Prof. Tim Noakes - 'Medical aspects of the low carbohydrate lifestyle'

well thank you very much for that warm in introduction I really appreciate being here it's a huge privilege and the special privilege to be with such wonderful people who are on the faculty today these are real real wonderful people who are taking on the world and I was thinking I go back to I was born in 1949 into the Second World War I think of Montgomery at El Alamein which was the the war that the battle that decided the Second World War the direction of the Second World War and Churchill chose chose Montgomery and he sent him to El Alamein and Montgomery sat there and he said I will wait here until I've got the troops and the resources that I need to win this war the Battle of of North Africa and that's what we're doing we're just collecting the information we're collecting the people and one day we were going to destroy the rest of the world but but but my point is I would not go to war with anyone but the guys who are talking today they are the leaders they are the generals they're the field marshals who are going to direct the world's revolution and it's a huge privilege to be with them and I just play a very small part so this is a talk that I give quite frequently but to give you some background you'd want to know where do I come from I come from my furniture from Liverpool and why they from Liverpool because Liverpool has a direct connection to New York and that is was the old sea trade and my father happened to be an importer of this dreadful product from from America and he turned it into those things which we've heard about earlier today and at the end of the Second World War he decided that he would rather go and do something else and be right at the source we went to Zimbabwe to Salisbury in 1946 and I was born there in 1949 and we then went to Cape Town thereafter but but the point of the story is when we arrived in Salisbury we live next to this man who wrote this paper in 1936 and it's titled a new fossil primate from start fronting and it's written by this guy Trevor Jones now Trevor Jones lived on the farm next to this deck ten caves and he went to the great paleontologist Rima dot and said Raymond orb dr. dot you will find primitive man right here in this dirt contained caves on our phone and there is and there is Rama dot who'd originally found the first the first Pro hominid early early hominid in South Africa in 1923 and that was called the Tong skull and dart said that this animal is a pre human because the foramen magnum which is the gap between the the junction between the spinal cord and the brain is horizontal they said this animal walked upright and the entire world said absolute rubbish and for twenty years he went into deep depression and eventually they said that was one of the major discoveries of the 20th century so being ahead of your time that's what happens you get you get challenged and he wrote that book and because I was very privileged and have friends this was the most famous skull that he discovered mrs. plays at stack Fontana cheese to two million years old and this is his skeleton and that's my watch and you can see it's a very small skeleton she's got a small pelvis and that's the size that we were that's the size we were three million years ago and people you know don't understand that and that's what we look like today and that's evolution it's just astonishing and so what that remand dad said that the how did this happen and he said in the luxuriant forests of the tropical belt Nature was supplying with profligate and lavish hand an easy and sluggish solution by a depth of specialization of the problems of existence and creatures well adapted as those living Oslo pods ie the chimpanzees and the other animals for the production of man a different apprenticeship was needed to sharpen the wits and quicken the higher manifestation of intellect a more open felt country where competition was keener between swiftness and stealth and where adroitness of thinking and movement played a preponderating row and the preservation of the species so if you went to Joanna's burg in South Africa three million years ago that's what you would have seen and and the problem is these guys here because they are the Predators and they were eating us and we had to get bigger or we just got eaten by those guys but their problem is there any prone lis active in the cool of the night during the day they are completely inactive because they can't film or regulate and so the reality was at any time we could survive was to hunt in the middle of the day in the heat and that's how we evolved so this we went from there who was an occasional omnivore to this animal who is an omni carnivore and the reason we got from that to that was simply because we became long-distance runners so this change occurred as humans became the best mid day persistent hunters in animal kingdom and that allowed us to get the meat and the fat and the protein that we needed particularly to develop this huge brain because the brain here was 500 ml and this is a brain of 1500 ml so if I'd been giving this lecture three million years ago we wouldn't have been having it in Australia we would have been having it in South Africa because these lonely guys were living at that time Australopithecus