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Does anyone have a reaction to Dr Hyman's new book?

Dr Mark Hyman is popular dr with a lot of smart things to say about how health care is whacko. He's re-named T2 diabetes and obesity "Diabesity." His new book "The Blood Sugar Solution" is out, and it sounds like Paleo but he doesnt admit it!

Anyone else been watching this one? The book was just released. He claims to reverse "Diabesity" in 6 weeks (from his website). http://drhyman.com/

I've read Dr Hyman ragging on low carb before, but he writes a book like this!

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Diabesity? Seriously? With 40% of all type II diabetics having a normal BMI and many people in the overweight range not diabetic? – elduderino Feb 16 at 16:55

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Here's my book review, which should ruffle a few feathers here!


The promotional blurbs by the likes of Dr. Oz, Dr. Dean Ornish, and Deepak Chopra predisposed me to dislike this book. But it's not as bad as I thought it'd be.

The good parts first. Dr. Hyman favors the Mediterranean diet, strength training, and high-intensity interval training. His recommended way of eating is an improvement over the standard American diet, improving prospects for health and longevity. His dietary approach to insulin-resistant overweight/obesity and type 2 diabetes includes 1) avoidance of sugar, flour, processed foods, 2) preparation of your own meals from natural, whole food, and 3) keeping glycemic loads low. All well and good for weight loss and blood sugar control. It's not a vegetarian diet.

The author proposes a new trade-marked medical condition: diabesity. It refers to insulin resistance in association with (usually)

overweight, obesity, and/or type 2 diabetes mellitus. Dr. Hyman says half of Americans have this brand-new disorder, and he has the cure. If you don't have overt diabetes or prediabetes, you'll have to get your insulin levels measured to see if you have diabesity.

He reiterates many current politically correct fads, such as grass-fed/pastured beef, organic food, detoxification, and strict avoidance of all man-made chemicals, notwithstanding the relative lack of scientific evidence supporting many of these positions.

Dr. Hyman bills himself as a scientist, but his biography in the book doesn't support that label. Shoot, I've got a B.S. degree in zoology, but I'm a practicing physician, not a scientist.

The author thinks there are only six causes of all disease: single-gene genetic disorders, poor diet, chonic stress, microbes, toxins, and allergens. None of those explain hypothyroidism, tinnitus, migraines, irritable bowel syndrome, Parkinsons disease, chronic fatigue syndrome, or multiple sclerosis, to name a few that don't fit his paradigm.

Dr. Hyman makes a number of claims that are just plain wrong. Here are some: - Over 80% of Americans are deficient in vitamin D - Lack of fiber contributes to cancer - High C-reactive protein (in blood) is linked to a 1,700% increased probability of developing diabetes - Processed, factory-made foods have no nutrients - We must take nutritional supplements

Furthermore, he recommends a minimum of 11 and perhaps as many as 16 different supplements even though the supportive science is weak or nonexistent. Is he selling supplements?

After easily finding these bloopers, I started questioning many other of the author's statements.

I was very troubled by the apparent lack of warning about hypoglycemia (low blood sugar). Many folks with diabetes will be reading this book. They could experience hypoglycemia on this diet if they're taking certain diabetes drugs: insulin, sulfonylureas, meglitinides, pramlintide plus insulin, exenatide plus sulfonylurea, and possibly thiazolidinediones, to name a few instances.

If you don't have diabetes but do need to lose weight, this book may help. If you have diabetes, strongly consider an alternative such as Dr. Bernstein's Diabetes Solution.

In the interest of brevity, I'll not comment on Dr. Hyman's substitution of time-tested science-based medicine with his own "Functional Medicine."

