• Jun4

    Food as medicine has had a long history, but until recently in the U.S., it’s been seen as a sort of fringe element. A little scruffy, not very tasty, and honestly, a bit weird.

    Foodies often don’t like the idea because food should be about flavor, love, aroma, authenticity, personality and nuance. Or boldness. But certainly not clinical work. Sadly, only 1% of the attendees of the 2010 IACP’s Annual Conference identified themselves as nutritionists (I spoke…it was great!)

    And medical types often don’t like the idea because it seems too squishy, scientifically speaking. Pharmaceuticals are single, usually short-acting chemical compounds honed down to FDA approval. Food is so much more complicated, biochemically, than pharmaceuticals that it’s hard for even the sharpest scientists to identify the single variable which is causing the effect in food.

    And yet, the science has evolved dramatically over the past 15 years. The really great news is that physicians and scientists are getting it, and finally catching up to the public’s interest. Here, for example, is a TED lecture on cancer and food…just what the doctor ordered (culinary medicine, if you will!).

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  • May10

    Anyone who has been in gardening store knows the smell of synthetic artificial pesticides…it wafts into your nose and head as you are walking down the aisle towards the potting soil. That’s herbicide Roundup Ready, and its ilk, and there are now weeds and other plants that are resistant.

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  • Dec8

    The NY Times piece today describing “illegal concentrations of chemicals like arsenic or radioactive substances like uranium, as well as dangerous bacteria” in over 20 percent of tap water in the U.S. has people wondering: is my tap water contaminated? Is my health in danger?

    And could it have caused cancer/asthma/birth defects/obesity in my family or neighbors?

    A quick way to find out: click on your state on the EPA map.

    The Times reports “a system could deliver tap water that puts residents at a 1-in-600 risk of developing bladder cancer from arsenic, and still comply with the law.” Great!

    One answer: Filter, filter, filter.

    I use a Brita Filter Pitcher because it needs new Brita cartridges only every 2 months; my Mom, always ahead of the curve, uses a Pur Pitcher and Pur Replacement cartridges. every 40 gallons.

    Missing: the source of contamination. The fix is personal, not just public. That’s true for most personal health.

    Take your leftover household chemicals, paints and electronics to a hazardous waste disposal site. Pharmaceuticals too: trace concentrations of antibiotics, seizure meds, mood stabilizers and sex hormones have been found in 24 major drinking water systems. Learn about drug take-back.

    What do you do with Rx drugs? And to keep Your water safe and clean?

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  • Oct13

    Filled with flavor, anti-inflammatories and in every yellow curry in the book, turmeric is not just for mustard coloring any more.

    In fact, culinary medicine–the art of cooking blended with the science of medicine– is one of the great bargains of our time. That’s essential in these times where value seems gone and security is scarce. And it’s as easy as learning a little about cooking, about what’s in your food, and what it can do for you. See my ChefMD’s Big Book of Culinary Medicine for more.

    For example, in a recent treatment study, the spice turmeric had effects on cytokine levels and on enzymes in some pancreatic cancer patients. Not the same as a remission, but on the way.

    Turmeric was safe and there were no side effects. One patient had a brief remission. Curcumin–the active ingredient inside–has promise.  But curcumin is not well absorbed–it has poor bioavailability. The subjects took 8 grams per day for 18 months.

    Bioavailability just means “body-ready”.  The body has to absorb the curcumin for it to attack cancer cells. It’s a term I apply to food…not just pharmacology.

    I wonder if they know what so many Indians do—add black pepper to their curry.  Not just because it tastes good.  But it also happens to improve the body-readiness of curcumin.  Why? It’s the piperine in black pepper. Piperine gives black and white pepper pep; stimulates pancreatic digestive enzymes; and increases absorption, perhaps as a result of its effect on the ultrastructure of intestinal brush border.

    By the way, turmeric is a rhizome (an above-ground root), like ginger.  And it looks like ginger: fingers of bright yellow goodness grated into Indian dishes, or dried into a powder.

    The next scientific step is a randomized, controlled trial of not just safety, but real effectiveness. And though these patients took curcumin in a pill, you can get it every day in the spice turmeric, and in every yellow curry, and some mustards (it’s used for coloring).

    By the way, curcumin is best known for its potential to reduce inflammation and the risk of Alzheimer’s: India consumes most of the world’s turmeric and has one of the lowest rates of Alzheimer’s.

    Read the entrance criteria and the full abstract. And try my ChefMD  Coconut Milk Curried Shrimp with Turmeric with free video, nutrition data and extra value!

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  • May6


    Read reviews and features on Amazon.com.

    In early 2007, Nicholas Genes interviewed me for Medscape about blogging, which not all physicians have taken to eagerly. He writes well and started Grand Rounds: read his blogborygmi. He asked:

    “Dr. Genes: Do you ever run into trouble when you headline a post with something like “strawberries are helpful for joint pain”? Do you get irate letters from disappointed arthritic patients who had been hoping for a miracle?

    Dr. La Puma: My job is to help people choose what’s good for them. When you tell patients that strawberry extracts have been shown to inhibit COX enzymes, or that donut glaze is sweetened Crisco and that it raises non-HDL cholesterol, or that fish oil lowers triglyceride levels, patients love it and want to know and do more.

    My patients are smart; they know that a strawberry isn’t an ibuprofen tablet, and that too many of either will make them sick. But if they have a chance of doing something good for themselves besides taking their medication, with a simple change of food, they jump. It’s confidence-building and easy.

    Dr. Genes: On the other extreme, do you find that some doctors criticize or dismiss your approach because you didn’t go straight to labs, imaging, and meds? Or because you’re citing less well-known, maybe smaller studies, perceived as out-of-the-mainstream?

    Dr. La Puma: As long as the peer-reviewed science we cite is solid, most physicians understand that I am trying to motivate people to control their own health and be responsible for what they choose. You really can improve your energy level, your sleep, your wound healing, and your quality of life with what you eat.”

    This new book helps you make look and feel better and healthier, just with what you eat. Enjoy!

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