africanus and so they lived in the trees and when they with climate change they felt or the savanna opened up and then these guys had a huge problem because there were no more trees to live off and so they had to find they had to find food and that was the food there was the food it was animal sources and in order to be able to do that we had to develop this huge capacity to sweat and that's what we became so successful persistent hunting requires intelligence high sweat rates and so on and that's there was a key to the change and with that change our brain got bigger and so we started at a brain this size and it accelerated and I don't have time to tell you but this most recent acceleration in the last 200,000 years is really fascinating because there's other work in South Africa suggesting that 200,000 years ago there were 200 breeding pairs of humans alive on the whole planet the entire planet we were 200 breeding pairs and they all lived in a place called Mossel Bay in southern Africa and the rest we've been wiped out but that's another story and the theory is that those people who are working there think that it was the fish adding fish to the diet particularly the omega-3 is that suddenly causes this rapid increase in brain size in the last 200,000 years but it's unproven but you'll see so anyway because I expressed my genetics I also ran and did lots of running this is a picture 30 odd years ago 32 years ago and I run ran a particular ultra marathon in Cape Town called the two oceans ultra marathon it's 35 mile race I was the 15th guy to run at ten times so I got that number during that time I was writing books and educating people and telling them this is the food you must eat you must eat lots of these carbohydrates because they are very very healthy and I wrote this book and there it says in 2002 all athletes must be advised to eat high carbohydrate diets as high carbohydrate diets are now considered ideal for both health and sport so apologize I was absolutely completely utterly wrong and I continue to run this is running with a marathon with my daughter some years ago and all this time I thought I was incredibly healthy and going to live forever and guess what happened I developed type-2 diabetes so I don't look like this guy but I have these abnormalities and the reason I got type 2 diabetes very strong family history my father died of the disease and I'd eaten this high carbohydrate diet there is no other explanation anyone who tells you that it was a high fat diet that caused my diabetes nonsense because I didn't eat fat and if I could get through a day without eating fat I would say gee that was a fabulous day and all the time I was getting fatter lazier and more unhealthy so nine months ago we put together this book and it took us six weeks to write the book not all the other books I've written have taken ten years and they haven't sold much and this thing we wrote in six weeks and it's a great tribute to my co-authors Jono Proudfoot Sally and Creed and david greer and there's there are the chefs and Salian krita's the nutritionist and on Monday night I'm glad to announce that we run the 214 Nielsen South African booksellers book of the year and it's been a remarkable journey since then and it's well it's been really exciting but that's not the point of the talk so where do we go all right or wrong well the first thing is we have fear of food and that we've always had fears of food but what happened in the 1977 as grant indicator we developed lipo phobia and lipo phobia is a single most important commercial driver of modern nutritional advice and it is driven by the vegetable industry and the vegetable Lobby in the United States of America if you fear fat if you feel saturated fat it's because the actions of the vegetable food lobby in the United States government they wanted to make sure that you took saturated fat out of the dot replace it with vegetable oils and we know that vegetable oils are dreadful for your health you just have to follow the money that's all you have to do to understand it one of my great icons is George Sheehan who wrote these fabulous books and if you ever want to know about the philosophy of running you have to read him but what he said once all religions are correct in what they profess and wrong in what they deny and so if you want to understand where errors lie you must look at what is denied and what I'm going to do today is show you what the current nutritional guidelines deny not so much what they profess but what they deny so these are consensus guidelines and you must never trust consensus guidelines because they are anti science science is not about consensus it's about this proof at this belief and skepticism it's not about consensus when you have consensus you've got trouble so what's the consensus that carbohydrates are essential to our health essentially in USD 65% of your daily energy what they deny is that humans have no central requirement for carbohydrate and that's not something I knew until four years ago there is no known carbohydrate deficiency disease so how can you base a balanced on an energy nutrient for which humans have no essential requirement it's absolutely astonishing that we let them do it villager master fencin was one of the first guys to start questioning you know do you need