Dr. Peter Brukner - 'Why Low Carb?'

right well welcome everyone it's fantastic to see so many so many people here on on a nice beautiful sunny Melbourne morning um tough kick this you know starting the other conference and I thought well what am I going to talk about because we've got all these people great speakers following me you're going to talk about specific areas that we registered in so what I'm going to try and do over the next three hours now it next few minutes is that's four rods sake as he always gives me a hard time for going over time it's just trying to give you a bit of an introduction to the topic and I know you know we've got a very mixed audience here I know a lot of you already you know sort of very committed to the benefits of low-carb but there are also people here I guess who are coming along for the first time so I'll try and sort of steer us that are a middle ground so I apologize if I'm telling you things you already know but on the other hand you know hopefully you'll find some some use death as Olivia said I spend my life looking after after sporting teams and my last gig was the Australian cricket team and I'd you know like to point out that I finished with them two years ago well before they had their little indiscretions in in South Africa and you know certainly if I'd been around I'd have got them to cheat properly rather than treating badly and getting caught but no no clearly they way they've been missing my moral guidance there but anyway that's that's alright now I can actually reveal for the first time the reason why the sandpaper gate actually happened because when I was looking out of the team they are all on low-carb and their brains were functioning fine and then I left and I went back onto carbs and you saw what happened I mean they just you know they just stopped thinking so anyway that's my story and I'm sticking to it all right um speaking of my story I just want to briefly some of you have heard this but I just wanted to take you through cause I think it's important to know why why we sort of get involved in this sort of thing so I want to go back to where to 2012 I was living in the United Kingdom I was single handedly winning trophies to the Liverpool Football Club and I heard around that time I've been a long-term friend of Tim Noakes we've been in the sort of same speaker circuit for 30 years probably and I've always admired Tim's team's intellect and so when Tim came out people come out these days but when he came out in 2011 and and and said that you had been wrong all these years and then he felt that it wasn't fact that was the problem it was carbohydrates a problem I thought Tim's finally lost it you know he's really ya know he's a great guy but you know he's gone over the top this time but because it was Tim Noakes I thought now I need to look into this so I decided I needed to do some research I read I bought a book called good calories bad calories by Gary Taubes and I'm sure a lot of you have read it and this book just sort of blew me away completely so talk not only about the sort of benefits of carbs and the benefits of fats and so on but it explained the politics of how the low-fat movement won out over the low-carb movement back in the 1990's I found this book for a family disturbing I mean I remember putting it down at night thinking no no this couldn't this couldn't be right you know we couldn't have had this wrong for 30 or 40 years and really really affected me so when I finished that I just dived into a lots of books and papers and the more I read the more disturbed by God I just couldn't believe that you know we could have been wrong all these years now as a as a doctor and a scientist you know we're all there we all need to do research so I thought well it's time to do research into this but also as a side as we know that research with an N equals one is a waste of time except when the one is you in which case becomes very important so I decided it was time for an N equals one experiment into a low carb down under a low carb high fat diet and for for that time so what what was if I state of health in a mini PHA people that asked me I'd have said yeah I'm pretty good you know hey doctor well you know I was a healthy 60 year old I'd been on this healthy diet for 30 or 40 years I exercise regularly my blood Sugar's were fine yeah I'm I'm healthy there early was I probably wasn't quite as healthy as I thought first out I had a family history of type 2 diabetes my father developed type 2 diabetes at exactly the age I was and I was pretty determined I didn't want to go down that that path I'd seen what happened to him I was also overweight obese I was at a BMI of 30 and like so many middle-aged people and I considered middle-aged 260 middle-aged I used to think it was all but I now think it's middle-aged I I'd probably put on half a kilogram a year for 30 years just steadily getting a bit thicker around the waist and to the point where my kids are starting to poke me in the guts and say come on dad you know what about it and I drag my shoulders say well hang on a minute you know I'm on a low-fat diet I exercise regularly it's not my fault so I was definitely 12 15 kilograms overweight I had high insulin levels had high triglyceride levels and I've had a fatty liver for 10 years you know you have your blood tests every two years comes back you know liver function tests consistent with fatty liver well you know I'm a sports doctor I didn't know what a fatty liver was and I figured you know on a low-fat diet I'll be fine so I just ignored it as you do so I clearly wasn't quite as healthy as I as I thought and in retrospect I was clearly pre-diabetic all right so I decided it was time to to do some air you know as you can see there are my other six months pregnant or I'm significantly overweight and mind you I've got a few buddies here too so that's all right the only difference is that they're still overweight all right so I decided it was time for an experiment okay three months of a low carb healthy fat diet so what did that mayo on day one get all the blood stone baseline and then I embarked on it so what does that mean well it means I stopped eating all these things sugar bread cereals pasta rice fruit too starchy man you're individuals processed foods you're probably thinking well that doesn't leave much and I went back to eating really that the way that my probably my grandparents used to eat lots of real food non starchy vegetables for the last 50 years and but oh well now margarine is much better for you cream full fat cream olive oil nuts and the only fruit that I had were berries so what happened well the first thing that happened is I stopped being hungry so literally from day one you know normally I'd have my cereal at eight o'clock in the morning and I'd sort of get to about you know 10:30 I think not Jesus must be lunch time soon I just stopped being hungry I'd have my eggs and bacon and avocado whatever for breakfast and I