Tripping Over the Truth: The Metabolic Theory of Cancer by Travis Christofferson

Tripping Over the Truth: The Metabolic Theory of Cancer by Travis Christofferson

Ninety years ago, a German scientist named Otto Walberg put forward a theory of cancer that was to radically alter the way we think about this devastating disease. However, a change in thinking would not happen immediately. It would take many years before his theory finally gained ground. In 2014 there is increasing attention being paid to the work of Otto Warburg and the implications his theory has for the prevention, cause and treatment of cancer. 

‘Could we have mischaracterized the true nature of cancer?’

I have just finished reading Tripping Over the Truth by Travis Christofferson. As I closed the last page, I turned back to the first and started it again. That’s how riveting this book is.

I first heard about Travis via an article he posted on Robb Wolf called The Origin of Cancer last year. I thought it was one of the most fascinating articles* I had ever read and was keen to find out more about the Foundation for Metabolic Cancer Therapies, which Travis founded. I had also been interested in the work of Dr Colin Chapman, Professor Thomas Seyfried and Dr Dominic D’Agostino and their research into ketogenic diet therapies for cancer using the Warburg Hypothesis, so Travis’s article sparked a real desire to learn more about the metabolic theory of cancer. 

This book  is neither a medical textbook nor a heavy scientific tome that will require prior knowledge to understand its argument (although I had read the excellent The Emperor of All Maladies by Siddhartha Mukherjee, which gives an overview of the story of cancer.*) Tripping Over the Truth is for anyone who is interested in this field of cancer research and the possibilities of nutritional therapy as an aid to treatment. It is an incredibly well-crafted, easily-read and profoundly moving account of the fight against cancer, detailing a theory of its origins that was all but forgotten save for a handful of scientists over the last 100 years.

As we know all too well, each of us has been touched by cancer in some way. It is hard to write about, to read about and to talk about yet as Travis points out, one in two men and one in three women will be diagnosed at some point in their life. These figures are astounding.

‘Cancer stands alone as our most ardent, confusing, shapeshifting and devastating enemy.’

Tripping Over the Truth takes us on a journey from the Chimney Boys of Percival Potts 19th Century London and the discovery of carcinogens to the very latest drugs such as 3BP and therapies such as Hyperbaric Oxygen Therapy (HBOT) and the Restricted Ketogenic Diet (R-KD). We learn about chromosomal abnormalities of cancer cells, about viral infections, the discovery of DNA and its implications for cancer research, the advent of chemotherapy (born from the toxic weapons of World War II), Nixon’s ‘War on Cancer’ and the new generation of drugs such as Herceptin that target oncogenes (genes that have the potential to cause cancer).

We discover why much of what we know about the prevention, causes and treatment of cancer is rooted in a deeply-held belief about its origins which – at its very core – may be erroneous. To say that writing a book like this will bring Travis in for some hard criticism is an under-statement. 

This book questions why a cure for cancer continues to hover outside of our reach. Why have we not seen the breakthroughs that we hoped? Why does the complexity of the disease continue to confound scientists? Why have the billions that we have spent on research not succeeded in improving overall death rates since the 1950s? These are questions that must be asked if we are to move forward in our understanding of cancer.

Current thinking posits the origins of cancer as resulting from damage to our DNA; the genetic or Somatic Mutation Theory (SMT) of cancer. This idea dominates research and since the remarkable discovery of DNA in the 1950’s, it has been the one overarching theory that researchers hoped would unite cancer research and provide the elusive cure. Travis describes how the ongoing project The Cancer Genome Atlas which was started in 2006 aims to sequence the entire genome of a cancer cell (all the DNA inside the gene) and thus elucidate the mutations that cause the disease. When Travis looked at the research coming out of this project, he was struck by the failure to provide consistent data along with its apparent randomness: ‘No single mutation or no combination of mutations could be identified that were absolutely required for the disease to start.’ In addition to this, Travis explains that the new drugs developed to target these mutations have not lived up to their promise for the following two reasons:

1.‘TCGA failed to identify the mutations that definitively caused any given type of cancer’ and

2. ‘The mutational targets are not only vastly different from person to person, but they can even vary spectacularly from cell to cell within the same tumour.’

‘Comprehensive sequencing was unable to find a single mutation responsible for the most important quality of cancer, the single feature of cancer responsible for 90% of all cancer deaths’ (metastasis).

It is particularly upsetting to hear of the failure of many targeted therapy drugs; with 700 alone being tested in the past decade. Travis quotes Antonio Tito Fojo PhD of the National Cancer Institute in Bethesda: ‘Zero is the number of targeted therapies that have prolonged survival by one year, when compared to a conventional treatment.

In contrast to the SMT theory, Travis explains how the concept of cancer as a disease of ‘defective metabolism’ first put forward by Otto Walburg takes a different approach. We can define metabolism as the range of biochemical processes that occur within a living organism, including the breakdown of food and its transformation into energy. Warburg’s observation that cancer cells generate most of their energy from glucose (sugar) through the process of fermentation rather than through respiration via oxygen posits a root cause to the disease.

‘The reversion from aerobic to anaerobic energy creation was the signature that defined the difference between cancer cells and normal cells. Nothing was more fundamental to a cell than energy creation. Nothing could be further reduced.’

The uptake of glucose can be detected clinically by positron emission tomography (PET) scans. The metabolic theory places genetic mutation and a host of other symptoms as secondary side effects, rather than as causes. However, it was largely ignored.

Travis discusses the work of Pete Pederson, whose research continued to focus on the Warburg hypothesis from the 1970s onwards and who has been one of the few consistent voices in the metabolic theory of cancer. His discovery of the corruption of the protein Hexokinase by Hexokinase II in the 1970s, which resulted in the abnormal overproduction of cells was an important development in metabolic theory research. Pederson’s lab made the further discovery that Hexokinase II binds to another protein called VDAC (voltage dependant anion channel) and thus effects the ability of the cell to self-destruct (apoptosis) resulting in the proliferation of cancer cells. We also learn how Pederson’s student Dr Young Ko worked beside him to develop the drug 3BP which targets the metabolism of cancer cells and which may offer promising treatment when funding is obtained and trials are completed.

Travis highlights the work of Professor Thomas Seyfried at Boston University and in particular his seminal book ‘Cancer as a Metabolic Disease’ (2012) which expands the Warburg theory even further. When the energy-generating powerhouses in our cells called mitochondria suffer damage they begin to send out signals that result in changes to the ‘entire complexion of the cell.’ These destabilising changes include the way that cells generate energy, pushing them over to fermentation rather than oxygenation and also resulting in the genetic mutations that we see in cancer cells.