to eat carbohydrates he lived in the Arctic with the Inuit for ten years and here he is dragging a seal and he learned to eat the food of the Inuit and when he went back to New York he couldn't stand the food so he imported inuit food and he wrote three books these are my copies you have to hunt for them and title is not by bread alone but he looked at the role of fat in human evolution and I believe that what he shows there is that humans have a desire for fat we have a natural tendency to search out fat but it's been replaced by sugar so as you take eat more sugar your desire for fat goes down and so then of course we introduce these Dietary Guidelines and we have to remember that this is the diet we've been eating for two million years and this is the dot that if you're British only for two million two thousand years have cereals and grains being in the British in the in North England and so if you come from Persia cereals and grains have been around for twelve thousand years but for many of us with white skins from north of Europe it's only 2,000 years so what's the fad diet this has to be the fad diet because that's the most recent diet and we know that once we introduced the fad diet everyone got fat and this is at all ages and no one will take responsibility for this not one government will say we introduced these guidelines here in 1980 and every age group got fat thereafter so I stole this slide from andreas ian felt who's one of my heroes and this is a classic one many of you will see in millions of years and then it takes 38 28 years now but the point I want to make about this slide is what's wrong we should all look like that and hopefully we all do but this guy's problem it's he has got a brain disorder and you have to understand obesity as a brain disorder his APIs that his regulator which controls how much he eats and how much exercises is that damage and in my opinion that's damaged by the processed foods but the key is obesity is a disease of the brain and until we understand that we won't get anywhere and the reason why this diet works is because it takes away the hunger and after snot starts working properly again and you go and regulate your energy expenditure properly so the theories of obesity are the simple one that we were raised on at medical school that is an imbalance problem you eat too many calories and you don't expend them and so you put on weight and you go from the brown guy to the yellow guy and that's garbage it's nonsense we all know that and it's simple it's wrong because the key defect is in the brain it's a failure of APIs that to regulate energy intake and it's always energy intake that's the problem because if the APIs that works and I don't run 10 KS today all I do is I don't eat that many calories and I stay Li and my weight will be the same tomorrow as it is today so reducing your energy intake cannot be the cause of obesity it absolutely can't be you have to have a defect in the Epis that in any homeostatic Li regulated system you go to the homeostatic as the problem the hormonal model is the one that we propose and Gary Taubes describes that this is the model that was taught up to 1949 or 46 to the german-austrian model but they those two countries lost the Second World War so all their knowledge disappeared and we replaced it because we have English and Americans were much cleverer we replaced it with all nonsense ideas and so this was the original model and the original model is that it's carbohydrate that causes the problem because as Grant said when you take in glucose you're in secrete insulin and insulin becomes the driver of eesti because insulin causes Fant accumulation and most importantly prevents you releasing that fact so we never have an insulin elevator you can't access the fat and in some way that tells the APUs that that you're starving and carbohydrates importantly drive hunger and and if you go into a medical textbook and I'm not going to go through the length but guides on which is the famous textbook it's all medical schools around the world use it he describes that in that in ten lines he describes insulin causes obesity there it is and we teach our medical students that but then four years later they meet the cardiologists and then we're in trouble because they get toward something else this is the model that I use when I talk to people and I said if you want to regulate your weight you need to understand the grams of carbohydrate you today and grant showed essentially the same graph the only difference I've got here is that it depends on your level of insulin resistance so if your model moderate mildly insulin resistant eating lots of carbohydrate exactly has this graph showed you won't be fat and eating a low carbohydrate diet will really make no difference precisely what he showed but as you become more insulin resistance your weight will be higher on any level of carbohydrate intake and the key point here is the flexion point the flexion point now we don't have the scientific proof this is true but but when you deal with patients this is what it looks like so if you're moderately insulin resistant and morbidly obese you can cut your carbohydrate down to 250 grams but nothing will change absolutely nothing changes but if you get down to 25 grams then you're then you going to school