wasn't hungry all day so I went from eating three meals and three snacks a day to eating two meals a day and I still they two meals a day now at vacation if I get I just have a handful of nuts or a bit of cheese or something so that was the first thing then I start to lose weight you jump on the scales every Monday morning a little weight the first first week you know you lose a kilo a kilo and a half and everyone says oh that's just water you know so no okay that then every week kept losing weight the more Federer the more fat I lost was incredible and then a whole lot of other things happen I started feel more energetic I start to feel I think before I concentrated better I stopped sort of having that after lunch sort of you know sleepiness because I didn't have lunch so I couldn't have that and my exercise capacity increased you know I remember being on the treadmill about six weeks into it thinking you know I can run forever and I certainly didn't hadn't felt that before I opted snoring so that was a very popular move happy wife happy life and I just you know I think that's not all my or my adult life probably and I just it just stopped straightaway so a whole lot of good things good things happen so at the end of that that 13 weeks what was the state of play well I lost 13 kilograms in 13 weeks and you could think it I hadn't been hungry once I'd eaten fabulous meals the whole way at the whole way through and I kept losing weight I always sort of felt guilty I thought it's not supposed to be this easy you know I mean it you know weight loss is really hard and this was just so easy it was ridiculous so so at the end of 13 weeks I had a great result so I just I'm not gonna give you all my blood results and so on it's very personal but why my liver function so you can see here you know in 2005 seven eleven you know all that time consistently very consistent al to you elevator and it's not massive but it's certainly as you say consistent with fatty liver and look what's happened after 13 weeks absolutely normal was probably 2 or 3 weeks to be honest but I didn't do a load test then so that blew me away as well I just couldn't couldn't believe it alright so three months of a low carb healthy fat diet reduced appetite lost 13 kilograms all my Bloods were better mochila was high and triglycerides were lower prove that ratio which is really important mentioned levels of normalize of a fairly liver resolved not about three months were okay what would people pay for a pill that did that how did bucks a week probably more there is no pill yet I did it so easily one negative need a new wardrobe so I went down to sizes and I figured small price to pay alright enough about me let's talk about the rest of us I want to briefly talk about the epidemics that we have come on you know we hear about you know flu and HIV in a bowl I mean they're not the big epidemic these are the big epidemic so obesity were the fattest generation in history you know I'm a sports fan you know so we like to have when the Olympics come around we'd like to have you know be in the top six of the medal tally well we're in the top six of the obesity medal tally you know it's terrific innit seven out of ten Australian men are over eight obese or than half of women and scarily more than quarter of our children can someone tell me how country like Australia one of the richest countries in the world will educate it we've got all these natural resources we can grow lots of food how can we be one of the fattest countries in the world it's shameful now kids I don't know when I was at school that was a long time ago okay when one fat kid now school called him fatty very politically correct in those days but I can assure you I have seen him recently and he's quite skinny and he's doing very well but you know that was there wasn't such a rarity in those days nowadays no one out of four kids are fatties why we worried about obesity we know that there's a very clear correlation between obesity and mortality but you know what I don't want to focus too much on obesity as people don't die of obesity by chronic disease and type 2 diabetes is the big one massive problem in this in this country I've been talking for five minutes we've already had someone diagnosed with Type 2 diabetes somewhere in Australia 280 people a day 1.7 million Australians have diabetes a majority vast majority type 200,000 every year it's basically bankrupting our health system the annual costs fourteen point six billion dollars what can we do with that hey imagine if we didn't have to spend that on diabetes how much good we could do with fourteen point six billion dollars and we know it's not diabetes per se but it's all the complications of diabetes that you people see in your practices every day the cardiovascular vascular renal etcetera etcetera listen as you study that came out the other day Western Sydney okay 50 large group 55,000 people blood tests from from an emergency department and another 5,000 from GP so we've got 60,000 residents of Western Sydney diabetes 17% 17% pre-diabetes somewhere near 30% so nearly half the population of Western Sydney is either pre-diabetic or diabetic unless enough kid ourselves Western Melbourne is probably the same scary scary figures that will bankrupt Medicare if we keep going the way we are I like this and Paul's images are very eminent local endocrinologist here giving a lecture in America the diabesity epidemic obesity and type 2 diabetes is likely to be the biggest epidemic in human history the biggest epidemic in human history and what are we doing about it magic the old 1.7 million Australians had a bowler or or some new fancy disease I mean the whole country being up in arms would be spending millions of billions of dollars what are we doing about this absolutely nothing all right fatty liver disease yeah I talked about my fatty liver I felt much better when I found out that one in three Australians have fatty liver disease most of them don't even know it why we worried about fatty liver disease we know it leads to liver problems and it's a precursor of diabetes I love this from Roy Taylor from Newcastle England before the diagnosis of type 2 diabetes there is a long silence screen from the liver dental disease now again those of you are in fact that's probably no one other than me old enough and the audience to remember back in the 1950s and 60s we've fluid out of the water supply sorry John here they aren't you ah we fluoridated the water supply and I remember them telling us then no more cavities we're gonna put the dentists out of business there'll be no more feelings now you still have half of Australia's children with tooth decay sugar or beet fluoride any day you like cardiovascular disease still the biggest killer in in Australia actual deaths from our cardiovascular disease have gone down slightly probably because of smoking and we're better than keeping people alive but the actual number of people with cardiovascular