2010-03-30

LCHF, pregnancy, childbirth, breast-feeding and hypothyroidism

Elisabeth:

Today I recieved this message from one of my readers:


"Anonymous said...
Hello! I am due to give birth in two weeks and I have put on quite a bit of weight... so I was thinking of starting the LCHF diet as soon as my baby is born.
Now, I have a thyroid problem (hypothyroidsm) and I am not sure this will work for me? Have you had any experience wuth people that have succeeded (or not) with the LCHF diet despite of their hormonal problems?

Thanks!

PPG

30/03/2010 11:36 "


My answer is that you don´t have to wait starting LCHF diet until you have given birth to your baby. You can even start LCHF diet immidiately because it is beneficial both for you and for your yet unborn baby. I don´t know if LCHF affects the taste of the breast milk negatively. You will probably notice if the baby would occur to refuse the breast. If so would be the circumstances, you can wait with LCHF until you have quit breast-feeding. If you find no problems with the breast-feeding when you are on LCHF you just can go on with it.


According to your hypothyroidism, LCHF is the best diet for you. I have hypotyroidism myself and have weight problems due to it but actually the LCHF diethas helped me to control the weight gain and now I am beginning to loose weight by LCHF.

I have another personal aspect on hypothyrodism. Normally people with this metabolic problem put on weight before they recieve adequate treatment for it. But a very few of them don´t put on weight before their treatment and instead put on weight when treatment has begun and one of these people I am. My weight was normal before my hypothyoidism was treated and instead I began to put on weight after having started the treatment. I also know people who have faced this same problem also.


The answer to it is probably that the most common treatment of hypothyrodism is supplement of syntetic T4 hormone (levothyroxine). It is not clearly explained why some patients put on weight by syntetic thyroid hormone T4.


My personal theory is due to the fact that the thyroid produces 4 hormones which are hormone T1, T2, T3 (liothyronine) and T4 (levothyroxine). I am certain about a possibility that supplying only one of 4 thyroid hormones is a too poor treatment for the body and therefore changes the bodily balance in a negative way.


To those patients who experience weight gain after having started treatment with syntetic T4 hormone are often helped by changing over to natural thyroid supplement made of thyroid from pigs.

The advantages with these natural thyroid supplements are that they are natural and the body "recognoises" them as if they were produced by the own body. They also supply with all the thyroid hormones T1, T2, T3 and T4 instead of T4 hormone only. Of course this treatment method obtains bodily balance instead of destroying it.


After a little more than 2½ year of treatment with syntetic t4 I gave it up and changed over to this natural hormone supplement called Armour Thyroid instead which was a big change for me.

As long as I was medicated on barely syntetic T4 hormone I went on gaining weight undependent on which kind of diet I was on. I even put on weight by LCHF. Then I changed over to natural thyroid hormones and the first thing which happened was that I stopped gaining weight. Thus with the combination of LCHF and natural thyroid hormones from pigs I began to get control over my weightgain and now after about 9 months on the natural hormones I am finally beginning to loose weight.


My advice to you, who wrote this message to me, is that you can control your weight with LCHF, maybe even successfully. Actually this kind of hormonal and metabolic disorder makes makes it hard for the body to tolerate carbohydrates without weight gain and other negative health consequences. Therefore, in such a case LCHF is the very best diet. In fact high level of carbohydrates in diet slows down the thyroid function which is not beneficial to hypothyrodism patients. On the contrary high level of lipids in the diet supports the thyroid function.


If you despite of LCHF would not succeed in losing weight, don´t blame the diet or yourself! In that case you should instead reflect over which treatment you have. Are you medicated on syntentetic thyroid hormons? If so, this can be the reason for not losing weight. So if weight loss problems would occur and if you are medicated with the syntetic hormones, try to persuade your doctor to prescribe natural hormone substitute instead. These supplements are laid with prescription from your doctor and in some countries (in all EU countries for instance) you must even have, beside your doctor´s prescrition, a license or allowance to bring the medicine into your country.


These natural thyroid substitutes from pigs are sold under some different brand names, for instant NaturThroid, Armour Thyroid, Erfa Thyroid and a brand from Thailand named Thiroyd.


