 10.5 increase risk of vascular dementia. That's huge.

    These are the types of numbers that we can't allow conventional doctors to just ignore. That is just amazing that homocysteine, and, in this case, coupled with uric acid, can increase vascular dementia risk that much. That came from the Journal of Neurological Science, 2014. There are many other studies that actually show that link between high homocysteine and vascular dementia. There was a 2013 study that found patients with vascular dementia exhibited particularly elevated levels of plasma total homocysteine. Just confirming some of these other studies.

    As a matter of fact, if you go to one of my favorite sites—I've talked about it before—PubMed.com has all of the research studies you want. You can just type in different search terms. You don't have to be a doctor to do all this. If you enter "homocysteine and vascular dementia" you'll pull up 240 published studies dating all the way back to 1992. There is a lot of credible evidence linking excess homocysteine to vascular dementia, not just heart disease. Another type of dementia is, of course, Alzheimer's dementia.

    One theory is that what happens in Alzheimer's dementia is capillary blood flow—capillaries are the smaller vessels that actually feed into the tissues—that blood flow is impaired as a result of damage to the inside lining, the endothelial lining, and that is caused by excess homocysteine.

    Remember, I mentioned before—homocysteine can directly damage those cells, those adhesion molecules that hold those endothelial cells together.Once that you have that kind of damage, beta amyloid plaques appear in these blood flow deprived areas of the brain because the capillaries just aren't working. They are kind of leaking.

    The result, in many cases, is clinically diagnosed Alzheimer's disease. There was a really nice review of this in the British Medical Journal of Public Health, 2014. This was a systematic review of published studies starting in 1990 and extending to 2012 and they found that high homocysteine increased Alzheimer's risk by almost two-fold, whereas, physical activity and Omega3 fatty acids had a protective effect. That is homocysteine and Alzheimer's disease.

    A 2013 review looked at the effects of lowering homocysteine for the purpose of protecting against mild cognitive impairment and Alzheimer's disease based on findings from several previous studies. These researchers concluded that "Treating patients with B vitamins could delay or prevent cognitive decline and Alzheimer's disease". Now, I'm not saying B vitamins are a treatment for Alzheimer's. Alzheimer's has many causes. It is multi-factorial. I did a whole review of that on my show once.

    But, it looks like I need to add to that there could be an issue with high homocysteine in Alzheimer's patients and B vitamins could play a role in offering some protection. This one was interesting to me: Homocysteine can make diabetic complications worse. This was some new information from the C.D.C. "Eighty-six million Americans suffer from pre-diabetes." That is kind of a blood sugar level 102-125 milligrams per deciliter. It is not quite full blown diabetes yet.

    What they found is if you fall in that range and you have high homocysteine, you are at a significant increase risk for developing full-blown diabetes down the line. So, lowering homocysteine is very important to somebody with pre-diabetes. Maybe just B6 and B12 would be a good way to protect from full-blown diabetes.

    Get your homocysteine levels checked, make sure it is less than 5. If not, get on some B vitamins. Pretty simple.

    This is Healthy Talk on RadioMD. I'm Dr. Mike. Stay well.
  • Length (mins) 10
  • Waiver Received No
  • Host Mike Smith, MD
Listen in as Dr. Mike provides the answers to a wealth of health and wellness questions.

Additional Info

  • Segment Number 5
  • Audio File healthy_talk/1520ht3e.mp3
  • Featured Speaker Mike Smith, MD
  • Transcription RadioMD Presents: Healthy Talk | Original Air Date: May 13, 2015
    Host: Michael Smith, MD

    It's time for you to be a part of the show. Email or call with questions for Dr. Mike now. Email AskDrMikeSmith@RadioMD.com or call 877.711.5211. What are you waiting for? The doctor is in.

    DR MIKE: That's AskDrMikeSmith@RadioMD. Send me your questions. Be as vague or specific as you want. Try to stump me. See if you can send me a question that I just don't have the answer to.

    Of course, I'll find the answer. Alright. Let's go to this next one and I think this one's going to take some time.

    The question is:
    "I suffer from RSD," and that's, for those of you who don't know, that stands for "reflex sympathetic dystrophy".

    Sometimes it's called "reflex sympathetic syndrome". And there's a more modern name for this. I just forgot it, it left my mind but there is a common name now, maybe a chronic pain syndrome or something like that. But anyways, the classic reflex sympathetic dystrophy is a type of a pain that is associated with the sympathetic nerves in the body. Sympathetic nerves are ones that kind of drive metabolism, drive motion and activity, that type of thing--the sympathetic nervous system. You have these nerves that come out at certain parts of your spine and they go into the nerve, the muscles, the skin.

    They're all over the body and when these nerves -- usually from trauma or surgery-- when they become damaged, inflamed, they produce a lot of pain. The sympathetic nerves, when you stimulate them in the body, they produce burning sensation, tingling, sharp type pains. Have you ever maybe had a walking pneumonia or upper respiratory tract infection and when you take that deep breath you get these real sharp pains that kind of shoots out in your chest and you're like, "Oh, my gosh, what was that?" That sharpness is usually from inflammation of the pleural space which comes from inflammation of the sympathetic nerves.

    There are a lot of nerves that innervate the chest cavity and the sympathetic nerves so that type of sharp pain that you might get with those types of congestive type disorders is what we're talking about here. It's very debilitating, very painful. And this person here suffers from that condition, RSD. She says, her name is Anne, she says:

    "I take Neurontin off and on with some relief. What about foods for pain? I hate taking pills. Thanks, Anne."
    I think this is a great question. So, Neurontin is a nerve drug. I didn't really know they were using that for RSD but I guess they are the user for this. So, any type of nerve pain, the common prescription is Neurontin. It's a rotten drug, Neurontin. Rotten. See how I did that? Doesn't work all that great for nerves and has a lot of side effects. And so, let's see where we're at. I had to do some research on this one.

