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Wednesday, June 27, 2018

The Perfect Diet

In America views on healthful eating fall on a spectrum defined by two opposing ideologies. On one side, people like Dr. Mercola, Sally Fallon (founder of the Weston A. Price Foundation) and Professor Loren Cordain (founder of the "Paleo Diet") recommend the consumption of high quality animal-based foods, such as grass-fed beef, wild salmon, or raw grassfed butter. This side also typically advocates abundant raw vegetables and fermented foods. Excessive fruit consumption and grains, on the other hand, are discouraged. (The Weston A. Price foundation advocates soaked and cooked grains.)

On the other side, people like T. Colin Campbell, the author of The China Study, Dr. Dean Ornish, and Dr. Caldwell Esselstyn argue that animal-based products create disease, that there are virtually no nutrients in animal-based foods that are not better provided by plants, and that the best health-promoting diet is a low-fat, vegetable and grain-based diet--a vegan diet.

Tuesday, June 19, 2018

The Art of Not Eating

A few years ago, my good friend Kevin started a cleanse. He bought a cleansing kit. He took the cleansing pills and fiber for ten days. He refined his diet. For breakfast, he ate berries. For lunch, he ate salad. For dinner, he ate baked salmon and steamed broccoli. More importantly (for him at least), he did not drink his micro-brews, and he did not eat his favored hard pretzels.

Kevin felt light and optimistic. He also felt insatiably hungry. So he called me.

"I need to eat more food," he said.

"So eat more food," I said.

"Like what?"

"A sweet potato?"

"But that sounds good."

"So?"

"Shouldn't I be suffering?"

The Faces of Fasting: Kevin
Kevin's attitude is not unique. Most people, I believe, equate cleansing and fasting with suffering. We look at a cleanse as a Great Giving Up. We give up our favored foods and drinks, our preferred ways of eating. Why do we do  perform this fanatical act? We think it will make us feel better.

"That's it," we say, "I'm never eating wheat again."

Then we wake up, have a bagel.

Sometimes, though, we just stop eating.

If you're like my friend Kevin, though, you go out and buy a cleansing kit. You give up carbohydrates. You give up bread, ice cream, red meat, beer--everything you love. You willfully suffer.

To many, this is a cleanse: Suffering. To many, a cleanse is penance. For eating too much. For drinking too much.

Tuesday, June 12, 2018

Trust Thy Gut: Healing in the Age of the Microbiome

I was diagnosed with ulcerative colitis in May, 2002. On the day of my diagnosis, I refused my doctor's prognosis, as well as the drugs, and commenced a journey to heal—a twelve-month experiment, absent any conventional medical guidance whatsoever, that ended midway through my honeymoon, when my new wife admitted me to the ER.

For twelve months, I devoted my life to an obsessive and fastidious investigation. Hunched over my desk, I spent day after day Googling. For a phrase like “ulcerative colitis natural cure,” I'd click twenty pages deep, reading every word on every site—every blog, every forum. Certain opportune comments led to new searches in new windows, fresh rounds of clicking.

When I risked leaving the house, I’d visit the book store, where I’d scan the indexes of books, seeking the slightest reference to "colitis," or "autoimmune." Inevitably, though, turning from my screen, or trudging from the store briefly lifted by some tidbit, I’d come to think of the only definitive cure: death.

I do not believe my obsessive investigation, nor my despair, were unique. In my experience, most people who experience illness--from colds to colitis--engage in some form of this fanaticism. And many, discovering confusing or contradictory advice, have yielded to despair. My search led to life.

I've learned to heal my symptoms--without drugs.

And yet, each year for many years, around March or April, just as the weather warms, I would suffer a relapse, or "flair." The severity of these flairs varied--yet I knew how to recover.

In May 2013, however, I suffered a particularly bad flair. My go-to remedies--a horridly wine-free lifestyle, VSL#3, and Metagenics--seemed to fail. Worse, the severity of the symptoms transported me back in time, to 2002, when I felt my despair most acutely.

My wife, who witnessed my behavior over the years, acclimated herself to my eccentricities. But even she was startled, that year, when I walked into our infant daughter's nursery, and pointed to the dirty diaper laying on the changing table.

"Save that," I said.

"What?" she asked.

"Save that," I said, and to state the case plainly, I added, with conviction, "I'm doing a fecal transplant enema."

Nearly all DNA in our bodies belongs to microorganisms: they outnumber our cells nine to one.

- Burkhard Bilger, writing in The New Yorker