These are the guidelines I can give you and I wish you good luck with your childbirth and your weight control!



http://www.digeus.com/products/snapit/snapit_screen_capture_3_5.html

2010-03-17

The new flu

Written by Annika Dahlqvist on 16 March, 2010 at 17:20


Jewels of articles and links from Läkartidningen http://www.lakartidningen.se/07engine.php?articleId=11959


No increase in risk by Guillain-barré


In 1976 an increase of the number of cases of the neurological disease Guillain-Barré occurred after the mass immunization against swine flu. They have so far not seen such after the current immunization. It is good so far. But perhaps a ”second wave” of Guillain-Barré?


When I worked as a district doctor, I met many people who felt that they were sick of the vaccine against seasonal flu. I have also now received phone calls and mail from people who feel convinced that they or their children have become sick by the new vaccine. If they had not been vaccinated, they had not had to ponder whether the vaccine had caused their illness. It is also a side effect of the vaccine.

2010-03-14

The quote was from Aftonbladet

Written by Annika Dahlqvist on 12 March, 2010 at 15:41



In the justification for the Confuser Award http://vof.se/visa-folkbildare , the board by Aija Sadurskis that the quotes against me are taken from my blog, because she is aware that the wordings in the press can be misquotes.



I e-mailed her and asked, therefore, where in my blog, she had picked up the quote:”If you eat a proper diet don’t get cancer.”
She e-mails me now that it is taken from the Aftonbladet article.
VoF board should now go out with press release that the Confuser Award is based on quotes from Aftonbladet.



A friend forwards an e-mail now from Aija, after having asked her about the justification for the nomination:



Hello!
Annika Dahlqvist´s statements in her own blog is a basis for our decision.
Friendly
Aija Sadurskis

2010-03-13

LCHF on Tasteline

Written by Annika Dahlqvist on 09 March, 2010 11:34



Now Tasteline has come with a LCHF menu http://www.tasteline.com/Halsa/GI-Guiden/LCHF-till-vardags/



However, they write:
"The brain needs glucose and fruit that which are more or less forbidden if you follow LCHF contain many protective substances that we should have in us. They may be more appropriate to try the diet as a jump-start for a shorter period than top exclude carbohydrates for a long time.”



The brain does not need carbohydrates in the food. We produce blood sugar ourselves through”gluconeogenesis” if we don’t add carbohydrates. If insulin is low, the pancreas produces hormone Glucagon which stimulates the liver to produce glucose, blood sugar. It then uses the lipid and protein intake, primarily, for its glucose production. The brain then may always get the need for a stable normal blood sugar.



On the other hand, I think we can eat a normal amount of vegetables that give us vitamin C, and the flavour and colour to food. There is nothing beneficial in the fruit that is not also found in vegetables, which contain only a fraction of as much sugar as in fruit.

New Cholesterol-lowering drug in preparation

Written by Annika Dahlqvist on 11 March, 2010 at 09:20



New treatment lowers blood lipids, article in Dagens Nyheter http://www.dn.se/nyheter/vetenskap/ny-behandling-sanker-blodfetter-1.1059192



It is a”thyroid-like” substance that you intend to use.
Hypothyroidism, malfunction of the thyroid gland, usually goes with high Cholesterol. It is therefore logical that thyroid hormone drugs can lower Cholesterol.



If this is good for health or not, remains to be shown. The only way to prove it is through monitoring of hard endpoints, ie the frequency of illness and death in comparative studies. Cholesterol is of no values in this when they have no connection with health.



Preferably they should explore epritirome-treatment in comparison with LCHF diet, because it is the only diet that really has shown efficiency in the hard end-points of cardiovascular morbidity. “The Karlshamn study for 44 months” http://www.nutritionandmetabolism.com/content/5/1/14

The Vegetarian Myth

Written by Annika Dahlqvist on 13 March, 2010 at 20:27


I have now read”The Vegetarian Myth by Lierre Keith. The author was a vegan for 20 years and became very ill due to malnutrition.


She writes about how agriculture depletes the soil. The vegetarian myths. The problem how to feed the world’s people without continuing to impoverish the soil.


It is a wonderful, interesting and thought-provoking book.

