Training the Brain to Eat Less Sugar
drexel.edu
drexel.edu
If anyone wants to try this and finds it too difficult initially, please stick to it for at least two weeks! It gets easier!
It's done wonders for my A1C and weight. It definitely gets easier after the original weaning. Now it doesn't even take thought or effort and I have no regrets at all.
I'm telling this story because I find my current diet quite delicious and fulfilling, and I want people to know that eating healthier food doesn't have to be about self-denial. This is especially true if you're willing to spend some money on good foods. Nor does it have to be all-or-nothing, ostentatious asceticism. I'll eat a slice of cake at my kids' birthday parties, and I'll eat what's offered me at a friend's house. I probably won't have seconds though, because after mostly abstaining from sugar, I can't handle eating too much of it at a go.
Cutting down on foods containing added processed sugar is certainly a good idea.
So no, added sugars typically aren't synthesized de novo from chemical elements. But the industrial production of HFCS from corn feedstock is artificial in every sense of the word.
I tried cutting out sugar several times passing on fruit, even vegetables like carrots.
I never managed to do it for more than a week. Now I try to do what you have done and don't eat desserts, chocolate, etc. And eat processed food sparingly.
The other 20% have added artificial sweeteners that taste awful. (edited to note I hate the taste and idea of products that are heavily marketed as "no added sugar" that are dosed with megatons of suralose or similar)
You pretty much HAVE to go homemade paleo style food. Luckily that kind of food can be delicious and easy to make and cheap... A big salad with a modest side of meat, a stir fry made with a bag of frozen veggies and chopped meat, classic meat and veggies, meat and spices in a slow cooker, etc.
I cannot overstate how much of a difference it makes to season your food with delicious spices. I think packaged food has so much sugar and salt in it partly because spices are comparatively expensive. If you cook your own food, I highly recommend herbs and spices! (Also some spices, like turmeric for instance, are reputed to have health benefits of their own.)
FWIW, I've had anywhere from <30g total carbs in my diet, to moderate sugar/carb intake, to very high (300+g sugar [mostly from fruit], 500+ carb) diets. The very low carb diets were the worst for my energy levels (and yes, I did intake plenty of electrolytes, and was on it for 12+ weeks). Moderate carb feels best, to me, as an active, healthy body-weight male, for what anecdotal evidence is worth.
I couldn't imagine cutting sugar out completely, or anything non-processed for that matter. It just seems like a miserable way to live, but to each their own, I guess.
I personally like to enjoy everything nature has to offer, just in moderation. Portion control using non-processed ingredients is the only sustainable diet I've ever successfully implemented, and I've tried a great many.
I always talk about this analogy. It is really hard to eat 8 medium oranges with a meal, it is trivial to drink a 16 oz bottle of orange juice. It is also pretty easy to have a second 16 oz bottle of orange juice (but no one is likely to eat 16 medium oranges). Most people struggle because life is stressful and eating the whole bag of chips is a release. It is hard to stop after 10 chips when your day was sh!t. Just my two cents....
I think you should reframe this...and ask if anyone can link evidence of a case of type 2 diabeties or non alcoholic fatty liver disease where the patient didn’t consume sugar/carbs (those cases don’t exist).
I think historically type 2 diabeties being called adult onset diabeties shows that even life long moderate consumption of carbs/sugars leads to type 2 in many individuals who were “healthy” in their younger years. Moreover, for many people type 2 was just a natural progression, it’s not like historically everyone with type 2 began over consuming carbs/sugar later in life.
No, not a majority, every single patient with T2D has consumed them, whereas a majority could reverse diabeties by cutting them.
Medically it is undisputed T2D could have been avoided in 100% of cases through diet and exercise. Do other factors contribute (obesity, genetics, etc...)? Yes, but notwithstanding those issues still 100% of T2D cases could have been avoided (unfortunately not 100% can be reversed).
Sure people can consume high carb diets live long healthy lives, no one is saying 100% of people who eat carbs/sugar get diabetes, but 100% of patients that get T2D consumed sugar/carbs.
Creatine supplementation has hugely improved my body's ability to attenuate sugar spikes. I feel amazing being able to handle high amounts of sugar by my muscles helping intake the sugar. If you have blood sugar issues or have diabetes, 2.5 mg of creatine daily is safe and has a great efficacy.
https://www.ncbi.nlm.nih.gov/pubmed/20881878/
The exercise portion is important because your muscles can reach peak sugar/ATP storage. Once that occurs that muscle wont really help attenuate your blood sugar any longer.. You need to drain the muscle reservoirs often to keep them as good sugar sinks.