but a person on this curve if they get back to 25 grams and they lose get an ideal body weight as soon as they start increasing they just have to increase to 100 grams and they'll be overweight again and what's 100 grams of carbohydrate it's absolutely nothing and that's what we don't tell the patients or that conventional nutritionists don't tell the patients that if you are morbidly obese you have to get down to 25 grams a day and you have to stay there for life and that is what Atkins taught in 1972 so I just thought I'd show you some of the people whose lives we've saved this is a guy at two years ago hundred sixty three kilograms 28 weeks later 28 weeks later following the rules only two rules for obesity only two rules 25 grams a day no sugar and then of course real foods but those are the three rules and 28 weeks later that that's what looks like yeah he's a champion we've got more we've got coming we've got guys up 200 kilograms we're going with him but they haven't quite reached the hundred kilogram weight loss and that this is his weight loss and you know the point is if you can do that with one person you can do it with two people you can do to the four you can do to the anyone so the model works and so we do understand what causes morbid obesity it's not a complex disease that's the problem people say oh there's so many causes obesity is not bit simple if you understand it and this is what he said Noakes has become a dear friend very supportive he saved my life and I'm forever in his debt he receives a lot of criticism I haven't heard of any failures for me a phenomenal phenomenal journey and these people are terribly terribly important my favorite probably my favorite is this guy's a medical doctor who has tried everything he's gone under full medical care and he's got diabetes atrial fibrillation sleep apnea potential GART dry flaky skin and he's tried everything he said the diets don't work because I'm always hungry and he's fully medicated he's hba1c a six point eight at this time and he's with diabetes he goes on the diet doesn't lose much lose about 20 to 5 kilograms and his himmat is hba1c today is 4.8 without any treatment without any treatments completely cured of all these diseases so the problem is he's got insulin resistance as we'll show and it's the carbohydrates that are killing him it's not the insulin resistance that kills him he estill insulin resistant here but he's not got the disease incident he went to his wife here and said I wanna be dead in five years you better make alternate arrangements so so so that's the first point that that you don't need carbohydrates the second point is what we taught at our medical school condition of insulin resistant doesn't exist or it's uncommon or it's in my opinion it's not it's not important the reality is that insulin resistance is a single most important medical condition in the global community by far the most important medical condition yet we won't teach in our medical schools and just a simple statistic there are 30 million Americans with type-2 diabetes there 80 million with pre-diabetes that means that without even testing that we know that 37% of Americans are insulin resistance and look at this population that's undiagnosed and I would guess there's another 30 or 40 percent out there and it's predicted that 40 percent of currently living Americans will develop diabetes by the time they die 40 mm 40 % of Americans so what we weren't told in my medical school is that we are treating what we see above the surface and we're ignoring what's below the surface and above the surface we see type 2 diabetes got obesity hypertension and this atherogenic list dyslipidemia but underneath is the problem and that's insulin resistance and we exist on this either from we're highly tolerant or we are intolerant and I stole the slide from from Jeff Ehrlich and we have to decide exactly as grant said if your carbohydrate tolerant you're probably an athlete and you probably will be normal body weight all your life and you probably don't have to worry about what you eat except you must eat real foods not processed foods but if like me you're diabetic and sitting down this end then it's different because you will become heavy with age you will become a beast you will develop the metabolic syndrome and you will develop type 2 diabetes and so and that's the issues and we don't teach that and we don't tell people that this is for life that's the difference we teach that you get fat and lazy and then you get instant resistant I don't believe it's anything certainly doesn't apply to me it's the genetics you get the genetics and ultimately if you continue to eat carbohydrates you will end up on this side of the equation and what happens in insulin resistance is very very clearly defined in the literature in them in the in the body of work and I'm just going through it very briefly that I believe it's a genetic predisposition you're born with it and it gets worse with age because of all the things that grant showed you but particularly sucrose and physical inactivity and the key abnormality is a liver that over produces glucose the key abnormality in insulin resistance and diabetes so my problem is I've got a liver that is forever pouring out glucose and that glucose unfortunately can't be taken up