Is High Fructose Corn Syrup all that bad?

August 18th, 2010

I was recently watching TV while visiting a friend (I actually do not have regular TV anymore, which is very time liberating. Though I am not sure I can stand it through Football Season), and saw one of those High Fructose Corn Syrup  (HFCS) is the same as sugar commercials. I have to admit that I was a bit unsure of how to feel about it. Part of me was saying “are you kidding me! that stuff is horrible!” and the other part was thinking “well, sugar not much better, really”. So here is the low down and I will let you decide for yourself.

First, a little biochemistry, seriously, just a little. Basically, there are two routes for sugar(s) to be processed. The type of sugar will determine the preferred route (glucose, fructose, sucrose, lactose, etc…).  One route is the blood. All sugar being processed via this route is taken up by the muscles and brain to be either used or stored as energy (stored version known as glycogen).  This route will increase acute insulin response, and if insulin resistance is high that will force the sugar to be stored as fat, rather than go into the muscle (basically because the muscle is unresponsive to the insulin). The alternative route is through the liver. All sugar taken through the liver is first processed for liver glycogen, then the remainder is turned into glycerin and released into the blood where it scavenges for free form fatty acids to form triglycerides, which a re then stored as body fat. Sugars processed by the liver cause a minimal rise in acute insulin, are the most likely to be stored as body fat, contribute the most to fatty liver disease, and have the largest long term effects on insulin resistance and risk of type 2 diabetes. Okay, liver bad, blood good, got it.

So, what goes where? 80% of glucose is processed via the blood, while 20% is processed via the liver.  80% of fructose goes to the liver, while 20% to the blood. Alcohol (yes, it is a sugar also, but now in the form of alcohol, which has to be turned back into sugar) processes identical to fructose, so it should be no shocker that they cause the same health problems.

So how does HFCS differ from table sugar. Table sugar is exactly 50/50 glucose/fructose while HFCS is 45/55 glucose/fructose. Honey is 25/75 glucose/fructose and agave nectar is 5/95 glucose fructose (hence its very low Glycemic Index, it all goes to the liver!). So does that mean that table sugar is better than honey? Basically…yes. Isn’t fruit all fructose? Mostly. But fresh, raw fruit normally has quite a bit of fiber and antioxidants which offset the negative effects of fructose. However, as it sits after being picked or if it is cooked,  it dramatically looses nutrient and antioxidant content. So buy it fresh and eat it quickly or even better buy it fresh frozen.

There are a few other differences between HFCS and sugar. The most notable, however, is that table sugar will cause nausea if you eat a lot of it, whereas HFCS will not. For example, the original recipes for old school sodas had 10 teaspoons of sugar per 8 oz serving. That was enough for one soda to cause you to regurgitate. Soda companies battle this problem by “cutting” the drink with phosphoric acid which offsets the urge to vomit as it has a stomach “settling” effect. Today’s sodas use HFCS rather than table sugar but the acid is retained to maintain the old flavor. Many of our older patients actually recall getting sick from eating too much candy, but no one has had that problem for at least 20 years because of the universal change to HFCS. So to the food companies benefit, and your loss, you can eat all you want now and never get sick. In addition, the effects of the increased fructose consumption over years (and sugar overall) lead to high insulin levels and problems with maintaining blood sugar levels. This causes crashes and a desire to eat more sugar, which creates a vicious downward spiral toward obesity and diabetes.

So the take home message? Stay away from sugar unless it comes in edible container also known as a fruit or vegetable. But if you absolutely have to have sugar sweetened substance, table sugar is slightly better than HFCS and honey and agave nectar are worse.

PCB’s and fish oils

August 5th, 2010

A recent article in the paper by Dr. Oz has been raising some concern about pollutants in the food that we eat and supplements that we take. The primary focus of the article was PCBs in fish oils. This is really not a new concern, but it is certainly a concern that most people are unaware of and need to be informed of. PCBs in fish oils have been an issue since before fish oils were even popular to take. I remember hearing the first presentation on this problem nearly a decade ago. The pollution of PCBs in anything that you eat is a cause for alarm. The real question is not whether to take the omega 3 supplement.  As Dr. Oz stated, “They are just too important.” The question is how do you get them without the PCBs. There is quite a bit of controversy on this subject, I will attempt to make this more clear.

