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Could the keto diet’s benefits be linked to changes in the gut microbiota? – Gut Microbiota for Health
Although the ketogenic (or keto) diet was initially used for treating childhood refractory epilepsy in the 1920s, fasting has been used to treat epilepsy since 500 BC. Later on, variations of the ketogenic diet (such as the Atkins diet) have appeared and its use has extended into adults for purposes other than reducing seizure frequency. They include treating weight loss, metabolic syndrome, certain cancers and psychiatric disorders such as Alzheimers disease.
This high-fat diet resembles the physiological effects of fasting by restricting carbohydrate intake to between 20g and 50g non-fiber carbohydrate per day (an average person in an industrialized country consumes 200g carbohydrate per day). This means replacing grains, fruit, starchy vegetables, legumes and sweets with carb-free or very low-carb foods such as non-starchy vegetables, cheese, avocados, nuts and seeds, eggs, meat, seafood and olive or coconut oil for cooking and dressing. That fat is then turned into ketone bodies in the liver, which can be taken up and used to fuel the bodys cells.
While scientists still struggle with figuring out which mechanisms underlie the keto diets therapeutic benefits, the gut microbiota, epigenetic changes and metabolic reprogramming appear to be involved in the response to diet.
Elaine Hsiao and her colleagues found that the microbiome is required for the anti-seizure effects of the keto diet. When germ-free mice received stool from mice on a keto diet, seizures were reduced, with Akkermansia muciniphila and Parabacteroides being involved in reducing electrical activity in the brain.
This has led scientists to explore whether the keto diet might be worth considering in gastrointestinal disease.
A new study in mice and humans, led by Peter J. Turnbaugh from UC San Francisco, breaks down the effects of the keto diet on the gut microbiome involving a reduction in bifidobacteria levels and pro-inflammatory Th17 immune cells.
First, Ang and colleagues assigned 17 men who were overweight or obese (but non-diabetic) to a control diet for 4 weeks, followed by the keto diet for 4 weeks. Metagenomic sequencing revealed bifidobacteria speciesin particular Bifidobacterium adolescentisdecreased the most on the keto diet.
The authors were also interested in exploring whether these changes were specific to the keto diet or were also observed in the high-fat and high-carbohydrate diet that is known to promote metabolic disease in mice by inducing shifts in the gut microbiome. To this end, Ang and colleagues fed groups of mice with high-fat diets formulated with graded levels of carbohydrates. It turned out that Bifidobacterium levels decreased with increasing carbohydrate restriction, thus highlighting that carbohydrate restriction, rather than high-fat intake, is the main contributor to the keto diets impact on the gut microbiome.
The mucus layer was maintained in the absence of dietary carbohydrates and bile acid metabolism was not affected. This led the authors to test whether ketone bodies themselves could be directly responsible for the progressive decreasing of Bifidobacterium as carbohydrates decreased.
Feeding mice with the high-fat diet and high-carbohydrate diet or the keto diet supplemented with a synthetic ketone esterdeveloped for mimicking ketosis without modifying dietled to increased levels of beta-hydroxybutyrate ketone bodies in the intestinal lumen and less adiposity. That can be explained by the fact that, beyond the liver, intestinal epithelial cells are also a source of ketone bodies.
Interestingly, in vitro experiments in human stool samples and work in rodents showed that ketone bodies selectively inhibited bifidobacterial growth in a dose- and pH-dependent mechanism. While other members of the gut microbiota were also affected to a lesser extent, the selective inhibitory effects of ketone bodies on Bifidobacterium may involve changes at the gut ecosystems ecological level and warrants further research.
Finally, both mono-colonization of germ-free mice with B. adolescentisthe most abundant species in the baseline diet that experienced the most marked decrease after going on the keto diet and human microbiome transplantations into germ-free mice showed that the keto diet mediates the lack of intestinal pro-inflammatory Th17 induction by reducing colonization levels of B. adolescentis. The observed differences in the gut were also detected on Th17 cells in the visceral adipose tissue.
To sum up, this study shows that the keto diet induces changes in the gut microbiome characterized by marked suppression of bifidobacteria coupled with a decrease in intestinal Th17. Said reduction would be worth considering in the context of improving obesity and immune-related diseases with increased Th17 activation.
The results reported here regarding changes in beneficial bifidobacteria, together with gut-related side effects and the nutritional safety of the keto diet due to the exclusion of major food groups, warrants caution on the use of this diet for managing gut symptoms or gastrointestinal disease progression.
References:
Kossoff EH, Zupec-Kania BA, Auvin S, et al. Optimal clinical management of children receiving dietary therapies for epilepsy: updated recommendations of the international ketogenic diet study group. Epilepsia Open. 2018; 3(2):175-92. doi: 10.1002/epi4.12225.
Wheless JW. History of the ketogenic diet. Epilepsia. 2008; 49(Suppl. 8):3-5. doi: 10.1111/j.1528-1167.2008.01821.x.
Tuck CJ, Staudacher HM. The keto diet and the gut: cause for concern? Lancet Gastroenterol Hepatol. 2019; 4(12):908-9. doi: 10.1016/S2468-1253(19)30353-X.
Cabrera-Mulero A, Tinahones A, Bandera B, et al. Keto microbiota: a powerful contributor to host disease recovery. Rev Endocr Metab Disord. 2019; 20(4):415-25. doi: 10.1007/s11154-019-09518-8.
