From: Guy R. Schenker, D.C. June, 1998 Dear Doctor, CHOLESTEROL PHOBIA ... the epidemic that has afflicted the Western world for three decades, is finally showing signs of waning -- but it is not giving up without a fight. Countless millions of the ignorant are still suffering its major symptoms: - deficiencies of eggs and the other foods high in cholesterol and saturated fat that are essential to a long, healthy life (and, essential to keeping blood levels of cholesterol down). - anxiety suffered over serum cholesterol levels above 200, even though there is almost no correlation with cardiovascular disease (CVD), and absolutely no causative effect on CVD. - liver destruction from drugs that interfere with normal cholesterol metabolism, thus artificially lowering serum levels of cholesterol while doing nothing to correct the causes of CVD. If you have been reading your NUTRI-SPEC LETTERS as well as some of our published articles, you have long known (and presumably so educated your patients) that cholesterol is only one very small component of CVD -- and a much over-rated component at that. As importantly, you know that dietary cholesterol is completely unrelated to CVD. You also know that a malady closely related to cholesterol phobia, namely saturated fat phobia, is an equally pernicious pathology. You are well aware that cholesterol and saturated fat are essential for the development of the brain in infancy. You know too that cholesterol and saturated fat are essential to preserve brain function in the elderly. You also - 2 - recognize that these delightful fats are an essential part of all our hormones and are the functional constituents of all biological membranes. Anyone ignorant enough to fear these friendly fats has been victimized by the most vicious propaganda machine -- the agri-business and pharmaceutical establishment. As is so often the case, the common wisdom of our day is not only inaccurate, it is exactly opposite to the truth. The establishment has convinced the masses that unsaturated fats are saviors that are not only healthy in themselves but somehow protect you from the perceived damage of cholesterol and saturated fat. You know this is false. The damaging effects of unsaturated fats vs. the healthful effects of saturated fats were covered at some length in past Letters. So you know the truth -- but are you effectively getting the message to your patients? Only you can save your patients suffering from fat phobia. Tell them, "Cholesterol is not a deadly substance. Quite the contrary, it is the vital substance from which your brain is made; from which your hormones are made; and from which your cell membranes are made. Cholesterol is so important that your own liver produces 2000 milligrams of it daily just to make sure you have enough. If you fall for the popular anti-fat propaganda and eat a low cholesterol diet, your own liver will make all the more in a desperate attempt to produce enough. Understand that when cholesterol does build up to abnormally high levels in your blood it has nothing to do with how much cholesterol you ate. It has to do with an imbalance in your body chemistry that prevents you from handling cholesterol properly. I am going to find and correct whichever of those metabolic imbalances you may have. That is the purpose of NUTRI-SPEC." Above all, make your patients understand that there are dietary considerations important in maintaining normal cholesterol metabolism and thus normal cholesterol levels. There are two food groups that derange metabolism and elevate cholesterol levels: - sugar - unsaturated fats (vegetable oils) Think of all the foods that contain sugar. Then think of all the foods made with toxic vegetable oils. These would include the obvious such as salad dressings, margarine, and all fried foods -- but also include all bread, all processed cereals, all crackers, virtually any baked good, and almost anything else that comes in a - 3 - package. I would venture to say that scarcely a person in this country eats a single meal in a typical week that doesn't contain vegetable oils and/or sugar. These are the causes of high blood fats. These are, as well, the causes of cardiovascular disease, cancer, and really any of our degenerative diseases. If your patient still is convinced that high serum cholesterol is bad and low cholesterol is somehow healthy, then enlighten them with the following facts. Cholesterol levels less than 180 are associated with: - a 200% increase in strokes - a 300% increase in liver cancer - a 200% increase in lung disease - a 200% increase in depression (and increased suicide) - a 200% increase in addictive behavior (Here is a side note on the emotional and behavioral aspects of low cholesterol: A group of Dutch Doctors headed by Diederick Grobee, a professor at Erasmus University Medical School found that cholesterol is essential to make serotonin. Serotonin, as you probably know, is the "feel good" brain chemical that is deficient in so many people with depression and anxiety. Most of the common antidepressant medications are serotonin uptake inhibitors. How many of the people that are desperately in need of extra serotonin are suffering depression and anxiety because they eat low fat processed food?) Furthermore, the correlation between serum cholesterol and CVD is becoming more tenuous all the time. Even William Castelli, M.D., a former director of the famous Framingham heart study (the one that originally supposedly implicated cholesterol as a problem in CVD) notes that people with cholesterol lower than 200 suffer nearly 40% of all heart attacks. Think of it -- low serum cholesterol means you have a 200% increased chance of having a stroke, and now, high cholesterol is no longer thought to be significantly correlated with heart attacks. How many people over the last 30 years have negatively impacted their health by decreasing saturated fat and increasing unsaturated fat in their diet in the name of preventing CVD? It has all been a hoax perpetrated largely by the seed oil industry abetted by the pharmaceutical industry. The evidence against any relation of cholesterol to cardiovascular disease is pouring out from everywhere. A study done by Gillman et al and published in the December 24, 1997 Journal Of The American Medical Association found - 4 - that the more saturated fat you eat the less likely you are to suffer a stroke. The study found that polyunsaturated fats (the ones that the propagandists will have us believe are good for us) have no protective effect. The study quantified the protective effect of saturated fats -- your risk of stoke decreases by 15% for every 3% increase in your saturated fat intake. Here is another interesting study done by Leddy, et al and published in 1997 in Medicine