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I was with you (very good, thanks!) until the last part about "Functional Medicine." My understanding of his use of this term (and I've seen it here before too) is that he means treat the whole body, not just symptoms, find the root cause, do what makes you more healthy before something passes the gate and becomes a "disease" so you can get a drs attention! Sounds like he's right and "Medicine" is wrong to me. I know that medicine has its head way, way up its backside as far as this goes. Isn't Hyman's approach appropriate for type 2, and not type 1? Is there some confusion here? – DFH Mar 2 2012 at 16:28
Trademarked diabesity? Oh brother. I almost let the spell checker have its way with that word. – thhq Mar 2 2012 at 17:28
I love goofy diets. I should start a collection of the books I can get at the goodwill for under a dollar. – thhq Mar 2 2012 at 17:30
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Thanks for taking the time to do the review! – Nance Mar 2 2012 at 18:58
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Functional medicine is not Dr. Hyman's creation. Check out the Institute of Functional Medicine (IFM) for more info. I am a physician and a patient of Dr. Hyman's's. I have used his recommendations to fix my headaches, fibromyalgia, hypothyroidism (antibodies are gone) and IBS. I went to a functional medicine conference and at lunch sat between two women, one cured of MS, one cured of Lupus through radically changing their diets. If I limit myself to what is well-proven, then I am at the mercy of the drug companies. common sense tells me to avoid chemicals. i don't need research for that. – shellyb Mar 30 2012 at 23:14
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I suspect that Hyman knows he's advocating a Paleo like approach. But perhaps he doesn't want to be classified under that heading. Let's face it. Once you've been branded as a Paleo person, people either agree with you or think you're a nut. What I've noticed though is that more and more people are essentially arriving at a Paleo like diet, even if they don't want to call it that. Besides Hyman, there's the author of Cure Tooth Decay who talks about using diet to prevent and even reverse tooth decay. If you read the book, you'll see a huge overlap between his diet and Paleo. So I think authors like Hyman actually help the Paleo movement. They send the message that this isn't just a bunch of nutcases on the fringe. Now we're seeing actual doctors come out of the Paleo closet.

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You have a good point. I was arriving at a Paleo way of eating before I even knew what Paleo meant. It just feels right for me and is in line with traditional eating, which just makes sense to me. Nowadays many of us, because of technological advances (juicing machines, transportation, etc.) seem to think that we've got a sudden intellectual "leg up" on nutrition over our forbears. To me, it's pure arrogance to think that we all of a sudden know how to nourish ourselves better than our ancestors. We have yet a lot to learn from them. – Rick Osborn Mar 12 2012 at 11:20
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To me, Paleo isn't just a diet. It's a way of thinking. For example, why do we eat a pre-workout meal? Because we've been told that we need energy to perform our workout. But let's look at this in the context of being a hunter-gatherer. Hunting for food is like exercise. It's physically demanding. Now imagine telling the caveman that he needs to eat before going on his hunt. The whole reason he's going out to hunt is to get food. But now you're telling him to eat first. Well if he has food to eat, then why go out to hunt? – BigNoseDog Mar 12 2012 at 15:05
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Everyone who is susceptible (genetically) gets diabetes sooner or later. All a person can do is postpone it. A friend of mine who was slim all of her life and regularly exercises, got diagnosed type II diabetes - when she was 92. I asked her if she's taking meds (she's now 94) and she told me that she was just maintaining normal sugar levels by lifestyle. My Mum got diagnosed diabetes when she was in her late 60's. She was clinically obese (close to 300 lbs) and never exercised. Was a healthy eater basically but liked her chocolates. A cousin of my husband's got DXed with diabetes when she was 71. She's now 74, still gets around well, clinically obese and didn't really modify her diet. So you see a lot of this is a bill of goods. I am a lifetime member of Weight Watchers and have lost 110 lbs and kept it off for 2.5 years. I am 68 years old, exercise cardio daily, resistance training 3 or 4 times a week and yoga 4 or 5 times a week. No surgery or Dr Hyman's diet and I love my sweets and have them daily (in addition to lots of veggies and good food). I have normal sugar levels. it's hard enough to live on Weight Watchers - you have to journal your food daily. But at least you can eat anything you want. (I just finished a Dairy Queen sundae - I save up my discretionary points and have fun on Sundays). But with Hyman's program, you give up anything which tastes good. You can imagine how long most folks will stay on it. And as you can see, you can be slim and healthy and enjoy sweets and cake and ice cream in moderation.