stored normally because your muscles and liver don't work properly and as a consequence you always have an elevated glucose and so you're always hyper secreting insulin and that insulin then acts in the liver to turn that carbohydrate into fat and you get triglyceride production and it gives you a fatty liver as also grant showed now the secondary effect of that is to lower your HDL cholesterol and in addition it produces these atherogenic small dense LDL cholesterol particles and that brings you this Authority Nick dyslipidemia so if you want to know what is bad to have in your blood those are the things that you don't want in your blood and that's the mechanism it's so absolutely obvious and the point is that if you are insulin resistant every time you eat carbohydrates this happens every single carbohydrate and I'll show you that by this paper by dr. peterson and it's titled the role of skeletal muscle instant resistance in the pathogenesis of the metabolic syndrome and all they did was they took a group who are highly insulin sensitive and highly insulin resistant they were young men 25 they were all lean so as far as they were concerned they were all healthy and then what they did was they gave they gave them carbohydrate to carbohydrate meals at 10 o'clock in the 230 and they measured their blood glucose response and it was pretty much the same even in the insulin resistance here in red but look what happened to the insulin secretion and these are young men of 25 who do not know they are sick and look at the values are huge that double the instant secretion is twice as much and their triglycerides are very high and really worryingly this is the amount of new fat new fat produced in the liver in consequence to those two carbohydrate meals so this is what happens every time a person with insulin resistance takes carbohydrate and you do this for 20 years and you get to me you get what happened to me eventually you can't secrete insulin and you get diabetes so the point is that insulin resistance is a real disease and we can identify it in young people and we're not all identical and those who are carbohydrate or insulin resistant will develop the fatty liver when exposed to a high carbohydrate diet now grant did show this slide and this is just some of the best work done by good friends Steve and Jeff Ehrlich and this is one of their brilliant printed papers and and we could not stand here if it wasn't for Steve's work and for Jeff's work because they were influenced strongly by dr. Atkins but dr. Atkins didn't have their data so he couldn't stand up and say I know I'm right but because of their work we can say we know we're right and that is a huge huge difference so thank you Steve for for that but in this study they took group with metabolic syndrome and gave them either a high carbohydrate or a low carbohydrate diet and I'm going to go through it very quickly in because of time this is the body mass was reduced more on the high-fat diet the abdominal fat was much more reduced but notice glucose and glucose was reduced and look at this insulin and I'm going to show you how insulin is the real killer massive reductions in insulin on the high-fat diet that we weren't worried about and then the triglycerides go shooting down because of the reasons I showed you if you're not feeding insulin resistant people with carbohydrates their triglycerides will come down and then the HDL cholesterol goes up on this thought and goes down on a normal carbohydrate diet and this is the supposedly the good car good cholesterol and look what it's doing so if you're putting patients on a high carbohydrate diet you're actually harming them because you're not lowering the HDL cholesterol many believe that this is the best predictor of your heart attack risk and look at the ratio dropping the triglyceride HDL ratio goes shooting down and these are the bad toxic particles the small LDL particles on a high carbohydrate diet they go up on a low carbohydrate diet they go down and those are some other variables that we won't discuss now which dart would you rather be on the yellow the red it's absolutely clear and Michael and then my conclusion is the following the initial treatment for an abnormal carbohydrate lipoprotein flama Tory blood profile should be a high-fat diet not the use of statins and I'm not going to go into that but statins are the most ineffective drugs ever produced by humans they help 1 in 140 people just remember that one in a hundred and forty people and that's men women it's even less so you see what what Steve and Jeff have shown is that this theory of atherogenic dyslipidemia is completely wrong this is what we are taught you eat a high fat diet you get all these problems and then you get arterial clogging and then all these diseases are separate diseases that's very important that they separate diseases but that's wrong because that is caused by a high carbohydrate diet so the models wrong it's much more likely that this is the case that it's a hypoglycemic hyperinsulinemic inflammatory delivered emia in which you eat a high carbohydrate diet that produces all these toxic changes that are damaging to your health you then have a logue omega-3 diet and then you get this condition and all those diseases but notice it's one cause and one treatment that's