Summary: It is NOT calories in, calories out. This Intervention Diet Weight Loss Study is looking to show just that. It is being conducted by five prestigious universities: Framingham State University, Boston Children’s Hospital, Indiana University Bloomington, University of Alabama at Birmingham, and Baylor University! The study evaluates the effect of dietary carbohydrate and sugar consumption independent of energy content on body fatness and metabolism in a rigorous feeding study. The study looks at WHY diets high in total carbohydrate, with or without added sugar, acts through increased insulin secretion, all during substrate partitioning towards storage and body fat, leading to increased hunger, slower metabolism, and accumulation of body fat.This is a randomized controlled feeding study involving 128 adults with BMI between 27 to 40. The test diets include very low carbohydrate (about 70% fat), High carbohydrate low sugar (25% fat, 0% added sugar), and high carbohydrate high sugar (about 25% fat, 20% added sugars).
SUMMARY: GREAT NEWS: My Instagram @patty.carteris posting some of my gut flora supporting microbiome recipes!I will still continue to post recipes on this website (and other posts with direct links to the science) ⇔ I’m adding Instagram because it is a great work around for the Pinterest failure to post the entire description on images posted (at this time, they truncate descriptions when you view them)!Of course, continue contacting me direct for those Pinterestrecipes, all of which focus on the healing diet tenets from SCD, PALEO, Mediterranean Diet, and others! The second reason for adding Instagram is that I will postpractical insights for integrating microbiome support into your lifestyle effortlessly and seamlessly⇒ like today’s Instagram post showed my Whole Foods Market food haul, and itlinked to the newly published May, 2018 American Gut new findings♥♥♥ The bottom line, for my Instagram…it is best if you follow me to get the full recipe and practical integration insights, (but you don’t need to) –> just link here @patty.carter! The balance of this website post shares what posted in my Instagram today which included my Whole Foods Market food haul, and the link to thenewly published May, 2018 American Gut new findings (which continues to confirm that 30 different vegetables consumed each week is best for microbiome diversity and health) ♥♥♥
SUMMARY: I’m sharing two weeks of FREE access to theTown Hall MedicineMicrobiome Talks from twenty-one key microbiome researchers and includes clinicians integrating microbiome into therapeutics! This educational series is presented by University of Toronto’sHeather BoonPhD, Dean of Leslie Dan Faculty of Pharmacyand Stewart Brown, Founder & CEO, Genuine Health, a science based natural health company. These talks are short and to the point, AND you can download the transcripts for later reading. There has been a ton going on in the ivory towers of academia and science research uncovering just how important the gut microbiome is to health and well-being and its impact on the immune system. Microbiome associations are now known for hypertension(34 percent population prevalence ), atherosclerosis (39 percent), anxiety and depression (10 percent), weight gain, obesity (29+ percent), autoimmune diseases (20 percent — mostly women), Type 1 and 2 Diabetes (36 percent), metabolic syndrome(34 percent), IBD (10 to 15 percent), asthma allergy, autism, schizophrenia, Alzheimer’s, Parkinson’s, stress-induced and progressive neuropsychiatric diseases, ANDprolonged low-grade inflammation which is behind most all disease (51% of adults have at least one chronic disease, 27% of kids have one or more chronic diseases). Yet none of microbiome — disease impact is pouring down to us mere mortals none the less doctors — I would know;I teach Microbiome CME. Whentwins having 100% identical human DNA only have 40 percent of the same gut microbiota, imagine how different your microbiota is from everyone else. Spoiler alert: Your gut microbiota is 99 percent different from everyone else and our microbiota explains why each and every one of our bodies (and minds) behave so differently! Knowledge is power, and these talks share how microbiome understanding is being put on the forefront of therapeutic integration to reverse and prevent disease. Now that is aggressive preventative medicine especially since 70 to 80 percent of our immune cellsreside in the health of our gut microbiome. Enjoy the listen, and Merry Christmas, Happy Holidays, early!