Many suggest that you should avoid fish and stick with plant sources. However, no plant source will provide adequate amounts of DHA or EPA. Both of these fats are vital for health, particularly for the heart and brain. Roughly 50% of the brain is made of fat. The type of fat is preferably DHA, a type of Omega-3. This can be consumed from plant sources, but they are primarily ALA which your body will convert into DHA. Unfortunately, the ratio is very poor. It is about 9% for EPA and 3% for DHA. Both are good for you , but again, DHA is the primary target. You need about 900 mg of DHA/EPA combined. So you would have to consume a bout 100 grams of Flaxseed oil per day to get enough EPA/DHA. It has been suggested that you eat what fish eat to get theirs, algae. First of all, yum yum. Grass is an equivalent source of omega 3, which is why all grazers (that actually are fed grass) are equivalent sources of omega 3’s. But you are not going to eat grass, well you might, but probably not. In addition, most fish eat crustaceans or other fish, including salmon which is considered a primary source of omega 3’s. The reality is that if you where going to the original source (green grasses and algae), you would have to eat that as your primary food source to get enough (and then some). It is far more efficient to eat animal sources,  which have already done the converting for you. So plant sources are a good source for omega 3’s, but an inefficient source of DHA and EPA, the specific omega 3’s that your brain and heart need.

So what about the animal sources? Well, in reality, anything that eats large amounts of grass or algae, or eats another animal that does so, will be a good source of omega 3’s. The closest animal to the original source is usually the best to eat. For instance, nearly every grass fed grazers are equivalent sources for you omega 3’s. Bison has almost identical fatty acid profile as tuna for instance. The best grazer in North America, that I am aware of, is elk, which has a profile almost identical to sardines. In addition, the closer the animal is to the plant source, the less toxins that it will contain. Swordfish, which eats large amounts of smaller fish, has enough mercury in one steak to make you test positive for mercury poisoning. Sardines, a primary food source of most larger fish, eats algae and has only trace amounts of toxins (including PCB’c and mercury). In addition, fresh water and farm raised fish, have the most toxins and the least omega 3’s. Farm raised fish, have very little omega 3 content due to the feed used. This is often neglected in the recommendation of fish (general) as an omega 3 source. In addition, certain low grade fish oils use farm raised fish, which again, have little to no omega 3’s and the highest levels of toxins (particularly PCB’s).  The short version of this message if to eat large grass gazing animals and small (wild) fish for your best omega 3 sources.

What about supplements? I recommend that you use only pharmaceutical grade fish oils and that you know the source. My favorite is krill oil, which is what salmon eat. It is about 3 times more bioavailable than fish oil (you can take a 3rd of the dose), has more antioxidants and no toxins. Krill is also the largest biomass in the world. Sardine oil is also a great source. It is very high in DHA and EPA and again has almost no toxins. Cenegenics carries both of these, in purified, completely toxin free, pharmaceutical grade formulas. This is what I recommend. There are only two over the counter fish oils that I recommend: Carleson’s or Nordic Naturals. Both are great and hold up to the standards year after year in independent testing. That being said, they are about half as efficient for getting your DHA and EPA (even in their EPA formulas) so you will need to take twice as much.

Can Mouth Hygiene Be Good For More Than Your Teeth?

July 28th, 2010

Several studies report a link between CRP and frequency of both dental visits, as well as flossing. CRP is strongly associated with your risk for cardiovascular disease but previous studies have not established a solid link between dental hygiene and your risk of heart disease. In a recent study involving Scottish men and women over an 8 year period, the link was confirmed. The study was a health survey performed between 1995 and 2003 involving over 11869 participants. People who brushed their teeth less than once per day were 70% more likely to have a CVD event and 300% more likely for that event to be fatal than those that brushed twice per day. Wow! Continuing, those that only brushed their teeth once per day, were twice as likely to have a CVD event and twice as likely for that event to be fatal as those that brushed twice per day! Meaning most of us that think we are doing okay by brushing once per day are still twice as likely to die from a heart attack as someone that brushes twice a day.

Researchers also found a correlation with toothbrushing frequency and other risk factors, as people who brushed the least were the likeliest to be obese, smokers, the least active and have the lowest income. But the results were consistent even after adjusting for all other risk factors.  So, it appears that those with the healthiest teeth are the likeliest to be healthy. This is confirmed by several other studies that examined tooth health and all cause mortality (death by any cause). Several authors have suggested that this suggests that people who are the healthiest are the likeliest to have healthy teeth. Previous studies analyzing the association between gum disease, flossing and CRP suggest that the most likely culprit is actually the bad bacteria in your mouth, which causes systemic inflammation (indicated by elevated CRP).  Combined with the study on brushing frequency, it suggests that those with the healthiest mouth hygiene are likely to be the healthiest. With clear associations between diet and tooth health, it would also suggest that excessive sugar consumption would play a role in this equation. Not forgetting that the bad bacteria in your mouth actually feed on sugar—something we all have “known” since grade school.