Olson CA, Vuong HE, Yano JM, et al. The gut microbiota mediates the anti-seizure effects of the ketogenic diet. Cell. 2018; 173(7):1728-41. doi: 10.1016/j.cell.2018.04.027.
Ang QY, Alexander M, Newman JC, et al. Ketogenic diets alter the gut microbiome resulting in decreased intestinal Th17 cells. Cell. 2020. doi: 10.1016/j.cell.2020.04.027.
Turnbaugh PJ, Backhed F, Fulton L, et al. Diet-induced obesity is linked to marked but reversible alterations in the mouse distal gut microbiome. Cell Host Microbe. 2008; 3:213-23. doi: 10.1016/j.chom.2008.02.015.
Newport MT, Vanltallie TB, Kashiwaya Y, et al. A new way to produce hyperketonemia: use of ketone ester in a case of Alzheimers disease. Alzheimers Dement. 2015; 11(1):99-103. doi: 10.1016/j.jalz.2014.01.006.
Reddel S, Putignani L, Del Chierico F. The impact of low-FODMAPs, gluten-free, and ketogenic diets on gut microbiota modulation in pathological conditions. Nutrients. 2019; 11(2):373. doi: 10.3390/nu11020373.
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Could the keto diet's benefits be linked to changes in the gut microbiota? - Gut Microbiota for Health
Nugget of Knowledge: Is it diet or regular Coke? – WYTV
It's possible, you need a little water
by: Jim Loboy
(WYTV) How can you tell the difference between a can of regular Coke and Diet Coke if the labels are hidden and you cant open and taste either one?
Its possible, you need a little water. This should work with Pepsi, too.
Our clue is based on the fact that a can of the diet drink is slightly lighter than a can of the regular drink.
Regular Coca-Cola is sweetened with sugar which is sucrose, or corn sweeteners, which are other sugars, usually fructose, maltose or glucose.
Diet Coke, though, is sweetened with aspartame, an artificial sweetener. Aspartame can be 200 times sweeter than sucrose, so you need only a tiny amount of it to produce the same sweetness as in the sugared drink.
While the amount of sugar in the regular Coke may be two to three percent, there are only a few hundredths of a percent of aspartame in the diet drink. So, a can of the diet drink is very slightly lighter in weight.
You cant tell just by hefting the two cans.
But if you fill a sink with water and place the unopened cans in it, the diet can will float higher in the water than the regular can, which might even sink.
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Nugget of Knowledge: Is it diet or regular Coke? - WYTV
Matthew Shipp’s Steady Diet Of Improv And Hard News – downbeat.com
By Dave Cantor I Jun. 17, 2020
The Tao Forms label recently issued its inaugural release, Matthew Shipps The Piano Equation.
Pianist Matthew Shipp hasnt been playing with anyone recently. Most musicians havent been, at least not in the way that were all accustomed to. But in some ways, his latest solo endeavorThe Piano Equation, which came out late in May and ranks as the first release on drummer Whit Dickeys Tao Forms labelis fitting. Its a weird time filled with isolation and tension, spurring on whatever fissures in American society already existed.
Listeners, though, might benefit from the solemnity of a solo piano album, even if Shipp doesnt necessarily hue toward neat, straightahead work. Theres a bit of off-kilter Monk in portions of Shipps inflection, but also interstellar grace and idiomatic systems of organization that might not, at first blush, make sense to the uninitiated. Now, though, we all have time to sit and think. And The Piano Equation presents a perfect opportunity to pore over music derived from Shipps internal rhymes.
The pianists own voracious devouring of culture and media is on display on his Facebook page, veering from sports to music and politics. Following his chat with DownBeat last weekin which he maybe referenced Guy Debords The Society of the Spectaclethe pianist posted a story from the South China Morning Post that detailed former National Security Adviser John Boltons criticisms of President Donald Trump from an upcoming book.
When was the last time you read the South China Morning Post?
The following has been edited for length and clarity.
I think your Facebook feeds known for being super political and engaged, and probably serves as a news source for some people. With the volume of stuff that youre going through, how much of your day is spent just consuming news?
Ive been consuming news my whole life, so I can do it quickly. I have a system down, where I can find a broad range of stuff really quickly. You know, most of my day is music, in some waywhether its practicing or the business. I would say in the morning, there are hours of figuring out what happened overnight. Then, maybe a half hour in the afternoon, and then late at night, I finish reading and watch cable news.
Its like anything that youve been doing for a long time, you just know exactly the sources to go. You get a system down. But Im not going to spend all day, because I am a jazz musician. I have that to attend to. I mean, during this period, theres nothing else youre doingyoure not watching sports.
Like a lot of Americans, Im gonna guess that your attention vacillates between the pandemic and protests that emerged a few weeks ago after George Floyd was killed. So, theres this dichotomy
I mean, the protests are necessary. Its a historic time. To be honest, I havent been involved with a bunch of protests, mainly because Im turning 60I havent had any health issues. But the protests are necessary. Theyre spontaneous, theyre natural. Its just the time.
The mask thing is a separate thing, you know. People should be wearing masks. Its simple.
Youre writing, playing and improvising through all of this. So, have you noticed a change in how youre relating to music?