Professor Seyfried uses a restricted ketogenic diet R-KD in his practice; in particular in the treatment of aggressive brain tumours. This diet naturally reduces calories (as it has been shown that calorie restriction shrinks tumours) but it also does something else: through the restriction of carbohydrates and protein together with high amounts of fat, the diet forces the body to manufacture ketones as an alternative fuel source in the absence of glucose. Cancer cells cannot use ketones; only normal cells can make the switch and the R-KD starves cancer cells of their energy. You can read more about the ketogenic diet in Jimmy Moore’s latest book Keto Clarity and for therapeutic use in cancer treatment, check the links at the bottom of the page.

In addition to this, Travis describes how Seyfried discovered the R-KD was ‘antiangiogenic – it choked off the production of new blood vessels supplying the tumour’ as well as being ‘proapoptotic, in that it facilitated orderly cell death.’ By weakening cancer cells, the diet can be used as a way to prepare the body for additional conventional treatments and mitigate their side-effects.

‘Seyfried modified the ketogenic diet to put as much metabolic stress on the cancer cell as possible.’

As we know, the ketogenic diet has been used since the beginning of the 20th Century to treat epilepsy, falling out of favour with the rise of seizure-control drugs. Charities such as Matthew’s Friends in the UK and The Charlie Foundation in the US are at the forefront of raising awareness and promoting research into ketogenic therapies for epilepsy and related neurological disorders, but there is also a growing interest in using this dietary therapy for cancer patients (alongside conventional treatments). The 4th Biannual Ketogenic Dietary Therapies Symposium took place in Liverpool UK this year and doctors such as Dominic D’Agostino and Professor Adrienne Scheck attended. With 500 representatives from 27 countries, the conference is becoming increasingly popular and with the amazing work done by Matthew’s Friends and the Charlie Foundation, press awareness continues to grow, such as in articles here and here.

In addition to ketogenic diet therapies, the development of Hyperbaric Oxygen Therapy (HBOT) alongside the R-KD is an exciting development that Travis describes. He tells us how Dr Dominic D’Agostino (see the resources at the bottom of this article for more on Dr D’Agostino) and Professor Seyfried have combined the two therapies with promising results. Through his work with Navy SEALS researching methods to prevent seizures from oxygen toxicity, Dr D’Agostino discovered that cancer cells were irretrievably damaged in the presence of high levels of oxygen.  As Travis notes, these two therapies represent ‘a massive step in the direction of cheap, nontoxic, effective health care’ but warns ‘It is not unrealistic to expect friction.’ There is no money to be made in these sorts of therapies and as Travis notes, in terms of opposition, therein lies the problem.

‘When cancer is framed as a metabolic disease, the entire paradigm of treatment is turned inside out.’

The metabolic theory of cancer and books such as Tripping Over the Truth offer new hope, but Travis stresses the importance that (as in all good science) there must always be room for the prospect of error or revision: ‘It may be that the SMT of cancer and the metabolic theory are intertwined – a chimerical monster, existing in two realms at once.’ Indeed, eradication of this disease may never be achieved but as Travis notes our understanding of cancer is still in its infancy. Despite this, perhaps we are turning a corner in the prevention, treatment and ultimately the cure of cancer.

I really cannot recommend this book highly enough. The work of these pioneering researchers deserves a wide audience.  This horrible disease touches all of us in some way and yet when I began researching the subject and reading only a tiny fraction of the information out there, I realised I knew nothing about it.  Yet the story of cancer is a gripping and spellbinding odyssey that transcends disease and cuts to the heart of what it means to be human, to be mortal.  Tripping Over the Truth shines a light on our most feared enemy and encourages us to understand the potential we have at our fingertips to exploit its greatest weakness. Time will tell if we are successful, but for now let’s hope that things are about to change.

‘The therapeutic implications of metabolic therapy are that every type of cancer is treatable, because every type of cancer has the same, beautiful, metabolic target painted on its back, regardless of origin or type of cancer.’

Listen to an interview with Travis Christofferson on Robb Wolf’s podcast here.

*It was through Travis’s original article that I discovered the book The Emperor of All Maladies by Siddhartha Mukherjee and ordered it immediately. If you have not read this book, please do. It is a breath-taking achievement and brilliantly written. It puts the history of humanity’s battle with this terrible disease into perspective and  gives a primer for reading subsequent works such as Tripping Over the Truth (although Mukherjee’ theory is firmly placed in genetics).

 

Resources

 

As well as the links above, here are a few more websites, articles and videos. Many of these are also listed over on the Resources pages.

 

Websites

 

Foundation for Metabolic Cancer Therapies

Dr Dominic D’Agostino’s Keto Nutrition

Professor Thomas N. Seyfried

Dr Colin Chapman

Matthew’s Friends

The Charlie Foundation

Robb Wolf

 

Articles

 

What is the Origin of Cancer? byTravis M Christofferson –one of the most fascinating articles that I have ever read

A Ketogenic Diet for Cancer: In Fewer than 1,000 Words by Colin E. Champ M.D.

Can a High-Fat Diet Beat Cancer? Richard Friebe,Time Magazine (obviously the seed oils and soy products as mentioned in this article would not be ideal food sources from a Paleo perspective)

An excellent summary of the Seyfried book (see Books below):

Diagnosis: Diet, What Causes Cancer Part 1 by Georgia Ede MD

Diagnosis: Diet, What Causes Cancer Part 2 by Georgia Ede MD

Diagnosis: Diet, What Causes Cancer Part 3 by Georgia Ede MD

What you need to know about cancer and metabolic control analysis: an interview with Thomas N. Seyfried by Robb Wolf

What Causes Cancer? By Ketogenic Diet Resource

The Ketogenic diet – a diet to beat cancer? Cancer Active

Cancer and Ketosis by Robb Wolf

Low-Carbohydrate, High-Protein Diets May Reduce Both Tumor Growth Rates and Cancer Risk. Science Daily

Why We’re Losing The War On Cancer by Clifton Leaf Additional Reporting Doris Burke

The War on Cancer by Peter Attia, M.D.

The Ketogenic Diet and Cancer: Where We Stand by Colin Champ

Breasts, Sugar Cookies and Cancer Centres

Cancer as a metabolic disease by Thomas N Seyfried and Laura M Shelton

Starch Intake May Influence Risk for Breast Cancer Recurrence. AACR

Weight Gain, Metabolic Syndrome, and Breast Cancer Recurrence: Are Dietary Recommendations Supported by the Data? Colin E. Champ, Jeff S. Volek, Joshua Siglin, Lianjin Jin, and Nicole L. Simone

Targeting energy metabolism in brain cancer through calorie restriction and the ketogenic diet. Thomas N Seyfried, Michael Kiebish, Jeremy Marsh, Purna Mukherjee

Is there a role for carbohydrate restriction in the treatment and prevention of cancer? Rainer J Klement and Ulrike Kämmerer

Targeting insulin inhibition as a metabolic therapy in advanced cancer: A pilot safety and feasibility dietary trial in 10 patients. Eugene J. Fine M.D., M.S., C.J. Segal-Isaacson Ed.D., R.D., Richard D. Feinman Ph.D.,Silvia Herszkopf M.S., R.D., L.M.N.T., Maria C. Romano M.S., R.D., C.D.N., Norica Tomuta M.D.,Amanda F. Bontempo M.S., R.D., C.D.N., Abdissa Negassa Ph.D., Joseph A. Sparano M.D.