    So, what I found mostly through Life Extension literature, first of all, dark cherries specifically tart cherries--dark tart cherries—are great for neuropathic pain and that one I knew. I often start there with people. Anybody that has that sharp stabbing type pain regardless of what it might be, diabetic, trauma, surgery, whatever. Tart cherries are great for that. Even just post-workout type pains. Tart cherries. This has been confirmed, too. This isn't just anecdotal evidence, historical evidence. John Hopkins, they have a very highly regarded pain treatment center there at John Hopkins and they confirm that bioflavonoids specifically the anthocyanin that produce the deeper hues, deep dark hues, are good for nerve inflammation and nerve damage so they've actually shown this.

    They did a study where it wasn't an extract. It was just eating tart cherries and it wasn't even that many. Twenty to forty tart cherries a day helped to relieve some of that type of neuropathic pain. I think you should do a capsule. Eat the cherries but also do the capsule about 1200 milligrams a day, 1500 milligrams a day, really good there. Second that I found was ginger root. Ginger is not just for motion sickness although it works great for that. Ginger has some of these similar compounds. They are bioflavonoids but they're not anthocyanin. They don't have those hues but they have some of the same effects as you see in the dark tart cherries. Ginger root extracts would be something I might suggest for you.

    More and more people are using ginger root to make a paste, too, so it's not just the extract. You can make a paste and you can apply that topically to joints and muscles. For most people with RSD, I don't know if this is the case for Anne, but most cases of RSD, it's down on the outside of arms, forearms, thighs, calves, those are common areas for that sharp type sympathetic pain. So, maybe do in a ginger root paste. You know, maybe right over that area when that pain kicks in. Maybe that would be something you could do. Next, I found obviously Omega 3. Maybe that's where I should have started. It's a foundational supplement I include with the multivitamin, probiotic, CoQ10, Omega 3.

    Now with something like RSD you probably want to do more than the average daily dose which is one to two grams of Omega 3s. You might want to be in the three to four, maybe even five to six grams. The only downside to that is blood thinning. So, if you notice some bruising you just kind of back off the dose a little bit but higher dose Omega 3s might be helpful.

    And now that I think about it, maybe even a combination of Omega 3s from fish and Omega 3s from krill because there's some evidence showing that the type of Omega 3s from krill which are phosphate form, the different type of form basically. The Omega 3 from krill is able to penetrate into cavities better, joints better, muscle fibers better. And the krill form of Omega 3 is a phospholipid form. There are products out there now of fish oil Omega 3s with a combination of krill Omega 3, so that might be something to consider there. So, those are the main ones.

    So, you got the Omega3, ginger root, dark cherries. Another one is classic curcumin from turmeric. Obviously, that's important too. That's probably second after the omega 3s. Curcumin is going to inhibit the COX and LOX enzymes which are pro-inflammatory and there is definitely an inflammatory component here to reflex sympathetic dystrophy or reflex sympathetic syndrome. Now, cooking with turmeric is great, though you're not going to get a lot of curcumin from that. So, you'll probably want to do an extract that's standardized to the curcumin by 400 milligrams and do the BCM-95. That's the best form on the market.

    So, I think those are the big ones for me. There are some other ones here that I found. Apparently raw probiotic yogurt helps with pain. Good bacteria from the yogurt just overall, it's not just for your gut, it promotes overall better inflammatory response so there may be something there. Hot chili peppers, capsaicin, that's the main extract. Great for metabolism. Great for your heart. Maybe have some benefit for nerve pain.

    As a matter of fact there is a substance in your nerves called substance P that has to do with pain and some researchers say capsaicin helps to modulate that a little bit. So, there's just some suggestions there for you and, Anne, I do hope you get better.

    This is Healthy Talk on Radio MD. I'm Dr. Mike. Stay well.
  • Length (mins) 10
  • Waiver Received No
  • Host Mike Smith, MD
Listen in as Dr. Mike provides the answers to a wealth of health and wellness questions.

Additional Info

  • Segment Number 4
  • Audio File healthy_talk/1520ht3d.mp3
  • Featured Speaker Mike Smith, MD
  • Transcription RadioMD Presents: Healthy Talk | Original Air Date: May 13, 2015
    Host: Michael Smith, MD

    Radio MD. It's time to ask Dr. Mike. Do you have a question about your health? Dr. Mike can answer your questions. Just email askdrmikesmith@radiomd.com or call now 877.711.5211. The lines are open.

    DR MIKE: Alright, so I have two questions that I want to get through in this next segment. So, I'm going to really watch my time because I think both are really awesome questions and important ones, too.

    This first one is about glaucoma. And if you don't know, glaucoma is increased intraocular pressure. You know, you have this fluid, obviously, in your eye and that fluid has to come in the eye and then get out of the eye and there has to be a good drainage system. Just like in your house, if there is a pipe that's not working well, that's clogged, things back up and that water that's now in your sink adds pressure to the sink itself.

    In a closed system like the eye, it's a globe, any increased fluid raises pressure quite significantly and the retina and the optic nerve that's feeding the retina are very sensitive to that pressure. It can cause a lot of damage and eventually even blindness.

    So, here's the question:
    "My dad has glaucoma (open angle)." There's two types of glaucoma, open angle and closed angle. Open angle is the most common form. So, "My dad has open angle glaucoma with increased intraocular pressure. What supplements can he take to decrease eye pressure? Thanks for your show. Diane."

    The conventional treatment for this is tough. Usually in the open angle glaucoma, first of all, they just watch it and if the intraocular pressure gets to a point that's too wide then they put little stents in there to dry the eye better but those get clogged up and often what you see is people who are having to go in and out of these little surgical procedures to have those little new pipes cleaned and de-clogged. So, unfortunately, the conventional treatment is not all that great.