disease continues to increase 4.2 million Australians have cardiovascular disease and despite all the knowledge that we have we're not reducing that amount and then there's all those other chronic diseases that we've never heard of when I was in medical school you know gluten and Alzheimer's and all those things that they didn't exist so what's changed what's changed in the last generation people say oh we're not doing as much exercise that's actually not true we're doing about the same amount of exercise as we were a generation ago in those days it was a lot more sort of work-related now it's more leisure related but the exercise levels are about the same what's changed the way we eat this Estonia came out of there in America looking at the percentage of people who were regarded as being metabolically healthy and only 12% of Americans were metabolically healthy in other words 88% of Americans were metabolically unhealthy and let's not kid ourselves the figures would be very similar in Australia Wow and we don't have a problem so where did it all go wrong what's happened what why why are we fed why are we sick well you know I love this this graph many of you have said it before but this is the obesity levels on the y-axis over time and these are American figures six trillion figures will be very similar and let's have a look here 1970s weirdest puddling along will three low levels of obesity and then around about nine and eighty everything takes off and we just become steadily fatter ever since so what happened around nine and eighty Richmond a minor premiership that uh you know Ronald Reagan was elected via the Moscow Olympics here the Afghan war yeah now what happened which all they want to stop adding fat coincident because when we told they want to stop any fat they took the fat out of foods and people realized well they didn't taste very good so we had to put something back in what do they put back in sugar so they're really the low fat high sugar guidelines as you can see they're been a fantastic success imagine if you were running a business and every year for forty years your bottom line got worse steadily every single year you were going worse wouldn't you at some stage in that forty years there may be say a minute maybe we're doing something wrong maybe we should change something no no no we just keep going same guidelines stop eating fat and we get fatter and sicker remarkable really maybe doctors a good businessman now the Egyptians were amazing weren't they with Peru how the hell did they build these pyramids they don't have cranes forklifts amazing incredible unfortunately the modern-day pyramid not such a good idea and this one in particular has been an absolute disaster have a look here this is the yeah that obviously the pyramid that came out of those Dietary Guidelines back in the 80s I love this one here bread cereal rice and pasta 6 to 11 servings a day a douching story recently that the the expert nutrition panel that was put together by the US Senate to advise the drawing up of these guidelines actually recommended two to four servings they said their recommendations to the US Department of Agriculture and it came back at six to eleven that's interesting isn't it I wonder who benefited from that remarkable so how do we get it so wrong back in those days there were two schools of thought on one side of the Atlantic in the UK there was John Yadkin if we believe that sugar was the problem and wrote this excellent book that you can still get pure white and deadly still very relevant today forty years later in America there was Ancel Keys very famous physiologist who was convinced that fat saturated fat and cholesterol were the problems why there was an increasing amount of cardiovascular disease in the US and he was a very charismatic convincing sort of a person and he was the one who really convinced the US Senate to make these changes so Keyes the basis of Keyes research was this one have a look on the right-hand side here this is a very famous study called the six country study we're basically looking at the amount of heart deaths on the y-axis and the amount of calories that you get from fat on the x-axis and he showed very clearly that the six countries study that the more fat you have in your diet the more you die from heart disease almost a straight line that was very convincing and that was the basis on which these Dietary Guidelines these low-fat guidelines were introduced sometime later it became was revealed that it was actually a 22 country study not a 6 country study and when you put those 22 country study in you don't have the quite a nice simple straight line that you had with the six countries so basically everything we've been doing for the last 40 or 50 years the way the whole of Western society has been eating is based on fraud no scientific evidence for it at all they knew at the time this is the American medical establishment said you can't do this what right has the federal government to repose that the American people conduct a vast national experiment on the strength of so very little evidence that will do them any good and what was the answer to Senator George McGovern the head of the the committee in the Senate that was in charges said we can't wait for the evidence so how come how many of you would have seen on YouTube and read her books as part of her PhD research she a few years ago she went back and looked at all the evidence that was available at that time to see whether there was any any scientific evidence to support those dietary guidelines and found none and none subsequent to that either so the whole of Western society has been on a nutrition experiment for 40 or 50 years based on no science based on money politics ego and yet you talk to every doctor out there and they'll say well I'm sure there's scientific evidence for that now so what happened when we bought in those low food low-fat guidelines we reduce the intake of animal fats red meat eggs low fat high sugar products came everywhere some of the food industry we told them to take the fat out fair enough okay they replace it with sugar not such a good idea but not their fault they were doing what we told them to do it they're going to make a buck ultra-processed foods didn't exist until then highly processed foods and then vegetable oils vegetable oils they're not vegetables at all there's seed oils but vegetable sounds healthier so we'll call them vegetable oils and instead of cooking with butter and lard and and beef tallow and duck fat and so on the way our grandparents did we started cooking with these cheap crappy vegetable oils that when heated give off all those toxic substances but they were cheap their first developers cleaning products and suddenly someone realized that when you heated them up they looked a bit like la the effect of lard disastrous and though we they are obviously used by the takeaway food industry and more and more takeaway food became popular I remember growing