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Double Arrow Metabolism

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Justin Moore, MD, has thoughts.

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Links for Monday, August 20, 2018: non-sugar carbs are fine, paint your rooftop white

August 20, 2018

It turns out eating about half your calories as carbohydrates is associated with the longest life

This isn't surprising. But it's just so hard for this kind of data to survive in a world filled with Bulletproof Coffee and other B.S. Good dietary advice is sooooooooo boring: eat a modest amount of carbohydrates. Avoid processed sugars. Don't drink too much alcohol. Avoid animal proteins and fats. If you read that last two lines without nodding off, you're either really invested in dietary information, or you're a registered dietician. It doesn't have the zing of "Wheat Belly." *Sigh*

White rooftops are a sneaky good way to combat climate change

What a weird thing to post to a health blog. But climate change has health consequences. As in, killing hundreds of thousands of people consequences. And I can speak from experience: we installed white shingles on our house in 2014, and we saw an immediate reduction in summertime heating bills of about $80/month (!). 

Rose wine has a seedy underbelly

But it all tastes like Diet Cherry 7-Up to me.

Kiwi bikes to the hospital to have labor induced

The New Zealand Minister for Woman and Associate Minister for Transport and for Health tied together her two roles in government in a nice, tidy little bike ride. When I first read the headline, I thought she'd gone by bike after having her water break or after the onset of contractions. But alas, she was off for induction. Still, this represents a rare combination of toughness and media savvy. I love the part where she says the gas-powered wheelchair wouldn't fit everyone in the family, so they had to ride bikes. She was obviously not talking about an adult Tonka Toy.

Most of us have plenty of vitamin D. And Michael Holick apparently has plenty of money from trying to convince you otherwise

This is such a bummer. The Endocrine Society (I'm a member) has positioned itself as the kinder, gentler, more conservative (that's old-timey conservative, not Rush Limbaugh conservative) alternative to AACE. But they're as vulnerable to the actions of their members as any other group:

"Dr. Holick’s crucial role in shaping that debate occurred in 2011. Late the previous year, the prestigious National Academy of Medicine (then known as the Institute of Medicine), a group of independent scientific experts, issued a comprehensive, 1,132-page report on vitamin D deficiency. It concluded that the vast majority of Americans get plenty of the hormone naturally, and advised doctors to test only patients at high risk of certain disorders, such as osteoporosis.

A few months later, in June 2011, Dr. Holick oversaw the publication of a report that took a starkly different view. The paper, in the peer-reviewed Journal of Clinical Endocrinology & Metabolism, was on behalf of the Endocrine Society, the field’s foremost professional group, whose guidelines are widely used by hospitals, physicians and commercial labs nationwide, including Quest. The society adopted Dr. Holick’s position that “vitamin D deficiency is very common in all age groups” and advocated a huge expansion of vitamin D testing, targeting more than half the United States population, including those who are black, Hispanic or obese — groups that tend to have lower vitamin D levels than others."

Any supplement that gets an enthusiastic recommendation from Dr. Oz should be receivee with immediate, extreme skepticism. 

In links to health Tags sugar, low-fat, fat, alcohol, climate change, pregnancy, cars, bicycle safety, vitamin d, Dr. Oz
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From Nerdist.

From Nerdist.

Links for Wednesday, September 27, 2017: Pennywise as a McDonald's shill, healthcare as a right, vitamin D and falls

September 27, 2017

Unsatisfied with limiting itself to its whopperCoin cryptocurrency, Burger king Russia is complaining that Pennywise the dancing clown gives McDonald's an unfair advantage.

What? There's no way any kid ever has confused Pennywise with the modern-day Ronald McDonald. The Willard Scott version, maybe:

But Willard's been out of the burger bidness for a while now. 

See also: Whoppercoin

Healthcare isn't a right, but access to it is vital to a functioning democracy. 

That's my take. Atul Gawande (disclosure: I'm a big fan) takes his surgical mind to the problem and, as usual, illuminates the complexity of the issue. What if we had a system that allowed trash to back up into the streets if people didn't buy exorbitantly expensive "garbage insurance?" I suspect we'd move toward a system like what we have now: mostly affordable, in many cases government-subsidized trash collection. Healthcare could follow a similar model.

USPSTF is putting the kibosh on vitamin D for fall prevention.

When I was a resident in the early oughts, vitamin D was the hottest thing going. We thought we were going to fix or prevent sooooo many problems by optimizing people's levels. Unfortunately, almost no intervention with vitamin D has proven successful. Vitamin D levels instead serve as kind of a generic marker of unwellness. Repleting those levels does not in and of itself fix the unwellness, though.

 

In links to health Tags atul gawande, health insurance, vitamin d, falls, burger king, whoppercoin, pennywise, mcdonalds, Willard Scott, uspstf
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Do we do it for Jesus?

Do we do it for Jesus?

Have a linkboy, not a poolboy April 10, 2017

April 10, 2017

Most of us eat chocolate bunnies ears-first. Better to not eat them at all, but...

The FDA has given clearance to 23andMe to perform genetic testing for ten diseases. The links are theirs, not mine:

  • Parkinson’s disease,
  • Alzheimer’s disease,
  • Celiac disease, a disorder resulting in the inability to digest gluten that everyone thinks they have; maybe this will set their minds at ease,
  • Alpha-1 antitrypsin deficiency, a disorder that causes your lungs and liver to literally digest themselves,
  • Early-onset primary dystonia, a movement disorder,
  • Factor XI deficiency, a blood clotting disorder,
  • Gaucher disease type 1, an organ and tissue disorder in which white blood cells get abnormal sphingolipid deposits,
  • Glucose-6-Phosphate Dehydrogenase deficiency, also known as G6PD, a condition that makes red blood cells fragile,
  • Hereditary hemochromatosis, a disorder of iron metabolism that leads to excess iron build-up,
  • Hereditary thrombophilia, a blood clotting disorder

Vitamin D supplementation probably doesn't prevent heart disease. After all the vitamin D promise (hype?) in the oughts, it's one negative trial after another nowadays.

Big swings in weight may be associated with increased risk of heart attack and stroke. I'm skeptical of the result, but if true, this is yet another way you can improve your chances of a long, healthy life. Eat good foods, get yourself around under human power, get some sleep, and watch your weight hit a natural level for your body. If you're very heavy or having complications of your extra weight, think about bariatric surgery. No need to have your weight swing back and forth 50 pounds a year for the rest of your life. 

In links to health Tags genetic testing, parkinson's disease, dementia, gluten, vitamin d, obesity, bariatric surgery, heart disease, stroke
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