the key it's one disease they're not separate diseases and how do you treat it you cut the carbs and and that's logical and you know what I've said today I give this lecture repeatedly never has a doctor got up and said doctor knows you're talking rubbish now say it in the media but they won't see it safe when they see the data and so there we go so it's in a sense it's the only intervention that addresses all risk factors a single most important intervention the management of coronary heart disease and diabetes is to reduce the amount of carbohydrate in the diet it seems absolutely logical when we presented that way did Tim Noakes make this up no Gerald Raven made it up and is a giant in medicine and he described the insulin resistance he started in 1960 no one knew what insulin resistance was 50 years later he is the father of insulin resistance and this is the model that he describes here in 20 2014 2012 this is the model and I take this figure directly out of this publication directly out of the publication he says if you have instant resistance the key is you've got compensator hyperinsulinemia he describes that as the problem because it's insulin not carbohydrate insulin that causes all those changes and that then you either get heart disease that way or your pancreas fails and you get type 2 diabetes and you get coronary heart disease but the focus here is this this is the cause of the problem it's the hyperinsulinemia and those are the what happens as a consequence now Gerry Raven should get the Nobel Prize but he may not because he's made one error insulin resistance does not cause the disease I repeat insulin resistance doesn't cause the disease there's something missing on this diagram and that's what's missing it's a high carbohydrate diet that causes that which causes that and so therefore the treatment is to remove that and then you can live very help you can live very successfully with this and I believe that with insulin resistance you can be incredibly healthy and I believe it's an evolutionary adaptation which had some value it's not a cause of disease and so what's the balanced diet that we hear of it must minimize instant secretion at all times if you have insulin resistance so the next one I'm going to go very briefly through the dietary animal saturated fat causes heart disease actually there's no definitive evidence the dietary fat causes any disease at all no and heart disease and so the theory is this that you eat the fat and you get your clogged arteries and your party's clogged and then you have a heart attack and you drop dead booth and what I want to make the point that not one of these components has ever been proven not one and I don't have the time to go through it not one of the predictions has ever been proven and so it's astonishing and I don't have the time but in other lectures I'm probably on YouTube you'll see I go through it and so I'm just very briefly going to tell you the evidence he has the first study showing no sickness will concluding dietary saturated fat associate increased risk of coronary heart disease and it was written by dr. Krauss and dr. Krauss is a crucial player in this whole thing because he was the first to confirm dr. Ravens finding that it's a high carbohydrate diet that produces atherogenic dyslipidemia and he showed that on a high carbohydrate diet you produce small dense LDL cholesterol particles so there was him and then there's a whole bunch more but the most important book written in the last 20 years is the big fat surprise written by Nina ty Holt and she reviews all the evidence the so-called evidence for the low fat diet she goes through every single experiment and she details the errors in meticulous detail and she comes to the conclusion the advice that comes out of this book is that a higher fat diet is almost assuredly healthier than one low in fat and high in carbohydrates the most rigorous science now supports this statement and she concludes in the end what we believe to be true or conventional wisdom is really nothing more than 60 years of misconceived nutritional research and I apologize to have to tell you that nutritional research is one of the weaker sciences and it's because most of it is based on associational studies where we associate one foodstuff with particular disease and you can't do that associational studies prove absolutely nothing and that's where the error comes in is because of use of Association before 1961 there were our ancestors and that's what you have to ask your great-great great-great grandparents what did they eat what are the first Australians eat they ate lamb which they brought from Cape Town they brought the marina lamb from my town to Australia and that's what they ate and before then where the ancestors with their hunting bows or traps or livestock would like lost languages lost skills and lost songs it takes only a few generations to forget and that's what's happened now if you if you want some good evidence that this whole hypothesis is complete garbage here's a paper published just four months ago and what they did was they looked at your coronary artery calcium volume and that is the most important predictor of your risk of heart attack so if you have low you will have low risk of heart disease if your RPL at high risk so then they