Ketogenic Diet Improves Insulin Sensitivity and Numerous Aging Markers

high fat We are just beginning to understand the biological intricacies of aging. A growing body of research is challenging the belief that aging is beyond your control, prompting scientists to begin thinking about ways we can slow our aging clocks to a slow crawl.

Although this is a relatively new branch of science, there are some factors that appear to be key in controlling how quickly you age. One major factor seems to be insulin signaling and the metabolic “engines” you have running day to day, which are largely controlled by the foods you eat.

In the first featured video, Dr. Peter Attia discusses how a ketogenic diet can optimize your metabolism. But before I discuss the specifics of this, I want to tell you about a remarkable mouse study, presented in the second video. Scientists just accomplished quite a feat: extending the lifespan of mice by 20 percent just by manipulating just one single gene.

The Aging of Mice and Men

In a report published in the August 2013 issue of Cell Reports, scientists discovered that the “mTOR gene” is a significant regulator of the aging process—at least in mice. This gene is thought to be involved, in some capacity, with insulin signaling.

In this study, a drug was used to suppress the action of the mTOR gene by 25 percent in a group of laboratory mice. The drug, rapamycin, is an immunosuppressant used to treat certain cancers and also to prevent organ rejection in transplant patients.

The mice whose mTOR was suppressed lived 20 percent longer than the control mice—which in human terms, equates to an additional 15 years of life! But they had other effects as well—some that were beneficial, and some that were not.

For example, the mTOR-suppressed mice demonstrated improved memory and cognition and had a much lower cancer risk. However, they also developed softer bones, more infections, and more cataracts than normal mice.

The mTOR gene is known to play a role in cellular metabolism and energy balance. Researchers believe it’s also somehow involved in the effects of calorie restriction, which is associated with longevity. It’s been known for nearly a century that animals consuming less food live longer.

Those on restricted calorie diets are living longer probably as a result of improvedinsulin regulation, as insulin resistance is a major factor in many chronic illnesses.2Researchers concluded that mTOR is a significant regulator of aging and are optimistic that targeting this gene may someday be part of an anti-aging strategy.

But mouse studies don’t always translate to humans. There is no guarantee that inhibiting the action of mTOR in humans would produce similar life-extending effects—and it could be harmful in unforeseen ways.

For now, your best bet is to use diet and exercise to optimize your mTOR pathway, which is part of your insulin pathway. You can learn more about this in this previous interview with fitness expert Ori Hofmekler.

The role that insulin plays in longevity was also demonstrated by earlier research involving worms, of all things! By adding just a tiny amount of glucose to worms’ diets, their lifespan was shortened by 20 percent. Believe it or not, when it comes to insulin signaling, there are many similarities between you and those wiggly creatures. Consuming lots of sugar and grains is the equivalent of slamming your foot on your aging accelerator.

A High-Fat Diet May Also Lengthen Your Life

Numerous studies have shown that lowering your caloric intake may slow down aging, help prevent age-related chronic diseases, and extend your life. As you age, your levels of glucose, insulin and triglycerides tend to gradually creep upward.

A 2010 study examined the effects of a high-fat diet on typical markers of aging. Study participants were given a high-fat, low-carbohydrate diet with adequate protein, and the results were health improvements across the board. Serum leptin decreased by an average of eight percent, insulin by 48 percent, fasting glucose by 40 percent, triglycerides by nearly eight percent, and free T3 (thyroid hormone) by almost six percent.

What we know now about calorie restriction is that, in animals, it reduces metabolic rate and oxidative stress, and it alters neuroendocrine and sympathetic nervous system function. We also know that calorie restriction improves insulin sensitivity, and high insulin levels accelerate aging.

Therefore, it is safe to assume that much of the longevity phenomenon can be attributed to improved insulin signaling. What this means for you is that your longevity depends more on whatyou eat than on how muchyou eat.

A Radical Ketogenic Diet Experiment

Now that you have an understanding of how important insulin is to your health and longevity, let’s take a look at Dr. Peter Attia, who presents one of the clearest examples of the effects of diet on overall health markers. Dr. Attia is a Stanford University trained physician with a passion for metabolic science, who decided to use himself as a lab rat—with incredible results.

Although Dr. Attia has always been active and fit, he did not have genetics on his side. His natural tendency was toward metabolic syndrome, in spite of being very diligent about his diet and exercise. So he decided to experiment with a ketogenic diet, to see if he could improve his overall health status.

For a period of 10 years, he consumed 80 percent of his calories from fat and continuously monitored his metabolic markers, such as blood sugar levels, percent body fat, blood pressure, lipid levels and others.

He experienced improvement in every measure of health, as you can see in the table below. An MRI confirmed that he had lost not only subcutaneous fat but also visceral fat, which is the type most detrimental. His experiment demonstrates how diet can produce major changes in your body, even if you are starting out relatively fit. And if you’re starting out with a low level of fitness, then the changes you experience may be even more pronounced.

What is a Ketogenic Diet?