up we didn't to take away food didn't exist we had the wrote the chicken rotisserie shot that we used to get a chicken from on Sunday nights and that was it and then gradually KFC and McDonald's appeared and so on now there's one really dumb decision that's been made was to replace a natural animal fat like butter with an artificial fat artificial flavor artificial color I don't even call it a food it's it's a chemical concoction it's not a food and yet we were told for years but it was heart-healthy we had to stop eating butter we dropped out of a heart attack in our butter have this margarine stuff horrible didn't even taste good horrible even the ants have worked out that butters a whole lot better than margarine maybe they're a bit smarter than we are alright what are a few other nutrition myths that we need to explain of course there's the diet heart hypothesis again basis of medicine really hadn't it last fifty years you know you know what it's like fatty food fatty people fatty arteries heart disease yeah it's will know that we all agree with that don't we again so little evidence to support these things that have been gospel for 40 or 50 years it's just not true I like this from George man from the Framingham study you know the biggest day of ideological study in history a generation of citizens have grown up since the diet heart hypothesis was launched as official dogma they have been misled by the greatest scientific deception now times the notion that consumption of animal fat causes heart disease the greatest scientific deception in our time so done well Hemingway we've got the the biggest epidemic in history and the greatest scientific deception maybe the two are related some of you may have seen this study came out in 2007 in The Lancet the pure study again a huge epidemiological study eighteen countries a hundred thirty thousand subject that's serious power isn't it 130,000 looking at association of fats and carbohydrate intake with cardiovascular disease and mortality and what did they find high carbohydrate diet high carbohydrate diet associated with higher risk of total mortality hang on a minute whereas total fat and individual types of fat like saturated variety lower total mortality the exact opposite of everything that we've been telling people for 50 years and yet here's the biggest study that we've done the global Dietary Guidelines should be reconsidered a lot of these findings have they been no anyone heard of this study you've got a bit of publicity for about 24 hours and then completely forgotten you know you don't have a nice little drug rep bringing you lunch on a Tuesday telling you about the pure study do you maybe that's the problem alright the next myth all calories are the same that's quite simple you know you've just got to put out more than you take in it's all about calories yeah calories are important but what you're trying to tell me on that basis is that the effect on your body of 800 calories of salmon is exactly the same as 800 calories of sugar and we know that's nonsense that's what those calories do what the effect of those calories have on your body and particularly on your hormones and particularly in children so clearly that's nonsense and then we hear all the time don't we yeah I just do everything in moderation just have a balanced diet well sure there are lots of people who want to have a balanced diet what are they all got in common they want us to believe it doesn't matter what you eat or drink as long as you do some exercise you'll be okay so you can have you you know your 10 pints in your two large pizzas be alright you can run it off the next day the next day you have to run for the next week to run that off just doesn't happen why would you have something in moderation that's bad for we don't have moderate amount of arsenic why we have a moderate amount of things that are bad for us I mean every time I hear that it's the love that I mean oh don't get me started alright ok so if the cholesterol and calorie hot bothers as I did it's time to focus on the real culprit as Marianne told us and these are the three things that we hear a lot about and I'm not going to go into them a great length because you're going to hear a lot about this over the weekend but these are the big factors really I think in our health insurer resistance we hear hear that term a lot what happened we got to think about what happens when you have have food have carbohydrate that carbohydrate whether it's in a simple form of a coca-cola or a potato basically all finishes up in your bloodstream it's the same thing as glucose you have a surge of glucose in your in your bloodstream it results in a release of insulin from the pancreas the insulin then drives that glucose into the liver into the muscle and if there's still some left over it stores it at fat insulin is a fat storage hormone so when you have constant higher levels of carbohydrate intake you have constant high levels of production of insulin and like most things in the body of into the body becomes partially resistant to that insulin over time we develop many people do develop insulin resistance and finish up with inch hyperinsulinemia high blood levels of insulin and that's when things start to go seriously wrong and we know now the initial resistance is related to a whole lot of different different conditions I like this graph this is insulin resistance on the bottom here lower third middle third upper third the number of clinical events and you can see if you're highly insulin sensitive have a low internal resistance you are virtually immune from these political events on the other hand if you're in the top third of people with insulin resistance or highly insulin resistance you can hypertension cancer coronary heart disease type 2 diabetes and cerebral vascular disease there is no other single factor that has anything like this difference between the lower third and the upper third not LDL not hba1c internal resistance is the key to the development of those chronic diseases there's more inflammation you know we all know information you know you have a nice hot red swollen joint you've got an inflamed joint but then there's the other form of inflammation the low-grade chronic inflammation that we now believe is a factor behind a lot of these chronic diseases I got interested in inflammation during my time of the cricket team and we were touring in India and one of our players had a lot of trouble with knee pain he'd had a knee pain for a couple of years to the point we'd had to stop playing at one stage and he'd been round to every every doctor and every specialist in Sydney and no one could work out why he had this knee pain he had MRIs he did arthroscopy nothing eventually he saw a Rheumatologist who diagnose him with seronegative arthritis put him on the standard cocktail methotrexate prednisolone it took away about 50% of his symptoms and he was able to sort of get back to playing but not really anywhere near