looked at the relative risk or they follow this population and said well what's your risk of developing heart attack in the future in the last group we give you a 1 that's a standard and you'll notice it goes our progressively so that if you have the most coronary calcium you are at 5 to 6 fold increased risk which is a massive increased risk now you would have to predict that this group has cholesterol through the roof and this group has very low cholesterol so let's look at what the cholesterol is were these the cholesterol values 169 is just below 5 which would be considered normal the next group is lower the next group it's lower the next group it's lower so the group with the lowest cholesterol have the worst disease I wrote to the guy and I said sure you must do a scatter plot of cholesterol versus calcium volume scores and he said no we're not going to do that because it would be all over the place and what it would show is that the calcium in your heart cannot be predicted by your blood cholesterol concentration and you all been told that if your values about 5 you're about to drop dead tomorrow we have no idea you could have pristine arteries at a value of 10 and clogged arteries of the value of 2 and that no one will tell you that but that is the truth so this guy won a Nobel Prize he said the more LDL there is in the blood the more rapidly atherosclerosis develops all cardiologists will tell you that that is garbage please hand your novel prizes back now just to make a compounder this is a paper two years ago of the risk factors for coronary heart disease in 500,000 people and what's the number one risk factor overweight what's the next what's the biggest risk factor normal blood lipid concentration so if you have a normal blood lipid concentration you had risk of a heart attack but they don't report that but that's what happened so 72% a normal cholesterol hypertension smoking diabetes now you look at those where the carbohydrates come in please understand obesity is purely a marker of a high carbohydrate diet in someone who's instant resistant that's all it is so when you see obesity you just say high carbohydrate diet insulin resistance cause of the problem hypertension is part of the metabolic syndrome part of insulin resistance smoking diabetes is obviously what's causing the diseases carbohydrates that's the only conclusion I can draw so I'm not going to go through it in detail but all those not one of those has ever been proven it is completely mythical so how about ants I'd said everything should be made as simple as possible but not simpler at all the predictions of this model remain completely unproven and this cardiologist said although the image of coronary arteries is kitchen pipes clogged with fairly simple familiar and vocative it is wrong and we got to get it out of the teaching of our medical schools the reality is that Fred kumara has been studying this problem for 94 60 years he's ninety nine years old he wrote this book recently and he 490 for 60 years he's been studying oxy sterols oxidized cholesterol and that's the problem it's when the cholesterol becomes oxidized that it is in arterial clot and if I was a young scientist I'd want to understand what really causes coronary arteriogram so richard fineman one of the great great greatest minds the earth has ever produced he said the first principle that you must not fool yourself and you're the easiest person to fool and that's what we've been doing that's what we've been doing okay the final point is cereals and grains are uniquely healthy this is what we are told and what the consensus guidelines deny is that utin and gliadin may be the cause of a wide range of chronic diseases currently considered to be idiopathic and the man who has and these are the books and I know dr. Perlmutter has come to Australia will be talking William Davis as well an Anthony culpa those are three books that that really need to be read there's a really interesting because he looks at all the evidence for control trials where the increase the grain consumption and nothing happens you don't get better but the and so William Davis said the glidin protein of wheat gluten present all forms of wheat has a unique ability to make your intestine permeable and I'll show you how that happens and this is the hero dr. Alessi of asana I hope he wins a Nobel Prize because he's a giant in the field and he discovers that blood and causes a production of Sanyal and in the gut and zolina Sanyal and then produces the leaky gut syndrome and he believes that all autoimmune diseases all autoimmune disease are related to to gladden in the dark and this is a complex slide but what he says is that when you produce when you have God in the gut you produce the blood cells produced Sanyal in and this is the junction between the two cells and you notice it's tight and it's held together rigidly held together so the cells are tight like that when you when you eat garden you produce Sanyal in the pathways and then anything in the gut can get into the blood stream so any protein abnormal protein bacteria can get into the blood stream go to the liver produce an autoimmune response and his theory is that all these diseases all those diseases are linked to leaky gut that is astonishing and I you know he maybe is right maybe is