No, my music is completely metaphysical. And the world of reality as we know it here on this planetI truly use music to go to another place, another energy realm. I dont know what to call it. Its someplace deep inside of me. And it is not impacted by current events, whatsoever. It truly is an attempt to dwell in a world that is outside of space and time, outside of the particular realm of problems that we encounter.
The psychological space I enter into is a mystic one of somebody who is trying to transcend; the music is an attempt to do that.
Henry Grimes (19352020)
Apr 18, 2020 10:04 AM
Philadelphia-born bassist Henry Grimes, revered for his work alongside jazz titans, died April 15 at the age of 84,
Nonprofit SFJAZZ is adding four Wayne Shorter tribute concerts to its Fridays at Five streaming series.
May 19, 2020 10:56 AM
The Bay Area nonprofit organization SFJAZZ is aiming to lend assistance to Wayne Shorter with a series of
Singer-songwriters Amanda Taylor (left), Sara Gazarek, Johnaye Kendrick and Erin Bentlage have formed the vocal group sje.
May 28, 2020 8:56 AM
For some vocalists, the impulse to collaborate with like-minded artists can result in transcendent music. A case in
Richie Cole (19482020)
May 4, 2020 4:40 PM
Richie Cole, a renowned saxophonist who was championed by DownBeat early in his career and whose passion for bebop-era
Romain Collin took this photo from a cabin in Iceland, where the pianist stayed for weeks during the coronavirus pandemic.
Apr 21, 2020 8:55 AM
With the coronavirus pandemic spreading around the world, the United States government on March 11 announced tight
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Matthew Shipp's Steady Diet Of Improv And Hard News - downbeat.com
Listen: The Empty Promise of Vitamins – The Atlantic
Hamblin: If you can add a multivitamin and not change anything, then go for it. Whatever. I mean, you might waste your money.
Wells: Is there really no science behind a vitamin being good for you?
Hamblin: Not unless you have a deficiency in any of those areas.
Wells: And do people generally have deficiencies? Does our modern diet mean you have some deficiencies?
Hamblin: No, you need so little. And anything that you would be likely to get deficient in, we fortify. Even pastas and cereals, theyre fortified with vitamins in case you do just eat packaged foods all the time and never eat fresh produce.
Wells: Youre telling me that, like, my Cheerios have a multivitamin in them?
Hamblin: Oh, yeah. Theyre loaded with vitamins. The reason theres vitamin D in milk is because we add it to the milk. We found ways to make an ultra-processed diet that would avoid vitamin deficiencies. And thats actually a problem for us.
Wells: So our diet is already basically the equivalent of a multivitamin, where weve just randomly put vitamins in the crap we eat?
Hamblin: Thats what fortification is. Its one of those things that is sort of like oxygen. You are getting enough and getting more is not going to help you. The one outlier in the coronavirus-vitamin discussion is vitamin D. Theres almost nothing in our diet that gets us vitamin D. It shouldnt even be called a vitamin, in my humble opinion.
Wells: What is the definition of a vitamin?
Hamblin: There is no definition. Its derived from this marketing term, vital amines. We thought they all had an amine group on them and turns out they dont.
Wells: Thats what vitamin is?!
Hamblin: Yeah. A great book on this is Vitamania, by Catherine Price. It goes into the whole supplement industry and how these ideas started.
Wells: What are vitamins?
Hamblin: Its a random smattering of compounds. We call them micronutrients, as opposed to, say, macronutrients like fats, carbohydrates, and proteins. Micro- nutrients are these tinier ones, which you need, like, the amount of the head of a pin every month. Most of them occur in food. Vitamin D is one that doesnt. You make it yourself being out in the sun. And you dont need a lot, just a few minutes.
There is not evidence that laying out and tanning is good for you. Thats still a major cause of skin cancer. As long as you have some exposure, even just sitting near a window, that should be fine. But there are some serious researchers who believe that there are people who are in a gray area, who might not be getting enough vitamin D, especially when told to stay home. When youre really limiting outdoor exposure, it could be good to take a supplement.
Wells: So its not that vitamin D somehow fights off the coronavirus. Its that if you dont have enough vitamin Dand there could be a slightly elevated percentage of people who dont have enough vitamin D, because were all staying inside a lotthen your immune system can get all wacky, and therefore you would want to take a supplement. What about vitamin C? At the beginning of this, I was taking a vitamin C supplement every day.
Link:
Listen: The Empty Promise of Vitamins - The Atlantic
Will keto craze be among things that won’t survive pandemic? – NutraIngredients-usa.com
Susan Kleiner, PhD, has been a practicing clinical nutritionist in the Seattle area for years, and is also one of the founding members of the International Society of Sports Nutrition. Kleiner has consulted with a number of athletes as well as private individuals and says that based on what she has seen, the keto craze seems to be on its downward curve.
In the world of athletics at least, meaning competitive athletes or serious recreational competitors, Id say the keto phase has hit its tipping point, Kleiner told NutraIngredients-USA.
My barometer is how busy my practice is with people coming in asking about various things. It started years ago with the zone diet. They werent on that long. Initially they did quite well and then later not so much. And then they were on to the paleo diet. Then it was on to keto and they were getting on that bandwagon, she said.
