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Avoiding Heart Disease

blog.harjtaggar.com

41–50 of 142 posts

Re: Avoiding Heart Disease

#42
post #9

Earlier quoted context omitted.

The claim that you can't get sufficient protein for pretty much any level of exercise from a plant-based diet is utterly specious. For example, quinoa is 14% complete protein, and chia is almost 17% — also complete protein — with an Ω3-to-Ω6 ratio of around 3:1, almost exactly the inverse of beef. Source: I'm a vegetarian, and I pay scrupulous attention to this stuff.

> Quinoa is 14% complete protein, and chia is almost 17% Quinoa provides 3.8 grams of protein per 100kcal of energy [1]. Boneless skinless chicken breast provides 18.8 grams of protein per 100kcal of energy [2]. A weightlifter who wished to consume 100 grams of protein per day would have to eat 2632 kcal of quinoa, vs. 532 kcal of chicken breast. [1] http://ndb.nal.usda.gov/ndb/foods/show/6383 [2] http://ndb.nal.usda…

http://breakingmuscle.com/nutrition/how-to-build-muscle-mass...

Just as a quick look to see details as to what would be required. Quinoa is hardly the only source of non-meat protein.

Now, yes that does include a lot of protein shake stuff, that's not that unusual for most weightlifting diets. That's also a vegan diet, so you might be able to add eggs, cheese and milk to that diet and cut back on the powder in the meals if you just wanted to be vegetarian.

The powder is of course to solve the issue you pointed out already.

Re: Avoiding Heart Disease

#43
post #30

I tend to think of doctors as mechanics. Often when something breaks on my car, the explanation is "it's an old car, that happens eventually." And when they talk about it after fixing it, it's usually "Toyota's a good brand. Take care of it and you'll get another 100k miles from that engine." If I took my car to my mechanic with nothing wrong and asked what I should be doing to make sure the transmission lasts as lon…

I love your analogy, but I think you drew the wrong conclusion. Doctors don't have an incentive to prevent you from getting sicker any more than your mechanic has an incentive for keeping your car out of the shop. Why would your doctor read the latest research on preventing disease when he can make a tidy profit from treating your disease? Now this isn't to say that doctors are bad people who want to make you sick...…

I once mentioned that to a family friend who was a doctor. He said that if he wanted to make money off of people's suffering, he'd have become a lawyer. Its way easier.

Re: Avoiding Heart Disease

#44
His doctor is correct. Even the lab work obtained - ApoB and CRP - was just a picture in a moment in time. You are not going to be checking these levels on a daily basis, or monthly, at least not until there's an easier way to measure things without having to get stuck with a needle all the time. Stress is considered a risk factor, but how do you plan on measuring stress? And maybe not with respect to heart disease specifically, but today a study was released suggesting loneliness was as much a health risk as drinking and smoking 15 cigs a day - but how does one measure the extent of loneliness?

A good diet is important, and there's enough information out there to determine what a good diet is. I believe weighing yourself daily is real helpful. And regular exercise - a combination or aerobic and anaerobic. There's enough data to indicate that these interventions, combined, are effective in reducing risk.

And, on a less preventive note, truth be told, if someone in their mid 50's is complaining of SOB and has a family history heart disease, most doctors, in the US at least, are going to do more extensive testing.

Re: Avoiding Heart Disease

#45
post #30

I tend to think of doctors as mechanics. Often when something breaks on my car, the explanation is "it's an old car, that happens eventually." And when they talk about it after fixing it, it's usually "Toyota's a good brand. Take care of it and you'll get another 100k miles from that engine." If I took my car to my mechanic with nothing wrong and asked what I should be doing to make sure the transmission lasts as lon…

Even the front side of your analogy is broken. Mechanics are great sources of information on how to drive so you can maximize the life of your engine. It's like you haven't had a conversation with a mechanic before.

Likewise with doctors. I have had 4 doctors in my family (3 still alive), and I've spent many the family meal talking with them about health, longevity, and the mechanical/biology/chemistry behind how your body works and when it works best.

