Spotting Fake Health Information – Pam Popper

Spotting Fake Health Information - Pam Popper

our next speaker is dr. pam popper you probably had a few of those desserts that was a good lunch that was a joel fuhrman lunch dr. popper was a also involved as part of meals for health in Sacramento the Sacramento food bank and when dr. popper came in to speak and she I think she spoke about women's issues on that time which was which was great and very appropriate because I think it was 75 percent women that were doing that program and one of the reactions that they had is oh my god you're you're perfect you're a woman so I feel the same way about having Pam today dr. popper is a naturopath and internationally recognized expert on nutrition health and the executive director of the wellness forum the Wellness Forum is a company which is I guess has chains and has branches in different areas it offers educational programs designed to assist individuals and changing their health outcomes through improved diet and lifestyle habits she works with companies employers to reduce the costs of health care and she's the author of several books she's got a new book called solving America's healthcare crisis which we have in which we're going to be selling right after her talk out there and I hope dr. popper will be able to sign for people she's also part of PCRM Physicians Committee for Responsible medicine she's on the physicians steering committee yeah she's also part of rip esselstyn's wholefoods immersion team she is part of dr. T Colin Campbell's teaching team at Cornell she's appeared in a number of films including my film process people she's in Forks Over knives yeah I think she did a lot of the research for that film if I'm not mistaken she's in the film making a killing she's a public policy expert and a lobbyist for healthy food and testifies before Congress is involved in both state and national federal issues in this she is a no BS person who tells it straight and is occupies a part of this area of healthy living that that is growing that she is what am I trying to say she has spreading this message across many states I highly recommend her newsletter and subscribing to her forum now you're gonna find out why I do please welcome dr. Pam popper [Applause] thank you I am an outspoken person as some of you may know and I was asked on a radio show not too long ago who are your detractors and I said well pretty much everybody loves me except for the agricultural organizations and the food manufacturers the FDA the USDA most professional associations like the American Medical Association and the American Dietetic Association most of the disease groups but other than that I'm a very popular girl anyway and that's some of what we're going to talk about today in terms of looking at confusing research you know I've been eating a plant-based diet for 17 years and I've been in this business for 15 years and in fact this year is our company's 15th year anniversary and I look at I've had a lot of experience working with people and it's pretty easy and I think you've seen that this weekend to present a lot of really good scientific data that shows people why they should adopt a plant-based diet I mean how many of you got it pretty fast when you saw the evidence right all right and I also think it's pretty easy to show people convenient ways and and economical ways to adopt this diet and people love the food and it's not that hard to make and once you get through the transition period it's easy to maintain so that's not really where our problem is in my opinion I mean maybe we have a problem getting the word out to more people but but to the extent that we reach people we reach them and we show them what to do I think where the problem is is once you are convicted about this there are issues associated with maintaining that conviction when you start interacting with the rest of the population how many of you for example some time during your journey to better health have felt a little shaky when somebody said but I saw a study that said that if you don't drink milk you know you're gonna your bones are gonna crumble in my gosh you have to give it to your children's anybody have just that little pang of doubt you know and if you're you may not get enough protein or people in China really don't need any soy foods and you start hearing all this distracting information and some of it actually comes from some pretty credible people in terms of their training and the initials after their name and it shakes your conviction a little bit so that's what we're going to talk about today is sorting through some of the confusion about diet and health and and helping you to be able to maintain your convictions so that you're not subject to what I call the tyranny of the latest study or the headlines that shake your confidence and what you're doing so here are my goals for this is what we're going to cover in the next hours so we're going to talk about the various influences on dietary recommendations and how what you hear about every day is influenced how to develop what I call a personal nutritional philosophy in other words I think that people that do well at anything whether it's saving money or planning how to take care of their health and how they're gonna eat have a very solid well thought-out philosophy so I'll talk about that I want to talk a little bit about how others develop erroneous views so that you can understand where they're coming from some of the sources of misinformation and then how a layperson some of you have medical training and this is going to be a lot easier for you but how a layperson can start to look at research and determine whether or not it's something you should be paying attention to because there is a lot of research published today and some of it is very very good and some of it leaves a lot to be desired and I'll give you some examples of both so what has led to so much misinformation and I think we could talk about just this all day long but I think the major factors are that there is a lot of interest in diet and health today more than ever before and with that brings a lot of problems one of them is the influence of money on research nutrition policies health recommendations national disease groups and others and we'll spend a lot of time on that because if you follow the money you find out why a lot of people say some of the things that they do there is a lot of money to be made by developing books and programs that are different and and I get aggravated at this sometimes but one day when we were just sitting around at the Wellness forum talking about how we could get rich quick because you can't unless you come up with some great the idea I think sometimes but we decided that we would come up with a new diet book and it would be called the social security number diet okay and I figured this would make me very famous and so here's the way the social security number diet would work you would add up the numbers of your social security number and divide by two and if you got an even number then you would eat legumes on Monday Wednesday and Friday and an odd number you would eat legumes on Tuesday Thursday and Saturday and you guys all know you should never eat legumes on Sunday correct for boat all right well that's a crazy idea but it's really not any crazier than some of the other things that I see people promoting these days it's just different enough that there's probably a whole population of people out there that would say that sounds kind of interesting gosh I haven't tried that before maybe I'll try it I probably would be on you know The Tonight Show or something like that promoting it at some point and so there is this really incentive to develop a new idea and if you can come up with a way to give people what John McDougall calls good advice about their bad habits that always sells well and if you look at some of the programs that gain subtractions part but tract and part of it is because they give people permission to practice their bad habits so the main sources of misinformation or first of all government and I don't know if this is new for you has anybody ever heard of the government not telling the truth about things or is this the first time you've ever heard about that right national and international health organizations I wish that I could tell you that it's different in other places but it's not now show you why healthcare professionals organizations well-meaning but misinformed health care professionals who I think the big problem that right now is just that they're victims of their training we're just not teaching health care professionals the right things and that's one of the reasons we started our own school at the Wellness Forum we own the Wellness Forum Institute for Health Studies because we want to Train nutrition and health care professionals differently and in a manner that really reflects what works for people and to promote health misleading research and then the media's interpretation of research there's so much interest in diet and health right now that it's in every newspaper every magazine every day on television there's something and so I think many times a lot of people who are interested in nutrition are reporting it necessarily the best equipped to evaluate the the research and then advertising disguised as health messages and it happens in some very obvious ways and then some not so obvious ways that I'll show you so I'll start real briefly with one that you're familiar with and dr. Barnard covered it on Friday night and that's the United States Department of Agriculture which was actually formed under Abraham Lincoln's administration and it was formed as an advocacy organization for farmers and I have said from the get-go my problem is not that we have a USDA because I think farming is a big part of our society it's part big part of our economy the problem is that this organization is also charged with developing Dietary Guidelines for Americans and if we could just let these people do what they do and it didn't affect so many things I wouldn't be so concerned about it but whatever the USDA comes up with this gets translated into what our kids eat in schools what our troops eat when they're stationed overseas or at bases here in the United States what goes into nutrition textbooks and what dietitians are taught as part of their curriculum so this is a very influential set of dietary guidelines and the current guidelines are just as bad as the ones that came before it and I loved when dr. Barnard said that the saying at PCRM is it's good but it's not good enough it may be better but it's not better enough and that's certainly what happened this time when the guidelines came out and I took this right off of the USDA website and I'll just point out a couple of things and these are direct quotes consumed less than 10% of calories from saturated fat and consume more monounsaturated and polyunsaturated fat in other words they're really saying eat more fat now some of you are doctors in the audience and I don't know about your practice but I don't have people coming into my office that need to eat more fat that's not a recommendation we hand out very often in our office I mean the only people we talk to about that or people with eating disorders reduce the intake of calories from solid fats and added sugars how about if we would would eliminate it doesn't that sound like a better plan based on what you've learned here but the term is reduced consumed at least half of all grains as whole grains which means that the other half can be pop-tarts I don't understand increase the increase intake of fat-free or low-fat milk and milk products such as milk yogurt cheese or fortified soy beverages gosh we've got to get that milk in no matter what she was a variety of protein foods and the first ones listed our animal foods and then increased the amount and variety of seafood consumed by choosing seafood in place of some meat and poultry and I don't have anybody coming into my office suffering from a seafood deficiency again I don't know about the rest of you that are in practice but we just don't see this at you know