Proponents of the keto style of eating can sometimes engage in debates about which products truly deserve the title. The dieting philosophy calls for extreme restriction of carbohydrates to force the body to enter ketosis, or a state in which it is preferentially burning its fat reserves for fuel.
While there may be disagreements about whether some products using the word keto on the label are truly helping consumers reach that goal, Kleiner said there is no disagreement about what the state is and how to measure it.
There isnt any argument in the scientific community about when you are in ketosis. It means your blood ketone levels have hit very specific values, Kleiner said.
The process of using fat instead of carbohydrate for fuel produces an incomplete oxidation and leaves ketone bodies left over. You have much higher levels of these when you use fat as your primary energy modality.
You see the levels of acetone, acetoacetate and beta-hydroxybutyrate in the blood rise. Of these three we measure the last two and when the levels hit 3.6 and 4.7 in the blood stream respectively you are said to be in ketosis, she said.
While some consumers have reported promising weight loss results using the diet, Kleiner said it has not proven to be a winner for competitive athletes.
You had athletes getting on that bandwagon. They would find that in the offseason theyd lose weight. Then they found that when they entered their competitive season theyd hit the wall and theyd end up in my office because some coach sent them, she said.
Kleiner said that high intensity exercise and severe carbohydrate restriction just dont mix. Athletes who have cut their carbs down to the 50 grams or so a day required to enter and maintain ketosis found that their perceived rate of exertion during workouts went up, but their actual power output declined.
In some sports where power to weight ratio is important like cycling or distance running people would find an initial performance boost because theyre lighter, but thats because their power hasnt dropped off yet, Kleiner said.
Kleiner said one that that is poorly understood in the general public about the ketogenic diet is that is does not necessarily mean higher levels of protein. While keeping to less than 50 grams of carbohydrate is difficult, adherents of the diet cant fill in with more protein, Kleiner said.
Your body wants carbohydrate. If you have too much protein your body will cleave off the nitrogen moiety that makes protein protein and use it as a substitute source of carbohydrate, she said.
Kleiner said low carb eating styles may have a place in a periodization scheme. Periodizing diets is something she said she has advised her clients on for years, and brief spates of carbohydrate restriction could be a tool in that toolbox.
But Kleiner said in general, restrictive diets just cut out too many useful, important nutrition sources. The current baking craze has reawakened people to the basic physiological principle that eating the right kind of carbohydrates just makes you feel good.
Americans have been eating too may carbs, and too many carbs from the wrong sources. But we know that a diet that is less than 40% carbohydrates can raise your risk of depression. People seem to have decided that a restrictive eating style in this time when our lives are already so restricted is just too much, she said.
As for the future, Kleiner said she thinks the keto star may be setting. In talking with her practicing nutritionist colleagues, she said its prevalence seemed already to be on the wane before the coronavirus crisis took hold.
Im not a soothsayer in this, but my sense is that coming out of the other side of this crisis that the keto side of the coin may not have as much promise as it once had for sports nutrition manufacturers, Kleiner said.
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Will keto craze be among things that won't survive pandemic? - NutraIngredients-usa.com
From Having A Dad Bod To Getting Ripped, Heres How Jinder Mahal Made The Transformation – MensXP.com
Alright, so before you guys start shouting STEROIDS! heres how Jinder Mahal had addressed the allegations of being on the juice in one of his videos on Instagram:
I'm sure some of you will suggest I don't, just so you can continue making "steroid" and "wellness policy" comments, without seeing the work that goes in. In an attempt to temporarily make yourselves feel better about the discomfort you have with yourself, as a result of all the work you are NOT doing.
WWE
WWE has raised no red-flags against Mahal for not respecting their Wellness Policy, and also the fact that the man looks like he can break a tree in half with his bare hands, makes me afraid of putting him under the spotlight without confirmed reports. So, I will not do that.
That being said, Mahal did undergo an unbelievable transformation. He went from looking like a typical dad whos given up on fitness and having a paunch to prove it, to looking like this:
Twitter - Jinder Mahal
What I am going to do here, is talk about the kind of workout routine and diet plan that he follows which not only made his abs appear stronger than bricks but also gave him a massive boost right to the top, and got him the WWE championship belt back in 2017.
WWE
In an interview with GQ Mahal spoke at length about what and how and how much he ate while under the transformation process:
Mahal eats every two hours.
Food portions with the caloric value of 350-400, 30 grams of carbs, and 30 to 40 grams of protein.
No overeating.
No alcohol or junk.
2 gallons of water every day (with branched-chain amino acids for muscle recovery and flavour).
Water/black coffee on empty stomach before morning cardio with magnesium supplement (to prevent cramps) and pre-workout.
Cheat Meals: Protein Pizza, a cookie.
Meal 1: One banana, oats with two scoops of whey protein mixed in water (after morning cardio).
Meal 2: One banana, oats with few scoops of whey protein mixed in water (post-workout meal).
Meal 3: White rice with chicken, turkey or tuna (around lunchtime).
Meal 4: Brown rice or whole-wheat pasta or sweet potatoes with salmon filets or cooked chicken breasts.
Meal 5: Brown rice and seared Ahi tuna.
WWE
The WWE star trains six days a week with one days resting period. His workouts normally last for 90 minutes followed by 30 minutes of stretching.