Background on Town Hall Medicine Microbiome Talks
This science based initiative shares my vision that knowledge is power. They believe that through access to credible science-backed information, you can have the knowledge you need to take steps to live a healthier life. To give you that knowledge, they gathered top scientists, researchers, clinicians and thought leaders from around the world – some of the best of the best from such respected institutions as Harvard, UCLA, University of Western Australia, University of British Columbia and University of Toronto – to share their research findings directly with you. These experts are highly respected in their fields, and I’ve followed them for years. Their work is changing how we think about our health and that diet and lifestyle can alter gene expression, and reverse and prevent chronic disease. For more on that, this post simply explains How Diet Pierces the Disease Epigenetics Process.The goal of Town Hall Medicine is to elevate the conversation on current health topics by providing information that is accurate, credible, proven and trusted.
Town Hall Medicine Microbiome Talks_FREE 2 week pass
Here are just some of the talks you may find interesting…
Stress and aging is talked about under “The New Path to Health”. Noodle around these recent studies in this area:
[Kimball et al 2017] found that in women, skingene expression progressively changes from the 20s to the 70s in pathways related to oxidative stress, energy metabolism, senescence, and epidermal barrier and that these changes accelerated in the 60s and 70s. The gene expression patterns from the subset of women who were younger-appearing were similar to those in women who were actually younger!Here’s a good ScienceDaily article on this study,and this post simply explains How Diet Pierces the Disease Epigenetics Process. Suffice it to say, these skin epigenetic findings makes all the sense in the world — Eating a diet that supports your gut microbiota does GREAT things both inside our bodies and on the outside — I see these “side effect facelift” transformations everyday!
SUMMARY: I want to let you know about this amazing 3rd annual Citizens of the World Wellness Conference, that you can attend, hosted by The Sisters of Charity of Seton Hill on May 5, 2017, in Greensburg, PA. This year,“Lifespan Rhythms: A Focus on Memory, Hormones, and Vitality”is the theme. Come and learn the latest studies about the Vitality, Memory, Hormones link.Expert speakers throughout the day will discuss how to support families across the lifespan with a focus on MEMORY IMPAIRMENT. I participated in last years conference and am thrilled to do so again this year. I don’t normally give you a heads up of opportunities like this unless they are truely worthwhile learning opportunities. This conference makes my cut! If you can attend, you’ll leave with a boatleg of practical information! Come learn about the Vitality, Memory, Hormones link.
SUMMARY: Our food choices are fundamental for health. The next Integrated Functional Medicine Grand Rounds installment with Cleveland Clinic is coming up on Tuesday, December 13, 2016. Listen, for FREE as Dr. Alessio FASANO, MD speaks on How Early Nutrition Influences Microbiome, Disease. This is an incredible opportunity officially titled: “How Early Nutrition Influences Gut Microbiome and Metabolic Profiles in Health and Disease: Shifting From a Disease-Centered Approach to Patient-Oriented Functional Medicine.”For background, I have followed Dr. Fasano’s work for ages. He is a leading gut inflammation light who put Celiac Disease, and Non Celiac Gluten Sensitivity, on the map in the US when all US health agencies literally told him those were “across the pond”. When that happens, you know you are about to make a major break thru that will ruffle lots of feathers. He persevered, and his findings will re-write the medical books. Those findings opened the doors for what is now understood as: Gut permeability ⇒ immune stimulation ⇒ inflammation ⇒ gut and systemic ramifications ⇒ autoimmune and chronic disease. Listen in to Dr. Fasano, FREE, Early Nutrition Influences Microbiome, Disease!
Your doc wasn’t taught this nor are they likely talking to you about microbiome and inflammation andhow to move off the spectrum of inflammation, autoimmune and chronic disease.That is sad because many are learning about microbiome and changing diet and lifestyle to reduce that inflammatory microbiome disease tone. You can too by restoring and optimizing your microbiome. Contact me for the EASY How-To — that doesn’t break the bank either.
Listen in to Dr. Fasano, FREE, Early Nutrition Influences Microbiome, Disease!
REGISTER HERE, “How Early Nutrition Influences Gut Microbiome and Metabolic Profiles in Health and Disease: Shifting From a Disease-Centered Approach to Patient-Oriented Functional Medicine.”
SUMMARY: Learn the long term health ramifications associated with C-Section birth. “Microbirth” information every parent needs to view.