its full capacity they then started him on in Braille which you'd be familiar with a very expensive anti tumor necrosis factor a drug and that made a massive difference and he was able to to play a train not fully the coaches thought he was lazy but he a would get me pain and he was back sort of an in the Australian squad not not in the team so when I met him he was injecting himself with in Braille every fortnight and he said to me about day 10 or 11 of the the fortnight I started to get an ache in my knee I don't know it's time for my enbrel injection there's also a little bit overweight it's amazing how many elite athletes despite spending all day training are overweight but that's another story and he came to me it was just after I lost all my weight he said I'd like to lose some weight doc you know I'd like to try your air your regime so I said fine you know we can we can do that so we took him off sugar and processed food and basically put him on to to a low carb healthy fat toad I'd say India's not the easiest place to do that you know because they rice none or all those sort of things but anyway he did he's very conscientious and he did it three weeks later he came to me said doc I forgot to take my in Braille last week I said what do you mean he said well I didn't get any knee pain and and and I forgot to take it should I take it now so no no no no I pretended I expected that and I knew right course and I said you know just wait and see what happens anyway no drugs no pain what's the way but increased his training and has had no problem since 12 months later he was in the top 10 batsmen in the world so I think in bail costs $15,000 a year cost us the taxpayer $15,000 a year died doesn't cost that much and that really blew me away that really opened my mind to to the the impact of inflammation and it's everywhere and this chronic inflammation is so important so if chronic inflammation is create low-grade inflammation so important what causes it one of the things that stimulate inflammation in the body well there's certainly a number of dietary factors sugar is one processed foods in general vegetable oils those wonderful vegetable oils cedar walls a highly an anti highly inflammatory the omega-6 polyunsaturated effects have been shown to be inflammatory on the other hand the omega-3s are anti-inflammatory so there are certainly dietary factors that cause inflammation those same DRG factors can cause you to be obese in particular visceral obesity and visceral obesity push itself is inflammatory the adipose sites actually secrete inflammatory cytokines so you got a double whammy you've got the diet that makes that that makes that is inflammatory in itself and then it makes you our beasts and then on top of that the obesity causes more inflammation and then you've got a whole lot of other different factors to Sendra lifestyle poor sleep stress smoking alcohol lack of Sun all these things cause inflammation and what do they got in common we can do something about them they're all lifestyle factors preventable the gut microbiome I'm not going to talk about I don't profess to be an expert on it but it certainly interrelated with all these where these issue dietary issues inflammation and so on so there's modern epidemics is there a common denominator and I would argue that sugar is a major factor we're in the midst of a sugar Demick sugar is everywhere now I don't want to pick on any particular source of sugar but let's talk about coke standard bottle of coca-cola 600 mils how many teaspoons of sugar I like talking about teaspoons of sugar because it's we all know what a teaspoon of sugar is or a pack of sugar 4 grams roughly in a teaspoon or a sachet of sugar how many six hundred mil bottle of coke you know teenagers drink one two every day in the summer how many teaspoons of sugar 16 16 teaspoons of sugar would you ever let your kids eat 16 packs of sugar be horrified wouldn't you and yet we're very happy to let our kids have a bottle or two of coke in the summer let's just you know let's not just pick it on coke okay let's let's start here apple juice okay we'll be telling everyone I don't have soft drinks have fruit juice 200 mil card on tiny little card on 5 teaspoons exactly the same per mil as coke healthy fruit juice you're much better off having an apple and a glass of water than you are having a glass of fruit juice I basically take all the goodness out of the fruit you're left with water and sugar let's say let's go over here I'm a sports physician I'm into sports drinks Powerade Gator and initially designed for athletes now being promoted to kids as a standard drink standard bottle six hundred mils eight and a half teaspoons what about red ball okay you all had it with your vodka last night okay might be the vodka that kills you with a red ball 473 mils 13 teaspoons and then this one bushes we all think of boost users that we walk into a booster shot thinking oh this is good now I'm healthier I'm really doing something for my health what does this say bushes blueberry blast low-fat smoothie wow that sounds really healthy fantastic 22 teaspoons of sugar 22 teaspoons I stopped getting a booster shops these things I think they call them serials I call it a cereal flavored sugars that's what they are brilliantly marketed you know mom's walking along the shopping are with their with the supermarket are with the kid mommy your mommy mommy look look look very clever but it's okay we don't have time for breakfast in the morning so we'll just have an up and go must be healthy look four and a half stars right terrific what's it a lot of crap all right so it's fighting but there's some vitamins in it okay that's all right must be good for you you'd be amazed how many processed foods 80% of processed foods have added sugar virtually every processed food has added sugar that always called sugar very very clever aren't they 56 different names for sugar on the label you might even have three different types of sugar in the one label because as you know in labels they put it in order of volume how much sugar well I'll give you one more example we all know these massive food BBQ sauce pots bottles in a big brown one you know I opened the fridge recently and there was a bottle a large bottle of master foods barbecue sauces that kids had a barbecue the night before and somebody left that behind so I turned their over and had a look at the label and did my calculations how much sugar was in that - 930 mill bottle of master foods barbecue sauce so what do you reckon anyone say 20 20 teaspoons and he advance 30 40 50 hundred don't be ridiculous 125 teaspoons of sugar 125 teaspoons of sugar 497 grams of sugar so a whole packet half kilogram packet of sugar is in that bottle of massive is barbecue sauce Oh more than half of it is sugar it's not barbecue sauce barbecue flavored sugar there's my kid so I said well I tell them no they said oh no what rotates good dad little bit of word today with the family that's