    But there are some supplements. There are some research-based supplements looking at intraocular pressure and showing some benefit and I think the first one that comes to mind is pine bark extract.

    The traditional name of that in the industry is "pycnogenol". Most people, I think, are familiar with this in terms of maybe like cholesterol management, blood pressure management, that kind of stuff. But pycnogenol coming from pine bark has been shown to decrease intraocular pressure. It's not powerful. It's one of the situations where if the glaucoma is caught early and you start something like pycnogenol early, maybe 10-20 milligrams a day, you might be able to control that pressure and never have to go for that stent procedure. But that's one option.

    To be honest with you, that was the only one from the top of my head that I could remember.

    So, I did some more research and found your classic pigmented antioxidants, like lutein, zeaxanthin, meso-zeaxanthin, you'll find those in most eye-care products. These are naturally-occurring antioxidants and we call them pigmented because they look yellowish and reddish under a microscope and they absorb blue light which is the most damaging light and they get rid of--they reflect--the yellows and the reds and that's why they look yellow and red. Those antioxidants are great for decreasing oxidative stress in the eye which can cause macular degeneration which is a leading cause of blindness in people over 65.

    But they also have an effect of just keeping the retina healthy, the optic nerve healthy and in the context of glaucoma, I didn't really see in the research that they were decreasing intraocular pressure. I think it's more of a protective effect because these are great eye antioxidants. There's some evidence for the antioxidant EGCG found in green tea, at 1000 mg a day and, obviously, natural vitamin E and natural vitamin A, also play a role there.

    Then, there is a plant extract called forskolin. It's been around for decades. I guess it was popular maybe a few decades ago but forskolin is just an anti-inflammatory. It has some antioxidant properties and, again, it's listed in a lot of medical journals, in a lot of websites, natural websites as a potential supplement for glaucoma.

    So, pine bark, pigmented antioxidants, green tea, natural vitamin E and natural vitamin A, and forskolin.

    Question number two. I just like this one. I'm going to enjoy doing this and I'm doing this right off the cuff. I saw the question and I just left it there. I'm just going to answer it as best as I can right just from my memory, from my experience.

    So, here's the question. I saw a Facebook post by health activist, David Wolfe. And I'm not familiar with him. That said, "Eat colors for your health." And in this post, he said white foods are good for the immunity, yellow foods are good for the skin elasticity, orange foods are good for inflammation, red foods for the heart, purple foods for the nerves, green foods for detoxification. What are your thoughts? Can you place a food with each color? Or compound with each color known to give that benefit?

    This is going to be interesting. Well, okay. The white one is easy. Mushrooms. Technically speaking, not all mushrooms are white. I get it. Reichi is a classic mushroom for immune health and it is not really white. It's actually more reddish brown. So, maybe I'm not starting off all that great. But there are other white ones like coriolus - really cool looking mushroom that's kind of white. Coriolus has a lot of immune boosting properties, anti-cancer properties. So, mushrooms in general.

    We know they're not all white. So, I'm cheating a little. Fudging it. So, apparently, David Wolfe said yellow foods are good for the skin. Yellow food. Okay. Well if it's good for the skin, we're talking ceramides, wheat, grains. They're kind of yellowish, right? Golden. This is harder than I thought. Yellow squash, vitamin A. You know, vitamin A is a yellowish to orangish color and that's good for the skin.

    Orange. He says it's good for inflammation so that's a tougher one. The orange, like the yellows, have the carotenoids so vitamin A is good for inflammation. The orange-colored foods, I would also say because they're high in vitamin A are going to be good for anything that has a mucosal lining so lung and gut, vessels, stuff like that.

    So, inflammation within the lung, guttural vessel, sure. Yes, orange foods, oranges, carrots. Red – heart. Pomegranate. Absolutely. That's the easy one. Pomegranate, a lot of good antioxidants, good for blood pressure, improving endothelial health, which is stuff that lines the inside--the lining of the artery.
    Purple foods, nerves. Blueberries. Blueberries aren't blue. They're actually purple.

    They're great for your brain, right? And, zucchinis. Anything like that. The deep dark, what look like blues are really purples. Awesome for the vitamins. There you go. That one I could do, too. Green, leafy greens. You know, any leafy green is good for detox. So health - cruciferous vegetable. Not quite the leafy greens but still green.

    So, yes. Plant-based foods are just wonderful for proper cell division, detoxification. How about this one? Artichoke which is kind of green. Great to decongest the liver.

    That's a good one. There you go. I did pretty good. Alright, this is Healthy Talk on Radio MD. I'm Dr. Mike. Stay well.
  • Length (mins) 10
  • Waiver Received No
  • Host Mike Smith, MD
The spectrum balance protocol diet may help ease your child's ASD symptoms. But, do you have to strictly follow ALL the guidelines and recommendations?

Additional Info

  • Segment Number 3
  • Audio File healthy_talk/1520ht3c.mp3
  • Featured Speaker Shauna K. Young, PhD, CTN
  • Book Title Erasing Autism: The Spectrum Balance® Protocol
  • Guest Bio Shauna YoungDr. Shauna Young, PhD and Certified Traditional Naturopath, is the owner and Medical Director of the Assertive Wellness Research Center of Durango, CO, which first opened its doors in 2001.

    To date, her center has had seen thousands of clients from every U.S. State and several foreign countries. In 2005, after four years of clinical observations and experience, Shauna began specific research regarding her theorized negative effects of excess and stored manganese on the human neurological and sensory input systems and its possible symptomatic connections to Autism and other neurological, learning and behavioral disorders in both children and adults.