Oxidants, antioxidants and the current incurability of metastatic cancers: Jim Watson – this article is discussed at some length in Tripping Over the Truth

Hexokinase II: Cancer’s double-edged sword acting as both facilitator and gatekeeper of malignancy when bound to mitochondria: S P Mathupala, Y H Ko and P L Pedersen

 

Videos

 

Dr. Dominic D’Agostino: Metabolic Therapies: Therapeutic Implications and Practical Application

Dr Colin Chapman: Augmenting Cancer Therapy with Diet: Have We Found a Sweet Spot?

Matthew’s Friends: Interview with Professor Adrienne C. Scheck about treating Cancer with Ketogenic Dietary Therapies. 

Matthew’s Friends: Interview with Professor Tom Seyfried about treating Cancer with Ketogenic Dietary Therapies.

Single Cause Single Cure interviews Dominic D’Agostino, Ph.D – check out all the videos on the SGSC website

The Obesity-Cancer Connection Panel: from the Metabolism, Diet and Disease conference held in Washington DC from 29-31 May 2012.  – with interesting input from Gary Taubes regarding carbohydrate restriction

Dr. Mercola Interviews Professor Thomas Seyfried

Dr. Mercola and Dr. D’Agostino on Ketogenic Diet

NCI and NIH Mitochondria Interest Group Seminar: Johns Hopkins’ Pedersen Addresses Role of Mitochondria in Cancer

 

 

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For a list of Paleo-friendly suppliers and products see the Resources and Suppliers page.

Keto Clarity

Keto Clarity

Jimmy Moore has tirelessly and fearlessly charted his health journey over many years in full glare of the public eye. He has been unafraid to discuss his struggle or to challenge and debate alternative views via his extremely successful podcasts and blog. He has a thirst for knowledge and a strong desire to help others with health issues. His story is one that many can identify with and because of this he has a big fan base.

The latest book Keto Clarity is written with co-author Dr Eric C. Westman and is a follow on to the extremely successful Cholesterol Clarity that they released last year. Jimmy and Dr Westman have assembled an impressive array of experts from the medical and nutritional world to discuss ketogenic diets and provide a thorough and definitive guide to a very misunderstood way of eating. Dr Westman is Associate Professor of Medicine at Duke University in Durham, NC, and Director of the Duke Lifestyle Medicine Clinic, specializing in disease prevention and the treatment of obesity and diabetes. Dr Westman also co-wrote New Atkins for a New You with Dr Stephen Phinney and Dr Jeff Volek.

Everything in this book is superbly explained and very clearly laid out. The text is interspersed with ‘Moments of Clarity’ quotes from ketogenic experts, as well as ‘Doctor’s Notes’ from Dr Westman. At the end of each chapter there are handy bullet points that succinctly sum up the information contained in the text. There is also a fantastic resources section at the back of the book with medical papers, book lists, websites and even films that relate to the ketogenic diet; a real wealth of information for anyone interested in finding out more.

I came to the book having also read The Art and Science of Low Carbohydrate Living and The Art and Science of Low Carbohydrate Performance, both by Drs Volek and Phinney. I had also done quite a bit of reading on the diet as a therapeutic tool for cancer and epilepsy (the work of Thomas Seyfried, Dominic D’Angostino and Travis M. Christofferson of Foundation for Metabolic Cancer Therapies is particularly exciting). The third stage of the Wahls Protocol (Wahls Paleo Plus) is also ketogenic (see my review here) and in Brain Grain Dr Perlmutter advises a ketogenic diet for optimum brain health also (see my review here).

Many people that follow a traditional diet are well-researched in the ketogenic diet. The benefits of switching from the standard high carbohydrate, low fat diet to one that is rich in fat and lower in carbohydrates brings a myriad of benefits that adherents can testify to, not least of which the absence of hunger and the ability to go for long periods without food. A ketogenic diet takes these practices one step further. 

The debate within the community concerning carbohydrates and ‘safe starches’ shows no sign of abating and the issue of ketosis continually crops up. The importance of tailoring the diet according to the individual’s medical history, combined with the ‘experiment and see how you feel’ school of thought seems to be the wisest approach. A ketogenic diet as a therapeutic tool in the treatment of various conditions is proving to be an exciting field of research and it may act as a preventative measure too.

In Keto Clarity, we learn exactly what a ketogenic diet entails and the many benefits that it brings about. For those  who are new to a ketogenic diet, this is a high fat, moderate protein, low carbohydrate diet. Typically this would be less than 50 grams of carbohydrate per day and around 80 grams of protein per day (this varies according to the individual and ketone testing is necessary to determine optimum levels). The remainder of the daily calorific requirement (again varying between individuals) should be made up of fat. Fat equates to typically around 70-80% of calories. Short- and medium-chain fats such as butter and coconut oil are preferable as they convert easily to ketones. Some people supplement with MCT oil and there is also research into ketone ester supplements that help to push ketone levels up.

Excess carbohydrates and protein will push the body out of ketosis and precipitate a return to carbohydrates as the primary fuel source. Jimmy notes:

‘If you are especially sensitive to carbohydrates (like me) then you will be more sensitive to protein.’

In view of this, fatty meat is preferred over lean because of the fat ratio and portion sizes need to be controlled.

As a response to this way of eating, the body switches from burning carbohydrates for fuel to fat for fuel and this brings about a myriad of benefits including mental clarity, stabilized blood sugar, lowered blood pressure, reduced triglycerides, reduced inflammation, increased energy, the list goes on and on… There are many who believe that a ketogenic state is the preferred, natural state for us to be in. There is an argument that we may have cycled in and out of ketosis according to food sources, availability, seasons etc. I think that Jimmy puts it perfectly:

‘Ketosis is something you may want to pursue if you are dealing with weight or health issues and you are not getting the results you desire with your current strategy.’

Upon reading about the many benefits and therapeutic effects, a ketogenic diet may be something that some people will wish to explore, not only as an adjunct for the treatment of specific diseases but as a preventative measure. Keto Clarity gives them the perfect starting point.

I found the history of ketogenic diets and their current use in a variety of conditions particularly interesting. They have been used in the treatment of epilepsy and seizures since the 1920s but were superseded when new drugs appeared in the 1950s. Therapeutic ketogenic diets are still used now and you can find out more about this at websites such as The Charlie Foundation and Matthew’s Friends.

