Dedicated to Change in the Delivery of Health Care

What Do You Eat?

In the U.S.A. atherosclerotic cardiovascular disease (ASCVD) is the major cause of disability and premature death. ASCVD includes heart attack, heart failure, stroke and progressive kidney disease. These are the major causes of disability and premature death. Premature death can be defined as death before 80 years of age. Despite advances in treatment the causes of these diseases remains elusive.

Diabetes increases your risk of ASCVD. The main cause of permanent kidney failure is diabetes. The major cause of diabetes is being overweight. But let's stop being polite. The main cause of diabetes is being obese - too fat.

There is wide-spread publicity that obesity is now a world-wide epidemic. Physicians are powerless to convince the public how to lose weight and maintain a healthy weight because of conflicting messages about what we should eat versus what we are told to eat by the alleged "experts".

Since the early 1970's we have been told to eat a low fat diet as the only way to gain and maintain health. There has been a progressive decline in the nation's average cholesterol level, mostly due to the discovery and almost universal prescription of cholesterol-lowering medications, not due to low fat diets. Yet the low fat mantra has not produced one iota of a decrease in the risk and occurrence of ASCVD.

It is now well established that low fat diets do not lead to weight control. Without weight loss, low fat diets do not affect one's blood cholesterol number. Low fat foods are synonymous with higher carbohydrate content. We do not eat a high fat diet because such a diet is unpalatable It does not taste good. The human body has a limited capacity to store carbohydrate, but an unlimited capacity to store the carbohydrate as fat in fat cells. Eating fat does not promote weight gain, but eating lots of carbohydrates and sugar does. This message is worth emphasizing.


I am living proof of this fact.

I went on a diet consisting of no carbohydrate or sugar. It was very low calorie. I lost almost 30 pounds. To maintain my new weight I continue to avoid excessive carbohydrates and foods and beverages that contain sugar. I can eat fatty foods such as eggs, butter, real yogurt, use real cream in my coffee and continue to eat lots of vegetables along with any kind of animal protein - steak, chicken, pork, veal, bison, venison, ground beef - and fish. During the transition from very low calorie to a healthier, long term nutrition plan I monitored my weight closely. If I gained too much I was allowed a "steak day". A steak day meant I was only to eat the biggest, most fat-containing (otherwise known as marbled) steak I could find that made me feel full. No other foods were allowed that day. (The cholesterol experts would have had a heart attack to learn someone actually ate a large, marbled steak!)

I did all of this without any exercise at all.

I continue to monitor my weight closely as I begin to eat some carbohydrates - potatoes, rice, pasta, bread. As a person who could not lose weight, and a physician I am amazed at my new self. The message, I believe is clear.


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