    The unique success of this clinical research, called the "Spectrum Balance® Protocol", led to her receiving Distinguished Awards of Excellence in both May of 2006 and 2007 from the internationally-recognized Global Foundation for Integrative Medicine.

    Shauna now serves as the Chief Medical Advisor for the NoHarm Foundation (www.noharmfoundation.org), a Colorado not-for-profit organization formed with the primary goal of releasing this vastly important information with the intent of ushering in a new paradigm in research and providing real help for countless suffering children and adults. This information to date has been downloaded and utilized at no cost to families living in more than 65 countries.

    Her first book, If Naturopaths are Quacks, Then I Guess I'm a Duck, has garnished primarily 5 star reviews, and her new book, Erasing Autism: The Spectrum Balance® Protocol that specifically highlights and chronicles her research and uniquely successful work with Autism Spectrum Disorders, was released in March of 2015.
  • Transcription RadioMD Presents: Healthy Talk | Original Air Date: May 13, 2015
    Host: Michael Smith, MD

    Living longer and staying healthier. It's Healthy Talk with Dr. Michael Smith, MD. Here's your host, Dr. Mike.

    Dr. Mike: So, we're going to talk about the spectrum balance protocol diet. I'm here with Dr. Shauna Young. She is an expert in autism. She wrote a book called Erasing Autism: The Spectrum Balance Protocol and we've been talking about this imbalance between iron and manganese which I find very interesting.

    Recently, Dr. Young and I did a show and I even did a lecture here in South Florida on some of the latest theories of autism and autism spectrum disorders. In one of those leading theories now is in-utero inflammation and they're looking at different types of infections. They're looking at auto-immune disorders in the mom and how that influences anti-inflammatory proteins. So, what do you think about just improving the diet of a pregnant woman? What do you think that's going to do down the line for reducing autism?

    Dr. Shauna: Well, I think it's absolutely viable. It only makes sense if you think about it. But the unfortunate case with manganese is that manganese is one of the minerals that concentrates in the umbilical cord.

    So, if the mom is getting a high level of manganese - she's a 140-150% getting an excess of manganese. It's concentrating in the umbilical cord and her baby that's developing is the size of the sea monkey or something right now is getting this huge overload of manganese. I ordered one of the fanciest pre-natal vitamins that's on the market. You know, one of the most respected and expensive and everything else and it has a massive overload of manganese. So, if the mom is getting 150%, let's say of the daily requirement, then the baby is getting about a 300% overdose.4

    Dr. Mike: What is about manganese and the umbilical cord? Why do you say it's concentrated so much there?

    Dr. Shauna: There is just certain minerals that concentrate in and are able to cross the blood-brain barrier for a developing child and manganese is just one of those minerals. So, I'm actually finding that any supplementation that has manganese sometimes can be too much. Some people are more sensitive to it than others, just like more people are sensitive to...

    Dr. Mike: Let me just...Doctor, let's make sure the listeners are understanding that we're not talking about magnesium.

    Dr. Shauna: No.

    Dr. Mike: I know I lot of the lay population get these two mixed up. We're talking about manganese which is a totally different mineral, right?

    Dr. Shauna: Correct. And not...I'm glad you made that distinction because people send me emails a lot saying magnesium. No, I'm not talking about magnesium. It's manganese.

    Dr. Mike: So, you came up with what is called the spectrum balance protocol diet. Why don't you just describe that for my listeners?

    Dr. Shauna: Okay. It's a non-processed food diet. There's an enormous amount of food that you can have and it's not restricted. You're not going to have to run to your dictionary to figure out what any of these foods are. You can get it at any grocery store.

    But it takes out grain, rice, anything that contains phytate, and also some really common foods for children like pineapple and blueberries. Things like that. But it's amazing how often those are put in the children's food and those are very, very high in manganese.

    So, what the diet is are things that are higher in iron and then low...We are trying to eliminate as much of the manganese as we can. It's a weird thing because there are foods like spinach. Spinach has a lot of iron in it but it also has a lot of manganese but it seems that when you're eating it in a balanced fashion, the iron does absorb. It's when you're eating the phytates and getting rid of the iron that you're not achieving balance.

    Dr. Mike: So, like the spinach with the grains would not be a good combination then.

    Dr. Shauna: Correct. Then you would then be absorbing the manganese and not the iron.

    Dr. Mike: Let me ask a question about the grains, though. Because that word grains is becoming more just like an umbrella term for lots of different things, right? Maybe we need to define what that is. What do you mean by grain?

    Dr. Shauna: Well, primarily wheat. And that's like it's in everything. But anything that you would make bread out of. Wheat, oat, barley, all of those things. Those are all going to be - anything that contains phytates like that and that's the more--like you said it's kind of becoming a more non-specific term. So, I do understand that.

    Dr. Mike: These compounds, what were they called again? The phylates or is that what you were saying? These chemical compounds with...

    Dr. Shauna: Phytates.

    Dr. Mike: Phytates. Are they also in the legumes, beans, seeds, that kind of stuff, too, or is it just mainly the grains?

    Dr. Shauna: They are also in the legumes and that's why a lot of people...peanut is a weird word because it sounds like a nut but it's not. It's actually a legume. And so, that's why we take all of those out for the time being.

    Dr. Mike: Okay so this is the phytic acid, the phytates. I looked it up real quick. It's a storage form of phosphorous in a lot of plant tissues, grains, bran, seeds. Okay. There you go. I just had to jog my memory there. Okay. So, let's go back to the diet. So, who needs this diet? I mean when do you suggest this for a child?