2010-03-12

A dietician´s lament

Written by Annika Dahlqvist on 10 March, 2010 at 20:36



Anna JD Jacobsson has quoted a comment from a dietician in her blog http://annajdjacobsson.wordpress.com/2010/02/27/dn-dietists-klagan/ .


She writes” …stone-age man ate unsaturated lipids from wild animals”. Where has she found that wild animals contain more unsaturated lipids?



"To guzzle down lipids from dairy products”. Why writing that we are guzzling down lipids? We eat lipids from dairy products, but only in the quantity we need, not gluttony.



"Abandoning the carbohydrates your body becomes acidic and breaks down protein stores. In the beginning you feel high on toxins, but in the long run, it is deadly….risk of heart failure and impotence”.



Where did she find the scientific basis for the allegations?

2010-03-10

Personalized dietary guidelines

Written by Annika Dahlqvist on 05 March, 2010 at 13:21



On a lecture the other day I had a dietician in the audience. She claimed, among other things that nutritionists are giving patients “individually tailored dietary guidelines”. We have heard that like a mantra from other sources. One wonders then: Who should be advised to eat Becel and who should be advised to eat butter? Who should eat low lipid and who should eat more lipids?



I also provide personalized dietary guidelines. Everyone should eat a generous amount of natural lipids. Those who work very physically should it more lipids than those who do not. Everyone should neither too much nor too little, those who work physically need even more protein. Everyone should eat neither too much nor too little of vegetables.



Those who suffer from obesity, metabolic syndrome, Type-2 diabetes, Type-1 diabetes, IBS with several diet-related diseases will pull down the carbohydrate intake as low as reasonably possible. This means only the carbohydrates contained in a moderate amount of above-ground vegetables.



Those who are healthy, slim and physically active can eat more carbohydrates, but the important thing is that they have most of the energy intake in the form of natural lipids. Then they are not running the same risk of metabolic disease in the future. No one should eat junk food, including additives, Omega-6 oils and margarines.

2010-03-08

Vegetable and/or animal Omega-3?

Written by Annika Dahlqvist on 08 March, 2010 at 08:52



I have been taught that it is the animal long-chain Omega-3 that we need to get out more. Mainly through lipids from grass-grazing animals and wild-caught fish. Among other things Jenny Reimers http://www.matfrisk.nu/images/naturligmat_jennyreimers.pdf has taught me this.


Kenn Hallstensen wrote in an article in ”Mat og helse (Nov -08) http://www.matoghelse.no/helse/2008/10/22/bortglemt-omega-3-fettsyre.aspxom that we need more of ALS short-chain plant, for example from flax seed. What is true?



It should then undertake a study to compare the health effects of long-term effects of flaxseed oil and fish oil. Biopsies of adipose tissue does not feel like sufficient evidence.



Of course it agrees best to the evolution that we shall have lipids from grass-grazing animals and fish, as it is our original food. Not flax seed oil. I received a reply in another forum:



Studies show that the body can convert a decent amount (at least enough) of short Omega-3 to long (EPA) if you are not charged with a lot of Omega-6 – but the transformation to the really important lipid, DHA, is clearly inadequate for some unknown reason. We can’t live healthily on short Omega-3, or at least not until someone shows that we somehow can fix the conversion with adequate quantities.

2010-03-06

New cooking oil is on the way.

Written by Annika Dahlqvist on 6 March, 2010 at 14:39


In a press release from the University of Lund, http://www.lu.se/o.o.i.s?id=1383&visa=pm&pm_id=1313 , one can read about Julia Svensson´s new cooking oil.


She will mix and randomize rapeseed oil and flax seed oil, and thinks that there should be useful new cooking oil to the people.


Flax seed oil contains high percentage of vegetable short-chain Omea-3. Rapeseed oil also contains a relatively high proportion of short-chain Omega-3. There is grass grazing animals which can transform into animal long chain. Then we eat herbivores, and have access to an animal Omega-3 that we need. Short-chain Omega-3 is only aggressively oxidizing, which is inflammation-inducing for us.



Moreover, we do not know what the randomization process biologically affects the human body. So one can only hope that they are testing the new oil in humans for many years with regards to disease and death before they start selling it to the public*. They may not live in the notion that Cholesterol is the only thing that matters for health.