“Microbirth“is a new 60 minute documentary investigating the latest scientific research about the microscopic events happening during childbirth. Asthis Press Release explains, latest research is starting to indicate modern birth practices could be interfering with critical biological processes. From the changes that occur in the human pregnant vaginal microbiome to that microbiome which actually inoculates the baby, be it via C-section or vagina birth, these events are now showing to have associated consequences for the health of the child and such could have life-long consequences making our children more susceptible to disease later in life:
Recent population studies have shown babies born by Caesarean Section have approximately:
20% increased risk of developing asthma,
20% increased risk of developing type 1 diabetes,
20% increased risk of obesity,
slightly smaller increases with gastro-intestinal conditions like Crohn’s disease or coeliac disease, and
These conditions are all linked to the immune system.
Does C-section cause these conditions? Dr Rodney R Dietert, Professor oat Cornell University, says, “No. What C-section does is not allow the baby to be seeded with the vaginal microbes.” Proper seeding of the newborn is an important microbiological process where bacteria is transferred from the mother to the baby in the birth canal. As a consequence, the baby’s immune system may not develop to its full potential. Dr Dietert expains, “The immune system doesn’t mature, and the metabolism changes. It’s the immune dysfunction and the changes in metabolism that we now know contribute to those diseases and conditions.”
Another hypothesis presented in“Microbirth“:the stresses and hormones associated with natural birth could switch on or off certain genes related to the immune system and metabolism. If a baby is born by C-Section, this might affect these epigenetic processes. Below is the 2 minute “Microbirth” YouTube trailer:
“Microbirth“ should be mandatory viewing for every parent, pregnant women, and physician to better understand the need to care for and nurture the microbiome health pre-conception, in utero, in labor, and post delivery. Matter of fact, I think it should be viewed in school health education classes so that children better understand the need to care and nurture their microbiome. Who is in the film “Microbirth“ reads like a who’s who in research, and if you are a reader of my work, you’ll recognize them all:
Source: http://microbirth.com/about/
TheDownloads section of the “Microbirth“website contains FAQ, which I am excerpting below, to impress upon my readers the need for them to pass on this information:
Q&A On The Science Behind Microbirth: By Rodney Dietert, Professor of Immunotoxicology, Cornell University
If a baby is born with the white waxy vernix, will the microbiomes be washed off or come off when the baby is cleaned, as they usually are right away if they are in a hospital setting? Or, does the newly seeded microbiomes wash off in a water birth?Don’t know. Not much if anything has been published on this specific factor. Just on vaginal (and what that includes) vs. Caesarean delivery.
How fully seeded can a child get after a C-section? As a group, C-section delivered babies have a lower diversity of microbes and lower numbers of some useful bacteria types comprising the microbiome than do vaginal-delivered babies. So they are not as fully complete and also their seeded microbiome is less derived from their mother compared with vaginally delivered babies. Treatments such a the use of vaginal swabs at birth for C-section babies may be helpful for self completion.
And what or whose microbiomes is a C-section child getting?The exact range of sources of the C-section baby’s microbiome remains somewhat uncertain. But it is clear that much less of it is from the mother (particularly for gut microbes) than in vaginally-delivered babies. So for C-section babies, much of their seeding is coming from the surroundings (e.g., the hospital environment, hospital personnel, and patients).
Are most of the auto-immune diseases coming from C-section born children?As a group, C-section delivered babies have a higher prevalence of auto-immune and allergic conditions than do vaginally delivered babies. However, birth delivery mode is not the only factor in risk of immune disorders. Exposure of the parents (particularly the pregnant mom) and the baby or infant to toxic chemicals (e.g., heavy metal, plasticizers, pesticides, air pollutants) and drugs and/or to adverse environmental conditions (low vitamin D, stress/abuse) can also produce immune dysfunction and elevated risk of auto-immune and allergic diseases.
Are there children with these listed diseases that were born vaginally? Vaginally-delivered children can and do get auto-immune and allergic diseases. Their families may have genetic predispositions for these diseases and/or they may have exposed either in utero or early childhood to harmful chemicals or drugs that promote these diseases. For example, a mother with extensive heavy metal exposure or who had multiple rounds of antibiotics and delivered vaginally could have a severely depleted microbiome for seeding her baby. However, as a group, vaginally-delivered children have a lower prevalence for these immune disorders than occurs with C-section delivered babies.