right but that's an extreme example but it's not that extreme you know most in tomato sauces are the same and so on sugar is everywhere so how much sugar will be having well the official line is that the average Australian has 14 teaspoons of added sugar so that's sure we're in addition to that natural sugar found in fruit and dairy I think that's probably a conservative estimate the Americans are 22 I think we're probably about 16 to 18 but anyway whatever it is what should we be having the World Health Organization recommends a maximum of 6 teaspoons a day so we're way above that and our teenagers are having 20 to 25 even 30 teaspoons of sugar a day when you think about it let's think about the the average breakfast okay so let's have a glass of orange juice let's have a bowl of cereal maybe a fruit yogurt we might have a piece of toast with some Jam a cup of tea with a couple of sugars 20 teaspoons of sugar we have enough time yet so we hear a lot about carbs okay carbs are basically sugar people have to differentiate between good carbs and bad carbs carbs when counts are ingested they're all broken down to the same thing they all finish up in the bloodstream as glucose and your bloodstream doesn't say oh no that's a good that's a that's a good car because that's from a potato and that's a bad car because that's from glueck from a coca-cola it's all just glucose so really carbs are carbs so how many carbs are we eating so the average Australian is probably two to three hundred grams of carbs a day some kids a lot more but that's probably about the average what do we mean by low-carb there's no accepted definitions probably under a hundred under 120 grams of carbs a day and then you hear a lot these days about Keita ketosis and the ketogenic diet and the keto diet and that's less than 30 to 50 the keto diet is a very popular diet and there are some eminent medical specialists around the world have been promoting that diet there's Professor Kardashian and there's dr. berry and they've been telling us we should be on the keto diet so what is the what does the keto diet then well basically when you reduce your carbohydrate intake severely you switch from being a glucose burner to being a fat burner so we have two fuels glucose and fats and fats in the form of ketone bodies so that's why they call it keto your body will preferentially burn glucose but if you deprive it of glucose it will then start burning fat and where do they get that fat from from your fat stores and we've all got plenty of that is even the skinniest person so that's why ketogenic diet is so effective at weight loss it burns fat so does everyone needs to be on a keto diet no of course not it's not the easiest thought it's not as difficult as people make out but it's it's pretty restrictive 30 grams of carbs a day is a bunch of green veggies and a handful of nuts so does everyone need to be on that no there's a spectrum and there's a right amount of carbs for everyone if on that spectrum if you're at that end of the spectrum you know if you type 2 diabetic morbidly obese got one of those chronic diseases we've been talking about yeah you probably need to be on the keto end of the spectrum especially for an in the short term I think that's what I did I mean my 3 months of my diet I was probably ketogenic for 3 months and then I backed off a little bit and found the right amount of carbs for me so short term clearly genic is very very effective some people are very happy to stay on it further for good if on the other hand you know you're young and fit and skinny and healthy you know you can be on the other end of that spectrum have a hundred hundred and twenty grams of carbs a day no one should be having 2 to 300 so there's a right amount and it really it's only trial and error that you'll find that right amount the right amount that keeps your weight stable it keeps you metabolically healthy now it's going to be somewhere between that 30 120 grams of carbs what does it depend on it read appends on your degree of insulin resistance hard you're resistant keep away from carbs you shouldn't sensitive yeah sure you can have some carbs what about the evidence do they work well we know there are three proven ways to lose weight scientific bariatric surgery the first one it works no doubt about it it's pretty radical a lot of side effects but it works three low calorie diet works you go on eight hundred calorie a day diet you'll lose weight but you'll be hungry hungry and angry I defy anyone to last too long on an 800 calorie a day diet it's very very difficult you are constantly hungry that's very difficult so what happens when you go on that antonin calorie a day died the body goes into starvation mode you slows down your metabolic rate of course the body copes very well then when you break that diet and you go back to the way you're ready before you've got this lower better bot metabolic rate you finish up more obese than you were when you started and hence we get this yo-yo dieting that we see the whole time are people losing weight breaking the diet finishing up being fatter and away we go again just not sustainable and the third way is this low carb healthy fat lifestyle and why do I think that's better because it's sustainable you're not hungry fats and proteins you're not hungry again I don't want to get too obsessed about weight because really the big issue in our society I think is type 2 diabetes now I want you to all close your eyes and just imagine that first day of medical school you've walked into medical school so wipe out everything you've learned in the last X years ok you know nothing your literature tells you type 2 diabetes what is it it's a disease of carbohydrate intolerance ok we all agree with that you don't tolerate carbohydrate so your lecturer asks you well what do you think the recommended diet would be for a type 2 diabetic whose carbohydrate intolerant der and what is the recurrent recommend a diet for type 2 diabetic low-fat high-carbohydrate diet we were so obsessed about fat all based on fraud for 50 years we put type 2 diabetics on a low-fat high-carbohydrate diet so someone who is carbohydrate intolerant we're telling them to have lots of carbohydrates it's okay you can just take more medications and then get on to insulin because insulin is very profitable honestly it is just and your will guilty I mean we've all been guilty of it I mean I did it for 40 years - it just does not make any sense at all we have created this epidemic of type 2 diabetes us I mean I know hopefully it's not a barrister law but if if the type 2 diabetics of this world took a class action against a medical profession they'd have a bloody good case it's horrendous you know what happens when when someone is is diagnosed with type 2 you know someone comes in your practice or a general practice not yours because you know better but how are you will after this but you know sorry mrs. Jones you've got type 2 diabetes your pet mrs. Jones