* Elisabeth: This new cooking oil is already for sale over here. I actually saw it the other day. However, this cooking oil is only sold in Sweden as far as I know but I advise you readers in other countries to be on your guard against similar products because we don’t know yet about their effects on the human body.

Obesity day in Gothenburg

Written by Annika Dahlqvist on 11 February, at 13:52


Margareta Lundström, Gothenburg, has written an abstract:

”Doomsday is near”
A summary report of a public lecture on 2010-02-08 organized by the Sahlgrenska´s
”Center for Cardiovascular and Metabolic Research”


”Doomsday is near” someone bent forwards behind me and whispered in my ear when I left a lecture yesterday.” If we are to follow these advice, he continued. It was not a religious fundamentalist, but someone who became as excited as I am of what we just heard.
Carl-Johan Behre Chief of Obesity Clinic at Sahlgrenska University Hospital spoke on the subject “The risks of obesity and how do you do to reduce them”.


Ingrid Larsson, Clinical nutritionist, Ph. D., at the same Medical Health Center spoke on the subject ”Good and healthy food – what science says and how to avoid getting lost in the jungle of dietary guidelines”.


Behre began by saying that the WHO classified obesity as a disease. He also stressed about how strong force hunger is and how difficult it is to master. After then came an account of increase of obesity and sprawl in the U.S. and in Sweden. All diseases and complications which caused by obesity were described. In this context the alarming increase in the U.S. by non-alcohol related fatty liver also was mentioned.


He rejected, in principle, the following treatment options as long term unsustainable; life style changes, diet, diet powder, cognitive behavioural therapy, drugs with some exceptions for Xenical. The only treatment that was described as sustainable in the long run and that was perceived as positive for the patient was Gastric Bypass surgery – the amputation of parts of the digestive tracts. Gastric Bypass was the main option for obese patients with various obesity-related diseases.


How they would do who just wanted to loose and where not sick was unclear.
Operation method was demonstrated in pictures and there was no doubt that this was what the lecturer saw as the best solution. He said it was a way to shorten the sufferings of the patients and provides a lasting improvement. He said that if he had been in some of his patient’s situation, he had not hesitated to undergo the operation. Not a hint about trying a low carbohydrate-high lipid diet.


The survival rates after a Gastric Bypass surgery was said to be in the medium 20 years and the risk of dying was 1-4/1 000. Nothing was mentioned about sequelae, side effects or other problems.
Many different factors were involved in obesity, among other things a number of both old and newly discovered hormones. Insulin was not mentioned. Behre described the fatty tissue of a gland with its functions and its hormones. The energy balance was emphasized, that is calories in and calories out. More out than in, if one is to lose weight. If you want to keep the weight it is Mediterranean diet which applies, without further definition. Free for everyone to form their own opinion.
In the next part of the lecture, we saw many fine bar graphs of exercise impact of survival. Summary of the message is that you live longer if you exercise and that it is better to be to be over weight and exercise than to be thin and not exercise. One needs not to exaggerate the exercise for it to have beneficial effects on survival. I would add that it is neither fun nor safe to exercise when you are severely overweight. The summary of Behre´s message was that overweight and obesity and its sequelae increase epidemically and that the only solution in the long term seems to be Gastric Bypass surgery. Moderate exercise, and “Mediterranean diet” is good and do not eat more than you use up.


Then Ingrid Larsson spoke.
She began by telling us that she fully understood that we were lost in the jungle of diets. But now she would lead us right.


I know about where Ingrid Larsson and her colleagues are in the diet debate, so I had no great expectations. But I was a little curious if she took to herself a bit of diet debate and as a good researcher questioned some of her own dogmas. But no, here all the old mantras were hammered convincingly and uncompromisingly, stacked on each other; lean, fibres, one pound of ”fruits and vegetables”, margarine, oils, regular meals, heavy porridge for breakfast, wholemeal bread, lean cold cuts.


One thing that nutritionists have a fondness of is to show picture after picture of candies, sweets and chocolate and tell us show many calories they contain. This is what you eat rather than to obey our dietary guidelines do I interpret it.
We are going to a lecture on diet and health and are already aware and want a bit more intellectual level of a lecture and not being treated like day nursery children. Images of how pastries being steadily growing in size was illustrated. It was the increasing fat content which was commented on – not a word about sugar, not a word about hydrogenated lipids, not a word about carbohydrates.



