The Disconnect

Something I see on a daily basis that still confounds me is the radical disconnect between health and the things we do (or don't do) every day. It still amazes me that the vast majority of those in conventional health care don't understand that what their patients eat and drink makes a difference in health trajectories and disease outcomes.

One of the most startling examples is in the field of oncology. There is a scan that is performed using radioactive sugar injected into the bloodstream so that areas of high metabolic activity "light up" on the screen. The reason these areas show up is because highly metabolic tissues suck up sugar at a much more rapid rate than surrounding cells and tissues in order to keep up their activity or growth. This is one way to find tumors which are rapidly growing self-cells that have lost their brakes. Sugar can therefore be clearly seen as cancer's favorite food, right? So why then do so many of my cancer patients come to me with instructions from their oncologists to "have milkshakes and any high calorie foods to be sure to keep weight on"? It boggles, really. Let's throw gasoline on the flame and then sit back scratching our heads as to why the cancer cells happily step up production!

Another brain bender is the recommendation for diabetics to eat a high-carb, low-fat diet. The pancreas is already stressed out and can't keep up production of insulin to deal with the carbohydrate that is already coming in! And yet, the idea is to reduce caloric intake rather than look at what those calories actually represent to the system as a whole. To control blood sugar, one needs dietary fats and proteins and fiber and minerals and vitamins and enzymes and MOVEMENT... It's basic biochemistry.

As consumers without degrees in biochem, we are bombarded at the grocery store checkout with magazine covers that exhort us to lose those pesky 15 pounds plastered over the top of a background picture of a 4 layer death-by-chocolate cake. We are told by food product manufacturers that we can have their "non-fat, sugar-free, low-carb, no cholesterol" food product and it will be just as good as the real thing. But our bodies know the difference even if the marketing agents can fool our brains. Bodies don't understand artificial sweeteners, artificial colors, artificial fats, gums, and fake proteins. Our bodies understand real food. The fake stuff has far more health consequences than the real stuff. Don't kid yourself into believing that we are smart enough to fool Mother Nature quite yet...