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ruh oh, they are talking about a book most of them have never read! – Bread-Eating Beelzebub Oct 7 2011 at 3:50
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Kinda like you and whet belly huh? Pot meet kettle. – The Quilt Oct 7 2011 at 3:59
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I was being sarcastic. For the record, all the info in Wheat Belly is available on Davis' blog...for free. Yes, I've read it. – Bread-Eating Beelzebub Oct 7 2011 at 4:28
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At least Melissa knew what Dr. Davis was talking about. I don't feel like many of the responders really understood the topic at hand and furthermore I don't think that the right questions were posed, there is a lot more to his rationale then what Jimmy posed to them. But I'll just wait for Paul's response and comment after that. Then there was your comment, which tackled a pertinent issue which is the people you help who are FUBAR. Paul's recs are certainly fine for people who are metabolically healthy. I just wonder if having starch at dinner with other food is so bad if everything else is... – Stabby Oct 7 2011 at 4:38
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Some of the responses on there are quite harsh. .... On an unrelated note: I like that Dr. BG (we know her on here as "Grace") is always referring to Paleohacks. – Paul Oct 7 2011 at 7:24
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10 Answers

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Since I recently did a question related to this, you know my view. There is an answer in that compilation to please everyone, I think, but the quote that particularly resonated with me was:

Chris Masterjohn:

The body can make glucose from protein, so the physiological need for glucose does not mean there is a dietary need for glucose. That said, some people might be better at making glucose from protein than others, and some adverse circumstances may compromise an individual’s ability to make glucose from protein.

This is somewhat consistent with my view that only special disease states would warrant the need for dietary glucose. However, I consider it a band-aid solution, though it may be the best alternative we currently have in some circumstances.

As for the cancer situation, I'm really quite alarmed that anyone would recommend eating any glucose at all under that condition. If my life were on the line, I wouldn't be taking any such risk. I know that research on ketogenic therapy for cancer is in its infancy, but what little we have is promising and the theoretical basis is sound.

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For a cancer patient w/insulin resistance, I agree that a ketogenic diet may be helpful. High insulin and IGF-1 levels are associated with tumor growth, so minimize by just freezing out insulin. Avoid carbs and you'll keep insulin at bay. Now, in a healthy person w/cancer, would that be necessary? Insulin deployment is transitory. And these peopel are very sensitive to insulin. Does eating a safe starch meal elevate insulin to such a degree that tumor cells grow exponentially? Especially when you're only doing 150-200g carbs as in PHD? – Namby Pamby Oct 8 2011 at 0:16
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WOW! If Taubes is now saying that dietary causes of IR cause cancer, he's really gone overboard. Nothing elicits IR in the diet like fat! (No, I'm not suggesting that fat causes cancer) – Evelyn aka CarbSane Oct 8 2011 at 11:45
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Safe starches ARE SUGAR. It becomes sugar even while in the mouth, after salivary amylase finish it work. If you swallow food without chewing you will have lower glucose spike because of this reason. – majkinetor Oct 8 2011 at 20:14
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Dairy free for cancer is FAIL. Butter is rich in K2. Vitamin C + K3 is approach used with terminal patients in Riordan clinick in Spain. K3 is similar to K2. Insulin spike may mean nothing to cancer as one of the defining characteristics of cancer is that it doesn't listen body hormones. It will overexpress GLUT transporters insluin or not. The cancer cell is the one reverted to ancient genome, when cells all cells were living like in the wild west. It doesn't care for your body as it is the body that created conditions for its rise. – majkinetor Oct 8 2011 at 20:18
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Starch is not made of fructose, but what does that have to do with it? Starch is glucose molecules bonded together. It is digested into glucose. What's so safe about glucose? Most tumours can grow on either glucose or fructose, but can't use ketones. – Ambimorph Oct 13 2011 at 18:47
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I thought it was a train wreck. Or trainwreck. Or train-wreck. Or...a disgusting display of ignorance, poor form, and not-so-hidden agenda. I can only hope Jimmy Moore realizes how clearly he missed the mark on this one and I surely hope some of our "dignitaries" are ashamed of themselves today because they damn well should be.

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Well said! Jimmy's web page is so cluttered and the post was so long I initially missed some of the comments -- including Bernstein's closing salvo -- by the "dignitaries". Ultimately, Jimmy is responsible for publishing that, however. – Evelyn aka CarbSane Oct 8 2011 at 11:48
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Would you have preferred that Jimmy censor their responses..? – Kimmie Oct 9 2011 at 2:19
I don't get it. Although I'm only halfway through the long blogpost, and haven't got to the comments yet at all, I find it fascinating to read the input of so many distinguished researchers, practitioners and others in one place on one question. I read most of the book (The Perfect Diet) and found it very useful to get input of so many on the ideas in it. Yes, the responses don't all agree by any means, but some of them are very instructive. – KindFood Oct 9 2011 at 21:15
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What do I think about it? This might seem harsh, but it is my top opinion that springs to mind upon completion of reading it all:

Kurt Harris > Jack Kruse

Sorry, but I'm not singling this Kruse character out, but he has always struck me as an unreliable source; as a person who is quick to spout off crackpot thoughts, theories and criticisms, yet he gets a pass because he has an "MD" beside his name.