If so, where do their diseases originate? Immune and inflammatory disorders such auto-immune and allergic diseases are thought to originate via a combination of family genetics, prior family-related exposures (epigenetics) and current early life environment. The developing immune system is programmed for dysfunction and as the child matures, improper immune-related responses to environmental challenges (e.g., childhood infections) show up as auto-immune, allergic or inflammatory conditions. Because the microbiome helps to train the immune system as to what is friend or foe, a complete and useful microbiome helps to reduce the risk of these diseases.
Has there been a study done regarding this? Yes. Many studies have examined the causes and triggers of immune disorders such as childhood asthma, type 1 diabetes and celiac disease as well as the role of the microbiome in controlling immune maturation and affecting the risk of these diseases.
Is the young child still getting “microbiomes” if they continue nursing past babyhood? The young child would still have some exposure to the mother’s microbes that may help to fill in any remaining blanks. However, it is the breast milk that nurtures the gut microbes and helps the baby’s microbiome to mature that is probably the more important factor. Exposure to the microbes early is important because that is when the immune system needs to see the microbes the most for effective immune maturation.
If a mother stops nursing after a few weeks, has the baby not been fully seeded? When does seeding stop? Most seeding occurs during the first year with the majority of that probably occurring during the first few months. However, if the infant has received antibiotic treatments, the microbiome may need to be reseeded at least in part.
What about recent research indicating the baby’s microbiome may be seeded before birth?The film “Microbirth” does not say that the only exposure to microbes is at birth. In fact, the film points out prenatal exposure to bacteria and/or bacterial products is likely to occur. But it makes the point that birth and the period surrounding it appear to be the single most important seeding event that:
Determines whether self completion of the infant fully occurs (complete seeding of the microbiome) and
Promotes necessary postnatal immune maturation. If prenatal exposure were adequate for self completion, then C-section-delivered babies would not (as a group) have restricted microbiomes and elevated risk of later–life non-communicable diseases (when compared to the group of vaginally delivered babies)
Source: http://microbirth.com/downloads/
Important posts related to Newborn Microbiome and which contains the study citations/links:
The film’s co-Director Toni Harman says, “The very latest scientific research is starting to indicate that the microscopic processes happening during childbirth could be critical for the life-long health of the baby. We are hoping “Microbirth” raises awareness of the importance of “seeding the microbiome” for all babies, whether born naturally or by C-Section, to give all children the best chance of a healthy life. This could be an exciting opportunity to improve health across populations. And it all starts at birth”.
Now that you’re lucky enough to know… do your own part and pass this post on: to your friends, your Facebook, your twitter, your doctors… Let’s make this world a better place for its children.
UPDATE: You’ve missed the talk but can definitely catch the synopsis at“Optimal Microbiome Diet From American Gut Data.“ Dr. Knight gave an “Eleven Point” punch list of factors that hugely affect the microbiome. Totally intriguing and insightful data is now being generated!
There’s a fellow health researcher that I respect; his name is Paul Jaminet, creator and blogger over at “The Perfect Health Diet” site. Jaminet has no hidden agenda. He had a health problem, and used his science background to research. What he found is nearly in line with everything that I speak of, which is SCD/GAPS/PALEO/ MEDITERANEAN… and so many other wonderful healing diets:
“When you’re doing things the right way, usually you see results very quickly, so it’s well worth taking a little bit of time to read and think about these things and to do a personal experiment and see how they affect you.“
SUMMARY: SCD yogurt is lactose-free due to its processing. It can be grassfed if you choose to make it using grassfed milk. You can also use a milk from A2 casein cows to make the casein less inflammatory. Some use a milk alternative such as goat, coconut, or almond milk. Last, there is growing concerns about the MAP suriviving dairy processing. [Grant et al 2017] is study that published Dec, 2017 that raises growing concerns about MAP and the safety of dairy products. To ensure 100% kill of MAP, heat the milk to 194F (90C) for 60 seconds according to the author of the study. The classic SCD yogurt recipe required heating to 180F with a two minute hold. I’ve revised the recipe to require heating to 194F for two minutes to ensure MAP and other bacteria are killed. Below the recipe find details for: MAP implications for SCD yogurt processing temperature, What is the probiotic load of SCD yogurt, what probiotics can be in the starter and Lets talk about milk options, can I reuse my SCD yogurt as starter for another batch, and RECENT STUDIES FINDING PROBIOTIC YOGURT BENEFITS AND IT’S ANTI-INFLAMMATORY IMMUNE MODULATING PROPERTIES! It is no wonder that SCD yogurt is the foundation of the healing diets: SCD/GAPS and some PALEO camps, if tolerated.
