I’m Very Disappointed in the State of Nutrition (Dogmatic and Myopic)
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I’m about to share something that might upset a few people I’m gonna get something off my chest that I’ve been noticing for a while and that I think needs to be addressed and it’s my job with what I do in the industry to keep a finger on the pulse of where things are going and where things might be going wrong now I am NOT holier-than-thou when it comes down to nutrition everybody has an opinion but one thing that I can recognize is patterns and we are starting to follow some of the same patterns in the nutritional space that we are following in the medicine space that makes the whole medical community in the whole world of medicine so kind of messed up in the first place so we’ll address all of this we’re gonna talk about how nutrition is kind of tying in with medicine in a weird way right now we’ll talk about how we tend to just put a scab over a wound in a lot of cases rather than actually treat the issue even with nutrition okay they do make sure you hit the red subscribe button then hit that Bell icon if you haven’t already and then after this video please check out thrive market down below in the description not because there’s any real tie in with this video but because they’re a big supporter of this channel and it supports this channel if you support them so there’s a link down below after you watch this video they’re an online membership based grocery store and quite frankly it’s awesome anyway okay so here we go one of the problems are probably the biggest problem with medicine is that as a very myopic it’s very short-sighted okay now a lot of this comes from the history of medicine right okay when medicine was first coming to be it was all about treating acute issues right someone would get injured or there’d be an infection and we needed to give antibiotics and I needed to treat an acute issue okay so they developed this mindset of patch it up fix to that thing go well as we’ve evolved and as dietary changes have come the bhoot where all of a sudden start seeing that most people are suffering from metabolic diseases okay their diabetes even Alzheimer’s which can still be considered metabolic to some degree okay we’re seeing more of that well guess what a quick-fix antibiotic type band-aid doesn’t work in that right so that’s why we’re starting to see such a problem it’s the myopic view of the medical community is fix the short term okay don’t the longest UHN it’s not because they’re bad or evil or anything no it’s just the way that the mindset is well I’m gonna get to why this makes sense with nutrition in just a second but you gotta stick with me okay so here’s the thing we look at it with insulin it’s a perfect example right we have diabetes we have insulin resistance okay so someone eats a high sugar diet so they develop insulin resistance because their body just you know needs more insulin to process the sugar to the point where it can’t actually process it so then you end up with high levels of glucose and high levels of insulin and it just compounds well what’s the fix with the medical community the fix of the medical community is give them insulin so that they can continue to eat sugar why well because it works it’s a short fix but is it fixing the actual problem no and I think all of us know that but that’s just my example because I’m going to get to what’s wrong with the nutritional community including yes including my very own keto community and including the carnivore community and including some of the other very myopic communities that are out there right now we have to not be dogmatic we have to be open on this ok so here’s another situation and I think a lot of you can agree with this one calories in calories out another myopic situation right of course in the short term if you reduce calories you’re going to lose weight of course in the short term if you increase calories you’re going to gain weight but that is so myopic that is such a myopic way of looking at weight loss why because if you reduce calories then what happens in six months well then your basal metabolic rate is lower and you can’t lose weight anymore so you’re forced to reduce more calories it’s the same situation but flipped as it is with insulin right okay we have someone that has diabetes so we give them more insulin and more insulin and more insulin so they can have more sugar and more sugar and more sugar it’s the same thing with calories and calories out if we think that process then okay we reduce calories problem solved well six months later we got reduced calories more and reduce calories more and reduce calories more but we’ve never actually fixed the metabolic issue at hand which is the metabolic dysfunction right and that’s the things that we need to address through fasting through the ketogenic diet through all this stuff so I rest my case on that one but now I need to talk about kind of the nutritional side of things let’s start with fodmap or low fodmap diet okay so fodmap stands for fermentable oligo saccharide polysaccharide monosaccharide and polyols right so Fahd now okay what that means is we reduce specific fermentable sugars and fermentable carbohydrates and fibers things like that in an effort to reduce bloating and reduce irritable bowel syndrome and everything like that so again nutrition becoming myopic think about this we reduce something that triggers an acute issue bloating irritable bowel syndrome by getting rid of potentially very good foods but we become dogmatic about that so we never again consume these specific fibers these specific sugars these specific Carly’s specific veggies because they’re going to affect us and they’re going to cause a problem how myopic is that don’t you see the relationship with that just as we do with the problem with the medical