I'm sorry if this post isn't a good one or within suggesting posting guidelines here...... I legitimately believe that the light needs to be shined on the crackpots. My immediate thought upon reading that link is that the light was very brightly shined on one there.

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Since Kruse chose to question KGH's professional abilities I think it is fair to question Kruse's. I think it is pretty crazy to say that Jaminet's and KGH's views about safe starches is purely in the context of cancer patients. I think some nutjobs revealed themselves, but it was not Jaminet or KGH. KGH >>>>>Kruse – Paleo2.0 Oct 8 2011 at 23:45
LIKEY............. kurt = reliable straight forward real – Mallory Oct 10 2011 at 17:35
cavemandoctor.com/wp-content/uploads/2012/08/… – The Quilt Aug 13 at 23:49
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It is indeed incredible the gap in general knowledge between those of us who read a fair amount about nutrition and those who actually do research and/or write books on the topic.

Maybe because of the amount of time and concentration it takes to do research or just to keep up with the science on an in-depth level, some of these experts seem totally ignorant about (and surprised to hear about) theories that differ in the slightest from their own area of expertise.

Those of us without the scientific grounding but merely a passion for putting into practice the best diet take for granted the notion that white rice, for example, is "safer" because it's lower in anti-nutrients/phytates. Doesn't mean we all agree, but we've read about it dozens or hundreds of times. Yet Loren Cordain gives no indication of ever having heard that. (Guess he doesn't listen to the podcast of his protege Robb Wolf.) Instead, he actually claims to believe that "anyone who advocates eating white rice and potatoes obviously is unaware of the concept of either glycemic index or glycemic load." Yeah, right! No one in 2011 remotely interested in nutrition is unaware of that concept.

And a low-carb researcher (Dr. William Yancy) who has never heard the word 'dysbiosis'??? LMFAO. Maybe he's all about weight loss and has never had a digestive problem that required more than five minutes of googling - because that's how long it takes to come across that term. Wow.

Kudos to Jimmy for exposing the variety of opinions on this topic and i look forward to his part 2.

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"some of these experts seem totally ignorant about (and surprised to hear about) theories that differ in the slightest from their own area of expertise" The term expert is used VERY loosely by Jimmy. Dana Carpender? Tom Naughton? – Evelyn aka CarbSane Oct 7 2011 at 12:05
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@carb, I like that someone has finally questioned that Naughton has become some sort of knowledge-source. Ridiculous. His movie was fun in its backlash to the mainstream but he is not an authority on anything science, or diet, related. – ben61820 Oct 7 2011 at 13:39
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"Authority"? I'm not sure what you mean by that word, but "expert" I would say he is. He's read, understood, and even taught (in his own fashion) much of the current knowledge in the field. What further does being an expert mean? Precisely the contrast that I think patrick is making is between people who have doctorates and can't see beyond the one isolated piece they work on, and people who aren't scientists by trade but understand the scientific process and can synthesize the existing work from a broader perspective and communicate it. – Ambimorph Oct 7 2011 at 18:53
@Ambimorph: I must be missing where Tom has shared the extent if his reading and understanding. His Big Fat Fiasco DVD contains much misinformation. The whole "you're as fat as you need to be" stuff comes from where? – Evelyn aka CarbSane Oct 7 2011 at 19:26
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Nowhere in the definition of expert is there a requirement of infallibility. Are you saying that all the PhDs in that compilation have everything right? Seeing as how they contradict each other, that seems unlikely. What I'm objecting to is the reliance on credentials for determining who is credible. I'd rather rely on proven capacity for logic, and familiarity with the relevant science. – Ambimorph Oct 7 2011 at 20:24
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First, I'm impressed by the sheer volume of Jimmy Mooer's blog post.

I think this goes along the same lines as my question from the other day

http://paleohacks.com/questions/68873/should-writers-researchers-have-such-narrow-focus/#axzz1a4MhaUZe

Does the term "paleo" need to have a rigid set of guidelines? For the general SAD public not to get confused, the answer is probably yes. Within the community, I would think it's pretty much assumed and agreed upon that people who have serious metabolic derangement need to avoid rice and potatoes, while someone who is a muscular cross-fitter or naturally skinny researcher can get away with more carbs.

