Ron Weiss, M.D. On Eating Too Much Fiber, Is Oatmeal Good for Diabetics, Can Nuts Raises LDL & More
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Wow super interesting comment on constipation, no one else seems to be aware of! I eat a pretty high fiber plant based diet, but about 2 yr ago I had to go to the emergency room with some kind of painful intestinal blockage. Got CAT scanned, diagnosed with constipation. They proscribed cholase, and water.. but I couldn't just swallow a gel cap, because my stomach could not empty anything solid. So I chewed on the tablet, and enough of it got into my system to relieve the problem. What a relief! I started to increase my prune intake for a while, but the main thing I did was to drink a lot of water. I didn't need any more cholase. Whenever I got an uncomfortable feeling in the gut, I would drink a whole liter of water, and that would do the trick. After a year the gut problem went away and I'm back to normal, and don't need big amounts of water! I wondered if the problem might have been Covid related (?) Or, due to having eating a large amount of cooked wild mushrooms (chicken-of-the-woods) Soon after eating the mushrooms I would get stomach aches from eating some normally benign spice like turmeric…
When ever I get an xray at a Doctors appointment, they always tell me I have constipation, even though I feel fine!
They always say my intestine is totally stuffed., and recommend some stool softener…They don't have a clue about whole plant diets!
What are your thoughts about Seven Sundays Muesli?
Wow Dr. Ron is just brilliant to listen to. Chef AJ, this was a great discussion 👍🏼👍🏼🥗🍠🧅🫑🌽🌽🥝🍅🥬🌶️🥒
Another informative Q&A with Dr. Weiss. Thanks to all!
This was GREAT INFORMATION! Dr. Weiss you are a wonderful teacher. I will look forward to your future appearances. Thank you Chef AJ for what you do. I am appreciative.
Fabulous interview! He is so intelligent and kind! 😊
My problem as an older woman is that I just cannot eat the amount of green plants to get enough protein and calcium, compared to the volume I could eat even 5 years ago. So I do eat a fair amount of legumes and soy and put pea protein in my smoothies. My chol/LDL are both pretty low and my HSCRP is also very low, so I think it is an OK tradeoff.
High fiber diet requires drinking half your weight in ounces of water to avoid constipation.
I find that the more fiber I eat the more water I need. For me, increasing water on a high fiber diet helps with elimination.
😱😱😱😱😱😱😱😱
They subsidies GMO food🙈
Thank you Dr. Weiss and Chef AJ. Such an informative segment. I am so appreciative.
For anyone who suffers constipation, you may actually need to up your fat intake! When the diet is super low in fat, your gallbladder shrinks because you're not using much bile, if any. You loose what you don't use. And fat triggers bile release, which in turn triggers bowel movements. Speaking from personal experience. 😊
Excellent interview. I wish Dr. Weiss was my doctor, just love his approach. thanks chef AJ
My husband has the higher bilirubin count. It's a genetic imbalance called 'Gilbert's Syndrome'. It's perfectly benign.
From the internet:
Gilbert's syndrome
Also called: GS
Main Results
Description
A mild condition in which the liver doesn't properly process bilirubin.
Gilbert's syndrome is an inherited condition that's often discovered by accident, such as when someone has a blood test. It occurs due to a defect in the processing of bilirubin by the liver.
Interesting talk. Last year I started eating daily for breakfast my adapted version of Bircher muesli. I soak 1 cup of raw oats overnight in almond milk. In the morning I add to the oats which are now very creamy a sprinkling of nuts and seeds, fresh blueberries, 1/2 a banana, a couple of tbsp of fat free Greek yogurt, 1tsp of raw honey, and then grate a small apple over the top and a squeeze of fresh lemon juice mix and eat. Since making this my daily breakfast I have experienced no issues with intermittent constipation which I did previously. Additionally my HBA1C was getting close to 7 and last week it was checked and now 5.9, and my fasting glucose went from 128 to 105. I personally believe whether food is plant, meat, or dairy based, the more steps it goes through from the farm to the mouth and it receives along the way flavor enhancing substances and preservatives our food becomes toxic and instead of it enhancing our health it does just the opposite.
I have a rebounder. Within five minutes of gentle bouncing. I need to go to the bathroom. Also helps to lightly steam your veggies also for constipation. Walking is a perfect movement. 😊
And eat a WFPB diet for the most important reason, the ethics of never causing animals pain, suffering or harm!!!
1- Mild rises in bilirubin may be caused by:
Hemolysis or increased breakdown of red blood cells
Gilbert's syndrome – a genetic disorder of bilirubin metabolism that can result in mild jaundice, found in about 5% of the population
Rotor syndrome: non-itching jaundice, with rise of bilirubin in the patient's serum, mainly of the conjugated type
Moderate[clarification needed] rise in bilirubin may be caused by:
Pharmaceutical drugs (especially antipsychotic, some sex hormones, and a wide range of other drugs)
Sulfonamides are contraindicated in infants less than 2 months old (exception when used with pyrimethamine in treating toxoplasmosis) as they increase unconjugated bilirubin leading to kernicterus.[43]
Drugs such as protease inhibitors like Indinavir can also cause disorders of bilirubin metabolism by competitively inhibiting the UGT1A1 enzyme.[44]
Hepatitis (levels may be moderate or high)
Chemotherapy
Biliary stricture (benign or malignant)
Very high[clarification needed] levels of bilirubin may be caused by:
Neonatal hyperbilirubinemia, where the newborn's liver is not able to properly process the bilirubin causing jaundice
Unusually large bile duct obstruction, e.g. stone in common bile duct, tumour obstructing common bile duct etc.
Severe liver failure with cirrhosis (e.g. primary biliary cirrhosis)
Crigler–Najjar syndrome
Dubin–Johnson syndrome
Choledocholithiasis (chronic or acute).
Cirrhosis may cause normal, moderately high or high levels of bilirubin, depending on exact features of the cirrhosis.
To further elucidate the causes of jaundice or increased bilirubin, it is usually simpler to look at other liver function tests (especially the enzymes alanine transaminase, aspartate transaminase, gamma-glutamyl transpeptidase, alkaline phosphatase), blood film examination (hemolysis, etc.) or evidence of infective hepatitis (e.g., hepatitis A, B, C, delta, E, etc.).
https://en.wikipedia.org/wiki/Bilirubin#Urine_tests
low lvl of vit b12 could be involved- (from polish site)
2- ldl
This is a little-known fact but it has been documented in many ways by more than a dozen research groups (2,3) For instance, human LDL inactivates up to 90% of staphylococcus aureus -toxin and rats injected with mortal bacterial toxins survive if they are injected with human LDL as well (3).
The anti-infectious property of LDL has been documented in human studies as well. In a meta-analysis of 19 cohort studies including almost 70,000 deaths, Jacobs et al. found an inverse association between serum cholesterol and mortality from respiratory and gastrointestinal diseases, most of which are of an infectious origin (4). It is unlikely that the low cholesterol was caused by these diseases because the associations remained after exclusion of deaths occurring during the first 5 years. Furthermore, in a 15-year follow-up of more than 120,000 adult, multiethnic people, Iribarren et al. found a strong, inverse association between initially determined cholesterol and the risk of being admitted to hospital later in life due to an infectious disease (5).
As LDL-cholesterol is able to inactivate virus as well (6,7) patients on cholesterol-lowering treatment and with a life-threatening Covid-19-infection should cease this treatment; at least until they have recovered from the infection.
https://www.bmj.com/content/368/bmj.m1182/rr-10
3- fiber and constipation
RESULTS: The median age of the patients (16 male, 47 female) was 47 years (range, 20-80 years). At 6 mo, 41 patients remained on a no fiber diet, 16 on a reduced fiber diet, and 6 resumed their high fiber diet for religious or personal reasons. Patients who stopped or reduced dietary fiber had significant improvement in their symptoms while those who continued on a high fiber diet had no change. Of those who stopped fiber completely, the bowel frequency increased from one motion in 3.75 d (± 1.59 d) to one motion in 1.0 d (± 0.0 d) (P < 0.001); those with reduced fiber intake had increased bowel frequency from a mean of one motion per 4.19 d (± 2.09 d) to one motion per 1.9 d (± 1.21 d) on a reduced fiber diet (P < 0.001); those who remained on a high fiber diet continued to have a mean of one motion per 6.83 d (± 1.03 d) before and after consultation. For no fiber, reduced fiber and high fiber groups, respectively, symptoms of bloating were present in 0%, 31.3% and 100% (P < 0.001) and straining to pass stools occurred in 0%, 43.8% and 100% (P < 0.001).
CONCLUSION: Idiopathic constipation and its associated symptoms can be effectively reduced by stopping or even lowering the intake of dietary fiber.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3435786/
3- bone density
Results: In studied vegans, the dietary intake of phosphate was adequate while calcium and vitamin D were below the recommended range. Concentrations of calcium, phosphate and bone turnover markers in the serum of all subjects were within the physiological range, but 25-hydroxyvitamin D level was low. Age-matched Z-score total BMD was between -0.6 and 0.3 in adults, however in children it was lower (-0.9 and -1.0). Z-score BMD lumbar spine (L2-L4) was between -0.9 to -1.9 in parents and -1.5 to -1.7 in children.
Conclusions: Our results suggest that an inadequate dietary intake of calcium and vitamin D may impair the bone turnover rate and cause a decrease in bone mineral density in vegans. The parameters of bone density and bone metabolism should be monitored in vegans, especially children, in order to prevent bone abnormalities.
https://pubmed.ncbi.nlm.nih.gov/21092700/
4- muscle and fat-
yes no need to get too much fat, but muscle without fat is just pulp
5- fiber is not a fuel…
6- diabety and kidney
diabety is a elevated glucose lvl in blood, bring glucoe to physiological lvl whcich will stop or reduce further damage of kidney
7 – creatine
Creatine (/ˈkriːətiːn/ or /ˈkriːətɪn/)[1] is an organic compound with the nominal formula (H2N)(HN)CN(CH3)CH2CO2H. It exists in various tautomers in solutions (among which are neutral form and various zwitterionic forms). Creatine is found in vertebrates where it facilitates recycling of adenosine triphosphate (ATP), primarily in muscle and brain tissue. Recycling is achieved by converting adenosine diphosphate (ADP) back to ATP via donation of phosphate groups. Creatine also acts as a buffer.[2]
…
Creatine is not an essential nutrient.[22] It is an amino acid derivative, naturally produced in the human body from the amino acids glycine and arginine, with an additional requirement for S-Adenosyl methionine (a derivative of methionine) to catalyze the transformation of guanidinoacetate to creatine.
https://en.wikipedia.org/wiki/Creatine#Exercise_and_sport
Creatinine (/kriˈætɪnɪn, -niːn/; from Ancient Greek κρέας (kréas) 'flesh') is a breakdown product of creatine phosphate from muscle and protein metabolism. It is released at a constant rate by the body (depending on muscle mass).[3][4]
Biological relevance
Serum creatinine (a blood measurement) is an important indicator of kidney health, because it is an easily measured byproduct of muscle metabolism that is excreted unchanged by the kidneys. Creatinine itself is produced[5] via a biological system involving creatine, phosphocreatine (also known as creatine phosphate), and adenosine triphosphate (ATP, the body's immediate energy supply).
https://en.wikipedia.org/wiki/Creatinine
Keratin (/ˈkɛrətɪn/[1][2]) is one of a family of structural fibrous proteins also known as scleroproteins. Alpha-keratin (α-keratin) is a type of keratin found in vertebrates. It is the key structural material making up scales, hair, nails, feathers, horns, claws, hooves, and the outer layer of skin among vertebrates. Keratin also protects epithelial cells from damage or stress.
https://en.wikipedia.org/wiki/Keratin
kind regards
82 year old might have myasthenia Gravis.
This was so good! The constipation and bone health discussions were especially helpful. I feel like I am in the same situation as the woman who is still dealing with constipation, even with perfect plant based eating. I would love to hear more on load bearing exercise. I have been able to build bone density from weight bearing exercise, but don't love how I feel when getting more muscular. I think I am able to build muscle more easily but feel better when less bulky. I would like to hear more specifically about rebounding and if that would be sufficient.
Thanks Chef AJ. I listen to all of your shows. I just want to clarify that here in Canada we have a different way of measuring blood results so that is what was confusing for the Dr. Here in Canada as is the same in most parts of the world we use the metric system.
Dr Weiss is the very voice of reason and this was one of the most helpful conversations I’ve heard. Thank you Chef AJ!!
Dr Goldner’ protocol works with people on dialysis!! Listen to her question and answers this past Wednesday. She has mentioned it several times. Harder when already on dialysis but she has had patients to do it. Sorry I did not see this video live.
Pen here. I struggle with constipation and am whole food plant diet. No junk. Dried fruit soaked helps.
Thank you so much ChefAJ and Dr Weiss, he’s a world of knowledge-love how he answers and how humble he is ☺️🙏🏼
@22:23 that's somewhat concerning. I just had a CAT scan last week, I had no idea…
Thanks you Chef AJ and Dr. Weiss. I have worked in medical settings for 40 years and watched patients and co-workers with Crohns Disease be managed with medications and not get better and have to have bowel surgeries over and over. My son has Ulcerative Colitis and reversed this with a Whole Food Plant Based Diet.
This is Big News to us !! Nuts raise LDL?! nuts do not have saturated fat how do they raise LDL? We eat natural peanut butter daily as we do not eat meat
Fine interview, AJ!
👏🏼👏🏼👏🏼good stuff
I eat about 65 grams of fiber a day on a whole food vegan diet, no issue with constipation at all.
I would eat oatmeal for breakfast, a very large salad with a cup of garbanzo beans for lunch and a fruit smoothie for dinner (kiwi, papaya etc) and could not go to the bathroom for days and days. I went to a functional medicine doctor and was tested for SIBO and it came back positive for methane dominant SIBO. I had already gone to my primary doctor and a colon specialist and all he recommended was for me to take magnesium daily and had no interest in talking about nutrition when I tried to tell him I ate so healthy but still severely constipated. So yes, constipation can still occur by eating lots of fiber and very clean diet. Functional doc told me I was drinking too much water and flushing out my electrolytes as well so more water is not always the answer either!
Agree and to make it even better eat dates or plums.
Great doctor. So nice to hear from a plant based doc.