wrong and from my own experiences autoimmune disease I think he's right there because anyone with autoimmune disease when they cut wheat they will generally improve their symptoms dramatically and some would maybe even reverse so he has another genius who's taken a whole group of different diseases and said they may all be later and if I was a young scientist I'd want to know what is the role of wheat and the leaky cut in the causation of chronic disease so has the promotion of 5 to 11 servings of cereals grains per day led to an increase in autoimmune and other diseases an important question finally just going to finish up Ignace ml Weiss in 1840 showed that if you washed your hands you could bring the the incidence of child bed fever down that was before anyone knew that there were such things as bacteria and what was happening in his hospital was that the doctors were doing the autopsies on the mothers who'd recently died in childbirth and they would go straight from the autopsy room because we deliver the mothers and he worked up because he was a genius that that was what was happening he wrote up his story a bit late but we now know that 82% of all deaths from child bed fever in his hospital would have been prevented if the obstetricians had followed his advice just by simply washing their hands and the question is why didn't they didn't because they couldn't conceive the doctors are killing their patients that was the problem and I believe the same applies does the same apply to our current nutritional guidelines and the reason we won't accept is called cognitive dissonance because it's too painful for us to accept that we were doing something wrong that was killing our patients so we'd rather just forget it pretend it doesn't exist now finally I'm very very irritated with one Australian and his name is Barry Marshall not not seriously he wins a Nobel Prize he's exactly the same age as me why did he win the Nobel Prize and Tim Noakes didn't and so because he was also studying marathon runners when he first started and the story of Barry Marshall is really interesting and it reflects on your own country and your own medical education in a positive way so you know why did these two Australian when when a Nobel Prize when anyone could have anyone in the world could have won the Nobel Prize but they did why did they so what happened was Barry Marshall was a young doctor he was just going into his residence in gastroenterology and he had to do a thesis a masters is the lowest level and he said well what can I do and the guy sitting well there's this eccentric guy Robin Warren who sits in the bottom of the hotel hospital no one speaks to me does his own thing why did you go speak to him because he's got this mad theory completely wrong theory that bacteria can cause ulcers and so Barry Marshall goes down and chats team for two hours and he realizes this guy's not stupid he's actually developed a stain that can show that there are bacteria present in ulcers and faces I come in and work with you and 20 years later they win the Nobel Prize now the point of the story is that if this guy had worked in a medical school where they said you are completely wrong we know what causes ulcers you may not continue your research he they would not have won the Nobel Prize but because that university was open to new ideas which I must tell you were completely against the teachings they were just as much against the teaching as they are today and so they won the Nobel Prize so it's a credit to the university that they had an open academic policy and particularly to the professors who were teaching these guys eventually Marshall to prove that he that he was right had to take the bacteria and actually get taken himself and then he developed the ulcer and he showed that he developed else and he took the medication he cured himself and that was fulfilling the for the Cox Pro postulates and Kok was really interesting because he in about 1880 said I know I believe that the tuberculous bacillus causes tuberculosis and he went before his community and he said how can I prove it to you and they said dr. go away and prove these four principles you have to do X Y and Zed and you come back came back a year later said I prove this I prove this I prove this I prove this I prove that there was not one question they said I claimed and in a sense that's what we need we need open debate on this thing tell us to go and prove what do we have to prove to prove that we're right and so my final comment for Barry Marshall is every generation of medical students is a talk toward at least one utterly wrong fable and he destroyed the one fable and that's our job as a group is to destroy this favor which is much more important that even the work that he did so thank you for your attention as they're gaining a great privilege [Music] [Applause]

Channel: Low Carb Down Under

Views: 575,645

Keywords: Tim Noakes (Author), Low-carbohydrate Diet (Diet), Nutrition (Medical Specialty), The Real Meal Revolution, Professor Timothy Noakes, University Of Cape Town (College/University), Low Carb Downunder, Nutritional Ketosis, Banting Diet, Tim Noakes Diet, The Lore Of Running, lowcarbdownunder.com.au, LCDU, Low Carb Down Under

Id: fL5-9ZxamXc

Length: 43min 22sec (2602 seconds)

Published: Sun Sep 21 2014