    Dr. Shauna: Well, this is for...I suggest a phytate-free diet for everyone. I think if everybody takes just completely grains out of their food. I haven't eaten grains in like ten years myself so it's certainly not impossible but anybody that is having...anytime that you're not feeling 100%. For example, I was just buying a car the other day and I'm talking to the salesman and he starts telling me how worried he is about his son because he's not catching on in school. He's nine years old and he's not really getting it and he's getting very frustrated. His social skills are getting pretty feeble. All these kinds of things. So, he started his son on the diet three days ago--I actually just heard from him this morning--and he says that he's definitely seeing something changing. That even in just a short period of time he noticed that his focus is little better this morning. He's running around doing things.

    Dr. Mike: Do you think he started his son like just all...eliminated the grains completely or do you think he started maybe just eliminating some? Is there a process? I guess here's the question. When I start this diet, does it have to be all or none or can I do this slowly?

    Dr. Shauna: No. There is no such thing as slow on this protocol, unfortunately. 90% sticking to it will yield usually zero result. The problem is...

    Dr. Mike: So, you've got to really go for this.

    Dr. Shauna: You better go for it. You better run at it. And what he did for example is, he spent like a week getting rid of everything, finishing off the food that they had in the house and then they just re-shopped. And when they had it, they started it because the grain is the main thing. I have had some kids that they cheated on other things but they didn't do grains and they still have results. But the grains get chelates that iron and you've got to have the iron to get the results of this protocol.

    Dr. Mike: So, what about the picky kids? The picky eaters. That's really tougher. Do you happen to have any suggestions?

    Dr. Shauna: They're just like puppies. When they get hungry they're going to eat and sometimes it's so hard on parents that...The longest one that I ever had go without eating was a five year old girls and she went for five days. And every time they put food down in front of her she...What her mom said was she hockey pucked it. She just took a hold of it and threw it off the table because it wasn't what she wanted. But on the fifth day when they put the scrambled eggs out in front of her, it was spinach but she was hungry and she ate. And that was the beginning. And within about three months we were looking at re-diagnosis.

    Dr. Mike: We really have about thirty seconds left here. So, the multivitamins. More and more kids are taking multis. So, should we be doing manganese-free multis? Is there a nice ratio between iron and manganese you'd like to see in these products?

    Dr. Shauna: I wouldn't give a child anything that has manganese in them, quite frankly. Because there's too much of a9 risk. And I'm not a vitamin taker anyway. I take enzymes and then I get my vitamins from my food.

    Dr. Mike: Got you. Alright the website is www.noharmfoundation.org. Dr. Shauna Young wrote a book called Erasing Autism: The Spectrum Balance Protocol. Go check that out.

    This is Healthy Talk on Radio MD. I'm Dr. Mike. Stay well.
  • Length (mins) 10
  • Waiver Received No
  • Host Mike Smith, MD
Have scientists gotten any closer to finding a cure?

Additional Info

  • Segment Number 2
  • Audio File healthy_talk/1520ht3b.mp3
  • Featured Speaker Shauna K. Young, PhD, CTN
  • Book Title Erasing Autism: The Spectrum Balance® Protocol
  • Guest Bio Shauna YoungDr. Shauna Young, PhD, and Certified Traditional Naturopath, is the owner and Medical Director of the Assertive Wellness Research Center of Durango, CO, which first opened its doors in 2001.

    To date, her center has had seen thousands of clients from every U.S. State and several foreign countries. In 2005, after four years of clinical observations and experience, Shauna began specific research regarding her theorized negative effects of excess and stored manganese on the human neurological and sensory input systems and its possible symptomatic connections to autism and other neurological, learning and behavioral disorders in both children and adults.

    The unique success of this clinical research, called the "Spectrum Balance® Protocol", led to her receiving Distinguished Awards of Excellence in both May of 2006 and 2007 from the internationally-recognized Global Foundation for Integrative Medicine.

    Shauna now serves as the Chief Medical Advisor for the NoHarm Foundation (www.noharmfoundation.org), a Colorado not-for-profit organization formed with the primary goal of releasing this vastly important information with the intent of ushering in a new paradigm in research and providing real help for countless suffering children and adults. This information to date has been downloaded and utilized at no cost to families living in more than 65 countries.

    Her first book, If Naturopaths are Quacks, Then I Guess I'm a Duck, has garnished primarily 5-star reviews, and her new book, Erasing Autism: The Spectrum Balance® Protocol that specifically highlights and chronicles her research and uniquely successful work with Autism Spectrum Disorders, was released in March of 2015.
  • Transcription RadioMD Presents: Healthy Talk | Original Air Date: May 13, 2015
    Host: Michael Smith, MD

    Healthy talk with Dr. Michael Smith, MD, and now, here's the country doctor with a city education, Dr. Mike.

    DR MIKE: Let's talk about the science behind autism. My guest is Dr. Shauna Young. She has a PhD and she's a certified, traditional naturopath, is the owner and medical director of the Assertive Wellness Research Center. It's out there in Colorado.

    To date, her center has seen thousands of clients from every U.S. state and several foreign countries. She serves as the chief medical advisor for the No Harm Foundation, which is a non-profit form but the primary goal for releasing this vastly important information with the intent of ushering in a new paradigm in research and providing real help for countless suffering children and adults. She's written a couple of books. I think a couple books. One was called, If Naturopaths are Quacks, Then I Guess I'm a Duck and Erasing Autism: The Spectrum Balance Protocol.

    Dr. Young, welcome to Healthy Talk.

    DR. YOUNG: Hi. Thank you.

    DR. MIKE: Dr. Young, I don't think you're a duck.

    DR. YOUNG: You know, what's so funny is people calling you something for a length of time, it's like, I may as well own this. You know?

    DR. MIKE: Right? I love it, good for you. Just roll with it right? Yes, that's great. Listen, I'm going to start off... I do this, I don't know, Dr. Young, every maybe twenty shows or so. I do have some autism expert come on. I've had medical doctors on, I've had psychiatrists, psychologists, naturopaths.