Yeah I agree, but I think the problem is it's way too easy to eat a lot of sugar without realising it. Eat an average low fat yogurt cup and if you're not careful you just ate 30g of sugar.
The first half of this sentence (fructose is low GI) is factually correct. The second half (most fructose is converted to glucose in the gut) is factually incorrect. The entire sentence and comment oversimplify sugar metabolism. tl;dr: control your fructose intake.
First, nitpicky corrections: about half of ingested fructose is converted to glucose, not most of it, and this occurs in the liver, not the gut (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649104/).
Second, and more importantly: GI is a woefully inadequate measure of the healthfulness of a food. the glycemic index (GI) of a food is indexed to a standard amount of carbohydrate mass (usually 50 g) from that food. GI captures the impact on blood glucose per gram of carbohydrate, but it certainly misses crucial aspects of sugar metabolism. For example, carrots have a high GI (above 70), but that's not a reason to stop eating carrots. You'd need to eat a huge amount of carrots to spike your blood sugar. Glycemic load is a more useful metric (https://www.diabetesselfmanagement.com/blog/glycemic-index-a...), but even that is beside the point when it comes to fructose and its deleterious health effects.
Fructose, being fructose and not glucose, of course has a low glycemic index, since GI is defined based on blood glucose.
Dr. Robert Lustig (UCSF pediatric endocrinologist) has devoted years of effort to communicating the disproportionate damage that fructose causes to human metabolism. In brief, fructose is processed along different metabolic paths than glucose, and is better than glucose at making people fat, diabetic, and metabolically unhealthy (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4592517/)
A top-level summary from 2013: https://www.theguardian.com/commentisfree/2013/oct/21/fructo...
A very detailed lecture (video and transcript): https://robertlustig.com/fructose2/
https://www.cell.com/cell-metabolism/comments/S1550-4131(17)...
Lustig is a highly biased source. I would be interested in summaries of controlled studies which aren't cherry-picked comparing iso-caloric diets of sugar vs fat.
The very paper you cite asserts "strong ties between fructose and disease," points out that "high fructose consumption is appreciated as a culprit in metabolic disease," and presents a supremely well-researched case against fructose. Regardless of the precise metabolic fate of low-dose fructose (whatever "low dose" ends up meaning for humans), the practical takeaway of your paper (and mountains of research) agrees with Lustig's: avoid fructose.
Also, that paper is a mouse study. Even if metabolic pathways are exactly identical between mice and humans, how much fructose constitutes a "high" dose that they show overflows from the small intestine to the liver? They address this, emphasis mine:
> The extent of passage of unmetabolized fructose through the small intestine to the liver depended on dose. Conversion of doses between mice and humans is not straightforward. Across mammals, total metabolic activity more closely mirrors body surface area than mass. For a typical adult mouse, daily intake is ~12 kcal, versus ~2,400 kcal for an adult human. One sensible way of converting doses of macronutrients is based on caloric intake: a dose of 0.5 g/kg fructose in mouse is ~0.5% of daily calorie intake, or the same as 3 g of fructose in a person (one orange or about 2 ounces of soda). Thus, the doses that we study here are in the range of typical human fructose consumption (Marriott et al., 2009; Macdonald, 2016).
That mouse dose they convert, 0.5 g/kg, is halfway to the 1 g/kg threshold they define as "high dose fructose." So if you drink more than 4 ounces of soda per day, your liver is doing the bulk of fructose metabolism.
What makes you call Lustig "highly biased"? While he is admittedly argumentative and even a bit sensationalist in his presentation, he bases all of his claims on extensively sourced physiology and epidemiology research, and his credentials and career are highly relevant, for what it's worth.
Again, the conclusion from decades of research is abundantly clear at this point: avoid fructose.
There's plenty of evidence that foods in America are loaded with above-moderate sugar levels, so it's generally hard/expensive to receive moderate sugar levels.
In the end, I lost a bit of weight, and I never really had to think about when to eat (skipping meals was easy on this diet if it was inconvenient, and I'd just make it up later. On a higher carb diet, I find hunger to be a more insistent sensation with worse effects (tiredness, irritability, headache). But since eating 'on time' is usually pretty easy to do, the diet had no great impact on my life. But I can't discount my family member's subjective and objective results either. Even in this thread you can find lots of folks talking about how great it is. I suspect this is just a YMMV kind of situation.