And Science In Sports And Exercise, Volume 29. The subjects of this study were elite male and female endurance athletes who were placed alternately on a high fat diet and a low fat diet. On a high saturated fat diet the patients maintained low body fat, normal weight, normal blood pressure, normal resting heart rate, normal triglycerides, and normal cholesterol levels. All their fitness and training parameters were maintained at the elite level. When put on the low fat diet, however, it was found that the low fat diet negated many of the beneficial effects that exercise is expected to produce. The subjects actually suffered lower HDL cholesterol and higher triglycerides (both of which are significant CVD risk factors) on the low fat diet. Of course the propaganda against cholesterol and saturated fat has not been limited to mis-information about CVD. These delicious and nutritious fats have been blamed at one time or another for almost any disease you can think of -- including cancer. Now a seven year study by researchers at the University of Cambridge published in the October 18, 1997 British Medical Journal showed that frequent consumption of red meat was not a contributor to cancer. The major dietary factor associated with increased cancer incidence was a deficiency of vegetables. Meat consumption per se showed no correlation. All the while that the good news regarding saturated fats is finally coming before the public's eye -- the bad news about polyunsaturated fats is becoming ever more difficult for the processed food industry to hide. Recently the vegetable oils have been implicated as a causative factor in poor bone development and in osteoporosis. A study published in The Journal Of Bone and Mineral Research showed that the polyunsaturated fats inhibit bone growth as a result of their negative effect on prostaglandin balance. Having reaffirmed that saturated fat in the diet is good and unsaturated fat and sugar are bad, we should look closely at the NUTRI-SPEC Fundamental Diet that you recommend for all your patients. - 5 - The essential purposes of your NUTRI-SPEC Fundamental Diet are quite simply these: 1. To insure that each patient obtains adequate nutrient intake (which requires the addition of Oxy B as a source of trace minerals). 2. To help your patients achieve glycemic control -- since aberrations in sugar metabolism are a causative factor in CVD, in cancer, in allergies, in depression and anxiety, in fatigue, in PMS, and in nearly every other symptom or condition you can name. 3. To avoid the highly toxic components of the common diet -- most particularly vegetable oils and aspartame. Think of it -- these are the most critical dietary considerations for every human being on the face of the earth -- and your NUTRI-SPEC Fundamental Diet achieves these three so simply and so effortlessly. You have no patient who cannot comply with these recommendations, as they involve no extraordinary measures. No one is required to eat any wild and exotic foods. Neither is anyone required to totally delete from their diet any of the less than perfectly healthy foods that they may enjoy. The keystone of your fundamental diet involves eating three meals daily each of which contains several ounces of meat, fish, poultry, eggs, or dairy -- with a prescribed quantity of allowable carbohydrates in proper proportion to the animal protein consumed. Many of you have assumed that the requisite quantity of meat, fish, or poultry was designed to provide adequate protein. This is not strictly true. The formula you use to obtain the number of ounces of meat, fish, or poultry a person requires at each meal yields a quantity of protein that is actually more than most people require as a percentage of their caloric intake. What is the more important intent of this thrice daily ingestion of "animal protein?" It is to be certain that each patient is getting their required quantity of healthy saturated fat. Remember -- these saturated fats are essential not only to brain structure and function, and cellular membrane structure and function, and cellular energy production, and hormone production, but are also the only means to obtain glycemic control. In other words it is saturated fats and only saturated fats that help your body regulate blood and brain sugar. - 6 - There is one other point we need to make regarding your NUTRI-SPEC Fundamental Diet and the eating plan as it is presented in your Report of Findings that you give each patient. When we put together this eating plan we included nuts as a permissible addition to the NUTRI-SPEC Fundamental Diet. The reason we included this dangerous source of unsaturated fats requires some explanation here. Since by far the biggest problem with people's diets is that they cannot maintain glycemic control, we decided to give them something to eat in addition to their NUTRI-SPEC Fundamental Diet if they were still munchy after a balanced meal -- and something that would be less harmful than cookies or other sugary starchy garbage. This may or may not have been a mistake. That inclusion of nuts may have helped people maintain glycemic control, but, it gave NUTRI-SPEC doctors and their patients the (wrong) idea that NUTRI-SPEC endorsed the ingestion of toxic unsaturated fats. Please keep in mind that all vegetable oils (with the exception of mono-unsaturated olive oil) are damaging. That means that all nuts and seeds are damaging. There are some patients, however, for whom glycemic control is a problem of such great magnitude that a trade-off seems warranted -- trading peanuts for cookies. So -- your Report of Findings eating plan is written up that way but in all honesty I have to say that for more than 90% of your patients you should, while individual- izing the plan, strike a line through any mention of nuts. In other words, at least 90% of your patients should totally delete from their diet salad dressings, margarine, mayonnaise, nuts and nut butters, and any foods cooked in polyunsaturated oils. Even complying with those recommendations still leaves a person subjected to tremendous quantities of deadly oils just in the bread and other processed foods they eat. Make your patients understand that all oils are harmful to a degree, and the only thing that makes them even more damaging is if you heat them or hydrogenate them. To drive this message home to your patients make the point that the damage of vegetable oils is expressed most generally in their contribution to premature aging, and, their damage to mitochondrial energy production. For your purposes as a NUTRI-SPEC practitioner, keep in mind that there really aren't too many conditions or symptoms that can't be made immediately worse by the ingestion of vegetable oils. Sincerely, Guy R. Schenker, D.C.