He doesnt like to train with heavyweights as he wishes to put less pressure on his joints.
Back Workout
Deadlift
Lat Pullover
V Grip Pulldown
Zeus Row
One-Arm High Pull
Bar-Bell Rows
Arms:
Barbell Tricep Press
Seated Bicep Curls
Skull Crushers
Hammer Curls
Core:
Landmine Barbell Oblique Rotations
Cable Wood Chop
Medicine Ball Throws
Cardio (On Dual Action Exercise Bike)
Leg Raise
Shoulder:
Shoulder Press
Upright Barbell Row
Battle Rope Waves
Sledgehammer Swings
Kettlebell Swing
Shrugs
Chest:
Low cable crossover
Barbell bench press
Dumbbell bench press
Butterfly
Dumbbell fly
Barbell rear delt row
Legs:
Seated Leg Curls
Leg Press
Squats
Hack Squats
Standing Weighted
Photo: WWE (Main Image)
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From Having A Dad Bod To Getting Ripped, Heres How Jinder Mahal Made The Transformation - MensXP.com
‘Nature Is Trying to Tell Us Something’ – Earth Island Journal
Photo by Kris Snibbe / Harvard UniversityZoe Loftus-Farren
Find more of our Covid-19 coverage.
Western medicine isnt particularly well known for its holistic focus. While there are some exceptions to be sure, they are relatively few and far between. For the most part, physicians address the medical problem in front of them. They dont have the tools to facilitate access to the things that can help people stay healthy, like fresh food, safe housing, or clean water.
Aaron Bernstein envisions a different medical model. As interim director of the Center for Climate, Health, and the Global Environment at the Harvard T.H. Chan School of Public Health, hes working to bridge the gap between medicine and public health, such that doctors, hospitals, and insurers might begin to look beyond immediate problems to their root causes, particularly environmental ones. To continue to have this unfortunately clear line between public health and medicine is a disaster for our health, and is a disaster for the environment, he says.
Blurring that line, on the other hand, offers win-win solutions to both public health problems and climate change. And in the context of the Covid-19 crisis, which has clear ties to the environmental destruction were wreaking on our planet, Bernstein points out it can offer solutions, too.
In an early April phone call, Bernstein told me about the resistance he met when first trying to bring environmental issues into the medical realm, what he sees as some of the best ways to incentivize more environmentally conscious medicine, and why now is the time to penetrate this delusion that were floating above the rest of the web of life on earth.
As a physician, how did you first become interested and involved in the intersection between health and climate and environment?
I actually learned about climate change for the first time in seventh grade, which in my cohort was, Im sure, unusual, but I clearly had a very forward thinking and on-top-of-the-science teacher. That was the first time I was interested, but I didnt think about it very much until I was in college [where] I had some lectures from Stephen Schneider, who was a very well-known climate scientist. And he made it into a really compelling thing to know about.
I decided to go to medical school for a variety of reasons, which included an interest at that point in thinking about how environments matter to peoples health, and [I was] frankly somewhat nave to the reality that medicine as a profession is pretty disconnected from environmental concerns. When I got to medical school, I realized that there might be an interesting marriage to be had between climate change and health. And when I went to [talk to] some folks from medical school about this, the answer I got was best captured by our Dean who said, Ari, youre trying to fit a square peg into a round hole. The message was clear. And so I wrote back to some of my college professors and said, Is anyone you know really trying to work on this issue? And thats how I got to the center that Im directing today.
How do you think that we can build a more intersectional approach to climate change and public health? How do we get more doctors engaged on the issue?
Theres a pretty, I would say unfortunately, clear line between public health and medicine, in my mind, and I think that reflects the broader world.
People who are engaged in public health are primarily interested in preventing problems. Thats what they do. They work to make sure that people dont have to see doctors. And doctors, while certainly concerned about things that contribute to ill health, are frankly mostly interested in dealing with problems after they arise. Thats not to say that doctors dont advise on cigarette smoking, or diets. But you know, physicians learn almost nothing about diet. And they learn even less about environmental determinants of health.
So, the reason for that, of course, is that physicians are paid to treat people after theyre sick. Theyre not paid to keep people healthy, really. Thats changing slowly. But, you know, one thing thats immediately clear from either the $2 trillion-plus were spending on Covid, or the $3 trillion we spend every year on healthcare expenses, [is that] we are we are really suffering under an unbearable weight of preventable disease in this country. And so to continue to have this unfortunately clear line between public health and medicine is a disaster for our health, and is a disaster for the environment.
And the crazy part is, we would be so much better off financially and in terms of our health if we essentially incentivized our healthcare system and devised ways to do everything we can to keep people healthy.
Do you have specific ideas around the best kinds of incentives?
For one, if you look at the preventable burden of disease in the United States, there is some share of it that is way upstream of what happens in a clinicians office. Things like our built environment. The fact were sitting in cars for long periods of time is enormously unhealthy. The [low] price of food that is enormously unhealthy for us. A clinician is not going to address those.
But we can start by, for example, educating clinicians about diet. I mean, most medical students in the United States, maybe they have six sessions on nutrition over four years of medical school, if that. And obesity affects a third of adults. Its a huge driver of disease.