To successfully remain in ketosis it is important to find your personal carbohydrate and protein threshold, so the success of this diet involves a fair amount of self-experimentation. An excess in either of these will bump you out of ketosis. It is very easy to over-consume carbohydrates and if protein levels are too high, the liver will convert excess protein to glucose via gluconeogenesis (although again this is a debated point – see the article from Ketotic here). Jimmy explains clearly how to go about testing for ketones. There are currently 3 methods to do this – each measuring different ketone bodies:

a)      Urine strips which measure acetoacetate in the urine such as these. As ketones become the primary source of fuel, the body switches to Beta-hydroxybutyrate, so urine strip readings will decrease although you are still in ketosis. For that reason it is essential to use an additional method of testing

b)      Blood meters which measure Beta-hydroxybutyrate in the blood such as these.

c)       Breath meters which measure acetone in the breath – Ketonix is a new device on the market. Acetone correlates to Beta-hydroxybutyrate so is a more reliable method of testing than urine strips. I have been reading some reviews of this device and they have been very positive.

Testing is essential and Jimmy lists the pros and cons of each method. He also stresses the fact that just because a person is following a low-carb diet, this does not guarantee that they will be in a state of ketosis. Tinkering around with macro-nutrient ratios according to your personal requirements is the key here! At the time of writing, Jimmy was eating 80% fat, 15% protein and 5% carbohydrate.

‘Knowing the difference between how you feel in and out of ketosis is key.’

There is a great chapter on trouble-shooting, with tips to help overcome the most common mistakes as well as a FAQ chapter that deals with some of the more contentious issues around ketosis (such as the effect on thyroid and adrenal function). I was particularly interested in the subject of gut microbiota in relation to ketosis after reading this article by Jeff Leach over at Human Food Project. It will be interesting to see how Jeff’s research pans out. The book goes on to address criticisms of the diet in a clear and easy to understand way.

The culmination of the book – and probably my favourite part – is the chapters that deal with current research on the therapeutic effects of the ketogenic diet. They are split into three distinct sections: ‘Solid Science’, ‘Good Evidence’ and ‘Emerging Areas’. These chapters are preceded by an excellent guide to using the current information out there with a clear explanation of the various types of studies used in medical research: epidemiological, observational, controlled etc.  Knowing how to isolate the strong and relevant studies from the thousands of papers published each year is crucial.

It is absolutely fascinating to read about the various conditions that are currently treated with ketogenic diets, as well as some of the emerging areas of study. I have reproduced the list of these in full below as it exciting to see the importance of nutrition coming into play in such a wide range of health problems. It is worth researching the ketogenic diet if you suffer from any of these. This information is supplemented by an extensive list of research papers at the back of the book.

Solid science: Epilepsy, Type 2 Diabetes, obesity, cardiovascular disease, metabolic syndrome and contributing factors, Polycystic Ovary Syndrome (PCOS, Irritable Bowel Syndrome (IBS), GERD and heartburn, Non-alcoholic Fatty Liver Disease (NAFLD)

Good evidence: Alzheimer’s, Parkinson’s and Dementia, Schizophrenia, Bipolar and other mental illnesses, Narcolepsy and other sleep disorders

Emerging areas: Cancer, Autism Fibromyalgia, chronic pain and Migraines, Traumatic Brain Injury and Stroke, Gum Disease and Tooth Decay, Acne, Eyesight, ALS, Multiple Sclerosis, Huntington’s disease, Kidney disease, Restless Leg Syndrome (RLS), Arthritis, Alopecia and hair loss, GLUT1 Deficiency Syndrome.

Keto Clarity finishes with some shopping lists, recipes and meal plans to get you started and as well as the excellent Resources section there is even a Glossary of frequently used terms.

This really is a great book for anyone interested in ketogenic diets. Jimmy Moore and Dr Eric Westman have done a fantastic job in bringing together vast amounts of information into a concise and enjoyable read.

What is clear from reading this book, and particularly reading some of stories of people who are finding benefits from the ketogenic diet, is that increasingly we are turning to n=1 experiments to treat a variety of conditions. Physicians may still be reluctant to recommend the ketogenic diet as a therapeutic tool – see for instance this story behind Matthew’s Friends – but those who are prepared to investigate may just find unexpected success. The research is clearly taking off and is much needed, but there is a whole community of people that are willing to experiment themselves rather than wait for randomized controlled trials to be published. Some may warn against this and argue that people should wait to hear conclusive evidence before embarking on a ketogenic diet. However, this diet is not a new development or fad and there is already a hefty body of research behind it, together with nearly 100 years of experience in using ketosis to treat epilepsy. As discussed in the context of an evolutionary perspective, ketosis may be a perfectly natural and preferred state for the body given that we went for long periods without food and mostly favoured high fat meat with limited carbohydrates. This is an extremely exciting time for nutritional research and I expect to hear much more about the benefits of a ketogenic diet in the years to come. Well done for Jimmy Moore and Dr Westman for helping to bring the ketogenic diet to a whole new audience.

 

For an overview of the ketogenic diet in addition to the links contained in the text above (please check those out), see the Ketogenic Diet Resource and the Ketogenic Diet for Health. Also check out the Resources page and of course the resources section in Keto Clarity.

Jimmy has some great interviews with the Keto Clarity experts on his podcast. The interviews with Nora Gedgaudas and Ron Rosedale are particularly interesting.

Interview with Jimmy on Robb Wolf’s recent podcast here.

Articles at the consistently excellent Peter Attia’s Eating Academy here and here.

Interview with Dr Kenneth Ford on Robb Wolf podcast here. This is a fascinating!

 

 

 

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For a list of Paleo-friendly suppliers and products see the Resources and Suppliers page.

Richard Mackarness

Richard Mackarness

‘Man is an omnivore, best adapted to fat and protein. Just as man’s basic mental drives which determine much of his behaviour have not changed in millions of years…so his physical adaptation to his food has remained unchanged and there is ample evidence to show that he can avoid obesity and keep his nervous system intact by sticking to the food which helped to determine the change from ape to intelligent man: fat meat.’

Born in 1916 in India, Mackarness interestingly began his career as an artist training under Mervyn Peake at Westminster Art School. After moving on to study at the Westminster School of Medicine, he served as an army medical officer and then took various hospital posts. General practice followed, with Mackarness moving into hospital psychiatry in 1965 and later setting up an allergy clinic to treat mental illness. Richard Mackarness died in 1996 and you can read an obituary for him here.

Eat and Grow Slim

His first book Eat Fat and Grow Slim (1958) was a best seller and advocated a high fat, low carbohydrate diet based upon pre-cereal, hunter gatherer diets which is described as the ‘Stone Age Diet’. Dr Mackarness discusses the history of high fat, low carbohydrate diets including the story of William Banting (I first read about Mr Banting in Good Calories, Bad Calories by Gary Taubes). He also looks at the work of his (then) contemporary physicians such as Professor Kekwick and Dr G.L.S. Pawan at the Middlesex Hospital in London. Their research studied Banting’s diet and concluded that reduction of carbohydrate rather than fat was the key to treating obesity (their work was also an influence on Dr Atkins).