Research in this area has exploded in recent years, producing a barrage of interesting studies. The greatest and latest seems to be about Green Tea consumption. With the plethora of research on the many health benefits of at least 1 cup of green tea per day, including weight loss and prevention of heart disease, diabetes and cancer, researchers decided to see what else it may help. As it turns out, the “active ingredients” in green tea are also antimicrobial (kill bad bacteria and viruses) and antifungal, and even go as far as preventing the surviving bacteria from attaching to your teeth. Green tea consumption may help prevent all forms of periodontal disease including cancer of the mouth.

So in short, brush your teeth at least twice per day. Floss every day. Visit your dentist twice per year. Eat a low sugar diet. Drink your green tea and you will have healthy teeth be less likely to die from all disease, particularly heart disease, which is the number 1 cause of death in the US.

Workouts for Women

June 30th, 2010

Should women train differently from men? I get this question all of the time. Normally what this really means is “I don’t want to look like a dude, so that means that I shouldn’t train like one…Right?”  That is a complicated question. Here is the good news ladies, you will not likely ever look like a guy. You just don’t have the hormone responses to exercise that a guy does. We will get into that in a moment. But for that same reason, you will respond best to a slightly different style of exercise than a guy.

But before we get into the details, I need to state a clause:

-If you have wide hips and narrow shoulders you can workout like a mad woman and you will not likely put on a lot of upper body muscle (but you will lean down and likely loose weight).  You will put on some muscle in you legs and hips (but again you will lean down).

-If you have narrow hips and wide shoulders, you will respond “better” to exercise as it will be easier for you to put on muscle and lean down than most women. It is most notable in your ability to add upper body muscle.  That being said, it is still highly unlikely that you are the one in 100,000 women that can indeed build muscle as well as a man (without a bit of “hormonal help”, meaning a massive dose of steroids).

Okay, lets get to the good stuff. Men and women both have a hormone response to exercise and to some extent it is to different types of exercise. I am going to focus primarily on women for this post. Women can temporarily increase their Human Growth Hormone levels by about 100% for approximately 6 hours after a workout if they do the right workout. This increase is where you get the most benefit from your exercise. For 99% of women, that means that you lean down considerably while adding small amounts of muscle. To put things into perspective a man can get an 800% increase in Human Growth Hormone Levels and a 75% increase in testosterone (which is about 10-15 times higher at baseline than yours and you get no increase). This is why men have a far greater ability to build muscle than women. Interestingly, women actually have their greatest response in middle age (must be nice, we peak at 18-20). Think about it, how many times have you seen a 45 year old soccer mom that looks great and is kicking some 20 year old’s tail in the gym. Often enough to be noticeable if you are paying attention. Most of the time we just shrug it off as more discipline and dedication. That is part of it, but the other part is double the hormone response, which means double the improvement, and that means double the motivation.

Now you just have to do the work, which leads me to my next point. What kind of work, and how much? The good news is that the primary stimulator of this response is Blood Lactate, or lactic acid in the blood. That is also the bad news. The simple version is that high intensity work causes lactic acid to build up in the muscle. As that approaches toxic limits the body will begin to remove it from the muscle to process it systemically (blood lactate) and if needed will begin to off load it in the stomach to vent it (regurgitate). So why did I say that it was also the bad news? You have to work a lot of muscle at one time (exercises like squats and deadlifts performed for 10 sets of 10 produce the best results), and do a lot of it. There are two ways to do this but both have to be intense. For example, you could do multiple sets of 10 at a 10 rm on squats (about 45-60 seconds and heavy enough to keep you from going over 60 seconds) or you could run 300-400 meters as fast as you can (again 45-60 seconds at a speed that you can’t sustain longer than 60 seconds) multiple times. 1 set will not build up enough to cause significant blood lactate increases, and if your rest is over about 90 seconds you will begin to buffer it out forcing you to do even more sets to accomplish your goal. This is why large exercises performed in a circuit are beneficial for weight loss. For example you could do 30 yards of lunges, 30 squat jumps, 30 push-ups, 10 chin-ups, run 100 meters rest 1 minute and repeat 6 times. Or you could do 10 sets of 10 on squats. If you wanted to lean down you would do the circuit If you wanted to lean down and put on a little muscle you would do the squats (a typical women trying to put on muscle is lucky to add 3-4 pounds of muscle per year which is barely noticeable if spread over the entire body as it would be with this type of work).  There are a number of combinations that you can use but they should be goal derived.