on the head and say there there dear you know you're stuck with it for the rest of your life not true we now know that type-2 diabetes is a reversible condition reversible okay I'm getting the wind up already see everybody loves me to speaking a long time there's lots of evidence that type 2 diabetic treatment with low carb diet works now most doctors never see this but it's out there Tom Watson not the golfer but the the deputy leader of the UK Labour Party morbidly obese type 2 diabetic but on a low-carb diet lost a couple of stone reversed his type 2 diabetes I met him last week at the PhD conference in London the age of 51 I transformed my life by changing my nutrition I feel free my cognition improved and I feel great and he's determined if these party gets into government that that will become government policy and then the program in there in the UK is fantastic this low-carb program that David I'm on another server and put together held under that four hundred thousand people in the UK with type-2 diabetes have joined this low-carb program so we need to emulate that in Australia all right a few other things just quickly I'm not going to go into lots of evidence but this increasing evidence of the efficacy of low carb diets in the treatment of a whole lot of different conditions we've got fructose and and fatty liver disease we've got cancers we know that a lot of cancers now are associated with obesity where we know that ketogenic diets been used in the management of epilepsy for 80 years as this fabulous film with Meryl Streep based on Charlie from the Charlie foundation Charlie was the son of a of a Hollywood producer who had was 2 years old and had was having 60 fits a day being him every specialist every medication around went on a ketogenic diet stopped these fits the Charlie Foundation have a look at it's very good but we've known that for ages but surely if it works for epilepsy maybe it has some effect on other brain conditions so people decided to look at things like Alzheimer's dementia Parkinson's disease look at this 41% improvement at Parkinson disease well pilot workers all early days but very interesting mental health some really exciting work being done here in in Victoria by Felice jacker and her group the smiles trial looking at dietary management of depression and anxiety festered a book called the inflamed mind by Edwin bull Moore a USA UK psychiatrist who says that diet that depression anxiety our disease of chronic inflammation the same as these other diseases and felices just put a book out our self brain changer which is excellent really interesting stuff happening happening there autism spectrum disorder didn't exist a generation ago some exciting work being done there in facility again people are more and more looking at low carb diet as a form of treatment of that and then we know it we've known for ages that PCOS is a disease of insulin resistance so really exciting stuff happening at the moment and yet all these positive results doctors just don't want to know about it sugar makes you hungry carbohydrate makes you fat polyunsaturated oils make you inflamed in secret and I said before these vegetable oils they're toxic when they get heated they reduce their zeldor hides and they're really not good for you the solution graph you know we keep blaming saturated fat for heart disease saturated fats got nothing to do with heart disease that's an interesting coincidence and we know that saturated fat does not cause cardiovascular disease there's lots and lots of research out there now and yet the majority of doctors will tell you it does so processed foods consist of sugar vegetable oils and grains then you could argue that none of them are particularly good for you supplements now I don't take any supplements I give you it a real food diet you don't need supplements pay the farmer now or pay farmer later I'd like to say I thought of that one myself but I can't say that so what can you do you can reduce the amount of sugar starch as best also processed foods and increase the amount of water fruit and veg meat and fish full fat dairy eggs eggs probably the most nutritious food you can get we've been demonizing them for years all those egg white omelets oh it's tragic Jeff just eat real food don't eat anything your grandmother wouldn't recognize his food avoid the middle aisles and supermarket all the good stuffs on the outside isn't it all the fruit and veg and meat and dairy all on the outside okay get your toilet paper but that's about all okay read labels you can't tell me any food needs thirty ingredients so if any food labels got more than four ingredients one of the first three is sugar leave it on the shelf what happens then all those amazing things happen when you love to have a pill that did all that or wouldn't the pharmaceutical companies love to have a fit kill that did that but they don't so sugar by half is an organization we've set up in the last couple of years to try and reduce the amount of added sugar by half and you'll be hearing a lot more about sugar by half over the next year or so a problem of course is that we don't have a health system we have an ill health system we sit behind our nice little desks in general practice while everyone out there it's rubbish and sits on their backsides and doesn't enough exercise and we wait for they get sick and we say come on in come on in have I got stuff for you I've got an old script pad here the most surgical friends are down the road we can fix you crazy not sustainable not smart we've got to change the system maybe today things might change a little bit we had a change of government but probably not Thomas Edison the doctor of the future will give no medication but what interest his patients in the care of the human frame died and the cause and Prevention of disease where do you say that nineteen hundred and three slow learners that we a few years ago the World Health Organization predicted the two-thirds of all lifestyle of all diseases worldwide will be the result of lifestyle choices does that mean that two-thirds of the Medicare budget will be two-thirds of all teaching in medical school we lifestyle know why not Edison 100 years ago Hippocrates was 2,000 years ago when diet is wrong medicines have no use we died it's correct medicines have no need so I hope you can see why I've given up the best job in the world single handily winning the ashes for my country and take it on take it on this rollover of sugar by half I have a book out that's available at the back there I don't make any money out of this book and all the proceeds go to sugar by half so I'm not trying to flog a book for my next Brazilian holiday but I'd be very happy to it retails for $35 you can go for 25 today and I've also got these fridge magnets that everyone here is able to have a free fridge magnet so to grab that the back it's basically divides foods up into green amber and red and on that note I thank you very much [Applause]