Dr Mackarness disputes the calorie hypothesis with some wonderful arguments. He stresses the importance of eating food that we have evolved to eat over millions of years, with an emphasis on fat and meat together with a reduction in carbohydrates.

The work of several pioneering physicians who warned against the excessive consumption of carbohydrates is discussed (some of whom were also mentioned by Gary Taubes in GCBC). These physicians linked a high carbohydrate, low fat diet to many diseases – diseases that we are still struggling with in the 21st Century.

Interestingly, Dr Mackarness recounts an interview with Dr Blake Donaldson, a Scottish cardiologist who moved to New York in the 1920s and who treated 17,000 people over 40 years. In 1919, faced with a growing number of patients suffering from heart disease and other assorted ailments Dr Donaldson went to the American Museum of Natural History and studied the teeth of ancient skulls. He was particularly fascinated with their apparent lack of caries and the excellent condition of their teeth:

‘Donaldson thought that the cells of which we are made might have common nutritional needs. The same food that keeps teeth healthy might prevent cataracts from developing in the eyes, and might also be good for the cells involved in the mysterious diseases like duodenal ulcer, migraine, high blood pressure and obesity…’

Dr Donaldson went on to treat many patients using a diet based around pre-agricultural foods and Dr Mackarness interviewed him in 1964:

‘Dr D: ‘I now have a group of about 1500 patients over the age of 75, who from five to forty years have avoided flour and have kept primitive food as their basic way of maintaining health.

Dr M: This is what I call a Stone Age diet. Would you agree with that description? It is a pre-cereal diet.

Dr D: Well, I should say that it is perhaps 6000 years old and twenty years ahead of its time. I think this will be a popular idea in twenty years; that flour is a bad thing for about 80% of the population.’

Dr Donaldson wrote Strong Medicine in 1963 and I would be very interested to read it.

Another notable pioneer that Dr Mackarness discusses is the cardiologist Dr Alfred Pennington. Dr Pennington placed executives of the US Chemical company Du Pont on a diet that eliminated starch and sugar and increased fats and protein, with excellent results. The work of Dr Wolfgang Lutz, author of Life without Bread is also mentioned and Dr Mackarness quotes the following observation from Dr Lutz:

‘I arrived at the conclusion that only by returning to the nutritional habits of our ancestors would people be able to overcome the diseases of civilization.’

Towards the end of the book, Mackarness makes the following very interesting observations on why the medical industry continues to promote a low fat, high carbohydrate diet in the treatment of disease.

1. ‘the medical education is still, in spite of attempted reforms, among the most authoritarian and hierarchical in the world, partly because of the mass of facts that have to be crammed into the unfortunate medical student’s head in a short space of time.’

2. ‘…because of the ladder structure of advancement in hospital medicine, the junior who questions the dogmas of his teachers and seniors is branded as a trouble-maker and his progress to consultant status made that much more difficult.’

3. ‘Textbooks take a long time to write and publish, and bringing them up to date is a formidable task.’

4. ‘Finally, more perhaps than people in any other profession, doctors are conventional and hate changing their ideas. Also, in common with the rest of humanity, they are lazy and nothing is such hard work as constructive thinking. But to be fair, there are shining examples to this rule and it has been my good fortune to know and work with some of them. It is really the middle-echelon consultants who are stuffy. The real big boys are not.’

I wonder if this still holds true today? Why is it that the work of Dr Mackarness and others like him has seemingly no influence on mainstream dietary advice? Why is the myth that saturated fat causes heart disease still pushed by many nutritionists and doctors?

Not All in the Mind

The second book that Dr Mackarness wrote Not All in the Mind followed 17 years after Eat Fat, Grow Slim. It proposes a connection between diet and mental illness due to allergic reactions to certain foods. Again, Dr Mackarness advocated a return to the foods that we have evolved to eat – the Stone Age diet – as a way of treating many of the neurological problems presented in the modern world.

He asks:

‘If wrong food can make people fat and rot their teeth, why should it not, in some susceptible people, injure their brains as well and make them appear mad?’

Dr Mackarness was particularly influenced by the work of Dr Theron Randolph, a Chicago physician who pioneered the study of allergies and is considered as the godfather of environmental medicine, as well as Dr Albert Rowe of San Francisco, who created the concept of the elimination diet in the 1920’s.

In Not All in the Mind we learn about some of the patients that Mackarness has successfully treated by removing certain foods from their diet. The case of Joanna, a 27 year old woman who had tried to slash her wrists and was subsequently been treated with ECT is particularly striking. She is placed on an elimination diet with dramatic results and is able to live a normal life at last. The foods that she particularly reacted to were bacon, egg, porridge, veal, tongue and instant coffee.

We also hear of ‘Mrs A’ whose story Dr Mackarness reported in his article ‘Stone-Age Diet for Functional Disorders’ in Medical World July 1959*. Displaying an array of symptoms and after undergoing many tests including barium follow-throughs and x-rays (rather like myself!) she approached the doctor for help. Upon testing, Dr Mackarness found that cereal foods caused the most extreme reaction and after removing these from her diet, Mrs A was able to live a symptom-free life. Dr Mackarness notes that it is not always the foods themselves that cause trouble, but their chemical contaminants such as monosodium glutamate.

What is particularly interesting is the way in which Dr Mackarness talks of adaptation, evolution and stress. Here are some fantastic quotes:

‘It is a rule of ecology that living creatures show better adaptation to those things to which they have been exposed the longest: it is very much rarer to find a patient disabled by eating meat or by normal exposure to sunlight (I am not talking about sunburn), than it is to find one made ill be eating wheat or inhaling the petro-chemicals in the air on a street full of heavy motor traffic.’

‘Man’s diet has evolved over millions of years, from the monkey-type vegetarian diet of the forest-dwelling gatherers to a carnivorous one. Meat has been man’s main food for over nine-tenths of the time since he learned to walk upright and use his hands as tools. Starches and sugars as a basis for nutrition are a very recent introduction: they have been part of our diet for 10,000 years at most, as against 2-3 million years on meat, fat and protein.’

‘The primitive hunter in pursuit of food uses exactly the same nerve signals as the NASA scientist programming the computers which guide a landing on the moon. The difference is only in complexity. In both cases the work is done by the same sort of nervous system built of the same basic materials, chiefly animal fats. No nervous system has ever been built of starch and sugar and to base a diet on carbohydrates, as millions do today, is to invite the problems of inadequately constructed and malfunctioning brain and nerves.’