on a daily basis so it really should be about reducing or eliminating certain foods and I think this is the reason why we're never going to see good guidelines come from the USDA or from our federal government is because if we started saying the right thing to the public we'd have to see say eat more of this eat less of that and eat none of these foods over here and eat less messages do not play well with agricultural organizations and food companies they don't like it at all it is the same in other countries in fact I had the pleasure of speaking in South Africa in January and about a month before I left for South Africa I started revising some of my slide presentations like this one because this is a talk I've given several times and I thought it was going to be a lot of work to do this and so I started with you know lots of time to spare and I started looking at the government guidelines in South Africa it's exactly the same in fact one of one of the dietary guidelines is that it says something to the effect that with new urbanization with with more people moving into the cities this is a great opportunity for people to eat meat more meat and dairy products so that they can enjoy better health that's on the South African website and I teach a class through our school called nutritional issues and controversies and I was taking some stuff off of other countries websites like Australia and China blatantly promoting the consumption of more meat and dairy products so it's not just in the United States this is a pervasive problem worldwide and in fact the Food and Agriculture Organization of the United Nations is not much better here is some of the fabulous innovative advice that comes from their website various dietary patterns can be consistent with good health okay that tells you just what to do doesn't it enjoy a variety of foods okay eat to meet your needs that tells me a lot protect the quality and safety of your food and keep active and stay foot fit well tell you one glance at that and it would tell you exactly how to eat a health promoting diet we this is a lot of effort to come up with dietary guidelines that are completely meaningless and one of the reasons is the power of agricultural groups worldwide to make sure that nobody is getting the dreaded eat less message which which is they don't like to hear that at all now for any group that I pick on today there are many I could pick on but because they only allow me an hour and 15 minutes I had to select this is actually a 16 hour lecture I have a plane at 10:40 tonight so we had to rein it in a little bit the heart check mark program comes from the American Heart Association and you can see by the appearance of it doesn't it look sort of official and if you're a cardiac patient when this give you some reassurance and so this program by the way has been around for a long period of time and manufacturers pay a lot of money in order to get their products approved so I have looked at this again again and I cannot figure out what the criteria is because here are some of the things I took this right off of their website last week it's very current under canned meat and poultry frame iam chunk chicken breast and roast beef and beef broth and okay that doesn't sound so bad but let's go to the next one Boar's Head brand branded deluxe 42% lower sodium ham because if you have cardiovascular disease there's nothing better for you than lower sodium ham the ones I love are the butterball original deep-fried chicken breast which we know is great for people with coronary artery disease and butterball original deep-fried turkey breast Thanksgiving style which just has to be even better than the original kind healthy choice round four cheese pizza healthy choice select entrees bacon and smoky cheddar chicken these are Heart Association approved foods Kroger slice Canadian bacon with natural juices and bacon with natural juices is so much better for you I just want you to know if you're trying to make and then great values smoked brown sugar ham and there are hundreds and hundreds of products and they're very proud of the fact by the way that they don't endorse any desserts okay they have that you know boldly displayed and that's probably because you're comatose after eating the Canadian bacon and natural juices you can't get to the deserts but and I'm and they all do it the American Diabetes Association their health tip of the day for 18 months was sponsored by Eskimo Pie now there is some good food for diabetics all right they took a million and a half dollars from Cadbury Schweppes which not only is the third largest maker of soft drinks in the world that makes those little cream eggs that you get at Easter time and that also is some very good food for diabetics now I'll clarify and tell you that I think that a lot of people who work for these organizations show up at work every day wanting to do the right thing but it's impossible to do it with these types of conflicts of interest and so when you're talking to a diabetic friend when you're talking to a friend who has coronary artery disease and you're trying to tell them what you learned this weekend at this conference and they're pushing back and saying my cardiologist is the best in Denver Colorado or wherever the person lives and my cardiologist says it's okay to eat turkey breast in fact it can even be fried understand where that person's coming from they're getting it from what is perceived to be a very very credible source and that's why it's hard sometimes to get through to people professional associations they all do it we could just as easily have slides up here about the American Academy of Pediatrics or any other group but the American Dietetic Association represents 70,000 dietitians who should be focused on giving Americans the very best nutritional advice and in fact some of them are we have some of them here today Juliana heifer is an incredibly enlightened dietician who I feel comfortable referring anybody to because she actually follows the science and I wish all dietitians do unfortunately they don't and one of the reasons is conflict of interest I pulled in 2008 I got ahold of the American Dietetic Association annual report and their sponsors include that they're close to two million dollars here in 2008 from coca-cola the National Dairy Council Council Pepsi Cola General Mills Kellogg Mars the American Beverage Association and post cereals so it's really hard to give objective information about health without upsetting sponsors like this and so has anybody ever heard about moderation okay everybody says when you're trying to tell them don't bacon and natural juices and they're going oh coke come on everything in moderation is okay right well that's where these messages come from is the American Dietetic Association you can go to their website and look for yourself says that there are no good and bad foods there's room for all foods in a healthy diet and there are no good or bad dietary patterns everybody's sort of has to figure out what they want to eat and does anybody believe that that's true well you don't because you've been here for a weekend or you've been coming to a lot of events like this and you've read a lot of books and you really are convicted about what you know but it helps you to understand where some of the bad information is coming from and why your friends and relatives push back and then health care professionals training most doctors don't really get much nutrition information in school and I think that nutrition professionals really don't learn much about how to treat people with diet therapeutic diets are not really focused on I think strategies to manage disease are focused on but there is I know when I was in school nobody told me you could cure somebody of diabetes nobody told me you could cure somebody of coronary artery disease and so we have a lot of low expectations in fact I described some of what goes on in the healthcare field as being a collision of low expectations from health care professionals who never learned that you could really cure people and patients who show up not knowing that they can be cured so with those low expectations on both sides it's no wonder that public health is declining in this country so I think a lot of inaccurate information is being distributed this way and then misreporting by the media now has anybody ever heard of the media misreporting things or is this your first chance to hear something like that well I'll give you an example of how things can be skewed and and one piece of advice I'll give you is if you read something in a magazine even if it's a magazine that normally is pretty reputable and it doesn't sound right to you go look it up I mean actually a look at the study unfortunately the Internet allows almost everybody to gain access to this sort of thing right now but you might have heard a few years ago landmark study or a landmark presentation showing that coffee is a good source of antioxidants do you remember that and every time these kinds of things hit my email box fills up with people saying well you know what do you have to say about that you're telling everybody not to do this and not to do that and so I started digging into this a little bit and the articles that came out were based on a presentation that was made at the American Chemical Society and during this presentation a hundred foods and beverages common in the American diet were analyzed for antioxidant content and compared to the USDA's consumption patterns for those foods and the presenter never said that coffee was a health food or even that it was a good source of antioxidants what the researcher said was that coffee contains antioxidants and that the American diet is so bad that coffee had become an important source of antioxidants in the diet now does everybody understand the difference between that statement and coffee is a good source of antioxidants so I'm saying that so y'all don't run to Starbucks during my presentation here since it's right down the hall but you know a list of foods with antioxidant content were shown and coffee was weighed on the list his point was not that it was a great thing to consume it's just that it had become a primary source of antioxidants in the diet so I've gotten to the place now where what I read about something in the New York Times Forbes magazine USA Today it doesn't really matter where I want to go back and read the original study I want to see what really got said and it is amazing how many times I go to the original document and it's completely different from what we've been told now we get into some misleading research in how stress studies are structured it is very difficult and I think we have to acknowledge this to study structures on diet and health and I think there's way too much focus on studying one food or one nutrient and this is where things can get really confusing and a good example of how this happens is that people will somebody will structure a study where half of the participants in the study consume an extra serving of soy a day and the other ones don't and they conclude at the end of the day that there's no real protective benefit of soy foods well if you look at the doctors that you hear from at these conferences and and those that are promoted through veg source all of us are producing the results that we're producing by looking at total dietary pattern not individual foods and nutrients and in fact one of the things that I tell people all the time who come into our office in Columbus is that diet is like a combination lock if it takes four numbers to open a combination lock and you dial up three of them and not the fourth you do not get 75% of the results you get zero correct you have to get that fourth number right in order to get results and so a lot of the studies that are out there talking about individual foods and nutrients feed into this idea that if you just added a nutrient in your diet every day if you just added a food into your diet every day you would somehow be better and it never works I mean I never see any studies that show that the addition of a food or nutrient are really changing health in significant