Part of it is also about engagements between healthcare and other sectors of society, and the incentives that are in place to collaborate. A good example is housing. We know that housing is a major determinant of health, whether you have stable housing situation or not, whether the air quality inside your house is good or not, whether theres a leaky roof or not. And I could go on. And we see children who have housing instability, who have poor environments, and who have much greater medical needs. And those costs right now are essentially being borne by health insurers and people paying health insurance premiums. And doctors make more money when they see kids with asthma exacerbations, because they get paid every time.
Now insurers have gotten wise to this, so theyve said, well, were not going to pay you so much if the kid keeps coming back, well pay you less. And that sort of puts the onus on providers to somehow figure out how to keep these kids healthy. But theres no immediate connection between the causes of that childhood asthma which could be that they living next to a freeway with air pollution, that they have mold in their house, that they have rodents, you know, all these things and the ability of a healthcare system to actually do anything about them.
There are innovative ways, though, to bridge that [gap]. And a good example of that is in Ohio, where, essentially, theres an arrangement with insurers and providers such that insurers carve out a certain amount of money for each person that theyre insuring, and give it to a healthcare system. And then the healthcare system essentially makes more money if theyre able to keep people well. Now, a perverse incentive there might be just denying care, and people get sicker and dont get the care they need. So you have to do this in ways that simply dont result in people being denied access. Done well, it leads to things like that money being spent to improve home weatherization, which decreases energy bills and decreases fossil fuel emissions, because, of course, homes and buildings contribute a huge amount to how much energy we use. And it improves housing stability.
There are [also] lots of innovative programs around nutrition, about not just telling people what to eat, but giving them access in, for example, healthcare settings, to farmers markets, to pre-made meals, to learning kitchens, to programs that are designed to improve peoples lives in ways that dont increase food bills.
And I might add, in both of these examples, nutrition and home weatherization, these are climate solutions. So, you know, its this extraordinarily win-win situation.
Since the Covid-19 pandemic began, youve been drawing attention to climate solutions that are also pandemic solutions. Are those similar?
At one level, its what I was just talking about. One of the reasons is that Covid-19 is particularly bad for people who have medical problems like heart disease, high blood pressure, existing lung diseases, and diabetes.
A large percentage of all those diseases are preventable. Type Two Diabetes, when I started medical school, was something that physicians didnt really know anything about. Its hard to believe in this moment in time, but it was so rare. It never happened. It was obscure. And so we have to recognize that over the last several decades, we have essentially changed our environments, in terms of how people can move around, and our diets, to create a huge burden of disease And preventing that will mean that when Covid comes, less people are going to die.
[Or look at] air pollution. The evidence that we have suggests that [exposure to] air pollution [increases the] risk of dying from diseases like Covid. Thats not based on direct evidence from Covid. Its based upon diseases like SARS, which is a coronavirus very similar to Covid, and influenza viruses. And of course, burning fossil fuels contributes the lions share of carbon pollution. So a climate solution is a pandemic solution.
But there are other ways as well. We need to recognize that diseases like Covid that are popping out of the woodwork, so to speak, are happening more often. And theyre mostly happening from spillover pathogens from wildlife into people. When you look at whats causing that, it is overwhelmingly because of habitat destruction, usually deforestation, usually for agricultural purposes. So, one of the solutions to climate change is preventing deforestation. Preventing deforestation is also going to affect our risk of pathogen emergence.
We also know climate change is driving animals to move towards the poles and up mountainsides. That, combined with shrinking habitats, may be increasing the spread of potential pathogens among wild animal populations.
Weve seen the effects of this in chimpanzees in Africa. People have been able to provide them sanctuaries, but these are a fragment of their original habitat. And Ebola is ravaging chimpanzee populations because theyre in increasingly close quarters. Is that happening with the bats in Asia that are driving emergence of things like SARS and Covid? We dont really know yet. But, you know, based on first principles, cramming them together in smaller spaces probably isnt helping. This is one way in which dealing with climate change, may, in fact, help us prevent disease emergence and pandemics.
Here in the US, a vast majority of the population lives in urban areas, largely separated from wildlife and wild places. How do you think that we make can make this connection more tangible?
Frankly, with Covid, nature is really trying to tell us something. Its trying to remind us that our lives are inseparable from the lives of the other organisms we share the planet with. And I think that affords an opportunity to penetrate this delusion that were floating above the rest of the web of life on Earth, that were somehow separate from it.
I think there are other ways too. I think its particularly important in primary education to make sure that our children are learning about the connections between people and other life forms. Im a big fan of schoolyard gardens for that reason, so students grasp and grapple with the reality that growing food is not the same as getting outputs from a 3D printer. There are forces that we dont immediately control that can really affect the likelihood of the food thats planted actually giving us something to eat.
Im a big proponent of access to green spaces in cities where children are living, particularly children living in most disadvantaged parts of our cities.
Do you think theres a way that we can build on the Covid-19 response in terms of taking action on climate change at this time?
We have to be talking about climate change, and for that matter, the biosphere, right now, in the same way as if you had a heart attack, and are in the process of recovering, you know, thats exactly the time that we talk about diet and smoking and exercise and all the things that prevent further heart attacks. This is exactly the time we want to be in conversation.
Again, were spending $2-plus trillion on the economy. Shouldnt we be spending those dollars in ways that will provide us a path forward rather than a path backward? And by a path backward I mean, you know, doubling down on technologies and infrastructure and energy sources that have gotten us into the mess were in right now.