Adaptation in relation to the rate of change is clearly a concern:

‘The adaptation of a species can fail in two different ways: the organism may not be able to reproduce quickly enough to evolve in the face of new stress; or it may be subjected to unrelieved exposure to too much stress over too long a period’

This theory of stress was heavily influenced by Professor Hans Selye who defined stress as ‘the struggle to adapt to a noxious agent’. Read more about professor Selye here. Stress was not just a mental manifestation but a wider disease defined as ‘the rate at which wear and tear is induced in the body by the process of living.’ Certain foods are one of the many potential stressors and the struggle of the body to adapt to these causes an array of symptoms, of which psychological factors may be only a part of the whole story.

The stress response is divided into distinct stages; that of alarm, apparent adaptation, exhaustion and death. Dr Mackarness notes that patients do not contact their doctor until entering into the stage of exhaustion and herein lies the problem. This leads to diagnosing the symptoms as the cause for the illness (as in the case of the patient Joanna) rather than dealing with the exhaustion brought about by constant exposure to allergic foods.

In relation to the concept of adaptation, I was reminded of ‘Adaptation to the conditions of existence a very interesting paper posted recently by Robb Wolf. The author, F.A.J. Muskiet states:

‘Many, if not all typically ‘Western diseases’ derive from cultural trends that have changed our environment and by which we have voluntarily pushed the conditions of existence beyond our evolutionary-established flexibility to adapt’

Dr Mackarness develops the theory of a ‘masked’ (delayed or chronic) allergy as put forward by Dr Herbert Rinkel. The victim actually feels better after exposure to the allergen and consequently continues to – in the case of food – ingest the offending substance on a regular basis (perhaps with every meal) over many years, believing it to be beneficial. Symptoms of any allergic reaction are reduced or eradicated to such an extent that the person never suspects that the allergy exists until they reach a stage of exhaustion.

Dr Theron Randolph was influenced by both Selye and Rinkel and adapted Seyle’s three stages to the problem of addiction. This included food addiction, such as carbohydrates. The victim resorts to increasing amounts of the offending substance in order to remain ‘normal’ before eventually succumbing to exhaustion.

Believing that allergy (after infection), is the number one cause of illness in Western society, Dr Mackarness quotes Sir James Mackenzie in his call for the ‘simplification of medicine.’ He admits that he does not know why the allergic ‘target organ’ is ‘in the gut in one patient and the nervous system in another’, but current research into the human biome would suggest that there is a direct relationship between the two and that problems in the nervous system may have direct causation in the gut. This reminded me of the extremely interesting passage in The Wahls Protocol by Dr Terry Wahls, in which she discusses the possibility that there may be a single underlying cause to many of the diseases we face in the 21st Century. Currently, we treat the myriad of symptoms classified as separate diseases but not this primary cause. She states: ‘In a very real sense, we all have the same disease…

The work of Dr F. Curtis Dohan of Pennsylvannia University and his research into the possible causes of schizophrenia is also discussed by Dr Mackarness. You can read more about Dr Dohan’s work here.

Towards the end of the book, Dr Mackarness gives a warning:

‘We are not infinitely adaptable animals, and there is mounting evidence that many of us have already adapted as much as we can to today’s increasingly sophisticated and chemically contaminated diet. It is time to call a halt to this appallingly risky experiment in human nutrition and to look again at the relationship between the food we eat and the changing pattern of disease in industrialized countries.’

He notes with amazement that everything that he has talked about in his book has been written in medical books and journals dating back to the 1920s, yet only a handful of doctors have used these methods. Reading this book 38 years later, (and 56 years on from the first edition of Eat Fat, Grow Slim) I wonder if anything has changed much. Are we finally recognising the critical importance of food (and gut health) in dealing with a myriad of conditions, including neurological diseases? Is nutrition given the status it deserves in medical education? Have we realised that returning to eating the real food that has sustained us for the majority of the time on this planet will not cause diseases such as cancer and atherosclerosis? Are we closer to successfully preventing the diseases of Western civilization, rather than treating symptoms? These are all questions that Dr Mackarness may have pondered decades ago and still we go round and around in circles. If we were losing the ability to adapt in the era of Dr Mackarness, what is happening now? In 2014, his books are a wonder to read but did his call for action fall on deaf ears? Let’s hope not.

‘Time is running out for us; a complete reappraisal of environmental and dietary politics in Europe and Americais literally a matter of life and death, and long overdue.’

*I have tried to locate the article by Dr Mackarness entitled ‘Stone-Age Diet for Functional Disorders’ but cannot get access to it. If anyone has a copy – do let me know.

 

BBG

For a list of Paleo-friendly suppliers and products see the Resources and Suppliers page.

Finding 100% pasture raised meat – a journey

Finding 100% pasture raised meat – a journey

Since starting Paleo we have become increasingly mindful of our food choices and also much more aware of the various descriptions given to food production and what they really mean. Terms like ‘organic’, ‘natural’, ‘grass-fed’ and ‘free-range’ do not necessarily guarantee that what we are eating is the best that we can get for our health, for the animal, or for the environment.

At the 2014 Savory Institute Conference, Daphne Miller reminded us how the label ‘free-range’ does not automatically mean that chickens are reared in a particular way – see the picture below. See also this article. Chickens raised on pasture, for instance at the inspirational Free Union Grass Farm in Virginia  – see how they raise their poultry here and here – is surely preferable and scratching around a field eating a myriad of bugs, grains and scraps seems a much more fitting way for a chicken to spend its life. The effect of stressful conditions and overcrowding has an impact on the quality of the eggs and meat as well as having consequences for our own health in addition to that of the chickens – see the second photo below.

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As for chickens, so with cows. How can we guarantee that the conditions they are raised in are not only beneficial for the cow, but also for our health and for the environment? These issues were explored in the recent Horizon programme Should I Eat Meat? but I felt the programme to be superficial and clearly agenda-driven (see my review here and here). It left the viewer with the impression that a) eating factory-farmed chickens is the best we can do for our health and the environment and b) eating more than 100g of red meat a day will make you ill (and wreck the environment). Sadly it failed to fully discuss the many beneficial effects of pasture raised meat and the importance of ruminants to our ecosystem.

Upon starting Paleo, it very quickly became clear that great importance is placed on 100% pasture raised meat. I wanted to find out as much as I could about it and also to secure a reliable source. My search has taken me a while, but more about that later. Let’s firstly look at why pasture raised meat is the best choice we can make.

Grass fed meat is healthier for us

 

Pasture raised meat is higher in Omega-3s. Omega-3 is an essential fatty acid that we need to obtain from our food as the body cannot make it. This polyunsaturated fat is anti-inflammatory and so has many benefits such as protection against cancer, arthritis, and heart disease. It is especially important for brain health and Omega-3 supplementation could be beneficial for those with Alzheimer’s and other neurological diseases – see here. The Omega-3 to Omega-6 ratio is important as an excess of Omega-6 (from sources such as vegetable oils) can conversely cause inflammation. The longer cattle are fed grain, the more the Omega-3 is reduced:

“When cattle are taken off Omega-3 rich grass and shipped to a feedlot to be fattened on Omega-3 poor grain, they begin losing their store of this beneficial fat. Each day that an animal spends in the feedlot, its supply of Omega-3s is diminished.”  See here.