Dr. Attia consumed what is known as a ketogenic diet, which is one that shifts your body’s metabolic engine from burning carbohydrates to burning fats. Your cells have the metabolic flexibility to adapt from using glucose for fuel to using ketone bodies, which come from the breakdown of fats—hence the name “ketogenic.” Another term for this is nutritional ketosis. As an aside, many types of cancer cells do NOT have this adaptability and require glucose to thrive, which makes the ketogenic diet an effective therapy for combating cancer.

A ketogenic diet requires that 50 to 70 percent of your food intake come from beneficial fats, such as coconut oil, grass-pastured butter, organic pastured eggs, avocado, and raw nuts (raw pecans and macadamia nuts are particularly beneficial). One of the fastest ways to prevent nutritional ketosis is by consuming sugar or refined carbohydrates.

Besides restricting carbs and limiting protein, you can also strengthen your ketone engine with intermittent fasting, which is what Dr. Attia did. He restricted his sugar intake to about five grams per day, which is quite extreme and much lower than I recommend for most people. He consumed a moderate amount of protein, and the rest of his foods—80 percent of them—were fats. But his approach, as radical as it was, really proves that a ketogenic diet can have profound health benefits—not to mention blowing thesaturated fats theory of heart disease out of the water, once again.

Please note that I have recently revised my position on using low carb long term and now believe that the low carb, low to moderate protein, high healthy fat diet is appropriate for most who are insulin or leptin resistant. Once that resistance resolves, then it likely becomes counterproductive to maintain a low-carb approach. Once your weight, blood pressure, sugar, and cholesterol normalize, you can increase your carbs. Personally, I now consume several pieces of fruit a day and have two dozen fruit trees in my yard, but my body weight, fat, and insulin resistance are all optimized.

Your Heart LOVES Ketones

Your heart, as well as other muscles, operates quite efficiently when fueled by ketones. Your muscles can store more glucose (as glycogen) than your brain because they have an enzyme that helps them maintain their glycogen stores. But your brain lacks this enzyme, so it prefers to be fueled by glucose. When your blood glucose levels are falling, your ketone levels are typically rising, and vice versa. You might be wondering, then, how your brain is able to function when you’re in a state of ketosis.

It turns out that your body has a mechanism for providing your brain with a fuel source it CAN use when glucose is in short supply. When your glucose is low, your brain tells your liver to produce a ketone-like compound called beta-hydroxybutyrate (or beta-hydroxybutyric acid). This compound is able to fuel your brain very efficiently, especially with “practice.”

The more efficient your body is at burning fats, the more easily it can move seamlessly between its fat-burning and carbohydrate-burning engines, and the more stable your blood sugar will be. Your body will be able to save its glycogen stores for when they are critically needed, such as when you’re engaged in intense physical activity.

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Eggs Don’t Cause Heart Attacks — Sugar Does

Sweet It’s over. The debate is settled.

It’s sugar, not fat, that causes heart attacks.

Oops. Fifty years of doctors’ advice and government eating guidelines have been wrong. We’ve been told to swap eggs for cereal. But that recommendation is dead wrong. In fact, it’s very likely that this bad advice has killed millions of Americans.

A rigorously done new study shows that those with the highest sugar intake had a four-fold increase in their risk of heart attacks compared to those with the lowest intakes. That’s 400 percent! Just one 20-ounce soda increases your risk of a heart attack by about 30 percent.

This study of more than 40,000 people, published in JAMA Internal Medicine, accounted for all other potential risk factors including total calories, overall diet quality, smoking, cholesterol, high blood pressure, obesity and alcohol.

This follows on the heels of decades of research that has been mostly ignored by the medical establishment and policy makers. In fact, the Institute of Medicine recommends getting no more than 25 percent of your total calories from added sugar. Really? This study showed that your risk of heart attacks doubles if sugar makes up 20 percent of your calories.

Yet more than 70 percent of Americans consume 10 percent of their daily calories from sugar. And about 10 percent of Americans consume one in every four of their calories from sugar.

Failed Dietary Guidelines

U.S. Dietary Guidelines provide no limit for added sugar, and the U.S. Food and Drug Administration (FDA) still lists sugar as a “generally regarded as safe” (GRAS) substance. That classification lets the food industry add unlimited amounts of sugar to our food. At least the American Heart Association recommends that our daily diet contain no more than 5 percent to 7.5 percent added sugar. Yet most of us are eating a lot more. Most of us don’t know that a serving of tomato sauce has more sugar than a serving of Oreo cookies, or that fruit yogurt has more sugar than a Coke, or that most breakfast cereals — even those made with whole grain — are 75 percent sugar. That’s not breakfast, it’s dessert!

This is a major paradigm shift. For years, we’ve been brainwashed into thinking that fat causes heart attacks and raises cholesterol, and that sugar is harmless except as a source of empty calories. They are not empty calories. As it turns out, sugar calories are deadly calories. Sugar causes heart attacks, obesity, Type 2 diabetes, cancer and dementia, and is the leading cause of liver failure in America.

The biggest culprit is sugar-sweetened beverages, including sodas, juices, sports drinks, teas and coffees. They are by far the single biggest source of sugar calories in our diet. In fact, more than 37 percent of our sugar calories come from soda. The average teenage boy consumes 34 teaspoons of sugar a day, or about 544 calories from sugar. Even more troubling, this isn’t just putting kids at risk for heart attacks at some remote later date in their lives. It’s killing them before their 20th birthday.