ways and so this is one thing that leads people to say after they experiment around with a lot of different foods and nutrients that maybe diet doesn't have such a profound influence on health because they're really not not looking at the whole dietary pattern as we get into structuring research on diet people eat lots of different foods and different combinations even in the same country or area there can be some variations other lifestyle factors are important and it's hard for it to control for those things and a lot of situations subjects are given a dietary protocol sometimes with sometimes without training sometimes with sometimes without follow up they have to follow the diet with limited amount of support and then a major situation that we have to deal with all the time is self-reported data and what this means is that people fill out questionnaires or they talk to researchers on the phone and talk about what they eat and research has actually shown that what people will do and I don't know if it's an attempt to impress the researchers or where it comes from but they'll overstate the good foods and understate the bad foods so instead of saying you had to be honest I went on a binge and had 12 Krispy Kreme Doughnuts they'll say I had one donut and an extra helping of salad well you can see how even minor deviations like that will skew results so self-reported data is is very difficult and one thing I want to point out and I think it's a point that often gets missed how many of you have read the China study okay when people are talking to you about research one thing that Colin did in the China study is when they were when they were looking at the dietary habits of all those 6,500 Chinese people the researchers actually recorded what the people ate it was not self-reported data a few days or a few weeks later exactly what the people ate was recorded by a researcher in the home so it was as accurate as it could possibly be and this has not been done in very many studies before it's a big differentiating factor between the research that Collin did and what we see under normal circumstances study design is really important one thing that frustrates me is that I'm going to give you a specific a couple of examples here in a second is that often you've got two groups of people eating diets and one group is supposed to be eating a healthier diet than the other group but the group eating the healthier diet is not eating a healthier enough diet to make a difference we see this with fat consumption for example the low fat group is consuming 29% of fat from calories and that's really not a low fat diet so it's not surprising that the people consuming 29% of fat from of calories from fat are not ending up better off than the group consuming 35% of calories from fat and so I'll give you a couple of examples and this is the stuff that I think sort of shakes people up a little bit and I know because I get a thousand emails a day and I would say that about a hundred of them pertain to these kinds of issues every single day so I know this is going on because I deal with it so in March of 2009 the American Journal of Clinical Nutrition reported the results of a study showing that vegetarians don't live longer than meat-eaters now does that surprise you a little bit okay how could this possibly be well the study compared vegetarians and non-vegetarians with similar lifestyles the problem was the definition of vegetarian and in this case the definition of vegetarian was a person who didn't eat meat or fish but we all know that there are a lot of vegetarians that eat eggs dairy oils high-fat foods correct I mean some of you know the story of my chef who arrived at the Wellness Forum weighing 475 pounds and he was a vegan okay so you have to it's you you're obviously doing something wrong on a vegan diet if you weigh 475 pounds so based on this loose definition of vegetarian is that any surprise that the vegetarians didn't seem to have better health outcomes than the non-veg I mean now we understand how that can happen but when the press gets ahold of this two or three things happen first of all your meat eating friends email this to you when it comes out on a news have you all had that happen see you're going to all this trouble to deprive yourself because what we really know is that you sit and watch me eat cheese pizza and wish you were doing it too that's your friend talking to you right and there's nothing good coming out of it because vegetarians actually don't do any better so maybe you should start eating cheese pizza with me so that's the first thing that happens that's aggravating to all of you and maybe if you're new to this might shake you up a little bit and then the second thing that happens is the news media grabs on to it and says all this talk about diet and the drug companies I think capitalize on it too I'll just talk about diet it's really not very worthwhile its genetic let's face it it's in your genes correct and what you need is drugs not diet because the diet stuff just doesn't work here's a study that says so and it's in a really good Journal that we all respect now here's another one that happened it caused a lot of ruckus and I got a lot of the emails I got in this word from from people who were confused and also some health care professionals who don't like me who are saying see you're absolutely wrong about this this headline was on Yahoo News Canada in 2009 vegetarian diet weakens bones and the article began with this statement people who live on vegetarian diets have slightly weaker bones than their meat-eating counterparts now if you're a new convert to this diet you just took your kids off of milk and your pediatrician and beat you up for it you can probably understand how this might shake you up just a tiny little bit that's why people write to me so digging into it a little further I found out that a dairy organization and Malaysia funded the study okay that might be a consideration to take that might be something worth taking into consideration the study was actually a meta-analysis of nine studies which were selected from a total of 922 now I'll make this point again but I want to you can't make it too many times nine studies out of 922 cannot be considered a report of the preponderance of the evidence would everybody agree with that so so that's a major problem the Salah so and then the next thing was the analysis found that the bones of the vegetarians were five percent less dense and four vegans 6% less dense and here's what the lead researcher wrote about it he stated that although the studies showed that vegetarian and vegan diets are associated with lower bone mineral density quote the magnitude of the association is clinically insignificant it meant the results were meaningless so how did the study get so much attention well what happens when industry groups fund a study is they take the results and they publicize it so it wasn't the journal that published this article that caused all the publicity and all that sort of thing it was the dairy organization in Malaysia that promoted this study as being significant so again this is why you can't get all shook up every time you see something on the internet or you read something in a newsletter you really need to go to the source and check it out here's another one that I must have gotten a thousand emails over a six or seven week period of time about this was a couple of years ago or maybe last year the Journal of the National Cancer Institute published an article online in which researchers reported that eating more fruits and vegetables daily did not significantly reduce the risk of cancer now does that sound a little counterintuitive based on what you know all right so the researchers and this is how it gets even worse in terms of sorting it out this represented close to a half a million people who are followed in European countries for 8.7 years so we can't blame it on small sample size and they assess the researchers associated assess the association between cancer risk and fruit and vegetable consumption and this was a quote from the article high intake of vegetables and fruits and vegetables combined was associated with a small reduction in overall cancer risk so I started looking into it after I get about the 50th email about the same thing as when I think okay I'd better check this out and so Scientific American actually published a counter to this online and what they said is the researchers concluded that if the results of the analysis can be broadly applied upping daily fruit and vegetable consumption by about a hundred and fifty grams which is the equivalent of a cup of cherry tomatoes or one and a half extra bananas the cancer rate would only go down by about two and a half percent well first of all the cancer rate is high enough that two and a half percent might be worth talking about but the other thing is nobody here this weekend told you that if you ate an extra cup of cherry tomatoes or an extra banana your health was gonna improve right what everybody here tell you you had to convert to a plant-based diet you got to get all four numbers of the combination lock so again many times when you delve into what's behind a lot of these studies and who sponsored them and what they actually said you come up with a different conclusion and then there's industry funding one of the most blatant violators is the dairy industry and one of the things the dairy industry has claimed for years is that you can lose weight eating dairy products and they actually do have two studies that show that they were done by a researcher at the University of Tennessee by the name of Frank Cemil he was paid 1.7 million dollars to do those two studies and he also received during that same period of time about two hundred and seventy-five thousand dollars from General Mills he's patented a weight loss program that's now licensed to the National National Dairy Association and advertisers pay to participate in his calcium key program a 50 thousand dollars a year so how do you feel about his study now okay not so important but here's where it gets really interesting a meal anu and neal barnard looked at the results of clinical trials evaluating dairy and weight loss and found that there was no connection in fact if anything dairy increased weight gain not decreased or facilitated weight loss and in fact the Physicians Committee for Responsible medicine sued the dairy industry based on this claim and in 2007 the Federal Trade Commission ruled that the research didn't support the industry's weight loss claims and in spite of that they still testified in front of the Dietary Guidelines Advisory Committee that people needed to drink more milk in order to facilitate weight loss but again industry funding can have a profound effect hiring experts how many people have been dismayed to see that somebody associated with Yale or Harvard has come out and said something completely ridiculous in terms of diet or health and this came from a handbook actually I listed it on the slide of how to get how to get endorsements for your products and to inoculate yourself against negative publicity I won't read it but what it basically says is that what you want to do is go out and hire all the experts that you can be very careful to not disclose to them your strategy and you hire them to write favorable things about your products and one of the benefits is that then it's hard for them to write negative things about your product later on ok so that's one way that experts get drafted into saying good things about products and become part of the problem the other thing that goes on a lot is funding for academic departments research institutes professional societies one that you might know about is that Pepsi Cola funded a huge Research Center in Southaven near Yale and it's not actually affiliated with Yale Medical School but they give 250 thousand dollar fellowships to Yale medical students to work at the Research Center to improve the health of foods or the health value of foods like Cheetos and Fritos and you can see that that's very valuable research that needs to be done right food companies support meetings