Are you hopeful about that, given the current administration?
I think people overestimate the current administrations influence, or for that matter, any administrations influence on this. If you look at the states with the highest penetration of renewables in terms of their overall electricity production, its not the states people would think. Its places like Kansas, and Iowa, and Nebraska.
And thats because renewables are abundant there, particularly wind, and theyre cheap. If theres any reason to be optimistic, its because of renewables in the heart of the country, or the automotive industry pushing, despite whatever the administration is doing, for greater fuel economy, or the recognition by everybody that cars that have electric motors are better performing cars, and dont put out air pollution thats going to make your kids sick with asthma Theres also the reality that people are eating less red meat in this country than theyve ever eaten. You know, were seeing this.
Would it help if we had a coordinated national action on this, of course it would. But I think its important to bear in mind that the federal government has really never led on environmental concerns.
I think theres lots of reasons to be optimistic, and I think the actions that states are taking are going to push on the federal government to really do more, because otherwise, youre going to have places like California having one set of standards and other states or regions having another set of standards, and the private sector is not going to be able to deal successfully with those alternate realities. I do think its critical that we work in our cities and states to really advance
This interview has been edited for clarity and length.
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'Nature Is Trying to Tell Us Something' - Earth Island Journal
June: insect crunching reptiles | News and features – University of Bristol
By analysing the fossilised jaw mechanics of reptiles who lived in the Severn Channel region of the UK 200-million-years ago, researchers from the University of Bristol have shown that they werent picky about the types of insects they ate - enjoying both crunchy and less crunchy varieties.
The study, published today in the journal Palaeontology, describes how the team analysed the biomechanics of the skulls of some early lizard-like reptiles called rhynchocephalians to explore their diets.
Around 200-million-years ago, the Severn Channel area in southern Wales and south-western England was in tropical waters, and these surrounded a system of islands that were inhabited by dinosaurs and diverse small lizard-like reptiles.
The area was further south than it does today, at about the same latitude as Morocco. The sea level was higher, meaning that the peaks of limestone hills south of Bristol and in South Wales formed islands, rather like Florida today.
The islands were inhabited by dinosaurs, early mammals, rhynchocephalians and many other fossil reptiles, feeding on the rich, tropical plants and insects.
PhD student, Sofia Chambi-Trowell, from Bristols School of Earth Sciences, worked on CT scanned skulls of these ancient rhynchocephalians and found differences in their jaws and teeth.
She said: I looked at skulls of two closely related species of Clevosaurus, Clevosaurus hudsoni and the slightly smaller Clevosaurus cambrica the first one came from a limestone quarry near Bristol, and the other one from South Wales.
Clevosaurus was a lizard-like reptile, but its teeth occluded precisely, meaning they fit together perfectly when it was feeding. But what was it eating?
The team found that Clevosaurus had bite forces and pressures sufficient to break down beetles, and even small vertebrates easily, suggesting they could have taken the same prey items as the early mammals on the islands. Calculations of muscle forces show that Clevosaurus hudsoni could take larger and tougher prey than the more slender jaws of Clevosaurus cambrica.
Project Supervisor, Professor Emily Rayfield, added: We wanted to know how Clevosaurus interacted with the worlds first mammals, which lived on the Bristol islands at the same time. I had studied their jaw mechanics a few years ago, and found they had similar diets, and that some fed on tough insects, others on softer insects.
Co-author, Dr David Whiteside said: Our work is a great example of how modern technology like CT scanning can open up information we would not know about. It took a lot of work, but Sofia has uncovered a good explanation of how many species of Clevosaurus could live side by side without competing over food.
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June: insect crunching reptiles | News and features - University of Bristol
Drinking This Kadi Patta (Curry Leaf) Juice Every Morning May Promote Weight Loss And Detox – NDTV Food
Naturally Sweet Green Detox Juice: Starting your day with a quick detox is good for weight loss
Highlights
Juicing is an easy way to load up on nutrients that fruits and vegetables have on offer. Even some of the fussy-eaters, who may push the veggies to one corner of their plate, enjoy a glass of juice without much tantrum. So what is it about the juices, particularly green juice, that have fascinated the fitness enthusiasts. Green juice as you may have guessed is green-coloured juice, typically made with green vegetables, fruits and herbs. It is brimming with antioxidants and various nutrients. These juices help boost immunity, digestion and help you shed a kilo or two as well.
Macrobiotic nutritionist and Health Coach Shilpa Arora tells us it is a good idea to start a day with a glass of green juice; it could act as a sponge and flush out all toxins from your body. Starting your day with a quick detox may help amp up your energy levels and metabolism.
Kadi patta is available everywhere - it is an intrinsic part of Indian cooking. Just take 5-10 leaves and a glass of water. Blend the leaves in water and you will get this green liquid. If you do not have kadi patta, you can do the same with mint and coriander. A nice, green fresh juice made with these herbs is going to be very alkaline.
Also Read:Indian Kitchen Tips: Follow These Steps To Store Curry Leaves At Home For Months
Kadi patta is available everywhere - it is an intrinsic part of Indian cooking.