This new research syncs with decades of data on how sugar causes insulin resistance, high triglycerides, lower HDL (good) cholesterol and dangerous small LDL (bad) cholesterol. It also triggers the inflammation we now know is at the root of heart disease.

And fats, including saturated fats, have been unfairly blamed. With the exception of trans fats, fats are actually protective. This includes omega-3 fats, nuts and olive oil, which was proven to reduce heart attack risk by more than 30 percent in a recent large randomized controlled study.

Here’s the simple fact: Sugar calories are worse than other calories. All calories are not created equal. A recent study of more than 175 countries found that increasing overall calories didn’t increase the risk of Type 2 diabetes, but increasing sugar calories did — dramatically.

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Paleo diet for 2014?

Healthy groceriesWhat is the diet you should be following in 2014? It might be the paleo diet, the most googled diet of 2013. But what is it exactly? The paleo diet endorses eating foods similar to those hunter-gatherers consumed about 2.5 million years ago, during the Paleolithic era. According to Dr. Loren Cordain, one of the world’s leading experts on the natural human diet, it entails eating the foods of our hunter-gatherer ancestors, such as fresh meats, fresh fruits, vegetables, and healthy oils, such as avocado and olive. According to his research, hunter-gatherers were able to avoid obesity, cardiovascular disease (heart disease, stroke, high blood pressure, congestive heart failure, atherosclerosis), type 2 diabetes, cancer, autoimmune diseases (multiple sclerosis, rheumatoid arthritis, Crohn’s disease, ulcerative colitis, etc.), osteoporosis, acne, myopia (nearsightedness), muscular degeneration, glaucoma, varicose veins, hemorrhoids, diverticulosis, gastric reflux, and gout — all diseases and illnesses that have reached epidemic proportions in Western societies.

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The Paleo Diet: 13 Facts About Eating Like A Hunter-Gatherer

Paleo Eat like a Neanderthal? It doesn’t sound appealing on first read, but the so-called paleo diet — supposedly influenced by the way our hunter-gatherer ancestors ate — has become increasingly popular over the past few years.

There are a lot of misconceptions about the diet, and some variations among those who follow it, but at its core it’s a diet based on healthy animal protein, nuts, and vegetables, with no or restricted grains and legumes, seed oils, and high-sugar fruits and vegetables.

“It’s a nutrient dense, hypoallergenic way to eat,” says Toronto’s Sarah Ramsden, a nutritionist and paleo fan. Ramsden changed her diet after receiving a diagnosis of multiple sclerosis, an autoimmune disorder, about five years ago. One year after being diagnosed, Ramsden turned down medication for the condition.

“I wasn’t really wanting or willing to be on medication for the rest of my life,” she says. Instead, she turned to paleo, and says that eating a whole, unprocessed, low-inflammation diet has changed her health tremendously — something that inspired her to study nutrition and led to her current career.

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Fat Does Not Make You Fat

Fat If you’re feeling completely confused about whether you should cut fat from your diet, you are not alone.  But here’s the bottom line: Fat does not make you fat or sick.

So, why do so many people believe that fat is bad for you and causes heart attacks?  This all started in the Dr. Key’s Seven Countries Study decades ago that examined heart risk based on lifestyle and dietary habits.  He found that in the countries where people ate more fat — especially saturated fat — there were more cases of heart disease, and he concluded that the fat caused the disease.  But here’s the problem with this study: Correlation is not causation.  Just because both fat intake and heart disease were higher among the same population doesn’t mean the heart disease was caused by the fat consumption.  Here’s another way to look at it: Every day, you wake up and the sun comes up, but although these events happen at the same time, you waking up doesn’t cause the sun to come up.  A study that observed this would show a 100 percent correlation between these two events, but it would be wrong to conclude that you caused the sun to rise.

Because of studies like this, we became sidetracked into believing that saturated fat causes heart disease.  But in fact, we are now learning that sugar is the true culprit, not fat.  A review of all the research on saturated fat published in the American Journal of Clinical Nutrition found there was no correlation between saturated fat and heart disease.  And a recent editorial in the British Journal of Medicine hammers home the same point and shatters the myth that fat causes obesity and heart disease.  Researchers have found that, while it’s true that lowering saturated fat in the diet may lower total cholesterol, it’s actually lowering the good kind of cholesterol, the light, fluffy, buoyant HDL that’s not a problem.  When people eat less fat, they tend to eat more starch or sugar instead, and this actually increases their levels of dangerous cholesterol, the small, dense cholesterol that causes heart attacks.

In fact, studies show that 75 percent of people who end up in the emergency room with a heart attack have normal overall cholesterol levels.  What they do have is pre-diabetes or Type 2 diabetes.  So, what’s the conclusion here?  Eating a diet with good quality fat and protein prevents and even reverses diabetes and pre-diabetes (diabesity).  And eating sugar and refined carbs cause diabesity.

So, I encourage you to look at the issue of fat and sugar in a totally different way.  Don’t cut out the fat; enjoy it!