It is believed that the diet of our Paleolithic ancestors was roughly equal in Omega-3 to Omega-6, whereas the average Western diet has ratios of 15:1 in favour of Omega-6 – see here. Therefore, it would make sense to eat foods that are well balanced and rich in Omega-3s.

Pasture raised meat is higher in CLA (conjugated linoleic acid). This fatty acid is found in the meat and dairy products of ruminant animals and is thought to be protective against cancer, heart disease and general inflammation. See this excellent article on the benefits of CLA by Caveman Doctor.

Pasture raised meat is higher in Vitamin E, an antioxidant that may be beneficial in protecting against cancer, heart disease and inflammatory conditions such as Alzheimer’s – see here. Levels are 3 times higher in pasture raised animals than in grain fed animals. A 200g serving of meat provides 1.6mg out of the recommended 15mg per day, so while it is important to ensure additional food sources of Vitamin E, it still compares favourably with grain fed meat (and when taken together with other advantages).

Pasture raised meat is higher in B Vitamins, as well as minerals calcium, magnesium, and potassium.

For additional information on the health benefits of pasture raised meat, see the following articles:

A review of fatty acid profiles and antioxidant content in grass-fed and grain-fed beef

Health Benefits of Grass-Fed Products

The importance of the ratio of omega-6/omega-3 essential fatty acids.

A Study Of The Nutritional and Health Benefits of Grass-Fed Beef

 

Grass fed meat is healthier for the animal

 

As in the case of humans, raising cattle on the food that they have evolved to eat seems like a perfectly simple and sensible idea. A cow’s digestive system has evolved to process grass, not grain. A natural, pastured diet for a ruminant must surely be the healthiest option for the animal and conversely for those that consume it. There is some evidence that the larger feedlot system of finishing cattle is becoming popular in the UK with cattle numbers in the thousands finished over a 3 month period with grain and supermarket by-products such as bread and biscuit meal. Ingredients from the bakery, confectionery, pastry and breakfast cereal industries may also be used to finish.

Soya is an additional ingredient of cattle feed and is also used to feed pigs and chickens. There has been clearance of huge areas of rainforest in South America to grow soy:

Soy production has already destroyed 21 million hectares of forest in Brazil, and 80 million hectares, including portions of the Amazon basin.”  Food For Thought – Soybean Endangers Brazil Amazon Rainforest

Health problems for cows fed on grain include acidosis as a result of feeding increased amounts of carbohydrates – see here. Feedlot bloat may also be a problem: ‘most frequently caused by indigestion caused by acidosis’ – see here.

In addition to their diet, it would make sense that ruminants are more contented in their natural environment as opposed to spending extended periods of time in feeding lots. The ability to move around in the open air on pasture and not be crowded in small spaces must surely reduce stress. As with humans, minimizing chronic stress improves health.

Grass fed meat is healthier for the environment

 

The digestive process of ruminants produces manure which increases soil health and biodiversity. Healthy soils result in healthy plants, healthy animals that eat those plants and healthier humans that eat those animals.  When we raise and grow our food, soil health is critical and poor soil quality has detrimental effects on a wide variety of flora and fauna. Ruminants fit into this natural system and we tamper with this at our peril. Grazing animals can also make the most efficient use of large areas of grasslands unsuitable for growing crops – particularly important if we are to feed a continually expanding population.

The importance of using pasture raised ruminants to heal the soil fits within a wider concept of ‘holistic management’ as advocated by the Savory Institute. Holistic management ensures that decisions are based on objectives which take into account such things as economic, social, cultural  and environmental factors. By mimicking the movements of vast herd of ruminants across the land that would have taken place thousands of years ago, responsibly managed livestock has been shown to improve soil health and reverse desertification in many parts of the world. Conversely, removing grazing animals from the ecosystem has resulted in problems for the environment (and our health).

Realising that we cannot extricate ourselves from the whole and make successful decisions without taking into account these things is a vital step in the production of our food. What we feed cows is what we feed ourselves, is what we feed the soil, is what we feed the environment and subsequently all the repercussions that this has. Seeing this ‘bigger picture’ is also a central objective of the Permaculture movement:

“Permaculture is the conscious design and maintenance of agriculturally productive systems which have the diversity, stability, and resilience of natural ecosystems. It is the harmonious integration of the landscape with people providing their food, energy, shelter and other material and non-material needs in a sustainable way.”  Graham Bell, The Permaculture Way.

“Permaculture is a philosophy of working with, rather than against nature; of protracted and thoughtful observation rather than protracted and thoughtless labour; and of looking at plants and animals in all their functions, rather than treating any area as a single product system.”  Bill Mollison

Farmer Joel Salatin of Polyface Farms also encourages this holistic thinking and advocates multi-use farming systems that are based around the most efficient use of the land and the livestock – see his video on pasture raised cattle here and read notes from his talks at the Savory Institute Conference here.

How easy is it to find pasture raised meat?

Although we have access to high quality, locally reared meat from cows that are fed on grass for most of their life, it has been our goal to find a source of 100% pasture raised meat. However, it was proving to be quite difficult until recently. I began my search 18 months ago: contacting producers, supermarkets, butchers, talking to various people, etc. On my trip to Paleo f(x) 2014 in Austin, I was able to meet some of the US farmers that raise their livestock entirely on grass and find out about the American Grassfed Association.  I returned even more determined to find a source of 100% pasture fed meat.

Upon enquiry – and when pushed – many producers that I contacted had admitted to finishing on grain. There is a big difference between meat labelled as ‘grass fed’ (this can mean that for some or most of the animal’s life it was fed grass) and 100% pasture raised (fed on nothing else but pasture and hay or forage). Attending the Savory Institute Conference also opened my eyes to the benefits of responsible livestock management and the inextricable link to both soil and human health – see my notes here. At the conference I was also able to speak to Ben Reid and Sara Gregson from the Pasture Fed Livestock Association and at last an end to my long and convoluted search was in sight.

The PFLA is a fairly young organisation (formed 2009) that promotes the benefits of exclusively pasture raised meat. Membership includes producers, consumers, farmers, butchers and retailers. To join and be promoted by the PFLA, producers or retailers need to adhere to a set of standards and be open to independent inspection. The Pastoral label reassures the consumer that what they are buying is 100% pasture raised meat with no exceptions. The standards relate not only to what the animal is fed, but provide the framework for an ‘efficient, productive and sustainable system of farming’.

The PFLA had some excellent coverage recently on BBC’s Countryfile (not available on i-player at the time of writing) and demonstrated the impressive barcode system they have developed to provide maximum traceability to the consumer.