The real criteria of concern is "does it cause problems /in this case/".
Otherwise you end up with a hysterical neo-puritanism of trying to create a perfect life by excision of all vices.
Admittedly pedantic, but apparently a contest to win a Wii is one such realistic scenario.
https://www.latimes.com/archives/la-xpm-2007-jan-14-me-water...
But of course it's nothing like an "addiction"
I have never heard of water intoxication happening with growing frequency over decades. I have also not heard of water intoxication having support groups, nor of water being described as a craving.
Additionally, there are no humans that have lived without water for years of their life. I have lived without sucrose for years of my life and I expect that there are others as well.
I agree that sugar and food in general consumed in excess should probably be considered an addiction, but I can respect the argument for not watering down the term.
23kg loss sustained over 16 months on a modified keto diet.
Cutting out sugar has been a game changer for me.
Refined sugars are detrimental for health. Whole fruits and their sugars are great!
Cows do a pretty good job of this [edit - for us].
Its kind of funny to say that because Elephants can get all their protein from grass so can humans (unaided by outsourcing to cow) because there are differences in physiology and lifestyle that are more than significant.
The day humans start eating raw fresh or rotten meat and find enjoyment in that is the day I will accept that humans are meant to eat other animals.
Also, if you are downvoting me thinking that I am some vegan activist, you are wrong. I am from Asia where relying on fruits and vegetables is or at least was till a few decades ago quite natural.
There are people who advocate, and claim to enjoy, both those things.
This guy: https://www.youtube.com/watch?v=xxvszzgYRjU who claimed he learned it from a tribe.
Maybe. But to suggest that we could all get along fine by just eating grass all day is ridiculous.
Also, cooking and refrigeration aren't necessary to prepare and preserve meat. Ancient people would make pemmican which will keep for months.
Sushi. Shrimp. Spanish ham and other cold meats like chorizo. Steak tartare. Jerky. Many fermented meats that I don't know the name of. My brother even loves eating raw meatballs.
We cook, not because we aren't meant to eat meat, but for the better taste and easier digestion.
I personally hate raw vegetables, they're too crunchy and taste like... cardboard (personal preference of course). Cooking is not a phenomenon exclusive to meat.
Whenever I read this kind of thing it makes me sad that people don't realise that actual fresh veg of the kind that you don't buy in the store is actually delicious.
Raw vegetables are just not my cup of tea.
Cooking is inferior. You cannot better nature. It just is not possible.
King Tut died of an infected broken leg.
The funniest thing is, once your system is reset, many foods that seem OK cause troubles.
I could eat a lot of onions and garlic in the past. Now, they trouble me a lot.
here you go.
However, I do not like to measure these things. Like other animals, i like to eat and enjoy my food.
My wife enjoyed and _loved_ galic for 30+ years before her IBS kicked in. Garlic is extremely bad for IBS because bacteria gorge themselves and produce a ton of gas, which causes horrible intestinal pain.
A study [0] recommends garlic and onions as key foods to restore a healthy, balanced microbiome.
I have never heard anyone before you claim that garlic or onions will kill bacteria. Rather, they let a specific kind flourish.
... at the expense of others.
Garlic is mentioned exactly once in the study. It is just included with a bunch of other things. Nothing to conclude here.
Garlic is, by no means, a food. Any study that recommends it as food is not a proper study.
Garlic is an extremely potent medicine.
If you're going to make a silly claim that garlic and onions aren't foods you need to back that BS up.
Sorry, what? Onion is one of the oldest cultivated plant and it's consumption exists in nearly every culture, in much "cleaner" times than today. If our guts can adapt to milk, it will have adapted to onion.
Also, you're going to have to show me evidence that the extremely potent medicine has extremely potent effects - what do we currently cure with onion? And please no big pharma arguments - aspirin and penicillin are still wildly available and they come from natural elements.
Potent medicine is what Ayurveda calls it. Garlic is right at the top. Our concept of potent and the way nature works are not compatible. Hence, the diseases.
Try detoxifying your body and then consume garlic to know if it is a medicine or just another food item.
Which toxins?
Bananas are especially bad. Blackberry, Raspberry and Strawberry are OK even thou they have a sweeter taste in my opinion.