and conferences and journals and most nutrition professionals depend on this type of funding journals are a big issue and here's a little trick I'll teach you about journals corporate sponsorships are used to defray costs and so for example the American Journal of Clinical Nutrition has 28 corporate sponsors that include coca-cola slimfast and the sugar Association and the American Dietetics Association takes in millions every year from its Journal and so what happens is this industry's small industry will sponsor conferences and I'll give you an example in a second at which papers are presented about the health benefits of certain foods and then they're published by the journals in something in a supplement form and you can tell because the citation has an S after it so it's really not the Journal of Clinical Nutrition it's a supplement to the Journal of Clinical Nutrition but the dairy industry is sugar Association the food companies will then take reprints sometimes millions of reprints of those journals and then post them online mail them to influential people so it looks like the Journal of Clinical Nutrition is advocating the use of Pepsi or some other product at conferences and this is how a lot of the stuff goes on food companies buy ads and programs and booths and in fact at the American diabetic Dietetic associations 2000 conference the distilled spirits Council presented a workshops we're shop on the risks and benefits of alcohol slim-fast on obesity prevention and treatment benek all workshop on cholesterol-lowering because we all know that if you ate more margarine you would be better off right and then quake or in Gatorade did a workshop on athletes so everybody kind of understanding how this gets all mixed up and why some of your friends think they're doing the right thing when they're doing the wrong thing or your family members for that for that matter Kashi markets based on liberal labeling laws they now have a cracker that's fortified with plant sterols and they actually say in their ads it's the first cracker that improved that can improve your heart health so if only it were true you could go home and eat crackers and improve your cardiovascular health and then pepsi-cola uses this designation they call smart spot and these are all industry designations that come from the companies themselves and their load this logo the smart spot logo appears on diet Pepsi Diet Mountain Dew baked Cheetos Doritos and Lay's potato chips those are smart spot foods Kraft has a sensible solution line of products that contains like more fiber more calcium and those products include kool-aid and Velveeta cheese food those are considered sensible solution now where this becomes important is a lot of times we have a foundation that does work in schools and we go in schools to change the the food in schools some of what happens is there's so much misunderstanding by the parents the teachers the administration based on these kinds of designations like they don't understand why Quaker Oats chewy granola bars with chocolate chips isn't a health food because it looks like a health food it's fortified with some different things and different nutrients and that sort of thing so these companies deliberately do this to make their foods look better to uneducated people and that's why you get resistance for example in a school environment so let's get into some rules for evaluating information couple tips how to do it the first thing is I think you have to look for people who don't take money and I've been in business for 15 years during that period of time I haven't taken any money from manufacturers or food organizations lobbying groups anybody in exchange for endorsements or statements about anything and that that's why I can stand up here and take shots at everybody I don't work for them I work for you and that's a whole different story so if you go to our website you'll see right on the front page it says research in science not stories and advertising and I've been offered a lot of money and believe me when I had two kids in college and at one point in time I was in college and my youngest daughter was in college and our tuition bills were sixty three thousand dollars a year between the two of us I was thinking a lot when I said no to this kind of thing but I really knew in my heart it was the right thing to do to not get tied up with these companies and organizations financially another thing is never and by the way the people that you're hearing from here they're not taking money from groups either dr. Furman RIT maintains his independence dr. McDougall rep Esselstyn these people maintain their independence so that what they're telling you is is really unbiased never rely on one study you have to read lots of studies on a given topic and rely on the preponderance of the evidence and for almost all topics that have been well researched not all of them point now all the studies point in the same direction so I'll give you an example I could get up here today and I could give you a presentation on the idea that smoking does not increase your risk of lung cancer and I could use citations from the Journal of the American Medical Association and a New England Journal of Medicine and you think well gosh maybe I should rethink that that whole thing because I certainly thought it did the problem is that most studies show that smoking increases your risk of lung cancer and so it would be very deceptive of me to handpick a couple of studies that prove my point and ignore the vast body of evidence that proves something else and that's a common strategy used by many of our colleagues who are either not great researchers that's maybe being kind or actually have a hidden agenda so let's look at an example that you probably run into often dairy and calcium 141 studies have been published since 1975 examining the theory that milk dairy and calcium supplementation reduced the risk of osteoporosis and 47 studies do support this theory but 19 studies were inconclusive and 75 studies showed that milk dairy and calcium supplements do not improve bone health in other words one third of the studies or at the dairy calcium link two-thirds of the studies do not so can you find a study that shows that dairy products are good for you yes but the problem is most studies show a different outcome and for this to change we would have to have close to a hundred new studies showing a positive relationship and no new studies showing a negative relationship highly unlikely would everybody agree with that and that's why we can say with a great deal of confidence that dairy products and calcium supplements are not good for your bones but again if I wanted to come up here and give you reasons to consume dairy I cherry pick from the 47 studies that are favorable to dairy products not tell you that there are close to a hundred studies showing a different outcome and leave you with a totally different impression the structure of research studies makes a huge difference how many of you have encountered the Weston Price Foundation someplace along the way and have received emails from people saying things like the dark side of soy and if you consume soy you're gonna die early and your children are going to develop your male children are going to develop breasts by the age of three and all these frightening horrible things well if you go to the Weston Price Foundation they actually have posted 23 pages of studies that theoretically are supposed to convince you that soy is a terrible food so I actually took some of those studies from the 23 pages and you can go there and look at them yourselves that yourself the whole lot of them it's easy to find so here's a study that was published in 1953 and it says soy and levels intended to simulate unheated soy flour after being fed to rats was found to possibly cause an enforced limitation of food intake with a consequent impairment of growth do you find that really convincing yeah not so much okay 1959 the author took three cases of goiter and children in which the thyroid enlargement was apparently related to intake of a soybean milk two of the three children who switched to solid foods and cow's milk and their graders grew smaller you feel really convinced by that ok 1970 there was a frequent occurrence of footpad dermatitis and turkeys fed soybean meal Poltz whereas the occurrence was rare in Turkey but a diet containing casein gelatin and corn and I have always found that the occurrence of footpad dermatitis in humans is very much an issue we should be concerned about but I mean do you see what is happening here does it this that any of this sound like it is convincing to you I'm just curious now here's one that I think is amazing these two actually appear right together in this massive 23 page document soy is listed as a minor source of protein and Japanese and Chinese diets major sources of protein listed were meat including organ meats poultry fish and eggs Asians throughout the world have high rates of thyroid cancer does it sound like soy is the problem what does it sound like is the problem they almost list studies that prove our point not theirs and then soy feeding cause damage to small bowel mucosa and to infants and and here's the thing what you're looking at here is case reports and case series and case reports are published by medical journals without much documentation in other words if I find something interesting going on in my office I can write up a patient story without anybody else documenting it probably redact the name of the patient and send it to a journal if they find it interesting they would publish it but is that a scientific study not so much the reason why journals do this is because if there are enough case studies that lower case reports that look similar it might stimulate somebody to do a proper research study to look at the issue but first of all you'd want to be very wary of page after page of citations that list animal studies only because we know and this is something you can check out if you haven't already done so that animal research doesn't always carry over into human health applications and the second thing is people who cite case studies that's really stories not science and this group is famous for that so that's one of the if this is an example the next time you get one of these things that says the dark side of soy so go go to the source look at the information I'm confident that if you go read all 23 pages of it you'll go buy some tofu and make yourself a good stir fry tonight after you after you do it and I don't think it'll convince anybody another issue that we deal with in research is correlation verses cause and effect relationship and correlation means two things exist at the same time but one doesn't cause the other and Colin Campbell uses a great example in the China study that I like to use he calls it phone polls and heart disease I could actually prove to you given enough time that the more telephone polls there are in a country the higher the heart disease rate gets and so somebody looking on the outside might make the observation that apparently telephone polls cause heart disease now does everybody understand that's ridiculous right well if we were to structure a really well well conducted study we would find out that telephone polls are indicative of westernization correct and westernization brings with it a dietary pattern that increases heart disease and so when you're looking at research you have to really look at who funded this study how is it structured and does it really show correlation or is it doesn't really show cause and effect relationship or does it just show cause correlation and this might seem really complicated but when I teach classes at the Wellness forum this is something we teach our members to do I mean it goes beyond just teaching people the right diet we try to teach them how to filter through information we'll use four or five examples and as soon as we let them look at the abstracts and that sort of thing they're able to pick it up really fast believe me if you just go do some online research tonight you'll see what I'm talking about one issue is the vitamin D