And then there's differences between metabolically sound men and women.... An iron deficient woman should probably steer as far away from phytic acid as possible, but for us men who eat a pound of meat a day and have gradually elevating ferratin levels maybe some phytic acid in our diets would do us some good. I was actually considering supplementing with it (IP6) though I'm sticking with the blood donation route for now.

A one size fits all mentality of course doesn't work. But could the ambiguity/subtleties hinder the spreading of the "paleo" way of eating?

I think "no grains, no legumes, no dairy" is probably the easiest in an elevator pitch but then we have the subtleties of butter to deal with, so I dunno...

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Plus one........ – The Quilt Oct 7 2011 at 18:02
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I wish Jimmy had stuck to just asking the question re safe starches and leaving cancer out of it for this go-round.

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I also wish he had left out his preamble and just asked the question and had it answered. – Evelyn aka CarbSane Oct 7 2011 at 14:34
Yeah Beth, I agree as well. The cancer debate was distracting and would count as the exception instead of the rule. It is obviously relevant, but perhaps more so in a separate post/debate. – winni333 Oct 9 2011 at 4:53
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Jimmy cannot accept the fact safe starches can be good for you. But, atkins shakes, bars, pork skins are really good for you. – Jerry Oct 9 2011 at 23:16
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Colette Heimowitz sucked so bad, she doesn't know shit about physiology. Her 'speach' is embarrassing. DR. LARRY and Adele Hite answeres were really great and DR. Fred was very funny with that yelling. Jimmis N=1 experiments really suck because he is not adapted to HC input, and unless he is using somebody else as proxy it means nothing to people not on LC.

I do think that Pauls Vitamin C deficiency problem is ridiculous as it is well established that LC HP diet improves absorption and that HC diets diminish both absorption and utilization. You can eat red paprika to get a lot or that synthetic powder. Mucus problem might manifest as dry eys or rigid joints but not in the stomach which has some sugar (although it also has microbiota which hijack sugar). Cancer can't really be starved, but at least it doesn't have to bath in energy (it overexpresses GLUT transporters). Enough Vitamin C is probably the most important thing to prevent it (improves all types of unnatural conditions that may lead to reverting of normal cells back to their ancient selfish metazoian origin, and Lysine & Proline amino acids to prevent spreading (because of collagen cross linking).

I think improvements in personalized genetics will put stop on this once and for all. Once you know how well are you carb/fat/protein efficient in source code, you will not have to keep any XXXXL strategy. For instance, part of the CHO process would be to see your copy number variation of amylase gene, expression of your GLUT transporters, etc.... For now everybody will have to use their sense to guess it.

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I think this is great. I think paleo diet is more of a base template, and it should be strict in the sense of exact numbers. Different people can apply the template differently with differences. Paleo should support low to moderate carb levels (maybe even high).

The key is who is the subject and in what context. Healthy/Diabetic/Althelete/Pregnant/Parkinsons/Weight Loss/Strength Training etc. There is not one fits all solution, but there is a great base to start from. For me that is what paleo is.. guideline and a base to work with and start tinkering from.

Starting your base as low carb, to me, is a bad idea, people will tend to focus on that, and when they are out shopping see a low carb food product and go oh that is not so bad.

I think, just like us, paleo movement will evolve as long as we keep in open mind and do not make this a religion. Being critical is what got the movement started.

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"I think, just like us, paleo movement will evolve as long as we keep in open mind and do not make this a religion. Being critical is what got the movement started." Very well stated. When we get dogmatic and reject anything that conflicts with our current paradigm...well...it will all go downhill. – winni333 Oct 9 2011 at 5:03
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Quilt - Were your comments about 'safe starches' only aimed at cancer patients or does this apply to everyone who is trying to optimize through diet? I'm still not clear on your opinion of carbs for LS people. Do you think long-term keto diets are OK for most?

Dr. Jack Kruse says: "I read Kurt and Jaminet’s take. I think these recommendations are madness based upon the totality of the data we have today. I think avoiding anything that stimulates the IGF1 pathway is “smart” based upon current knowledge and i think using a ketogenic diet is also prudent. While i like both of these guys, neither one has any clinical experience treating cancer patients. They read literature. When kurt was a practicing doc he spent time in a dark room with films not patients. I showed our oncologist these comments and they both shook their head. I spent four years getting these guys to come over to evolutionary biology based upon science and now these two primal insiders decide damn be the science?

I think the science is far from worked out but nothing i have read critically reviewed support jaminet’s claims. My personal opinion is this……..the best way to show someone they are wrong is allow them to go down the path they choose and let them learn for themselves. Some people may do the same but when they see their clinicians and the news is not good…….then there testimony will shine sunlight on who’s interpretation of science is correct.