    I mean, I've had research scientists and I usually like to ask them one thing. I kind of put you on the spot, but don't freak out. I just like to see what the experts' opinions are. We've seen obviously a substantial increase in the diagnosis of autism, autism spectrum disorders. Listen, let's both agree right now: it's multifactorial, but if there was one thing out there, one thing that you think is the main culprit behind all this, what, in your opinion, is it?

    DR. YOUNG: Diet. Our diet has so vastly changed over time. You know, it used to be that people...It's funny because you hear people talk about eating health food or eating organic food or eating those kinds of foods and, you know, our parents just called it food because everything was organic. My mom and I were actually just discussing that because...

    DR. MIKE: They didn't have those categories, right?

    DR. YOUNG: Right. Exactly. We were talking about that and when you look at the meteoric rise of autism--and not only of autism, but all kind of neurological issues-- what's considered to be kind of psychological issues, you know, like schizophrenia and bi-polar and things like that. These are all categorically meteoric rises. When you really look at it, the only thing that we all have in common is that we eat. You know, because some people, you know, that live up on top of a mountain or I've had tons of people come up to me that were eating all organics food, you know, all unprocessed food and all of that, but their kid still had autism.

    DR. MIKE: Dr. Young, I'll tell you. I mean, I really don't know how many autistic experts I've had on the show. You're probably maybe the sixth or seventh one and they all either say toxins or diet, right? When you look at underdeveloped countries or developing countries that don't quite have the industry that we do, they actually have cleaner food in some cases, maybe not as much, but cleaner food. You don't see the brain disorders, the mood disorders, the autistic disorders like you do in the west.

    DR. YOUNG: Yes, that's very true. Very true. And then when you look at areas that are extremely developed then you get the autism rise. Diet, I think, is amazing. I think environmental toxicity has something to do with it as well. Like you said, it's never one thing. It's always the perfect storm but I do feel that that is the main one.

    DR. MIKE: So, and you talk a lot about...maybe I should rephrase that...You've written about iron and manganese, right? So, tell us about that connection there.

    DR. YOUNG: Okay. Iron and manganese share the same receptor side in the brain, so they're supposed to be balanced. You know, if you think about it like musical chairs, the iron is in 5 of the seats and the manganese is in 5 of the seats and that's how it's supposed to be but when people are eating too much phytate in their diets--phytates come from grains primarily.

    So, most of the stuff that people would eat for breakfast like, you know, toast or waffles or pancakes or something like that, those are going to be loaded with phytates. What the phytate does, is it chelates out the iron that you're eating for the day. So, it basically erases any of the iron that you're taking in. So, those iron receptor sites, that are supposed to be balanced with the manganese, are now open because you're not absorbing any iron. The manganese gets into those open receptor sites and causes extreme sensory overload. So, this is where the symptoms come from.

    DR. YOUNG: Interesting. Let me ask you this. Let me back up for a second, though, doctor because...So you were talking about...so, there's stuff in grains called phytates. Correct?

    DR. YOUNG: Correct.

    DR. MIKE: And these compounds, in a sense, chelate out the iron. So, is this why, sometimes...and more and more, I should say, even as a medical doctor, when I look at basic bloodwork of adults, for instance, because they are eating more grains and stuff, I'm starting to see more and more...Literally, over the past five years, let's say, more and more slight iron deficiency anemias. Is there a connection there? Because that's been written up in some journals before. It's interesting.

    DR. YOUNG: Well, I hear it all the time with the kids, they say "Oh, my kid is so anemic. He's so low in iron. We give him tons of iron supplements, but he never seems to get his iron levels up" because the phytates will chelate not only iron that's in food, but iron that's in a vitamin. So, it's almost impossible when you're eating grains to get your iron up.

    DR. MIKE: You gave a name to this. There's a certain syndrome, correct? In your book? What's the name of that?

    DR. YOUNG: We call it the Menefe syndrome, Mn for manganese and Fe for iron, indicating that balance, but it's a new name, but it's not science. You know, I have found research going back to, gosh, the 1960s--a lot of research--but this goes all the way back. High manganese, or manganism, was actually diagnosed right around 1900s as being a problem.

    An English physician found that local manganese miners had a lot of issues that, you know, ataxia, bad memory, nightmares. You know, all these sort of symptoms that they were having and attached it to the high manganese but at the end of all of these research...If you look at the No Harm Foundation website, we've got science, all kinds of cases, but at the end of all of these it says, "Well, these need more research," but nobody actually ever did it. So, when I started looking at high manganese, there's plenty of science to look at.

    DR. MIKE: So, in your treatment experience, if we correct that imbalance...Id we, you know, going back to your analogy of the musical chairs, right? If we get five irons and five manganese, what's the result? What's the outcome that we see in kids with autism?

    DR. YOUNG: It erases the symptoms. That's why the book is called, Erasing Autism. I know I use metaphors a lot, but it helps when you're working with this as many people as I do. If you break your arm, you put a cast on your arm and then the arm heals inside of the cast and then you take the cast off and the arm is healed. That's what we're doing with this diet.

    The kids are--well, and adults too--are dealing with these symptoms, so we give them this diet which gets the manganese out of the chairs and gets iron into the one that it's supposed to and it erases the problem.

    So, if you look in the book, there's 26 cases on it and I tried very hard to make it go across the entire autism spectrum so that people would understand that we're not just talking about autism here, we're also talking about ADD, OCD, you know, all of those kinds of things. When you take away what is causing these high sensory overloads and causing the symptoms, then it very often takes away all of the symptoms.