issue there's a lot of dispute about this and even amongst the plans makes based community about vitamin D supplementation but there is a lot of correlation in other words it is true that a lot of people who have autoimmune diseases and cancer have low vitamin D levels but even the Institute of Medicine has said it's based on correlation not cause and effect relationships and that vitamin D supplementation wasn't recommended for that reason and because the benefits are not strong enough to outweigh the risks so it's very important as you're reviewing information to see is there real is there really a cause-and-effect relationship here is there a mechanism of action explained I mean can anybody explain how telephone poles would increase heart disease rates no there's no you know mechanism of action we can't really explain it and then this is very very important short term and changes in biomarkers are often the way that we evaluate health in this country and so a good example of this but it doesn't necessarily mean that it's correlated with long-term improvements in health and so a study was done where they looked at B vitamins you know B vitamins lower homocysteine levels and homocysteine levels are a marker for cardiovascular disease and it is true in this study they showed that B vitamins did lower homocysteine levels in the subject and the participants in the study the problem was it didn't reduce the risk of heart attack and the participants in the study statin drugs lower cholesterol but the risk profile for heart attack or all cause mortality does not change very much fish oil increases HDL levels the problem is that increased HDL levels don't correlate well and are not related to a better risk profile for heart attack stroke or all cause mortality so what happens with a lot of research is that it tracks short-term results and biomarkers rather than long-term health outcomes and we have this new phenomenon I took this from dr. mcdougal he talks about people dying with great blood work and Tim Russert is a good example of how this whole method of thinking can become so misdirected here's a guy that was a news anchor at CBS News he was wealthy he had great insurance he went to all the right doctors he took all the right drugs for his pre-diabetic condition his cholesterol his blood pressure and he took an aspirin every day and he still died of a heart attack at the age of 58 because none of those drugs addressed what killed him which was unstable plaques throughout his body one of it ruptured and caused the heart attack that caused the end of his life and the reality is that if he had been taking supplements instead of drugs he took he could have taken for example red rice yeast extract for his cholesterol high-dose cinnamon for his diabetic condition and Hawthorne berry for his blood pressure he'd still be a dead guy with great blood work and that's not what you're really looking for and so you compare this type of thing with dr. esselstyn's research where he followed his patients for now 26 years and dr. Roy Swank who did research on diet and multiple sclerosis patients and followed his original patient group for 34 years do you see the difference between that type of research and the type of race where we changed a biomarker you know 13 people at Tufts University experienced an increase in HDL level after taking fish oil pills you know my response to that is who cares nobody's coming into my office wanting 28 days of Health two weeks of health people are coming into my office at the age of 40 and saying I want to live to be 95 they're looking for the long-term they don't know how to articulate it but that's what they actually want so we're focused on long-term results and some programs work in the short term but in the long term they're disastrous this is particularly true with high-protein diets and I get very tired of this line have you ever had somebody challenge you on this and they say well but it's working okay I'm doing the HCG diet and you're telling them how bad it is they go but it's working I'm losing weight and so my response to that is if the only criteria that we use to evaluate a program is that it's working I'll tell you some things that work like for weight loss cocaine addiction works mm-hmm I've had a lot of cocaine in my addicts in my office in the last several years and they are all very skinny people all right and for the record their cholesterol levels are real low too but does that mean we should go out promoting cocaine addiction is a way to lose weight absolutely not I mean if you and I say well then if then we stop talking about it's working and we look at long term as well as short term ramifications on health and that changes the discussion entirely and this back to research in science versus stories and advertising a lot of popular books reports stories of people who've lost weight and I think stories are interesting there are some stories in my book and I think that that inspires people when you read about somebody who had cancer when you read about somebody who had Crohn's disease so I have patients stories in my book but I also have 267 references in the back of my book okay so the actual strength of the arguments that I make in my book are based on the research the stories are decorative but I read books that are written by some of my colleagues and they're strictly storybooks and I'm almost embarrassed for them that they don't take the time to document what they're saying so stories are interesting they can be inspirational but we don't rely on stories alone to make important decisions about health so here are some conclusions rely only on research and science stories are interesting but don't base your decisions on them using reliable sources you need to develop to develop a philosophy of diet and health and it can't it can't be shaken by the latest headline the tyranny of the latest study Emil Inoue says is one of the problems you and if you are shaken up a little bit by something do a little digging and find out more about the particular study that's caused the problem don't be swayed by the results of a single study don't believe most of what you read and hear about health particularly from the media and before you change your mind about anything always investigate and don't be so quick to change your mind and and and if you can learn some of those basic rules and just learn to do a little research and I think people don't do research sometimes because they're confident that they don't know how or they're gonna be intimidated by it but like I said when we take people through this in our classes and we just show them three or four abstracts and say now listen wasn't that really pretty user friendly you understood what it said you don't need a medical degree did you need a medical degree to evaluate those Weston Price examples I put up there know everybody here in the audience understood exactly what was going on so don't be intimidated so much so I'd be happy to take some questions from the audience if you'd like with the remaining time we have if you'd like to ask me anything at all about vitamin D I thought it did have an effect on autoimmune diseases and helped a lot of things taking a supplement not what my research has shown that the University of Medicine convened a committee last year or the year before the report came out last year to look at about a thousand studies that that examined the role of vitamin D and calcium and needs and the diet sources etc and the conclusion was not that vitamin D wasn't important but that normal levels had been exaggerated that there were lots of articles in the medical literature that showed a correlation between vitamin D and health but not a cause-and-effect relationship and again I would be the first to agree people with autoimmune diseases generally do have lower vitamin D levels but we don't see them getting better with vitamin D supplementation again it's not surprising because the single nutrient approach has never worked and any studies I've seen so it's not fixing the problem and and the cause of the autoimmune disease we don't really have a biological mechanism that connects vitamin D to it we have a connection to animal foods and dairy proteins and that sort of thing I think has been pretty well documented so I think the case for vitamin D has been overstated by a lot of people yes I have a concern about genetically modified seeds can you tell me something about Monsanto and are they messing with soy bean seeds I'm trying to like soy but I'm looking for genetically I'm sorry organic soy yeah is there a difference yeah I think there is I first fell for the record I'm not in favor of genetically modified foods I think that they're fortunately there are some foods that tend to be more genetically modified more often than others and soy happens to be one of them but also fortunately it's easy to find organic soy foods and organic soy foods are not genetically modified so I have some concerns about them – I think we're performing a grand experiment on the human population which I don't agree with at all so how about right down here somebody in the front and then we'll get to the other side I promise I'm not going to ignore you I have the mic well since I have the mic and they do can I do it okay how do you want to go next it's great that you're an empathic physician I also happen to be a niche position but I'm a little disappointed in my profession and that despite all of their training and nutrition that else will be so few of them adopt diet as a major way of approaching the health care of their patients and not very many of them really are swayed I think by the vegetarian or a vegan argument well how would you respond to that I agree with you and I wrote an article in the news in my newsletter about three weeks ago that generated a lot of hate mail that's always when I know I'm onto something when I get a lot of hate mail but anyway it was really about my article and I've spoken about this publicly a lot I don't think the training naturopaths gets is any better than the training medical doctors get we're taught to treat symptoms not causes and in terms of diet we did get a lot of dietary training in school but it really wasn't with any particular philosophy in mind lots of diets for different people and there's the Mediterranean diet and there's the blood type diet there was really no focus on one being better than the other it was just like you should know about all these different diets and somehow that makes it better so the other thing was there was a lot of focus on supplement selling and what makes that whole thing worse is that doctors can't own pharmacies and they're building to dispense drugs but naturopaths can sell supplements and it doesn't take very long when you graduate from school for all the supplement companies to start showing up telling you how much money you can make by selling supplements and in an operation the size of mine I could make hundreds of thousands of dollars a year if I was willing to do it so I think that the financial interests influence naturopaths just as much as medical doctors in a different sort of way and I think the training is just as abysmal so one of the reasons I started my own school my goal unfortunately I have two things going for me I'm young enough to do it and I practice dietary excellence so I'm gonna live another 50 years we're gonna turn this into a full-fledged private college with a residential medical school and we're gonna set the standard for how nutrition and doctor nutrition professionals and doctors are trained in this country and that's that's my plan for the future and we're going to get it done and that's wonderful news thank you could you say something about calcium supplementation you you kind of skirt it over that earlier yeah because we had to do 16 hours in an hour so Geoff how come I couldn't have the whole weekend and we could have covered it all yeah I don't like for people to take supplement calcium supplements we don't really have the preponderance of the evidence does not show that they're beneficial for bone health there are a couple of meta-analysis that are concerning to