"8-week weight losses for ICT were 3.1% vs. 2.2% for sham. A marginally significant effect was observed for gamification to reduce the impact of ICT."
This seems like a small effect for eight weeks of work. And gamification backfiring makes me worry this is all noise.
Or maybe it can be added to other effects, or maybe the techniques can be refined from here.
You're absolutely right there are a dozen reasons small effects can still be important.
Sometimes it's just p-hacking though, or otherwise unreplicable studies. That's worth considering too.
I think we'd both welcome more research, maybe especially over longer terms.
Plus what rate of weight loss do you think is acceptable. Losing 25% of your bodyweight in a week may be the 'in thing', but it isn't necessarily healthy or sustainable.
Great question, I estimated the math before the last post but let me unpack it so people can correct me.
If a man is avg US height of 5'9" with an obese BMI of 35 and weight of 240, then 0.5% to 2% each week would fit standard medical guidelines for effective dieting.
At that weight you can easily fluctuate by 1% each day.
So we have an eight week effect that is in total less than 1% over sham, a difference on par with standard daily noise and reasonable weekly goal. This is why there's a replication crisis in health research.
Also, sham is a misleading control here if we're actually interested in weight loss. Why not control for any diet at all? Even use the same time each day going for a walk, or probably even meditating on weight loss strategies, at this improvement rate the advantage will melt away. Sham is defensible if you don't actually care about weight loss, but in that case weight shouldn't be your metric. Best case is it's a horribly misleading study design.
So, I tried the big-bang and did a 4 day fast - my theory being, well, treat it like a drug addiction and go 'cold turkey'. It worked. I massively cut down on my sugar intake because I didn't feel like I needed sugar (for about 3 months).
Over time as I've had sugary foods it's definitely come back, and so I'll probably try again. But I found it quite interesting how quickly I could reset myself to a state where my body didn't crave it.
Obviously, fasting isn't for everyone, and long fasts you should make sure you know what you're doing, but it was a serious eye opener.
Taste will reset itself within a week. This has been my personal experience.
Fruits, some are better than others, depending on how much fiber they have.
Perfect is the enemy of good.
Saying "I the only way to stop smoking is to vape" is also horrible advice.
The stuff about the minimal harms and potential unknown harms is only useful for the population who isn't currently smoking.
So, it is easier to not eat than to eat small amounts.
Fasting is hard because of your cravings for food and social pressure. But I highly recommend at least a try.
I'll say this to anyone out there wanting to look after himself and maybe lose extra weight or whatever.
I used to be overweight growing up. I mainly think is the fact that one of my parents used to be overweight and it reflected on our bad habits of eating. I've lost all the extra weight since I was 17 and maintained it now in my 30s. I still have the craves and I still wanna stuff myself with food and sweets and everything yes. What keeps me going is taming it and understanding that food for me is one of those things that I'll struggle with for the rest of my life. Its me that has to say no I won't eat anymore, I won't have that sweet I won't this or that. I do eat sweets maybe once a week. Everything in moderation though. I weight myself every single day and I am trying to maintain my weight to a healthy level. +3 -3 and don't go above or under.
Its on me! And as soon as you understand that then you'll have an easier time maintaining yourself. Food is an addiction and for me personally its very close to drinking.
The same way you'll say to yourself 'no I wont drink tonight' (and you go off and get absolutely blind :P) because I don't want to, I got work tomorrow, drinking is only for the weekend or special days cause I got a family etc. The same way you should be able to tame yourself and your needs around food and sweets. 'No I won't eat this delicious burger or sweet cause I already had my fair share this week, I'll try it in 3 days, today am gonna have some steamed veggies, some lean meat, some good carb etc'.
Some people are born with the privilege of not caring about food and not being overweight and being in perfect health. Others like me just have to struggle their whole lives for it, but its until you realise that this is what you have to do and until you realise that you have to change your habits and maintain it for the rest of your life you won't just change. Also find a sport, doesn't need to be the gym specifically just something you do 2-3 times a week and maintain yourself. You need to be active especially if you are working an office job.
For these longer fasts, I just drink water and electrolytes.
If I ever get fat, I would fast my way to success honestly. If you do it right it seems healthy!
I am surprised that an educational institution is comparing their new program to a company who deceived consumers on scientific claims.
If only the resources we were pumping into making lootbox games could start being diverted into projects like this.