If you remember our podcast……i told you i am wary of authors with books to sell on diets. Here is a perfect example of someone trying to fit their theory into everything. Id rather use evolutionary biology to give us a custom health care plan instead. I wrote a blog on what to do for a new cancer diagnosis–and its completely opposite these recommendations. I guess the new cancer patient will have to choose who is more correct.

This is a sad state of affairs in my opinion."

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I agree, let the people take the path. We need more guinea pigs. – majkinetor Oct 7 2011 at 7:58
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I was just referring to cancer....my answer is clear. This is why i showed it to our oncologists who just shook their heads. As a surgeon who treats many cancers i also have a big problem with people making recs who dont. I was not alone in that criticism. – The Quilt Oct 7 2011 at 18:04
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My opinion on carbs is this.....once you are LS you can eat whatever you like and calories and macro dont matter. That is clear in the MDA thread and in my Leptin FAQ blog. I have zero problem with carbs......unless you are leptin resistant. – The Quilt Oct 7 2011 at 18:05
I've noticed that fat people are angry and tend to blame others for their failure to achieve their goals. – Odin Oct 8 2011 at 20:25
I have yet to come across any oncologists that recommend a low carb diet for their patients, nor have I heard much in mainstream. Granted, I have only known a few, and they were treating family members. However, I did notice on the occasions that I accompanied my family members to their radiation treatments...there were ALWAYS cookies in the waiting room. When I questioned the doc on this, they told me that they want their patients eating ANYTHING, it doesn't matter what. And then they told my mother-in-law to get my father-in-law (the one in treatment) a milkshake on the way home!!! – winni333 Oct 9 2011 at 5:01
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I think the science is far from worked out but nothing i have read critically reviewed support jaminet’s claims. My personal opinion is this……..the best way to show someone they are wrong is allow them to go down the path they choose and let them learn for themselves. Some people may do the same but when they see their clinicians and the news is not good…….then there testimony will shine sunlight on who’s interpretation of science is correct.

I think Dr. Jack Kruse Neurosurgeon needs to find the shift key on his keyboard. Not capitalizing "i" is one thing speaking of himself, but to not capitalize Jaminet (and Kurt elsewhere) is poor form. Oh ... and a grammar checker might be of some help. When blogging and editing chunks it is easy to mismatch tenses and leave in fragments of former phrases. I understand that, and I'm sure there are numerous transgressions to be found on my blog. But the regularity with which this occurs in Kruse's writings is something he needs to address, especially as I'm not the first person to bring this to his attention. It is "nothing ... support s", "the ir testimony", and "who se interpretation".

I think avoiding anything that stimulates the IGF1 pathway is “smart” based upon current knowledge

I think Kruse/Quilt needs to look a bit more into what stimulates IGF-1.

To lump Paul in with other diet book authors is low class. One need not agree with what Paul writes, but he didn't start out with a premise and cherry pick from data to formulate his plan. He's very up front about the origins of his book. No gimmicks, supplements to sell or anything of the sort.

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To tell a cancer patient to eat carbs in todays climate gets you sued. There is no support for this at all. If you read what i wrote my beef with both of them is on cancer and IGF1 signaling. I did not call paul out on his book. I called him out on his cancer hypothesis and carb feedings and made the point this is why i dont like when authors get tripped up by their books recs. Clinical medicine is not a one diet fits all proposition. You accused me of being a LC and i told you i was not. Do i think carbs are bad for some folks.....yep. CONTEXT is what i have said here and on my site – The Quilt Oct 7 2011 at 18:01
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"Upfront" or "up-front", not "up front" (sic). – Namby Pamby Oct 7 2011 at 18:19
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I wish that first line were true, Quilt. I'm willing to bet it's the opposite. In fact, my husband has a friend, a bright young man in his 20s, who has terminal brain cancer. They tried some things and failed, and his doctor told him there was nothing else to be done, he would die soon. So my husband suggested he try a ketogenic diet. The doctor said ok, but not to associate it with him in any way, not even the permission to try it, because he could lose his ability to practice. This is brain cancer. The one we have the most evidence for keto therapy for. That's the climate we're in. – Ambimorph Oct 7 2011 at 18:27
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And yes, he's in remission since starting a few months ago, including the nearly immediate resolution of such serious migraines that patient was wishing for it to be over. – Ambimorph Oct 7 2011 at 18:29
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I'm all for good debates but is this really the place to be sitting around criticizing someone's grammar? I could see complaining if it was making it hard for you to understand what the person is saying but this just sounds petty and childish. I know some people on here don't agree with Dr. Kruse's conclusions but debate/criticize his conclusions, not some stupid arbitrary detail. It's not constructive and extremely tedious to read. Plenty of people here make all sorts of grammatical/spelling errors including myself and don't get this kind of disrespect. Grow up. – Aughra Oct 8 2011 at 19:14
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