me that came out of New Zealand showing that calcium supplementation and amounts of about a 500 milligram pill a day increase the risk of heart attack by about 30 percent so with no proven benefit based on the preponderance of the evidence and even the hint of that risks it's simply not worth it we take people off of supplements in general and the way that we treat them in my office is the same way that we would treat a pharmaceutical drug I mean they're definitely useful for certain specific applications but this idea of self-medicating at the health food store with your next-door neighbor or on the internet is not we don't think it's advisable and by the way that's one of the ways that you free up a whole lot of money to eat good food let's get rid of the monthly supplement bill and there's money to buy good food yes thank you thank you for your presentation it's hard for me not to when I think about the corruption if you will of you know all these organizations that we depend upon for truth if you will to get a little sad and I'm wondering if you could maybe give us us a little hope on what you're seeing because it seems like the preponderance of the evidence is over becoming overwhelming so are you seeing any changes in hope in these structures yes well not in those structures see I you know sometimes people say well my gosh after you make these kinds of presentations don't you want to just go curl in the field position and forget about it and I I do reach that point once in a while it lasts for about 30 seconds and I'm back alright so but the reason why I'm so excited now is that well I will continue to work on legislation and with federal agencies and that's our thing because I think it's important to show up I think if I don't participate then we give the other side the ability to say look we asked her opinion and she was too busy and so I'm gonna continue to go there but do I think that that is the solution no see I think the solution is happening right here in this room this is a grassroots thing this is me telling you and you telling a hundred people each and those people telling people until we reach the tipping point in this country where enough million people and I don't know what that magic number is know about this that there is such a huge shift in the consumption patterns of people and I'm talking about food I'm also talking about medical services I mean when when most women won't have mammograms anymore we won't see mammography centers anymore right if people will not buy food raised in confinements facilities they won't have any reason to exist anymore they will go out of business so where I think the excitement is is watching the public wake up members of the public in meetings just like this one this weekend and I can tell you from our own volume of email and phone calls and and the number of people who are asking me to speak we can hardly keep up and that is very very encouraging so I think we're gaining on and you know sometimes it's kind of fun because we're all practicing dietary excellence we're gonna outlive our detractors they're gonna be long gone right and there we will be promoting the message okay dr. popper I have a question for you I took the certification from dr. Campbell and you were one of the instructors in there and if I recall very clearly there was a subject of our soy and you say you know they if the person has cancer you will recommend to avoid soy not really I said that there is there's no and when it comes to breast cancer particularly that the the scare is that women with estrogen fed breast cancer should avoid soy and my answer to that is there are there are some mixed studies out there but generally speaking if you look at what causes problems with women who have estrogen at just an estrogen positive breast cancers the things that affect that most are their body weight and body fat fat consumption in the diet lack of fiber in the diet and the consumption of animal foods specifically dairy that's where the action is in preventing the recurrence of breast cancer and I get a little aggravated with my colleagues who will send an overweight woman eating an animal food-based diet home to avoid tofu I mean it's it's a ridiculous misapplication of what that what we know scientifically causes estrogen fed breast cancers so I know I'm not really concerned about cancer patients consuming so I'm very concerned about cancer patients consuming animal foods and I think that they're all candidates to be on a completely plant-based diet yes right here okay I looked at your article searching through the medical confusion and that really brought to a point that I followed trying to determine what's the story about cholesterol for years I followed mine I can make it go up and down with diet exercise the HDL goes up but all I read there's nothing but confusion it turns out 150 which we think is great there's a lot of people died of heart problems and 150 level cholesterol and looking at your articles on what you're saying all the research has been debunked – about cholesterol the myth the cholesterol almost cysteine you brought up is a better indicator some people say there's all this confusion and now I've been told that I'm at my age I don't have to worry about it that much that's good I paid it this part but what is in your mind the truth about cholesterol well I think cholesterol is a marker for not only heart disease but also certain types of cancer and that's what Colin Campbell's research showed I think part and again this goes to what type of research you're going to rely on to make your conclusions if I wanted to make a presentation today that cholesterol doesn't matter there are studies that show that but I'm much more intrigued with dr. Esselstyn taking a group of patients who weren't supposed to live till the end of 1985 and they're still with us today two of them ran the film forks over knives and what he did to get those patients there that's much more interesting to me and we have no data from the people saying cholesterol doesn't matter that shows that there it doesn't matter program causes those results and so if they come up with that data I'll take a second look but we don't have that right now but what makes you believe that it was a cholesterol level that made these people get better I think cholesterol is just a marker people don't die from bad from high cholesterol cholesterol is simply a marker for underlying cardiovascular disease it's a marker for damage to endothelial tissues a tissue and atherosclerosis it's just a marker people don't die of high blood pressure it's a marker for cardiovascular problems and so when you eat a diet that normalizes those biomarkers you that's that's the that's part of the effect that's just a marker for the regeneration of endothelial tissue in the production of nitric oxide and the opening up of those arteries the low cholesterol in and of itself isn't the deal and that's why studies show that if you take red rice used to extract or statin drugs you're not really reducing your risk of heart attack stroke or all cause mortality that much because that's an artificial lowering of the biomarker I think that's one of the points that I'm making here lots of ways you can get to a particular end but not all of them count Tim Russert great biomarkers dead guy all right you don't want to be there okay thanks I know a few years back coq10 was really really hot and then ubiquinol became like the key I don't know the sexy word for people over like 25 is that one of the supplements you would advise to take or not there aren't any supplements that I advise people to take all the time and the reason is because first of all we have we have terrible evidence with supplements I mean you know the coaly the folate after coronary intervention trial that people who had angioplasty randomized to take folic acid or placebo the patient's taking folic acid their arteries for clogging up faster and to stop the study and I could give you 30 more examples like that and I think the interesting thing about these studies is that if you read them they're not performed by people who are out to get the supplement industry these you read the abstract and it starts with something like it said that folic acid is helpful to people with cardiovascular disease so we decided to do a trial to see if that's true and it isn't and they had to stop the study early okay so this isn't a conspiracy to to undermine supplement sales it's a it's a scientific look at are the claims valid or not and they're attending not to be true so I think that when you're gonna take anything in your mouth other than food you know if we're talking about eating broccoli or asparagus go knock yourself out but if we're talking about anything else what you're gonna look at is what is the risk of doing this and then what is the benefit the benefit better be pretty special to justify the risk and there's a risk with any of it now if you have a bacterial infection and it's gonna kill you I strongly recommend an antibiotic okay we know that antibiotics destroy beneficial bacteria but you'd rather be in a live person taking a probiotic right than a dead person with an intact gut so there the risk benefit ratio starts to look pretty good but you start looking at calcium you start looking at Co Q 10 you start looking at some of these other substances and when they're prescribed for medical purposes I mean I every doctor in this group here in this in this room right now is using supplements for specific applications I know dr. Klapper does because we share patients I know dr. Fuhrman does because we've shared patients but that's different than the self-medicating of the sexy new thing is coq10 so I'm gonna get on the internet and buy some or get some when I go to the health food store that's the mentality we're trying to get away from Pam I think we got one more question here okay I was just gonna say you have to tell me when I'm finished because I don't wear a watch which reduces my stress but increases yours a lot doctor you mentioned something before just alluded to it very quickly and I'd like you to elaborate on it and it was that in the discussion about cholesterol that statins are taking statins lowers cholesterol but it only has a marginal benefit and I remember reading dr. Esselstyn saying that he will personally guarantee that if anybody's got their cholesterol under 150 he guarantees they won't have a heart attack but it didn't say in that statement whether or not you could get it down to that level with statins or you have to do it to get this guarantee that is they have to do it with with diet and exercise so I'd like you to elaborate on this statin yes my my experience with with cholesterol as well as everything else yeah I'm often asked will the diet work for me and the odds are yes because genetic predisposition has so little to do with the whole issue I mean we know that genes are the determinants of your health like 2/3 percent of the outcome and the rest is choices that you make so in my family you guys have heard me say this many times and you saw it in Forks Over knives obesity runs in my family every woman on both sides of my family is obese for as long as we have pictures of them I'm not it's because I make different choices so there's a difference between genes and genetic expression so 97 96 97 percent of the time if somebody adopts the diet you've been learning about this weekend their cholesterol is going to Ratchet right on down to that protective level for the small percentage of people for whom that doesn't work and I have some of them in my patient files just like I'm sure some of you other physicians do too it's of course prudent to recommend some type of either statin drug or high dose niacin or something of that nature but but that's a very tiny percentage of the population I can say with a great deal of assurance where the vast majority of you here that if you do the things that you've heard about this weekend that your biomarkers are going to get to protective levels and not only or your biomarker is going to be in and range but you're going to have a longer and healthier life too so thank you very much