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Everyone who is susceptible to it becomes more prone to getting it as they age. I reversed my Type II by losing weight at age 54, but I expect that it could return at my lower weight as I get older. – thhq Sep 5 at 22:24
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I like Dr. Hyman and have read several of his books. I think he's on target on a lot of things. I'm a bit suspicious of his association with Dr. Oz (he kinda creeps me out and is definitely too rooted in conventional medicine for my taste). That being said, I haven't read Hyman's new book, but if someone truly wants to control blood sugar and get their body back to a healthy state, applying traditional eating and paleo principles is definitely the way to go. Before I ever even read a Paleo book, I was telling my clients to eat in a paleoesque way as it works and just feels right, particularly related to blood sugar issues. I'm not surprised that Dr. Hyman's book does the same thing, even if inadvertently.

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The website teasers mention ancestors but I don't see anything suggesting that we act like them. More like hook to sell books to paleos. The diet itself looks pretty much Med, except for a couple expensive game meats. Just another retread which co-opts egotistically to put bucks in the bank. – thhq Mar 2 2012 at 14:22
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I've never heard of him before and I don't buy diet books, so thanks for the link. The website is slick and garrulous, and focused on selling his books. It reveals a plan that sounds similar to the Mediterranean diet. I didn't see anything about activity, so apparently it's a dietary approach rather than a lifestyle change.

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That's not true. The book talks about performing regular exercise. He recommends weight training as well as HIIT. But the bulk of the book focuses on diet. He does make clear, however, that this isn't temporary nor should the focus be on losing weight. He's more concerned with optimizing health. Weight loss happens as a side effect. – BigNoseDog Mar 12 2012 at 14:54
So what I said is true then. It's mostly about diet. Why quibble? I don't buy the books, and am only interested in tracking the ideas. Compared to "the master cleanse" and "last chance" the NE is tame. – thhq Mar 13 2012 at 12:34
What an arrogant fool, read the book - then award yourself the winner... – Ulsterman Apr 7 2012 at 14:49
Ulsterman ask me a question about carb exchange counting and I'll tell you intelligently why it worked to get rid of my diabetes. I don't need to know about Hyman's method in detail but I like to stay aware of the current fads. Spend your money however you like but don't tell me how to spend mine. – thhq Apr 7 2012 at 22:21
@thhq - Can you provide a link or elaborate the carb exchange counting that helped you to get rid of your diabetes? Very much interested. – venkat Aug 11 at 14:12
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Perhaps you can get a sense of Dr Hyman here - http://www.youtube.com/watch?v=IhkLcpJTV9M

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what a great speaker! – sage_ Mar 2 2012 at 14:32
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@thhq much interested.

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I used the booklet offered here, which I originally got from my dr. www2.massgeneral.org/bmg/diabetes/… The methodology could be adapted to any diet, from vegan to SAD to paleo. It forces you away from eating easy-to-digest carbs by limiting them. Part of this is done by overall caloric restriction, and part is done by causing you to deplete your allowed exchanges with fairly small amounts of the undesirable carbs. The system was developed by the ADA 50-60 years ago, and is somewhat similar to weight watchers points, though the intent is to control blood sugar. – thhq Sep 5 at 22:19
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moderation is the word. You can eat many food but a small portion. I saw people in "all you can eat restaurant"... It is very disturbing....4..5..6...+ plates of food because it is cheap, if food prices in many places were up and smaller portion people would be used to this and eat less. See the european, restaurant portion are much smaller than ours...they are not heavy like us.

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This is not psuedo-science. After much study and deliberation I discovered that modern scientists have known for at least ten years that 55% of modern society doesn't process carbohydrates from baked goods, pasta, etc. as well as the other 45% does. Hence people say they have cut their calories drastically (not good) and are still GAINING weight! For that portion of society, these types of carbs need to be limited and initially the person should not have any off them for a week or two, then slowly add them back into the diet minimally. This is a concept that has been introduced by other doctors and dieticians (see "The Metabolism Miracle"). Why? Because folks who are born insulin resistant that eat too many "simple carbohydrates" have an issue wherein the carbs go straight to the liver, which converts them to fat! If these people aren't limiting those carbs, every time they eat them, even if they are counting calories, THOSE calories are stored as fat. So much for calories in and out, the old mantra we were taught. I actually started doing the DASH diet and removed those types of carbs for about two weeks and slowly added some in, which is supposed to reset the function of the liver. It seems to be working because over a year (I'm near 60) I lost 53 pounds. I'm still losing-and have never lost that much before and KEPT IT OFF. My cravings are minimal and I just have the things I that really want sometimes. I also stay away from additives and etc., soda, which can ruin your stomach. when I was a kid we didn't eat all of these processed foods. I would check in with a dietician who know this method first and make certain that this is a plan for you. But it's not a fad diet...