The next trick is not to undermine it with a poor diet. Your workout and diet should work together, but they can easily work against each other. For example carbohydrates in excessive amounts, will increase your insulin. When your insulin is high it blocks the growth hormone receptors at the cellular level, meaning lots of growth hormone and nothing for it to do. So it is very important to eat the appropriate amount of carbs for your body and activity level. This amount can vary greatly from one person to another but is 60-90 grams per day on average. It is also important for you to eat adequate protein as the growth hormone is made of amino acids which must be eaten to sustain optimal levels of the hormone. The most important times for you to eat protein are immediately post workout (research suggests that 30 min pre-training is good as well) and about 30 minutes before bed as post workout and night time is when your growth hormone is highest and most responsive to amino acid loading. A glutamine (5-15 grams) drink during the workout will help as well.  I know that many of you think that you shouldn’t eat before bed, but what you eat is the important part. Cookies will make you a fat insomniac that pees all night. Turkey will make you sleep like a baby and help you lean down (and not pee all night…test it for 2 weeks- meat and veggies for dinner, no fruit or sweets and 4 ounces of turkey or cottage cheese 30 minutes before bed, you should notice progressively improved sleep in the second week). As a note, you do not produce urine in a deep sleep, and growth hormone helps induce deep sleep.

So ladies, put all of this together and in a few weeks you should see the beginnings of a leaner, healthier, more rested, more energetic you. Most will not start to plateau until 8-14 weeks and that is where some more advanced workouts progressions come into play.

Cenegenics Carolinas is hosting a Webinar!

May 8th, 2010

Join us for a Webinar on May 26

Here is your chance to attend a live talk by nationally-recognized Age Management Specialist, Dr. Mickey Barber.

Dr. Mickey Barber will discuss the importance of an integrated approach to maintaining your healthy edge and will focus on how you can be proactive in living a better life today. Please join Dr. Barber and learn how to tackle the aging process head on!

Title: Stop the Clock – Slowing the Aging Process

Date: Wednesday, May 26, 2010

Time: 7:30 AM – 8:30 AM EDT

After registering you will receive a confirmation email containing information about joining the Webinar.

System Requirements
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Required: Windows® 7, Vista, XP, 2003 Server or 2000

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Required: Mac OS® X 10.4.11 (Tiger®) or newer

Space is limited.
Reserve your Webinar seat now at:
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HCG Diet: Part 3- final conclusions

April 26th, 2010

I ended my last post by questioning the systemic benefits of HCG on weight loss. There is really only one way to settle this, a randomized controlled study comparing an HCG plus diet vs. a diet alone protocol. Fortunately over the years, 14 of these trials have been completed. Of these only 1 study showed a benefit for HCG users compared to the control group (diet plus placebo). Continue reading “HCG Diet: Part 3- final conclusions” »

HCG diet, to be or not to be- part 2: the science

April 26th, 2010

With over 40 years of research on HCG and the HCG diet, it is very easy to get bogged down in the data. I will attempt to give you the highlights of all of this data.

First, what are the proposed advantages of adding HCG, in small daily doses, to a diet? Supposedly it has an appetite suppressing effect. Continue reading “HCG diet, to be or not to be- part 2: the science” »

HCG diet, to be or not to be

April 26th, 2010

As many of you know, there has been a ton of press on the HCG diet as of late. I will be doing a series on this subject over the next weeks to help illuminate you on this topic.

What is the HCG diet anyways? As far as that goes, what is HCG? Continue reading “HCG diet, to be or not to be” »

Getting Old Sucks

March 11th, 2010

As a wise old woman once said, “Getting old sucks.” Skin wrinkles and sags as it loses all traces of collagen, that blessed protein that keeps skin plump and taut. Dark circles and spots come along for the ride. Hair dulls and thins. Eyes lose their focus. Fat accumulates around the midsection, as the rest of the body sheds muscle mass. Continue reading “Getting Old Sucks” »

Use of drugs controversial, but is criticism deserved?

March 11th, 2010

Every month, sometimes every week, we hear news of a prominent athlete using “performance-enhancing drugs,” high school kids trying to get a competitive edge by using steroids, or celebrities, young and old, using human growth hormone, or hGH. Continue reading “Use of drugs controversial, but is criticism deserved?” »

NY Times Article

NY Times Investigates Baby Boomer Vigor Quest & Cenegenics

Journalist Tom Dunkel examines the age-management global leader, male menopause controversy, anti-aging protocols

Read More

Healthy Aging Updates

Did You Know? 11 Signs That You Need More Sleep

Did you know that lack of sleep may cause excess abdominal weight? Are you getting good quality sleep? If not, you may be contributing to the weight amassing around your waist line. Continue reading “Did You Know? 11 Signs That You Need More Sleep” »