  1. So happy to see doctors such as Dr Popper bring integrity and truth to their profession, and truly helping their patients.

  2. regarding questions and is not a grand experiment, it's just an evil scam..they know it' not any kind of food…

  3. Pam is amazing! We love her! She's brilliant and I wish she was my doctor. Big hugs and Much love from, Dallas, Texas!πŸ’•πŸ’•πŸ’• πŸ˜πŸ’—βš˜πŸŒ²πŸ‡πŸŒ΄

  4. Well, for people who had been under-and malnourshied on diets consisting nearly entirely of grains, then it would be health-promoting for them to get more meat and cheese. You can't compare people from some rural impoverished area in South Africa to people say, Living in Austin, Texas or ZΓΌrich, Switzerland.

  5. You have to take you life into your own hands. They don't care if you die. It's, I want your money money money. All of it because I have more use for it than you.

  6. I am a regular Pam P. Follower because of her Common sense approach to her talks.
    As a Audio Engineer I am often frustrated by the Bad Audio on YouTube and the the faults are generally threefold
    1.Location Echo 2. Cheap Microphones 3. Holding the Microphone like it’s an Ice Cream Cone
    The Mike should be he held further up and angled towards the mouth rather than at the Ceiling.
    Michael KLAPER β€˜S early videos were inaudible until someone showed him how to to angle the mike.