community it’s the same darn thing my point is not to say that fodmap is bad no FODMAP is great but it perhaps should be used in acute settings just like you would use an antibiotic in an acute bout of infection okay anyhow I digress but let’s move on to another one the keto community and specifically when we start talking about carnivore and I will go on record and say I like carnivore I like the carnivore diet I feel like people need to be a little bit cautious though because I just don’t want you to be short-sighted with it use carnivore use it to your advantage but remember that one of the reasons why you’re feeling so good is because of the elimination of other things and you’re potentially just scabbing a wound so you have inflammatory issues are you dealing with the actual metabolic root of the issue are you fixing the actual problem that is triggering inflammation why outside of some potential genetic factors are you having issues with XYZ food when someone over there is not having issues with XYZ food perhaps it’s an issue with your metabolism that that person doesn’t have and perhaps they have an issue with their metabolism that you don’t have that makes us all unique snowflakes when it comes down to our problems but does that mean that by scabbing a wound by doing something that just eliminates those foods we solved the problem we solve the symptom and we once again have fallen into our own trap of being myopic and so myopic to the point that we’ve become dogmatic does that sound familiar high carb low fat you have to eat a bunch of carbohydrates that all sound familiar right okay fat is bad we’ve become dogmatic with our short term approach so we are in essence just everything that is wrong with this and I am guilty of this too because I preach a lot of keto stuff I preach a lot of fasting stuff and sometimes to the point where I get so passionate it comes across dogmatic but one of my important things that I like to make a stand for in the industry is remembering that science is always about challenging a hypothesis and learning and growing because we cannot determine everything that is happening within the body by looking at one test tube it changes it evolves and we have to think bigger what is the root cause and how do we just eat better perhaps keto and carnivore and fodmap are ways to heal specific issues but we have to remember they’re just another tool in our toolbox so keep open minded and just be healthy
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Special Thanks to my team and Nicholas Norwitz – Oxford PhD Researcher and Harvard Med Student – for working diligently on research as well!
What’s more, this myopic approach spills over into approaches to nutrition, leading people to adopt diets and lifestyles which, although they may work in the short term for symptom management, can cause harm in the long-term.
Calories In – Out Model
The “calories-in, calories-out” model of obesity makes sense… at least on a superficial basis and as follows: Energy cannot be created or destroyed. Therefore, if you place yourself in a caloric deficit, you will lose weight. Theoretically, this logic holds. Practically, it’s almost useless…
You can’t accurately measure calories in because (i) even if people did measure every gram of food they ate (which they don’t), regulatory bodies don’t carefully monitor nutrition labels. (ii) Even when nutrition information is regulated, bodies like the FDA permit a 20% margin of error with respect to calories. On a 2,000 Calorie diet, that’s 400 missing Calories. (iii) Even if nutrition labels were accurate, one must ask how we measure the calories in our food? We do so using bomb calorimetry. Basically, we blow the food to ash in a little chamber and measure how much the water around the chamber heats up. This is not, at all, how our bodies work to extract energy. (iv) Even if bomb calorimetry accurately represented how our human cells’ mitochondria extract energy from the foods we eat, we are all different with respect to out gut bug ecosystems, which further influence how many calories in food end up in our bodies. What’s more, you can’t measure calories out because to do so would require knowledge of, not only how much you exercise, but also complete knowledge of your (i) non-exercise activity thermogenesis, (ii) body temperature, (iii) post-prandial specific dynamic action, (iii) age, (iv) gender, (v) genetics, (vi) hormonal profile, (vii) and microbiome, at minimum. And, even if we had half of this information, we wouldn’t know how to interpret it.
Let’s return to the big picture: thinking long-term. The insidious thing about the calories in – calories out model is that, short-term, it actually does work! That’s because, despite all the limitations listed above, if you simply eat less of the same foods you were eating to maintain your original weight, you will end up in an acute energy deficit and your body will need to resort to using stored fat. However, that approach is doomed to fail! Here’s why: (i) Over time, your body adjusts its basal metabolic rate. This means you burn less energy while at rest. Gradually, your caloric deficit shrinks and, eventually, can become caloric surplus. (ii) Your body, sensing a state of starvation, starts to fiddle with your hormones. Nobody, no matter their willpower, will choose to remain tired and hungry forever. Your hormones will drive you to make poor food choices and you will risk relapse to your original pattern of living. (iii) Not only do your hormones change, but your microbiome changes as well. This microbiome shift makes it so that you get more calories from the foods you eat. Scariest of all, the yo-yo cycling that the calories in – calories out model invites can cause you to become progressively more prone to gaining weight long-term:
Nicholas Norwitz – Oxford PhD Researcher and Harvard Med Student: