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What the health statistics show no matter if they come from the Centers for Disease Control and Prevention, the Journal of the American Medical Association, the American Heart Association, or the Milken Institute for Public Health is beyond disturbing.

The American diet is killing us.

So goes the health care world that new doctors from the UNLV School of Medicine and other medical schools will enter. The numbers show a poor diet is the leading cause of mortality in the United States, causing more than 500,000 deaths yearly. Not consuming the proper amount of 10 dietary factors fruits, vegetables, nuts/seed, whole grains, unprocessed red meats, processed meat, sugar-sweetened beverages, polyunsaturated fats, seafood omega-fats, and sodium is estimated to cause around 1,000 deaths daily from diabetes, stroke, and heart disease alone.

Preliminary analysis also shows that the manifestations of a poor diet can heighten the risk of death from COVID-19.

In an opinion piece published last year in the New York Times Our Food is Killing Too Many of Us Dr. Darius Mozaffarian, dean of the Tufts Friedman School of Nutrition Science and Policy, and Dan Glickman, a former U.S. secretary of agriculture, pointed out that 75 percent of Americans are overweight or obese and that many of those suffer direct health consequences. Obesitys total economic costs, including lost productivity, is estimated at $1.72 trillion a year, nearly 10 percent of gross domestic product. Because many young Americans are obese, recruiters face difficult challenges staffing our all-volunteer military.

What is making us so sick, and how can we reverse this so we need less health care? the authors asked. The answer is staring us in the face, on average, three times a day: Our food.

It is against this unappetizing backdrop led by non-nutritious processed foods that the UNLV School of Medicine and 55 other academic medical centers across the country are including a Health Meets Food curriculum in their training of physicians and other medical providers. Considered the most comprehensive culinary medicine curriculum for physicians and allied health professionals, the program leads the way in how medical professionals are trained so they can have more meaningful conversations with their patients about food and health.

Dr. Anne Weisman, the UNLV School of Medicines director of wellness and integrative medicine, is overseeing a nine-week program that started this month for 60 first-year students. In September, second-year students begin. On Oct. 2, Dr. Michael Greger, author of the New York Times best-seller How Not to Die, will speak virtually to medical students on the importance of nutrition. He will do a live Q&A with students following his presentation.

Everything we put into our mouths when we eat, can either improve or detract from our health, she noted. Because of the COVID-19 pandemic, she said students will attend Health Meets Food classes virtually in their own home kitchens through Zoom. Part of the first session has students making tacos with healthy ingredients, including whole grain tortillas, vegetables, and black beans a departure from the traditional tacos in the U.S. that are high in calories, fat, and sodium where store-bought seasoning and flour tortillas contribute to health concerns.

Over time we can significantly change the health of our community, Weisman said.

Dr. Timothy Harlan, the nations leading catalyst for teaching culinary medicine to students in the health professions, contributed earlier this month to a class taught by UNLV faculty via Zoom. He recently joined the faculty of George Washington University in the nations capital and is now head of the GW Center for Culinary Medicine. Harlan, whos been spreading his food is medicine gospel throughout the world, is a former colleague of UNLV School of Medicine Dean Marc Kahn from when both men worked at the Tulane School of Medicine in New Orleans.

Harlan, a chef and restaurateur before becoming a physician, developed the Health Meets Food curriculum over much of the last decade while executive director of the Goldring Center for Culinary Medicine at Tulane. In addition to providing hands-on training for medical students, the center offers community cooking classes, free and open to the public.Dr. Harlans program is evidence-based, Kahn said.

The curriculum, used by medical students, residents, and clinicians, includes more than 30 content-specific educational modules. They stretch from: guidelines for changes in diet during pregnancy to identifying means of prevention for childhood obesity from the proper nutrition after a cancer diagnosis to nutritional needs for geriatric patients. Each module presents basic and clinical science related to evidence-based nutritional and dietary goals for specific topics such as polycystic ovary syndrome or the impact health care practitioners can have on controlling and managing symptoms of congestive heart failure through diet intervention. There are case presentations, recipes, cooking instructions, quizzes, and discussion questions.

Harlan said for the vast majority of Americans, diet is at the core of their illness. He said illnesses from heart disease, diabetes, and stroke to depression and Alzheimers disease are accelerated by an American diet of highly processed foods. During a recent interview, Harlan said that food-related issues were not that much of a problem until the last 30 to 40 years, when many Americans eschewed cooking with healthy ingredients in favor of buying highly processed foods full of addictive sugar and salt, either from the grocery stores or fast food outlets. Theres been an explosion of calorie-dense processed food, Harlan said.

According to Harlan, with many medical schools now emphasizing the importance of nutrition, the dialogue between physician and patient is being changed from Hey, you need to lose some weight, to action-oriented suggestions that meet best medical practices.

Weisman said that with medical students learning to shop for and prepare nutritious meals, future doctor-patient visits can be much more targeted and helpful when discussions arise about healthy diets. She said that once the pandemic is under control, medical students will go to community centers to teach the benefits of good nutrition. She also envisions a medical school partnership with the William F. Harrah College of Hospitality where the best in kitchens can be used to help teach community members the power of healthy recipes, as has been done at Tulane and George Washington universities.

Were teaching our medical students about the power of good nutrition and then they in turn will teach the community, Weisman said. The reward of good nutrition is better health. Our medical school, our students, will be making real-world positive suggestions that can make a difference.

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Breaking The Cycle of Poor Diet to Promote Long-Lasting Health - UNLV NewsCenter

1. Diet alone had nearly identical benefits on insulin sensitivity compared to gastric bypass surgery.

2. The metabolic benefits from diet and gastric bypass surgery were related to weight loss.

Evidence Rating Level: 2 (Good)

Study Rundown: Previous studies have demonstrated that bariatric surgeries are far more effective than medical therapy to treat type 2 diabetes. However, many of these studies have results which are confounded by the difference in weight loss among the participants undergoing these procedures. Because of this, the effects of bypass surgery independent of weight loss on major factors in type 2 diabetes pathogenesis such as beta-cell function and insulin resistance is unclear. As such, this study evaluated whether gastric bypass surgery provided metabolic benefits, independent of weight loss, in participants with obesity and type 2 diabetes. The results of the study demonstrated that both diet and gastric bypass surgery confer metabolic benefits, which were actually related to resulting weight loss from the interventions. This prospective cohort study was limited by the assessment of metabolic outcomes after weight loss between 16 to 24%. Therefore, the study results could not be extrapolated for weight loss above or below that range. Nonetheless, this study was strengthened by matching participants based on weight loss to control for the confounding variable.

Click to read the study in NEJM

Relevant Reading: Effects of moderate and subsequent progressive weight loss on metabolic function and adipose tissue biology in humans with obesity

In-Depth [prospective cohort]: This prospective cohort study followed 33 participants at a single center in the United States. Participants included in the study were diagnosed with type 2 diabetes and obesity. Participants unable to achieve the target weight loss, defined as 16 to 24% of the participants original weight, were excluded from this study. The participants underwent a comprehensive metabolic function assessment before and after weight loss from gastric Roux-en-Y bypass surgery or low-calorie diet therapy. The diet group received weekly education on dietary practices and prepackaged meals. Prior to analysis, the participants were matched between the two intervention groups based on percentage of weight loss. Once the participants achieved the target weight loss, the body weight was maintained for three weeks before conducting the final comprehensive metabolic function assessment. The primary outcome was the change in hepatic insulin sensitivity. The mean weight loss in the diet group was 17.81.2% (range, 16.1 to 20.4) and 18.72.5% (range, 16.0 to 24.4) in the surgery group. Insulin sensitivity in the liver increased after weight loss in the diet group (31.0 mol/kg; 95% confidence interval [CI], 22.5 to 39.6) and the surgery group (25.1 mol/kg; 95% CI, 16.4 to 33.8). There was no significant difference between the two group (-6.5 mol/kg; 95% CI, -15.7 to 2.7). Additionally, beta-cell function increased after weight loss in the diet group (1.83; 95% CI, 1.22 to 2.44) and in the surgery group (1.11; 95% CI, 0.08 to 2.15); however, there was no significant difference between the two groups (-0.71; 95% CI, -1.75 to 0.34). Interestingly, weight loss in both groups resulted in a decrease in plasma bile acids, plasma branched-chain amino acid, and C5 acylcarnitine concentrations. However, the decrease in these plasma components were greater for the surgery group than the diet group. Taken together, weight loss resulting from diet or gastric bypass surgery provided near identical benefits for insulin sensitivity in participants with type 2 diabetes and obesity.

Image: PD

2020 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

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Diet and gastric bypass have similar metabolic benefits in diabetic patients - 2 Minute Medicine

This week, the legitimacy of the popular F-Factor diet, which is known for its tasteful protein powders and bars, has been put into question by an Instagram influencer.

Emily Gellis started sharing anonymous testimonials with her near-170,000 follower fanbase on Instagram earlier this week after reading about a woman who believed consuming the products is what caused her to lose her period. Gellis has continued to post women's accounts on her Instagram stories, with a majority saying they've experienced unbearable bloating, urinary tract infections, rashes, and even more severe side effects, including heavy metal poisoning and miscarriage, while following the diet.

"I miscarried at 9 weeks and they said there were high traces of lead in my blood that could have been the reason I miscarried," one anonymous user said to Gellis, as reported by Refinery29. "I never even thought of the powders/bars, etc I cried all week reading these as I put two and two together."

All of these symptoms have led affected consumers to believe that the high-in-fiber protein powders and bars have high concentrations of lead. The claim may not be far-fetched either, considering the products have a Prop 65 warning label on them, indicating they do contain traces of metal. Passed in California in 1986, the Proposition 65 law, "requires businesses to provide warnings to Californians about significant exposures to chemicals that cause cancer, birth defects or other reproductive harm," as stated by the California Office of Environmental Health Hazard Assessment.

The F-Factor website promises that people can, "Eat Carbs. Dine Out. Drink Alcohol. Work Out Less," when following the diet, which is heavily comprised of fiber-rich protein bars and powders that you make shakes with. The diet's approach is centered around increasing fiber consumption, which sounds harmlessespecially in the way the website explains it:

"Fiber is the zero-calorie, non-digestible part of a carbohydrate that adds bulk to food. When you follow a diet rich in fiber you feel full after eatingso you'll generally eat less throughout the day. Also, fiber swells in the stomach, absorbs and removes fat and calories, and boosts metabolism."

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However, as one person negatively affected by the diet pointed out to Refinery29, the website isn't transparent about one thing: Proof of a Certificate of Analysis (CoA). The International Alliance of Dietary/Food Supplement Associations says that this document details "specifications on characteristics such as purity, strength, composition and appropriate limits for ingredients in which there is a known or reasonable expectation that a contaminant or adulterant may be present."

Creator of the F-Factor Diet, Tanya Zuckerbrot, who is also a registered dietitian, told Page Six, "What I can categorically confirm is that the rumors of dangerous levels of lead in the product is false." She also added that in the two-plus years she has been selling her products, she has received less than 50 complaints and requests for refunds.

"This rumor that somehow I created a product that's harming people's health is so malicious and frankly unfounded," she said.

To be transparent, F-Factor's Vanilla Shake Powder was the winner of our protein powder taste test last year. There's no denying that both the flavor and texture of the powder are near-perfect when blended with other smoothie ingredients. However, this test was performed purely on taste.

While nothing has been confirmed just yet, the claims made by women who have tried the diet and experienced adverse symptoms are concerning. Until a concrete correlation can be made, the diet and its products seems to continue to be under public scrutiny.

For more, check out 5 Dangerous Mistakes You're Making on a Low-Carb Diet.

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New Claims Warn of Dangerous Levels of Lead in This Popular Diet Food Line - Yahoo Lifestyle

When I was a teenager, the advice I got about acne was clear and consistent:

By the time I got to medical school, the message had changed. I learned that the diet-acne connection was considered a myth, and that what we eat has little to do with making acne better or worse.

But a new study has once again turned the tables. It suggests that diet might contribute to acne at least in adults.

For many including me thinking about teenage acne is a painful exercise. But its worth understanding why acne develops in the first place.

Acne is thought to develop because of a combination of factors: the production of too much oil in the skin, clogged skin pores, bacteria in the skin, and inflammation. Hormonal changes which occur during puberty, or with a condition called polycystic ovary syndrome and the menstrual cycle can have a big impact on acne, because they affect oil production in the skin. Some medications can cause acne (especially steroids and lithium), and hair products, makeup, and other products we put on our skin can contribute to clogged pores. Genetic factors, pollution, smoking, and stress have also been suggested as causes or contributors to acne.

And then there remains the possibility that diet matters. Certain foods can promote inflammation throughout the body, and its possible this triggers acne outbreaks. In addition, diet can affect hormones that, in turn, could make acne worse. For example, milk and foods with a high sugar content can cause a rise in insulin levels, altering other hormones that can affect the skin. Some research has linked milk and whey protein with acne.

Despite these possible connections between diet and acne, there is no consensus that changing your diet is an effective way to deal with acne.

A new study, published in the medical journal JAMA Dermatology, compared the results of 24-hour dietary surveys of more than 24,000 adults (average age 57) who reported having acne currently, having it in the past but not currently, or never having had it. The researchers found a correlation between the chances of having current acne and consumption of

Higher intake of high-fat, high-sugar foods was associated with a higher incidence of current acne. For example, compared with those with no history of acne, those with acne at the time of the survey were 76% more likely to report drinking at least five glasses of milk in the previous day, more than twice as likely to report consuming at least five servings of high-sugar drinks in the previous day, and eight times more likely to report consuming a complete meal of fatty and sugary products in the previous day.

Fast foods and snack foods were linked with past (rather than current) acne. And chocolate? Neither dark nor milk chocolate were associated with past or current acne.

There are reasons to interpret these results cautiously. Dietary records can be faulty. For example, a person with acne who strongly believes that diet affects their skin health may be more likely than others to recall and report certain elements of their diet (such as fatty or sugary foods) than those who are more skeptical about a connection. Such recall bias can affect the results of a study like this. And many of those who reported having adult acne were self-diagnosed; its possible that some of these diagnoses were not accurate. Other factors so-called confounders might be at play and lead to misleading conclusions. For example, maybe people who drink more milk also happen (just by chance) to live in more polluted areas, and its the pollution, not the milk, that explains the findings.

Finally, studies like this can only detect an association, not causation. That means that while those with adult acne tended to consume more fatty and sugary foods, the study cannot prove that their diet actually caused adult acne. It also could not determine whether a change in diet would reduce the incidence or severity of acne.

As our understanding of acne continues to evolve, we may eventually have clearer guidelines about the best diets to prevent or treat it. For now, whether youre a teenager or an adult, its likely that there is no single diet that will guarantee clear skin. So enjoy your favorite foods in moderation. And if you find that some of them make your skin worse, youll have to decide if theyre worth it.

Follow me on Twitter @RobShmerling

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Does diet really matter when it comes to adult acne? - Harvard Health Blog - Harvard Health

Carbohydrates must have a tough skin.

For decades, this poor classification of macronutrients has been been chewed up and spat out. As a registered dietitian, I feel like I've heard it all.

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Carbs will, depending on which diet you're entrusting with your life, make you fat, unhappy, diabetic, in danger of cardiac arrest, at the mercy of severe gastrointestinal problems, keel over in abdominal pain, or filled with a Viking-like bloodlust.

Okay, maybe I'm exaggerating on the last one. But stillyou get the point. And you're probably confused, because while one diet tells you that you need to eat low-carb, another urges you to eat no-carb, and yet another says you just need to avoid "bad" carbs.

I'm here to help you sort through all this. Honestly, it is confusing, but only because bad diets make it that way. Think about it: The more chaos they can sow in the dietary landscape, the more money they can reap from people looking for a quick-fix solution.

So I've taken to task four of the (many) many myths that are out there about carbohydrates in the hopes that you'll see the simple carb as more than "good" or "bad."

At most, maybe you'll gain a little more appreciation for carbohydrates.

At the very least, maybe you'll gain some skepticism for crash diets that drag their good name through the dirt.

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This is a good time to define what the term "essential" means as it applies to nutrition.

An "essential" nutrient is nutrient that you have to consume because your body doesn't make the nutrient itself.

Sodium, for example, is an essential nutrientyour body can't make it. By comparison, vitamin D, is non-essential, because your body can make it.

Yes, technically, carbohydrates are non-essential, because your body can make its own carbs in the form of glucose.

Howeverand this is a big HOWEVERbad diets can conflate the two terms to argue that "non-essential" means "unimportant."

Carbs are incredibly important for reasons soon addressed.

Need isn't the right term here.

No, you wont die without eating grains (a classic form of carbohydrate that bad diets like to slander).

You could avoid grain products, but doing so means you'll be missing out their key benefits.

High-quality grains are a very efficient source of glucose, which your brain, red blood cells, and muscles use as an energy source. Even though you can make glucose from non-glucose containing sources (like fat and even protein), its certainly not as efficient for your body to do so.

Whole grains also contain insoluble fiber, which helps keep your digestive tract moving and keeps you regular. Some whole grains, like oats, contain soluble fiber, which helps lower cholesterol and glucose levels your the blood.

And both types of fiber help you feel full, which means youll feel more satisfied with what youve eaten for longer after you've eaten it.

What started with the paleo and keto trends has now transitioned to other diets claiming that produce can provide all the fiber your body requires.

Like the other myths, this is just half correct. It is possible to get the number of grams of fiber required by eating only fruits and vegetables. What is not possible is to get the needed diversity of fiber types that are associated with optimal health.

Fiber is like vitamins in that not all fibers do the same things and so we need different sources and types, says Julie Miller Jones, Ph.D., Distinguished Scholar and Professor Emerita at St. Catherine University, author of Dietary Fibre: Bio-Active Carbohydrates for Food and Feed.

While some fibers are the same, some are unique in structure and function. And guess what? There is no cereal fiber in fruits and vegetables," says Jones. "For example, the cholesterol-lowering B-glucan structure found in barley and oats is not found in fruits and vegetables which is just one of many examples.

In terms of colon cancer, a large US meta-analysis of the Nurses and Health Professionals study showed that whole grains and cereal fiber, not total fiber, reduced colorectal cancer risk in men. Another study also showed a greater decrease in the risk of colon cancer with cereal fiber and whole grains than with fruit and vegetable fibers.

Now, on the other hand, fruit and vegetable fiber was associated with the reduction in stroke and cereal fiber was not, so its important to consider all fiber. The key is variety.

Only 4 percent of Americans meet the fiber requirement. We need more ways to eat fiber, not less.

Hmmbeer gives us plenty of energy, so why not just drink beer for every meal of the day? says Frances Largeman-Roth, R.D.N., nutrition expert and author of Smoothies & Juices: Prevention Healing Kitchen.

Smoothies & Juices: Prevention Healing Kitchen

She says that while fat may provide plenty of energy, fat does not provide fiber, or the antioxidants to keep your cells healthy. Fiber also doesnt help us repair your broken-down muscles.

You need carbs (and protein) to do those things.

Thats the magic of eating a balanced diet with carbs, protein and fatit really helps you cover all your bases.

There isnt one food that can do everything, but a high-quality balanced plate with each of them is ideal to maximize wellbeing.

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4 Myths About Carbs That Crazy Diets Want You to Believe - Men's Health

DETROIT (PRWEB) August 21, 2020

COVID-19 has caused a rapid growth in telehealth, with 46 percent of Americans now using telehealth to replace in-person healthcare visits(1). In response to this growing trend, primary care practices are in need of virtual, effective tools to improve the patient experience. As a leader in eConsults, ConferMed has built a virtual care experience that is readily customized to help providers meet each patients unique needs.

To enhance their e-consult solution, ConferMed has launched Diet ID, a digital, image-based diet assessment tool that provides primary care practices with the ability to quickly assess a patients diet and develop a comprehensive nutrition and lifestyle plan that is personalized for each patient. The partnership empowers ConferMed with a leading-edge telehealth solution that boosts patient engagement and is reimbursable through Medicare and private insurance plans that cover Medical Nutrition Therapy.

Diet ID CEO and Founder, Dr. David Katz, commented, We are thrilled to work with ConferMed - another pioneer paving the way for more personalized virtual healthcare interactions.

ConferMed President, Dr. Daren Anderson commented, This partnership helps further enhance our patient-centered telehealth platform for primary care and ensure that all patients can get the support and care that they need.

The ConferMed and Diet ID solution will launch this fall with several primary care practices throughout the United States. For more information or interview requests, please contact Alison Hankins at 303-709-5246 or ahankins@dietid.com.

https://confermed.com/ https://dietid.com

1- McKinsey COVID-19 Consumer Survey, April 27, 2020.

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James Blunt, pictured here at the BFI London Film Festival in 2019, went on a meat-only diet. (Getty Images)

James Blunt has admitted that he contracted scurvy after going on a meat-only diet out of principle to take a stand against his vegan friends.

The Youre Beautiful singer, 46, became a carnivore for two months - consuming nothing but chicken and mince - after finding himself surrounded by vegetarians.

Blunt was eventually diagnosed with scurvy, a disease brought on by a lack in vitamin C.

Scurvy is becoming a little more common in the UK but is still considered rare, according to Azmina Govindji,spokesperson for the British Dietetic Association, who warns that cutting out any food group from your diet involves risks of lacking essential nutrients.

Read more: Rosie Huntington-Whiteley reveals she doesnt eat after 6pm

Often referred to as sailors disease, scurvy was historically most common in sailors who were unable to get a balanced diet.

Govindji explains that the best way to achieve a healthy diet is by including all food groups.

There's a place for animal and plant-based foods in a healthydiet, she said.

Completelytaking away fruit, vegetables, beans and other plant-based foods can set you up for low levels of vitamin C, fibre and potassium: not having enough vitamin C can leave you feeling tired and lethargic.

Certain types of fibre such as oats and barley can reduce your blood cholesterol levels; and potassium helps your heart muscle to work properly.

Conversely, a well-designed plant-based diet, with the addition of vitamin B12, can be nutritionally adequate.

Read more: Tesco honey health claims after its bulked out with sugar

Symptoms of scurvy include weakness, feeling tired, and sore arms and legs. It is relatively easy to cure and is treated by adding vitamin C into your diet - which is usually found in fruit and vegetables.

Some doctors will also recommend a vitamin C supplement to increase the levels in your body.

Blunt developed the disease while studying at university.

Out of principleI decided I'd become a carnivore and just lived on mince, some chicken, maybe with some mayonnaise, he said on the podcast, Table Manners with Jessie Ware.

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And it took me about six to eight weeksto get very unhealthy and see a doctor,who then said 'I think you've got the symptoms of scurvy'.

He saidyou are really lackingin vitamin Cso I took it upon myselfto drink orange juice everynight - then I nearly developed acid reflux.

Read more: Spoonful of yoghurt before meals may help you lose weight, study finds

Despite the disease becoming a little more common in recent years, its still deemed as rare by the NHS.

Those who are on unusual or restrictive fad diets, eat very little food at all, have a poor diet and also smoke, or a poor diet and are also pregnant or breastfeeding, are at a slightly higher risk of contracting scurvy.

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What is scurvy? James Blunt was diagnosed with the 'sailor's disease' after eating meat-only diet - Yahoo Canada Shine On

PEORIA, Ill. (WMBD) A local small business is making it easier to eat a healthier diet for meals.

Upbeet Jams was founded two months ago in a womans home with the goal of allowing easier access to plant-based vegan meal options. Jam Rohr owner of the business said she started eating healthier after experiencing stomach pains.

The business has seen early success, expanding into a kitchen in St. Pauls Episcopal Church. Rohr said after seeing increases in meals every week, she had to move to a bigger space to allow for more room. She said shes grateful for the support.

I started sharing it on Instagram and eventually people reached out wanting me to make meals for them, Rohr said. Every week I had more orders than the previous week, this week I had 22 orders and most ordered five meals.

Menus are released every Wednesday with pickup from 1 to 3 on Sundays or you can have them delivered to you for a $5 fee.

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Local business making it easier to eat a healthier diet - CIProud.com

The key to professional wrestling, according to David Arquette, is learning how to take a hit. Which is almost too perfect a metaphor for his wrestling careera fighter who just cant figure out how to go down smoothly. In 2000, Arquette first entered the ring as a publicity stunt to promote a buddy comedy called Ready to Rumble. Less than two weeks later, he found out he was booked to win the heavyweight championship, which he knew would irritate serious fans. Sure enough, ever since he thrust that WCW belt into the air, a pair of low-rise leather pants clinging to his waist and his bruised eyes glazed over in a stupefied grin, hes been ridiculed by fans as one of the biggest punks wrestling has ever seen.

In reality, Arquette says, he had all the respect in the world for wrestling. And so, in an effort to redeem himself in the eyes of a fan base that credits him with tanking the WCW and degrading the integrity of the entire business and fresh off a heart attack that earned him two stents the 46-year-old decided he was getting back in the ring. This time, he would do it right: He headed to Tulum to do yoga with Diamond Dallas Page, then to Tijuana to fight with the Mexican luchadores. He picked up boxing and jiu-jitsu to learn the instincts he needed. By the time he hit the independent circuit, he was fifty pounds lighter and completely sober.

Arquettes few months back in the ring are chronicled in his new documentary, You Cannot Kill David Arquette, which was set to premiere at SXSW and will now come out in drive-in theaters this Friday. The film culminates in a gory November death match where, after taking a smashed light tube at the wrong angle, Arquette stumbles out of the ring with blood gushing from his neckonly to climb back in and finish up the match once he figures out hes not about to bleed out. The incident put his wrestling career on pause while he recovered, and it brought up another wave of backlash from fans who still saw a half-cocked actor nearly dying because he got in way over his head.

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But for Arquette, the minutes he spent thinking he was about to die made him all the more dedicated to learning how to wrestle wellafter all, if hed known how to take that hit, his neck would have stayed intact. Ahead of the documentarys release, Arquette told GQ how he prepared for his shot at wrestling redemption.

For Real-Life Diet, GQ talks to athletes, celebrities, and everyone in between about their diet, exercise routines, and pursuit of wellness. Keep in mind that what works for them might not necessarily be healthy for you.

When you first entered the ring in 2000, had you trained at all?

I didn't have an opportunity to train. My run there was just a storyline, they didn't really want me involved. I heard there was a big insurance policy on me, so I couldn't get hurt. That also led me to want to properly train and learn how to wrestle so I could do it in the future. I wasn't in great shape back then, to be honest.

And then in 2018, you got serious about returning to wrestling with the proper training. Where did you start?

I started out doing DDPY, which is Diamond Dallas Page's yoga app. It got me ready to start losing weight. It's a form of yoga that involves tensing your muscles up a lot. He's a really inspirational guy. He inspired me as a wrestler, but he also inspired me to get in shape. I went to a retreat he had in Tulum, and I met with him and he inspired me more there.

Then I trained jiu-jitsu with Rigan Machado, an amazing jiu-jitsu champion. I trained with a multi-championship boxer named Ricky Quiles. And then I trained with Peter Avalon, as a wrestler. I did each at least once a week for an hour or two, but wrestling, I probably did two or three times a week.

So, that's tons of cardio. I got into weights too, every day. I don't do heavy weights, I do about a 35 pound barbell. I don't typically work out my legs because I have big legs to start with. I do squats and a lot of bench stuff, lot of curls, lot of pushups, a lot of sit-ups. But Im consistent. And I did a hike every day.

What was the actual wrestling training like?

There's a lot to learn when you really study wrestling. A lot of it's falling in a way that you're not going to hurt yourself, getting your body accustomed to hitting the mat often. Learning how to take hits so you can protect yourself is an instinct rather than something planned. When you get hit, you have to throw yourself back on the mat and you're supposed to distribute the impact in different parts of your body so you don't take it all on your back. Tucking your chin's a big part of taking a bump in wrestling.

The muscles in your eyes also need to adjust to this new dynamic where your eyes are going to be moving around a lot. Before they do that, you'll get dizzy. It takes repetition, rolling over and over.

As you gain more experience, do you find it easier to tap into the right instincts, even when they come as a surprise?

Yeah. It also really matters who your opponent is. When you wrestle with legends, they make it so easy. One time, I threw my arm the wrong way on Colt Cabana and he readjusted it within a split second, right as the move was happening. These guys, they'll hit you and it'll look like he just killed you, but you'll barely feel it. It's like working with a really skilled actor. They make you look good, you make them look good, you're working in a dance together.

How did you change your eating habits in conjunction with all this training?

I eliminated carbs completely. Id avoid having big dinners, instead having smaller meals throughout the day, and making lunch or breakfast the biggest of those meals, something on the earlier side of the day so that you burn it all off by the time you go to bed. I tried to not eat within three hours of going to bed, and if I did have to eat, I had something like egg whites or celery.

I think of the ideal wrestlers body as much more bulky than lean, but it sounds like your main priority was taking weight off. Were there particular muscles you needed to bulk up to wrestle?

In wrestling, you want to have muscles, you want your muscle mass. But one of my favorite figures out there, sports figures or athletic figures, is Bruce Lee. And Bruce Lee isn't known as being incredibly muscular. He's incredibly lean, and that's the sort of look that I was going for. To put on muscle, right after your workout, I would eat some protein immediately within the first half hour. I drank bone marrow protein shakes, which give you a lot of nutrients.

You Cannot Kill David Arquette, 2020.

After your big public return match with RJ City, you had a pretty exciting run on the independent circuit. Once youre fighting frequently in matches, are you keeping up the same fitness routine?

You spend a lot of time in the ring, training and then actually fighting. So you get a lot of cardio there. You end up mainly focusing on trying to hit the weights and do your daily routines. You have to figure it out even if you don't have a gym. DDPY comes in handy because you can find a workout by just opening your phone.

I didnt book myself like wrestlers truly do, where they go out on the road and do, like, four matches a week. I did one or two matches a month. I was doing a film in upstate New York, so on the weekends Id sneak off and do a wrestling show. People freak out on a movie if you talk about doing a wrestling match

Lets talk about those risks more. Even before your death match, the film captures you suffering some pretty hefty injuries. Are those just inevitable side effects of wrestling, or can you learn to avoid them?

I fractured three ribs in Tijuana, and I also had to remove a bursa from my elbow, which got infected from just all these rolls. There's all these little tricks along the way you learn. When you're jumping, you do a crossbody, so your body's going into everyone in the least dangerous way. The way I jumped in Tijuana, it was straight on top of everyone, which is probably the most dangerous way for me and for them. When you do crossbody, you learn your arm can catch their shoulder and help break the fall, and I can get my legs down quick enough so it helps the impact.

There's also this element with wrestling that if you dont really commit, you land right on your head. You can't second-guess yourself, or you're going to half-ass it and probably hurt yourself or them. So it's a matter of having that trust in yourself. Theres a bunch of matches I did that are pretty embarrassing because it's me learning how to do all this stuff in front of a camera.

During your death match with Nick Gage, when that shard slices your neck open, you jump out of the ring to basically figure out whether youre about to die or not. Do you make those decisions on a smaller scale in most matcheswhether its safe to keep fighting or you need immediate care?

Thats exactly what I was doing. But you are making calculations throughout every match, for sure. Time speeds up in a wrestling ring, so you need to slow it down. When you're beginning, you rush everything, and that can botch a move.

I learned a really solid lesson in that death match, and that's always stick to the plan. It was my fault that I got stabbed in the neck. I pulled his legs when I wasn't supposed to. Also, I'll never fight with glass again. I was in over my head.

I did a lot of self-exploration after that match. I realized I'd been beating myself up my whole life in one way or another. I found a way, through a lot of therapy and working with different doctors including a holistic psychiatrist who got me on some natural medications, to be more positive toward myself.

Theres a scene in the documentary where you get a ketamine infusion treatment, which is a pretty new but potentially life-changing treatment for all kinds of serious mental illness. Are you still getting those treatments?

You Cannot Kill David Arquette, 2020.

It's a little bit tricky because if you have addiction issues like I have, you have to be really careful with it. I can get addicted to almost anything. The infusions they did were pretty high dosage. It's supposed to reset your neurotransmitters and balance you out. I did those a couple times, and then I started doing a therapy session with a shot of ketamine, which was really helpful. You're awake for it, you can talk, you're communicating with a professional therapist in the room, and that helped a lot.

Outside of treatment, what are the day-to-day habits that help you stay in a positive space?

Meditation is really one of the greatest tools, and retraining your brain to not beat yourself up. Exercise, toothe endorphins you get from exercising or even light meditation or light yoga is really life-transforming.

Not drinking has helped a lot. Through those ketamine treatments I realized a lot of the pain and regret or shame I felt about certain periods in my life where I've done things that I've regretted, all of them were attached to alcohol. So I made a conscious decision not to put myself in that place anymore.

There were a couple moments in the film where I kind of fell off the wagon. I'd get an injury and then you'd have to take the pills because you're in extreme pain, and then you don't want to get hooked on opiates, so you stop. And then I drank too much. So that was a cycle I had to break.

Between the slipperiness of caring for your injuries while staying sober and the way wrestling can lead to beating yourself up, do you think its possible for you to keep wrestling and live a healthy, balanced life?

Absolutely. Sting does it really well. And Jack Perry [son of the late star Luke Perry, a close friend of Arquettes] is an incredible wrestler. Hes never smoked or drank in his life. Its really inspirational to see how he does it.

Real Life Diet

The Real-Life Diet of UFC Legend Daniel Cormier, Who Is Training for the Final Fight of His Career

The Louisiana native gets into fighting shape with kombucha and cleaned-up takes on gumbo and red beans and rice.

Originally Appeared on GQ

Read more:
The Real Life Diet of David Arquette, Who Is on a Quest for Professional Wrestling Redemption - Yahoo Lifestyle

DEAR DR. ROACH: I've never smoked, drank alcohol or used illegal drugs. My doctor says I'm in great health. My only vice is drinking diet soda, and I drink three or four cans a day. I'd like to know what you think about it. I know it's not great for me, but I figure it's better than the other vices. -- P.V.

ANSWER: I'm not sure "vice" is the correct term.

Compared with sugar-sweetened soft drinks, diet sodas are probably less harmful in several ways. Compared with plain water, they probably have some drawbacks. The effects vary by person, and the literature on this subject is mixed and controversial.

For your teeth, less sugar means less cavities. However, diet sodas are acidic and drinking too many can weaken the enamel on your teeth.

The effect of diet sodas on weight is complicated. Paradoxically, many people will gain weight when switching to diet soda. Scientists believe this is due to effects on the bacteria in the intestines (the microbiome). Consuming sweet beverages may also stimulate the desire for other sweets and less-healthy foods.

Some of the sweeteners in diet sodas can cause intestinal problems in susceptible people, especially diarrhea and gas. If you have no symptoms from drinking diet sodas, have no weight issues, get your teeth checked regularly and have good oral hygiene, then the risk from three or four daily cans of diet soda is modest. It's still better to drink plain water.

DEAR DR. ROACH: I have read numerous articles regarding the use of marijuana but have not seen a reference to cannabinoid hyperemesis syndrome. This is a condition that was recently identified and is increasing in frequency due to legalization and potency. I would appreciate your thoughts on this syndrome. -- D.L.

ANSWER: Cannabis use is indeed increasing, and one unusual side effect is the hyperemesis (literally, "too much vomiting") syndrome. This most often occurs in daily users of cannabis, usually after years of use. The vomiting tends to occur in cycles: nausea, abdominal pain and vomiting, which can be severe, occur without warning and last 24-48 hours. This is followed by a recovery phase lasting weeks or months, where people feel generally well. The diagnosis can be confused with cyclical vomiting syndrome, and the correct diagnosis is often missed for years.

Physicians sometimes fail to think of the diagnosis or have never learned of it -- it was first described in 2004. Cannabis users are sometimes highly resistant to the idea that the cannabis is causing these symptoms, as they have often been using for years with no problems. Further, cannabinoids are sometimes used to relieve nausea, so the mechanism of cannabinoid hyperemesis syndrome is not understood. The patients I have seen with this syndrome -- including one yesterday, coincidentally -- often have had very extensive evaluations, such as CT scans and endoscopies.

One clue that points toward cannabinoid hyperemesis syndrome is that most people learn that taking a hot shower temporarily relieves symptoms, and they will take several hot showers or baths during the day.

During the acute phase, treatment is supportive care, sometimes including anti-nausea drugs. However, the long-term treatment is cannabis cessation. It may take months before it is clear that the symptoms have resolved with cannabis cessation. Unfortunately the risk of relapse is high if the patient returns to cannabis use.

Link:
Where does diet soda fall on the vice spectrum? - Hays Daily News

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