    DR MIKE: So the book is Erasing Autism: The Spectrum Balance Protocol and we're going to talk more specifics about that protocol coming up. The website is noharmfoundation.org. Her name is Dr. Shauna Young. Stick around.

    This is Healthy Talk on Radio M.D.

    I'm Dr. Mike. Stay well.
  • Length (mins) 10
  • Waiver Received No
  • Host Mike Smith, MD
Is there a link between the amount of vitamin D in your system and your risk for obesity?

Additional Info

  • Segment Number 1
  • Audio File healthy_talk/1520ht3a.mp3
  • Featured Speaker Mike Smith, MD
  • Transcription RadioMD Presents: Healthy Talk | Original Air Date: May 13, 2015
    Host: Michael Smith, MD

    Anti-aging and disease prevention radio is right here, on RadioMD. Here's author, blogger, lecturer and national media personality, Dr. Michael Smith, M.D. with Healthy Talk.

    DR MIKE: So, a new study coming out of the University of Puerto Rico shows that vitamin D status is inversely associated with obesity. Pretty simple, if vitamin D levels are up, obesity levels go down. Are you taking vitamin D? Are you taking it every day? Do you know your blood level is for vitamin D? Everybody—Well, I wouldn't say everybody, but most people--they know cholesterol, they know sugar levels for the most part, but so many people don't know vitamin D levels. I was doing a lecture a couple years ago and I don't know, there was about maybe 200 people in the auditorium I asked them, I said, "How many of you know your cholesterol level?" and gosh, maybe two-thirds, if not more, raised their hand. "Okay, put your hands down. How many of you know your vitamin D level?" Maybe 10 hands went up—15, maybe, at the most.

    We must reverse that trend. You know, I talk about vitamin D all the time and why do I? Because it's one of the few micronutrients that has thousands of studies on it. Laboratory studies, animal studies, human studies showing benefits literally from your head to your toes, inside out, skin, organs, blood vessels, white cells red cells, hormone production, bones, joints, ligaments, muscle, nerves. I mean, I think you get the picture. Take vitamin D. Let me go through this study first and then I'm going to go what I think is the appropriate dose. We'll talk a little bit about vitamin D2 versus vitamin D3 and what is an optimal blood level.

    So, this study was published in Obesity Fitness and Wellness. Oh, I'm sorry. This was a report. I take that back. This is a report written up in Obesity Fitness and Wellness, May 4, 2015, and it comes from preliminary findings out of the University of Puerto Rico. Studies show that vitamin D status is associated to obesity, but data in Hispanic individuals is scarce.

    So, this was specifically looking, obviously, at the Hispanic people, but it extrapolates to all of us. The aim of this study was to assess the association between vitamin D status in obesity in a clinic-based sample in Puerto Rico. The researchers hypothesized that subjects with a higher body fat percentage would have a lower vitamin D status. The researchers' understanding was that the vitamin D has a link to metabolism. There is a vitamin D receptor on every single cell in your body, including thyroid. Including fat cells. So, when vitamin D level is higher, you're managing energy better. Your metabolism is better. They understand that. So, their hypothesis is very simple. If you're overweight, your vitamin D level is low.

    So, they extracted data from medical records from a private clinic. I don't know how many clinics there were, but they look at age, gender, vitamin D levels, blood levels, weight, height and waist circumference. They also checked body mass index. Waist- height ratio is all important, by the way. BMI is kind of the standard in these kinds of studies looking at weight and stuff, but I like to see more and more studies looking at waist circumference, waist to hip ratio, waist to height ratio. Those give us a little more information about overall health, much more than the BMI. So, they looked at all the important stuff. They had 797 people, average age was around 60-ish, about pretty even split between men and women.

    A little over 35% were overweight. Almost 44% were obese. This is a random sampling of 797 people from Puerto Rico. I mean, that's not good. So, you have about 35% overweight and 44% obese. Then, they looked at the serum vitamin D level. The average was 44.7 and 5.3% of the subjects in the studies had levels less than 12 ng per ML. That's dangerously low. Almost about 31% had levels between 12-20 ng/ml that's significantly deficient and about close to 44% had levels between 21-30 ng/ml.

    In my opinion, still deficient. Mean vitamin D blood levels were significantly higher than normal weight and overweight males compared to obese males and in overweight females compared to obese females. Levels were also higher in those with low risk compared to high risk of waist circumference and waist to height ratio. So, it's just inversely related.

    The lower the vitamin D the greater the risk for someone being overweight and having some issues with other types of body composition markers like BMI and waist circumference. Pretty simple. A greater proportion of obese individuals, about 42%, were vitamin D deficient or insufficient compared to the normal weight and overweight individuals. According to the news editors that were reviewing this, the researchers concluded in this clinic-based sample of Puerto Rican adults, those with higher BMI, waist circumference and waist to height ratio had a significantly lower vitamin D status again confirming their hypothesis. Simply confirming the fact that what we know.

    Vitamin D, is as I said, linked to every cell in your body, but also to fat cells. I've talked about this before, fat cells aren't just these cells that are just engorged with fat and they sit there. I mean, they do play a role with keeping heat in and adding some protection and that kind of stuff, but we have learned, just really in the past decade or so, that these fat cells, they're called adipocytes, they are metabolically active and the fatter and fatter they get, they have these mechanisms and that continues to build fat.

    They communicate together, there's hormones that interact in them like leptin and adiponectin and there are enzymes like glycerol 3 phosphate dehydrogenase. These are active cells and they will get bigger and smaller based on things we do. Here we have a vitamin--t's really a hormone. Vitamin D is really a hormone, it's made in the skin, travels to other parts of the body It's the definition of a hormone, but whatever. Vitamin D interacts with these fat cells and helps them to communicate properly. It helps them to manage their energy better. In a sense, vitamin D helps fat cells become skinnier. Yes. That's what we want. We want skinny fat cells. Additional points from this research.