Use a grass-fed milk if you aren't using an alternative milk such as goat, coconut, or almond. Fermenting such, 24 to 30 hours, turns this product into a “raw milk” type beneficial whole food that is lactose-free, and loaded with probiotics. 1 cup has ~708 Billion beneficial bacteria and that’s about 50 times more than that claimed for a typical 15 billion capsule, and nutrition (proteins vitamins, minerals, amino acids, fats, and others yet to be discovered). Another study found less than this amount of probiotics but still well above that in commercial yogurt. Best thought… Making SCD yogurt is EASY. “It gets easier each time I make it”… “It tastes so much better than any store bought yogurt”… “I really miss this when I travel,” sentiments from MM, RC, JM, and MP.
This recipe has been updated to heat the milk to 194F to ensure 100% MAP kill since recent studies [see blog post SCD yogurt safety concerns – considering new MAP research |http://gutharmony.net/index.php/2017/12/04/scd-yogurt-safety-concerns-considering-new-map-research/#more-2026] have found viable MAP survives in a product fed calves. See my post for additional details. The classic SCD yogurt heat temperature was 180F held for two minutes.
Yogurt made using goat milk does not set like ordinary cows milk. Most just consume it in it's more natural liquid state though some do add gelatin.
Simply by dripping SCD yogurt, you can make delicious mild tasting Greek yogurt. This can even be used in place of sour cream and cream cheese! Note: you can not drip goat milk.
MAP implications for SCD yogurt processing temperature
MAP findings[Grant et al 2017] means the classic temperature heat for SCD yogurt should be increased to 194F to ensure 100% kill of MAP.
I don’t know a lot about Mycobacterium avium ssp. paratuberculosis (MAP), but there is a lot of literature on this and efforts are underway to come up with a human vaccine. MAP has been implicated in IBD. In sum, MAP can be transmitted in milk but until now, it has been difficult to prove. MAP is the cause ofJohne’s disease(JD),bovine viral diarrheavirus, bovineleukosisvirus, Pasteurella multocida, Salmonella sp., and Mycoplasma bovis. MAP can be transmitted from cow to calf through feedingunpasteurized milk (Costello, 2012). JD control programs worldwide (Doré et al., 2012; Garcia and Shalloo, 2015; Pieper et al., 2015) recommend avoiding feeding waste milk and feeding calf milk replacer (CMR). As stated by Cooper and Watson (2013), the assumption has always been that the risk of viable MAP organisms in commercial CMR powders is negligible because CMR is invariably pasteurized and often highly processed.
The[Grant et al 2017] study found viable MAP is still detectable in CMR. Feeding CMR, as an alternative to feeding waste unpasteurized milk or farm-pasteurized milk, is a common practice in the United States. The latest statistics from the National Herd Monitoring Scheme indicate that 49.9% of all US dairy operations (of all sizes) fed some kind of CMR to pre-weaned heifers during 2014; 16.4% of operations fed nonmedicated CMR and 37.6% fed medicated CMR (USDA, 2016).
The source of the viable MAP detected cannot be verified, whether pre- or postprocessing contamination. It is unknown if the quantity of MAP detected in CMR would be sufficient to cause infection of a calf. However, the prospect that MAP has survived the manufacture of dried milk and whey-based products, which are destined for consumption by food animals could have far-reaching potential consequences; further testing of CMR collected directly at manufacturing sites using the PMSand liquid culture approach described above is warranted to verify our findings. The broader food safety implications of detecting viable MAP in this type of dried dairy product are not insignificant given that powderedinfant formulaeis consumed by young babies with immature immune systems.
One important conclusion for SCD dieters has to do with safe yogurt preparation. The classic SCD recipe calls for heating the milk to 180F when preparing yogurt.