  7. 1:04:15 it's a shame she didn't mention reverse causality. Just a "they don't have enough data". Sure, not saying that's not valid but the dude doesn't get why these studies contradict each other.

    It's not the low cholesterol causing people to die, it's the dying causing the low cholesterol (less eating, changes in scenery (such as a hospital) causing a change in types of food consumed, or the disease itself eats cholesterol up and etc), what I'm getting at is is that this relationship is only found in people over the age of 65 or thereabouts, and it's more likely that this is an indication of an underlying disease such as cancer, hence the name, reverse causality.

  8. 42:48 is just absolutely hilarious.

    Weston Price Foundation had 2 studies side by side trying to prove soy is bad, one says soy is a minor source of protein in Japanese and Chinese diets and that the major sources of protein were meats including organs, meats, poultry, fish and eggs, and then in the second study say Asians throughout the world have high rates of thyroid cancer xD

    What kind of a knuckle head editor had these two studies side by side and said, "yeah, that proves my point!". It literally says soy is a minor source and animal products a major source and they have high rates of thyroid cancer, so if you were to imply that soy is the cause of the thyroid cancer then soy would have the be the major source of protein and meats the minor.

  9. Great lecture by Pam Popper! Chock full of information. I wish I lived in Ohio. Her school must be popping.

  10. 45:15 "..telephone poles are indicative of westernization." LMAO. Westernization is about culture. Constructing Telephone poles is tech and industry (and old tech at that). But it is an engaging talk thus far.

  11. It's even more than this, much of, most of the old schooled indoctrination especially of cardiologists has been proven wrong and dangerous in prescribing awful poisons like statins to everyone and wanting LDL levels below 70 across the board, damn the side effects, no nutritional guidelines what so ever. Hoping one day more in the medical community will take notice and research the truth and findings of people like Pam.

  12. i would love to get her take on gallbladder disease and gallstones, like when doctors say surgery is the only way to "cure" it, and ive even had one that at first promoted a "good" diet, then she got frustrated with me and said "well, nothing besides surgery will help you at this point" (failing to recognize that i have an eating disorder).

  13. I'd like to see a proper study of a proper carnivore diet done by these people.
    Weird how these people think the science is on their side despite using the weakest form of evidence as their proof. In this case I mean meat and fat being bad by itself not processed meat being bad since processed meats have added chemicals.
    Weird how she talks about correlation and not causation but still believes the correlational evidence for meat being bad.

  14. The thing is, deep fried food can be fine depending on other dietary/lifestyle factors and what fats they're fried in, and the food that is being fried. If they're fried in grass-fed/finished beef tallow then as long as you do keto and watch sugar and carbs, it's likely fine to have often long-term, healthy even, grass-fed beef tallow is loaded with important fat soluble nutrients with a great omega 3 to 6 ratio, grain-fed not so much. If it's most plant oils, other than coconut and avocado which can withstand high enough heat(maybe there's others), then the heat will oxidize them causing lots of harm contributing to a lot of health issues including heart disease. You shouldn't necessarily stay in ketosis long term, you just gotta watch fat intake when kicking yourself out of ketosis for a period of time, especially with fructose intake. Fructose especially along with high-fat is a recipe for fatty liver disease, it's why in Supersize Me he got fatty liver disease so rapidly.

    You should either be in ketosis on a high-fat diet(which I think is ideal for most people most of the time) or you should be doing high-carb low-fat meals when not. Low-glycemic foods will actually kick you out of ketosis longer which can be bad, with high-glycemic it might only be 1-2 hours so some white rice and apple juice could be great after some fasted exercise(last hour or so of intermittent fasting) to gain lean mass, but then the only fat I take in is high omega 3 from a can of sardines or something. 4 hours later when I'm certain I'm in ketosis again, I'll go back to almost zero carb carnivore most days, most calories from plants is from coconut oil/yogurt. I usually just do a small meal after unloading semi trailers at UPS the last 2 hours of fasting, like white rice, sardines, apple juice, and collagen then wait 3-4 hours and do one high-fat carnivore meal, it's working wonders for me, gaining lean mass and body composition is changing rapidly, I'm losing fat rapidly but should gain overall weight in the long-run. I'll likely replace the carbs with Bulletproof whey/colostrum powder(minimally processed from fresh pasture-raised milk really great stuff) most days though, they'll spike insulin and promote lean mass growth well enough I think, maybe even better. I don't necessarily need to take out the carbs either.

    The AHA is corrupt and I don't trust them though, most of the approved deep fried products are likely fried in 'vegetable' oils, which are the WORST oils they could be fried in, you want quality animal fats, or just a handful of plant fats, all other plant fats should not be used for cooking or even heated at all. Even some amount of fat from raw whole plant foods can oxidize in the body at body temperature, they can oxidize that easily, refined oils even when not heated are likely oxidized from things like the processing, light, and the removal of anti-oxidants during processing.

    Animal fat is fine if it's from healthy animals fed the kind of diet the animals are supposed to eat, which for most isn't grains. If animal fat consumption contributes to heart disease in any way, it's only because there was excess consumption of carbs and sugar along with it, it may contribute in some way but that certainly doesn't make it a cause, and it can actually help reverse heart disease doing keto and intermittent/extended fasting. Even doing keto, a lot of plant fats will oxidize LDL cholesterol too, mainly linoleic acid, so you gotta watch fat consumption with things like nuts and seeds even if you ARE doing keto, animal fat is fine doing keto though.

  15. Food is less important then we think. Micro nutriment are best from my point of view. Many doctors talk about health but they dont seem in such good health anyway. There is more to know then Food in Health. What reduce the risk of cancer is Minerals and vitamins, antioxydant ( easrthing is the best) and relaxation meditation, stress control. I did things with breathing that you can't do with food. ??????Who got the real anwswer?? No one yet. Dairy is crap cause the industrie of Food make crappy food. At the bas we have also a food production problem. Vegetable in groceries are low low low in Nutirents.

  16. The Commonwealth Scientific and Industrial Research Organisation (CSIRO) is an independent Australian federal government agency responsible for scientific research. Its chief role is to improve the economic and social performance of industry for the benefit of the community.
    The CSIRO Total Wellbeing Diet online is a 12-week high protein, low GI eating plan that is scientifically formulated for weight loss and overall health. … As an additional incentive, the CSIRO Total Wellbeing Diet offers members the opportunity to have their program fee refunded if they adhere to the refund criteria. It costs $199 and women lose 25% of their weight. Its meat based only.

  17. She is awesome! Very well spoken and she says it as it is! Wish her message would go mainstream!

  18. Humans are a lost cause, most of us will not take responsibility for our health and will do what is easy every time even if it will kill us of a slow painful death down the road. Instant gratification over long term pain and misery.

  19. My previous Dr always told me everything in moderation for years. Was so surprised when he found out my numbers were great and I told him that I weaned myself off all my meds. He told me I’d need them for life, so thankful for whole food plant based way of life!

  20. β€œ Please β€œ Facts On Plant based Foods in what Soil Waters And Fertilizers And Processes β€œ

  21. β€œ Please β€œ Where is your Truths On Foods produced in our types of soil waters fertilizer and all processing β€œ
    That where the Grass Roots truth are for All Our Facts For Truths DISCERNMENTS.

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