Re: Avoiding Heart Disease

#46
post #30

I tend to think of doctors as mechanics. Often when something breaks on my car, the explanation is "it's an old car, that happens eventually." And when they talk about it after fixing it, it's usually "Toyota's a good brand. Take care of it and you'll get another 100k miles from that engine." If I took my car to my mechanic with nothing wrong and asked what I should be doing to make sure the transmission lasts as lon…

I love your analogy, but I think you drew the wrong conclusion. Doctors don't have an incentive to prevent you from getting sicker any more than your mechanic has an incentive for keeping your car out of the shop. Why would your doctor read the latest research on preventing disease when he can make a tidy profit from treating your disease? Now this isn't to say that doctors are bad people who want to make you sick...…

I don't think there will be a shortage of sick people anytime soon.

Also, the problem is that such papers don't exist, or at least not in the accuracy or certainty you'd like to have.

It's much easier to gather data from sick people and which treatments worked for them, than gathering decades worth of data from healthy people and correlate causes to which diseases they eventually may have developed.

Re: Avoiding Heart Disease

#47

> Generic advice to eat well and exercise is not as effective as having a specific number you're trying to improve on e.g. lowering your ApoB count. What. No. If you need to work on a number, why don't you try improving the number of minutes you spend doing cardiovascular exercise per week?

Was thinking the same. Also >The advice to "eat well and exercise" didn't seem particularly insightful ...but it actually makes a world of a difference. I think this is the most important advice and people tend to discard it as generic and useless - the truth is that it's very hard. Being active isn't a big deal, but for a week? For a full month? Full year? Full decade? Being consistent in eating well and exercising…

The problem is that most people don't know what "eating well" and "exercising" really means. I will take myself as an example. When I graduated from grad. school in December of 2011, I was 270 lbs which at 5'10" is fucking fat. I had some idea that I needed to eat less. I remember going to a nutritionist and a doctor back in school. She gave me some vague ideas that were taken from the pyramid scale about how I should be having 3 full meals a day and should incorporate "some exercise" every day. It took me two years to understand that no diet actually works as well as a life style change. It took me that long to understand everything from macros, to body fat percentage and to be able to accurately predict my weekly weight based on my intake. This was all stuff that I had to learn on my own. For example, common wisdom is to exercise more, jog say 30 minutes a week. Last week, I ran 4.5 miles at 8 minutes a mile. My heart rate monitor told me I burnt 200 calories. That is one tablespoon of peanut butter. There are loads of people who spend 3 hours in the gym and then go "re-energize" with a frappucino which completely destroys the time in the gym. This shit is not easy to understand and comprehend. However, yes it is doable. I lost about 110 lbs over the past two years and have consistently kept it off but I know this will be a struggle forever to reshape myself. However, when I look back into notes I made, I realize how hard the process really is.

Re: Avoiding Heart Disease

#48
post #18
post #6

Earlier quoted context omitted.

The issue is that doctors give you muddled advice too. I had my blood test done last year and I was told that I should cut down on eating any meat and switch to a plant based diet. He also vaguely told me to do more exercise. Yet, I eat incredibly lean food, albeit high protein mainly because I weight lift. I also run 4.5 miles every other day. He couldn't go into more detail apart from this general warning. I could…

Hence the get a second opinion. You can get enough protein for weight training on a vegetarian diet btw.

Please share what you've found, as the sibling poster who also made this claim did not make a very convincing case.

Re: Avoiding Heart Disease

#49
And now he's a hypochondriac.

Fact is, eat well and exercise is better advice than checking a bunch of numbers of unproven value for preventing heart disease.

Doctor's don't know how to prevent heart disease, but at least one knows how to reverse heart disease. His advice is a little more extensive: eat well (mostly vegetarian), exercise, meditate, have social support and don't smoke. But it does not involve, in any way, tracking your blood test results. http://en.wikipedia.org/wiki/Dean_Ornish

Re: Avoiding Heart Disease

#50
post #32

It’s great to see other tech people educate themselves about health and help break the stereotypes of the ramen eating, soda drinking nerd. This story reads almost like what happened to my dad last year. He complained of shortness of breath and went to see a cardiologist. He got an angioplasty done, which showed severe calcification of the arteries. The doctor advised him to have a quadruple bypass the very next day.…

> Something is wrong in this world when Tom Hanks, with access to the best doctors in the world, announces that he has type 2 diabetes

I would imagine that the client relationship in medicine in similar to other industries. Failure is often not a result of the service you provide, but from the fact that the client doesn't listen to the advice they are paying for.

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