In a timid question from the audience about if Larsson could explain why we have become so ill during the last 30-40 years she replied that it depended on many factors as car use, industrialization and prosperity!

Ingrid Larsson said explicitly that we must increase the carbohydrates and reduce the lipids. When a lady asked if we are allowed to eat a little butter because she had heard it would be beneficial. She got the answer: “Is it vitamin A you are after it goes well with carrots:”



Calorie term return again and again. Ingrid Larsson had an interesting theory that one should follow a defined medium intake of calories a week. If it becomes a bit too much on Friday evening, so one can eat a little less the next day, so it evens itself out. But you should not eat the remains of the fatty Sunday dinner on Monday, because it increases the calorie level that day. The main thing is the average intake.



Both speakers returned again and again about the energy balance. You have to make rid of more calories than you add to lose weight. In the statement a reference to scientific studies was interjected now and then.



In the case of successful diets to lose weight, Larson claimed that there was no difference. All diets worked, if you only are persistent. The problem was that people could not manage to hold out in the long run.



The lecture ended with a reference to the National Food Administration and the confirmation that it is still their advice and instructions that apply.



From the SBU report”Obesity problems and measures” Larsson quoted the following:
”Any treatment that gives a negative energy balance, that the consumption of energy (calories) exceeds the food supply leads to weight loss. If consumption is equal to the intake body weight remains constant. This is absolute the nature of science-based truths that need not to be proved further. The studying of dietary treatment studies are rather methods to achieve this negative energy balance”.



So Larsson did get this inevitable question.

“What do you think about Annika Dahlqvist?” Ingrid Larsson then looked very worried, looked down and waited a bit with the answer. But the answer seemed something like this:
When the National Board approved Annika Dahlqvist´s dietary guidelines they did not know/did not realize that it was such a small content of carbohydrates in Annika Dahlqvist´s dietary guidelines. “It was believed then that this was much higher proportion of carbohydrates, “Larsson said. Perceived 30-40? Against 5-10? Do not guarantee that the numbers are correct. But the difference was significant.
The conclusion then must be that the National Board, according to Ingrid Larsson, has approved Annika Dahlqvist´s dietary guidelines on false assumptions!



I respect the difficulty to lecture on such a large topic during one and an half hour. It must necessarily be superficial and hard haul. We can not let in issues on Glutamate and E-numbers, but have to provide”No response answers” – which it did. But we had a clear agenda and the message was crystal clear. The message follows the official line, something else was not to be expected.
I think open lectures are exemplary. Good to hear even if you have to question. But one must not underestimate their audience.



I m not so dogmatic that I don’t think there are people who can follow Ingrid Larsson’s dietary guidelines and adhere both slim and healthy. Ingrid Larsson is an attributable sight of tradition. But the problem is all those who can’t do it, those who become obese and sick. I an also imagine that there could be overweight people, where nothing but a Gastric Bypass Surgery helps. But it should never be a general method or a commercial interest.



Now it is said.

If moreover, can be said that the hall was crowded with an estimated 250-300 persons. Most of the audience was middle-aged and senior citizens, but also many of these who took notes frantically (dieticians and medical students?)
The speakers represented a radar couple in the sense that Ingrid Larsson with her dietary advice provided Carl- Johan Behre with patients, he can pass on to the amputation of parts of the digestive tracts. Two speakers with prestigious titles and positions who obviously for our tax money representing nothing more than public health. It is frightening to think of the financial resources and the platforms available to them.

You can choose to ignore their advice, but you will still not be excluded, because that is the message which has influence on what is served in school and hospital.



I think it is frightening that obesity is explained as a disease (even though it in some cases can be so). It opens of course another huge market for the pharmaceutical industry to experiment with, giving people false hope, and we our learned belief in strengthened.
Referring to repeated allegations of energy out and energy in so it would be noted that both speakers master the law of thermodynamics, but they need to be informed about the second law of thermodynamics.



Then I wonder how did the lady who asked if she may eat some butter? Did she cook a delicious Mediterranean meal when she came home? Did she throw her butter away and ate a carrot instead? Did she calculate how many calories she ate today in order to adjust the day after?