Professor Collins replied to our question on the subject: “The best data available suggests that the 90C (194F) for 60 seconds assures 100% MAP kill. So, simply recommending boiling will be the safest way to go. There is nothing else about yogurt making that will impact MAP viability much.
SCD yogurt is fermented 24 to 30 hours. This turns the product into a “raw milk” type beneficial whole food that is lactose-free, and loaded with probiotics and nutrients. The best part though…it’s EASY to make. “It gets easier each time I make it”… “It tastes so much better than any store bought yogurt”… “I really miss this when I travel,” sentiments from MM, RC, JM, and MP.
According to the BTVC website,1 cup has ~708 Billion beneficial bacteria and that’s about 50 times more than that claimed for a typical 15 billion capsule), and nutrition (proteins vitamins, minerals, amino acids, fats, and others yet to be discovered).
But the actual probiotic load in SCD yogurt is controversial. Recent labs have reported the quantity of probiotics in SCD yogurt to be less that that cited on the BTVC website but well above quantities found in commercial yogurt. This testing is reported in the post, The power of SCD yogurt,dated Jan 9, 2017, which looked at the quantity of probiotics in SCD cow, sheep, and coconut milk yogurts. Cow and sheep milk yogurts were fermented at 40 degree Celsius for 26-28 hours. Coconut yogurt was fermented for 22 hours. The lab used,SQTS (Swiss Quality Testing Services),also tests commercial yogurts. Testing omitted Streptococcus thermophiluswhich means if the starter contained this probiotic, the probiotic quantities would be higher than reported below. Also,Dannon All Natural Plain Yogurtas starter was not used. The report found:
SCD yogurt samples are between 2 to 30 times more potent than most commercial yogurt values. Commercial yogurt normally contains around 5,000 000-10,000 000 CFU/gram Lactobacilli and around 20,000,000 CFU/gram Streptococcus (according to SQTS).
SCD Cow and Sheep Milk. The post notes the GIProhealth starter was difficult to dissolve meaning the fermentation may be less effective.
Yogourmet starter with cow milk: over 300,000,000 CFU/gram.
Yogourmet starter with sheep milk: 200,000,000 CFU/gram.
GIpro Start starter with cow milk: 20,000,000 CFU/gram.
GIpro Start starter with sheep milk: 100,000,000 CFU/gram.
SCD Coconut milk.The post discusses contamination issues likely from the honey used and optimal ferment times being 12 hours instead of the 8 to 10 hours typically recommended.
Summary: Arthritis… Newly diagnosed with arthritis have an arthritis microbiome that is skewed having greater abundance of the intestinal bacteria Prevotella copri than people without the inflammatory disease, or those who have had the disease for a while but were managing it with treatment. Also found: nutrient deficiencies. Diet can change up that microbiome. Read on and learn.
One of the first insightful articles that expanded my understanding of the connection between gut microbiome, dietary impact, and arthritis, was “The Boy With a Thorn in His Joints,” New York Times Magazine, February 2001. Anywhere from 0.5 to 1 percent of the general population is estimated to have the condition, according to the Centers for Disease Control and Prevention. If you are a reader of my work, you now know however, it isn’t just arthritis that the gut biome affects; literally all health and disease is affected by the gut microbiome, specifically the community of species present.
Three year old Shepard and his mom decide a life of high risk drugs was not going to happen, and Doctors Kahn and José Scher (Director of the Microbiome Center for Rheumatology and Autoimmunity-MICRA at NYU Langone Medical Center’s Hospital for Joint Diseases, and Director Arthritis Clinic NYU Hospital for Joint Disease, New York University School of Medicine) now recognize the paradigm shift connecting the gut microbiome bacterial community and arthritis.
This Huffington Post article explains the findings: “Rheumatoid arthritis is treated with an assortment of medications, including antibiotics, anti-inflammatory drugs like steroids, and immune-suppression therapies. Little is understood about how these medications affect gut bacteria. “It could be that certain treatments help stabilize the balance of bacteria in the gut, or it could be that certain gut bacteria favor inflammation,” says Jose U. Scher, MD, director of the Microbiome Center for Rheumatology and Autoimmunity at NYU Langone Medical Center’s Hospital for Joint Diseases, and an author on the new study.”