Channel: Low Carb Down Under

Views: 163,813

Rating: 4.9235988 out of 5

Keywords: Low Carb Down Under, LCDU, www.lowcarbdownunder.com.au, Low Carb Medicine For Doctors 2019, #LCMFD19, Peter Brukner, SugarByHalf, Fat Lot Of Good, Low Carb High Fat, LCHF, Ketogenic Diet, Nutritional Ketosis, Low Carbohydrate Diet, Insulin Resistance, Metabolic Disease, Weight Loss, Type 2 Diabetes

Id: 4WPF3RMPI9k

Length: 52min 15sec (3135 seconds)

Published: Wed Oct 02 2019

Reddit Comments

[u/bjkiwi]

I opened the video to see how long it was and thought no way I'll be watching that for 58minutes.....58minutes later I enjoyed every minute of it! I started on Keto about 18 months ago and I initially lost 35kg - in about 9 months. I've since been easily maintaining my new weight doing LCHF. I've seen a massive decrease in my rheumatoid arthritis symptoms that I've battled with since I was 16, along with a huge increase in general vitality. I wish this was compulsory viewing for everyone.

[u/unibball]

Good first video to show someone who is interested.

[u/dietresearcher]

Great easy to understand overview. Agree.

[u/9oat5w33d]

Dr. Peter Brukner has a load of appearances in some good documentaries on YT. You should see his before and after (keto) pics. So many professionals are being converted after doing it.