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I have not read Dr. Hyman's book but have read a lot about his program. Seems to me this is rather similar to the information Dr. Atkins was researching and promoting at the time of his death. His approach was low carb, staying away from sugar, and taking supplements. Some people criticized his plan for being too loaded with fat, but many of us who tried it found that even though we might initially have overdone on bacon, butter, etc., we quickly reached a point where a little went a long way. We ended up balancing our intake of protein, vegetables and fat, and eventually adding in some whole grains. That, with a bit of exercise, does work for losing weight and balancing blood sugar.

I am suspicious of any doctor/scientist whose plan demands you give up everything all the time as it is bound to fail; or any doctor/scientist who claims to cure all these diseases with one plan. Many of these guys seem more interested in making big bucks by promoting their own line of supplements.

Diabetes and hypertension are issues for me, and only now am I seriously starting to address them beyond the medication level. I have begun exercise and am now looking to find a manageable way to adjust my diet. I think I will avoid Hyman's program because I am susceptible to low blood sugar from time to time and I don't want to exacerbate the possibility.

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I appreciate your comments here. I think you've given an authentic review. I get almost all of my patients on paleo diet and as you know it takes care of many issues. However, Mark Hyman is on the cutting edge.

I through your comment about how his 6 underlying causes of diseases was absolutely 100% off base. In fact, by addressing those 6 underlying causes I see people overcome almost every disease and disoder that I'm presented with. He's on point. We'll never have the phone stick man "double blind" research studies done on humans that would "substantiate" scientific credibility for the toxins we are exposed to. Would you swollow a cup of benzene or a tsp of mercury. It would be inhuman... The world of science is backwards, just read lead research scientists for Canada Health's book "The Cure for Everything". He brings this truth into full light.

That's all I wanted to say. Great site and thanks for getting your view out there.

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I just want to say to those readers who think this approach is just another diet that the functional medicine approach that Dr Hyman recommends for controlling blood sugar and prediabetes is not just about reducing carbs. It is a multi faceted approach to create a healthier body. This is the difference between his approach and a 'traditional' low carb approach.

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I did read Dr Hyman's book after being diagnosed with insulin resistance. It just sounded like clean eating common sense principles to me. I have been eating "clean" for a while but Dr Hyman's approach to looking at the glycemic load of foods really helped me discover what foods (regardless of whether they were healthy foods) I was eating that were causing me to gain weight (ie gluten, some "natural" sugars, dairy, and grains) I cut these foods out of my diet and I have lost 20 lbs in 6 weeks. Even better, this is a way of eating for life that I can live with.

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Obviously if you cut calories you will lose some weight, but Dr Hyman's Blood Sugar Solution, is not only about cutting certain foods that make you sick, but also eating foods that will help you heal your body. We have finished the 6 week advanced plan, and we are no longer diabetic. As a side effect we lost weight, but we have no aches, pains, or problems, and we feel great. Most of the comments here are from people that claim not having read the book. Well, we not only read the book, watch the PBS video, but also followed it to a T, and we are grateful for writing it, because it helps us learn much more about the food we eat.

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-Eating whole grains instead of factory-processed carbs (including sugar) is not only more healthy, it's revolutionary! The Paleo diet omits carbs altogether, right? That is quite a difference. -Eat protein and grains, both with vegetables, at separate times. And eat fruit by itself. This is the most radical change you can make to your diet. They are digested at different rates by the body. Also with this method it is hard to overeat.

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Katie, the Paleo diet does NOT omit carbs altogether. Although there seems to be 50 shades of Paleo out there, even in its most strict form Paleo dieters do get carbs from fruit. The more permissive forms of Paleo, like what is suggested in the Perfect Health Diet, permits certain starchy veggies and suggests a 150 gram/day carb intake. – Lazza Mar 5 at 18:20

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