    I found this really interesting because, right at the get-go they tell us the average vitamin D blood level...Let's see. Where was it? 24.7 ng/ml and that's the standard units they give us. 24.7 out of the 797 people from Puerto Rico. 24.7, in my opinion, is significantly deficient. So, the average person in this study is just deficient. You know, personally, I think, and you know, working at Life Extension, we've established an optimal range for vitamin D somewhere between 50-70 ng/ml and your average dose of about 400 international units. That's the dose that the AMA and the FDA support. That's not going to do it for you. To reach that 50-70 ng/ml, you definitely need to be at least 1000 units a day, if not 2000. So, get your blood level tested. We can. Life Extension doctors, give us a call. We can get you on the right dose. Vitamin D2 versus vitamin D3. Vitamin D2 ergocalciferol comes from plants, vitamin D3 cholecalciferol comes from animals. Both of them will boost your blood levels.

    So, it's really just if you're a vegan or vegetarian D2 is fine. It doesn't really bother me. Just take vitamin D. Shoot for that 1000 maybe 2000 international units and get tested. It's more important to know vitamin D than cholesterol.

    This is Healthy Talk on RadioMD.

    This is Dr. Mike. Stay well.
  • Length (mins) 10
  • Waiver Received No
  • Host Mike Smith, MD
Once you get past your addiction, you can enjoy sugar because you simply enjoy it, not because you crave it.

Additional Info

  • Segment Number 5
  • Audio File naturally_savvy/1520ns3e.mp3
  • Featured Speaker Jacob Teitelbaum, MD
  • Book Title Real Cause, Real Cure
  • Guest Twitter Account @DrJTeitelbaum
  • Guest Bio Jacob Teitelbaum head shotJacob Teitelbaum, MD, is a board certified internist and Medical Director of the national Fibromyalgia and Fatigue Centers and Chronicity. He is author of the popular free iPhone application "Cures A-Z," and author of the bestselling book From Fatigued to Fantastic! (Avery/Penguin Group), Pain Free 1-2-3: A Proven Program for Eliminating Chronic Pain Now (McGraw-Hill), Three Steps to Happiness: Healing Through Joy (Deva Press 2003), Beat Sugar Addiction NOW! (Fairwinds Press, 2010), and his newest book Real Cause, Real Cure (Rodale Press, July 15, 2011). Dr. Teitelbaum knows CFS/fibromyalgia as an insider; he contracted CFS when he was in medical school and had to drop out for a year to recover. In the ensuing 25 years, he has dedicated his career to finding effective treatment. Dr. Teitelbaum does frequent media appearances including Good Morning America, CNN, Fox News Channel, the Dr. Oz Show and Oprah & Friends.
  • Length (mins) 10
  • Waiver Received Yes
  • Host Andrea Donsky, RHN and Lisa Davis, MPH
A huge salad with a ton of dressing and other unhealthy toppings can have as many calories as a rich dessert.

Additional Info

  • Segment Number 4
  • Audio File naturally_savvy/1520ns3d.mp3
  • Featured Speaker Ashley Koff, RD
  • Guest Twitter Account @ashleykoff
  • Guest Bio Ashley-KoffAshley Koff is an internationally-renowned registered dietitian who believes better nutrition is simple and is on a mission to help anyone achieve their personal health goals by providing simple but highly effective tips and strategies. A self-described “Qualitarian,” Koff emphasizes the value of quality nutritional choices in achieving optimal health and has developed tools such as The AKA Qualitarian Nutrition Plan and The AKA Personal Shopper to help facilitate this.

    Koff is widely sought after for her knowledge and ability to translate nutrition science into practical and motivating messages and appears regularly in the National Media, has authored two books and speaks frequently on the topic of better quality choices for better health.
  • Length (mins) 10
  • Waiver Received Yes
  • Host Andrea Donsky, RHN and Lisa Davis, MPH
Many people think that eating whole, healthy foods is both expensive and incredibly time-consuming. Rich Roll and his wife, Julie Platt, dispute those myths.

Additional Info

  • Segment Number 2
  • Audio File naturally_savvy/1520ns3b.mp3
  • Featured Speaker Rich Roll & Julie Platt
  • Book Title The Plantpower Way: Whole Food Plant-Based Recipes and Guidance for The Whole Family
  • Guest Twitter Account @richroll and @srimati
  • Guest Bio Julie Platt: Born in Colorado and raised in Alaska, Julie Platt has spent decades traveling many paths and studying many traditions. She is a true renaissance artist who expresses her creative voice as a plant-based chef, singer-songwriter, yogi, sculptor, painter, spiritual guide, and homeschooling parent to four children.

    Rich Roll: After finding himself sedentary and overweight in middle age, Rich overhauled his life at age 40, adopted a Plant-powered whole foods diet and reinvented himself as an ultra-distance endurance athlete. He went on to clock top finishes at the Ultraman World Championships and cemented his place in the pantheon of endurance greats when he was the first of two people to complete EPIC5: 5 Ironmans on 5 Hawaiian Islands in under a week. His inspirational memoir FINDING ULTRA: Rejecting Middle Age, Becoming One of the World’s Fittest Men, and Discovering Myself was an Amazon #1 best-seller and has inspired thousands across the world to embrace a Plantpower diet. Rich is a frequent guest on CNN, was named one of the "25 Fittest Men in the World" by Men's Fitness and is the host of The Rich Roll Podcast topping charts on iTunes. A graduate of Stanford University and Cornell Law School, Rich is an inspiration to people worldwide as a transformative example of healthy living.
  • Length (mins) 10
  • Waiver Received Yes
  • Host Andrea Donsky, RHN and Lisa Davis, MPH
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