So it's not just the processed / refined sugar you're reducing, it's sugar from all foods?
Undo the 10 millenia of evil.
You don't have to do go full keto to get a health benefit!
I hope this doesn't come across as too pedantic, but I dunno if your maxim holds.
For instance, fasting isn't necessarily bad (I think it's quite useful) but clearly it's an unsustainable beyond a certain number of days.
Similarly, keto can both be very effective, change your eating preferences, and be done over a span of months even if it's not something done forever into the future.
I say this not because I have data, but just anecdotally... I lost quite a lot of weight through fasting and ketosis, and now that I've hit a stable weight and modified my diet (no sodas, sweets, bread, dairy and mostly plant based high-fat foods) I'm not in keto but a lot healthier than I was.
You can enter ketosis long enough to lose some weight and then add back in some carbs at some point... just don't return to whatever habits led you to gain weight in the first place.
That's the key though. Despite using keto or fasting, you still changed your diet. However, the changes you've made are more manageable for the long run.
But I don't know if I wold have made the dietary changes if I hadn't lost the 50 lbs. And I would not have lost that weight on my current diet, I don't think.
So my point that there are useful short-term diets still seems tenable to me.
Do you have some links/articles which describe what it is and what positive/negative things can come out of it?
Anyway, I personally did it for about 2 months and even though I enjoyed it, I would not recommend it for most people. I tried it because I don't like dissing something without trying it first, so I put myself on Keto for 2 months to see what it was all about. I would recommend the same - try it for about 2 months and then decide it for yourself. Note that you will have to bear through the first 1-2 weeks of brain fogginess and low energy as your body adapts to it. But once that's over and you are in Ketosis, you will feel much better. Another thing to be careful about is that your body will go out of ketosis very easily if you eat carbs (ice cream for example). Don't use it as a way to lose body weight as most of the weight people lose is actually water weight due to the lack of carbs based glycogen.
I would recommend this Jeff Nippard's YouTube video on Keto too:
But another main reason as I pointed out was that Keto was severely limiting my social eating habits. I personally did not do it for losing body fat, I did it mostly to see how it is. I still loved eating out with friends - things like sushi rolls, ice cream etc. Keto wasn't allowing me those things.
I would actually love to do keto because I love eating meat (steak), butter, avocados etc but right now isn't the right time for me from a social point of view.
For example, if you are on a keto diet and your diet is well-defined, what are the risks? Fatigue is one thing, but organ damage or otherwise dangerous effects should be discussed frankly and clearly.
I have not really found resources that don't have inherent conflicts of interest.
People who study to become dieticians have a much more straightforward and high level approach, e.g.: "You have a iron deficiency and don't get in enough protein, and I would advise eating more red meat."
The best resource I think think of is Keto subreddit FAW which goes over the principles and some misconceptions and so on: https://www.reddit.com/r/keto/wiki/faq
Also, Keto is often done along with intermittent fasting, which is another popular thing, lately.
EDIT: the subreddit is also full of people talking about their success with Keto (meaning mosty obese and diabetc or prediabetic reversing their condition), but that might be survivorship bias - someone who failed or someone who had adverse effects might not post there.
My personal experience is that I lost quite a bit of weight on Keto, and experienced other effects like loss of cravings, more mental clarity, etc, in comparison to typical western diet - but that might be just me. My hypothesis is that some people handle carbs better than others, and Keto is good for the group which dosn't handle carbs very well.
EDIT2: There's also a lot of misconceptions about fat being the devil.
You know, given the trans-fats debacle - for decades, people were convinced that trans-fats were the good thing and you have to be monster to give your kids evil bad butter instead of healthy nice margarine - I am convinced that as a humanity, we don't know shit about nutrition, and basically just do what works for you. For some people, Keto is much better than the standard western diet.
Are you defining natural as ‘conventional 21st century Western diet’? ie what everyone is doing around you.
All I am saying is that in my opinion Keto does not fit the definition of natural. I eat mostly fruits while I feed my dogs raw meat and organs only.
The point being that both natrual and unnatural are terrible heuristics. Your diet may be fundamentally good or deeply flawed but naturalness isn't why - nutrient balance, satiation, metabolic factors and similiar are why.
I have never seen an animal refusing to eat because it could not calculate the calories or nutrient balance. It is sad to see that with all the great progress we have made, we are losing touch with nature.
All of my Indian friends report that their cholesterol LDL was very high while they were doing keto.