Kick-start your morning with this juice and give your body a nice dose of chlorophyll, which will provide the vitamins that are crucial for optimal functioning of our body. In the long run, it could help cut visceral fat (or belly fat) as well, Shilpa Arora adds.
Also Read:Curry Leaves Promote Gut Health, Manage Diabetes And More - Study (Curry Leaves Recipes Inside)
Kadi patta (or curry leaves) offers a wide gamut of health benefits. They are good for digestion. Good digestion is an integral component of sustainable weight loss. They are also good for heart, gut and diabetes management. If you have some time at hand, you can also blend some veggies like spinach or celery with your curry leaves. A dash of mint may lend some zingy freshness to the concoction. Blend it together, sieve and strain the juice in glass and drink up.
It has been emphasised often enough that diet and workout go hand-in-hand.
So make sure you complement your diet with a good work-out regime as well for quicker and more sustainable results.
(This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.)
About Sushmita SenguptaSharing a strong penchant for food, Sushmita loves all things good, cheesy and greasy. Her other favourite pastime activities other than discussing food includes, reading, watching movies and binge-watching TV shows.
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Drinking This Kadi Patta (Curry Leaf) Juice Every Morning May Promote Weight Loss And Detox - NDTV Food
Interracial couples on how they’re talking about race, love, and Black Lives Matter: ‘The conversation took a – Business Insider India
The killing of George Floyd, a Black man who died as a Minneapolis police officer knelt on his neck, as triggered a global conversation about racism, anti-racism, racial bias, police brutality, how non-Black people understand their privilege, and how to be an effective and genuine ally.
But for many interracial couples, conversations about race and privilege have always been part of their lives.
Insider spoke to two couples in interracial relationships on how they met, fell in love, and how race has influenced the way they navigate the world together.
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Chelsie, 30, and Bedford, 35, told Insider they didn't think much about race when they first started dating. While Bedford is Black and of Haitian descent and Chelsie is white, they both grew up in Utah which is 90.7% white, and both come from a Christian background. Bedford said that might have influenced their conversation on race as a couple. The only big question on Chelsie's mind when they first met was how Bedford would react to her having a son, which had been a dealbreaker with other dates.
"A little after we had started dating that someone had made a comment to me a little along the lines of 'Well, your kids will never look like you,'" Chelsie told Insider.
"I was like 'Isn't that crazy?' and he was like 'That's actually not crazy. I've had quite a few people break up with me for that reason. Just because their kids will never have blonde hair and blue eyes, their genetics don't necessarily shine through in that way.'"
Since getting married in 2014, they've had three more kids, and now work together as content creators.
We were all meeting at a restaurant and I got pulled over about a block from the restaurant, my family's there, her family's there, we were all together for a birthday.
Because I know that, more often than not, police officers are scared when they pull people over, and some of them are scared of me. So coming in and my wife wanting to fight, scream, yell, be emotional, I'm like "No, this is going to be a whole lot worse if we don't keep our heads."
Bedford: The riots are happening, and we're aware of it. It's disappointing that the riots are happening, but only because riots occur only when people aren't being heard. I understand people are frustrated with things being broken, but at the end of the day, it's been hundreds of years of a demographic, of a group of people who have not been heard.
We had a conversation and she said "Are you scared?" and I'm not anymore scared than I've ever been and I think that was kinda a turning point for her when she realized "this is the unsettledness that you feel all the time, this is how you feel."
Chelsie: I told Bedford, "My fear with the riots is it just makes the police more afraid of you." Because we were talking one time and Bedford said, "You know, it's hard as a police officer in this situation if someone's walking towards you, how much time do you give them to find out what their intentions are?" And that's what's scary for me because I was like, "Well, you have good intentions."
Bree Koegel, 31, met CJ, 35, her now-husband and soon-to-be father of their first child, through their work as fitness models for Wilhelmina.
"This isn't the first interracial relationship I've been, and Bree had known that," CJ said. "I think between her and I, there was this lack of us going into some of those deep conversations because I think we both automatically felt we stood on the same principles."
I look at it from my perspective and said, "Well, if I have things I need to unlearn, better believe the people above me in my family have things that they need to unwind too because they've gone through a lot of stuff in this world too."
I've watched after my conversations and how I saw certain things being handled. It's simple things that I saw like getting into my dad's car on the way to the store and when he turns the car on, it was on a station of a history channel based off of learning about the inequalities of the Black community.
It's difficult to look at your family and see things that you know need to be changed. There's some people in my family who didn't go to my sister's wedding based off of the fact that they didn't want her to marry a Black guy.
Bree: He was like, "I don't know why this is just hitting me different. I know that this happens, and I know that we've seen injustice caught on film before, but this feels different."
Then to see George Floyd days later, and the whole world's reaction, all of a sudden it didn't feel taboo or aggressive to post about it. It was like, "Oh no, you know what? This isn't just a problem inside our relationship to address, this is a problem the world needs to address. If we can expose our conversation to the world, and help them move this along, then by all means with these, our platform to do so."
I think these conversations with me now being empowered and me now, not really giving a cr-p about offending somebody, it's going to change the way that we engage in this world, for the better. And it's going change the way we engage as parents for the better. As scary as everything has been, I'm excited for the revolution, because of what it means for our child.
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Interracial couples on how they're talking about race, love, and Black Lives Matter: 'The conversation took a - Business Insider India