Scanning the list of producers that the PFLA have on their website, we were lucky enough to find a local farmer, John Price. However, he had very recently moved farms so I set about looking up ‘John Price’ on the internet (which is quite a common name in Wales). I asked around if anyone knew where he farmed and made quite a few phone calls (including one to a bemused accountant and another to an equally bemused farmer) but no luck. I was beginning to think that my search was doomed. PFLA came to the rescue again and managed to get his new number and we finally went to see him last week.

We met John and Patsy Price and their three children at Cwmnewynydd Farm on a warm September evening. The Prices farm around 242 acres and raise Belted Galloway cattle and Welsh Mountain sheep. The cattle graze from the lowest ground on the farm in the Usk valley to the highest part of the open hill on the Brecon Beacons and John kindly took us up on the quad to see the cattle grazing in the dip of the valley in the distance. It was a truly spectacular view (see the photos below). The cattle are born and raised outdoors, eating only pasture all year round and the hardy breed is especially suited to stay out on the hills throughout the winter. Belted Galloways are thought to originate from crossing the ancient Galloway cattle native to Scotland and the Dutch Belted cow (Lakenvelder) in the 17th and 18th Centuries. As John explained, legend has it that the drovers easily lost sight of the Galloways during the long winter nights due to the darkness of their coats. To solve this problem, the farmers decided to cross some of them with the Belted so that the distinctive white belt around their middle shone out at dusk, and made them easily seen by the drovers. Watching the cattle up there on the mountains really did put things into perspective. It was a very special evening.

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We bought a selection of meat and John explained how the barcoding system works. By scanning the code we were able to access web pages that told us the herd number, animal number, breed, sex, date of birth, abattoir and processing details, as well as all the information about the farmer and farm. It is a very impressive system. Other than raising the cattle ourselves, this felt the closest we could possibly get to the source of our meat.

Finally, after such a long journey we come to possibly the most important question of all. What does it taste like? We cooked some rump steaks and served them with a roasted squash and some Swiss chard from the garden sautéed with garlic. The meat was tender and the flavour superb. The fat tasted delicious – rich and buttery and quite unlike the fat from a ‘normal’ steak. I am so looking forward to trying the other cuts that we bought.

Thinking about how good it tasted – as well as all the other benefits – I wondered why it is that pasture raised meat is not more popular. I have always believed that consumer demand for this will grow, but the PFLA is looking for more producers so it seems that the problem is with finding producers rather than generating consumer demand. Why is this?

During the course of my search, I have had some debate about the way in which grain finishing is able to bulk up the carcass quickly and whether the carcasses of pasture raised cattle can favourably compare to those of grain finished (in terms of the amount of meat and fat present and the ‘bulk’ of the carcass). I have compared two carcasses side by side but I can only speak purely as a consumer and of course cannot claim to have knowledge of raising or selling cattle. My response was that even if that were the case we have to redefine what we think is a ‘better’ carcass and look at quality not quantity. I was pleased to see this following sentence in the PFLA standards:

“Pasture-Fed systems often require a fundamental change in perspective on the part of the producer and they are likely to require a similar change in the way animals are judged in competitive events.”

This seems to me the heart of the matter. A change of perspective is indeed needed. Not just for producers, retailers or judges, but for any consumer that cares about the food they are buying.

Our transition from hunter gatherers to farmers and the health problems associated with this change are the subject of much debate and are discussed elsewhere on this site. Paleo does not seek to replicate a hunter gatherer lifestyle but only to use it as a template and as a possible solution to some of the many problems that we encounter in 21st Century living. Of course, raising and eating animals or vegetables for food is something that would have been completely alien to our Paleolithic ancestors. However, with this necessity comes a responsibility that we must take on and nowhere is this responsibility heavier than in how we feed and raise the sentient beings that we eat. This accountability stretches from the pasture to the plate and beyond to the long-term consequences for our health and the environment. However, why complicate things more than we need to? If we attempt to mimic nature as much as is practically possible then perhaps we can ensure a positive outcome. Feeding cows their natural diet instead of industrially manufactured grain produce and the by-products of the bakery and confectionery industry is a fantastic start. Support 100% pasture raised producers!

With greatest of thanks to John and Patsy Price and Ben Reid at the PFLA.

Read more about the Savory Institute’s concept of Holistic management here and here.

Want to buy 100% pasture fed? The PFLA website has a list of approved suppliers, with many offering mail order, selling at farmers markets or directly from the gate.

 

BBG

For a list of Paleo-friendly suppliers and products see the Resources and Suppliers page.

Should I Eat Meat? Episode 2 – How to Feed the Planet

Should I Eat Meat? Episode 2 – How to Feed the Planet

Should I Eat Meat? How to Feed the Planet

 

The second of the Horizon series presented by Dr Michael Mosley on meat-eating proved to be much more interesting than the first – see my review of Epidode 1 here. This programme asked ‘Is there a way to eat meat without destroying the planet?’ A loaded question if ever there was one. Let’s get to the arguments…

Dr M began by talking about statistics on UK meat consumption and then confusingly swapped to talk about worldwide consumption (a habit that continued throughout the programme). Globally, humans ‘consume nearly twice as much meat as they did 50 years ago’. Worldwide we eat 60b chicken, 3.5b ducks and turkeys, 1.4b pigs, 1b sheep and goats, 300m cattle, 5m horses and 2m camels. The average Briton eats 80kg of meat per year (which works out to roughly 219g per day or ½ pound). You can see how this compares to other countries here (statistics updated 2012). The UK is 22 in the table.

Dr M admits that the amount of earth’s resources dedicated to raising these animals is ‘difficult to measure.’ According to the report from United Nations Food and Agriculture Organization (see here) 26% of the earth’s surface is given over to grazing animals. Of the 11% arable land on the earth’s surface, a third goes to feeding animals (3.7%). Dr M concluded that a third of the entire land mass of the earth is given over to animals that we eat or milk. I have to say here that for many people in different parts of the world, the land is shared with the animals that they raise. Herding animals from one area to another does not always mean ‘giving over the land’ to livestock and preventing other uses. As Dr M stated, it must be very difficult to determine these figures. Beginning your argument by depending on figures that are ‘difficult to measure’ is not ideal, but on we go.

Methane

Dr M explained that the US eats more meat than any other country (this is in total; according to the table linked to above, per capita the US is behind Denmark). We learn that cows eat 50kg of grass a day that is converted into 1kg of muscle. Dr M strolls around with a methane detector and we learn that one cow is ‘the equivalent of a family car in terms of the effect on global warming’. This statement needs careful unpicking and I have to say that I will need more than Dr M and his methane detector to convince me of this.

But Dr M wonders if we could reduce the amount of methane the cow produces. He visits the University of Nebraska to see a cannulated cow. Observing how the cow digests grass may help scientists to address the ‘problem’ of methane. There is an embarrassingly pointless clip in which Dr M inserts his hand into the cannula. We learn that microbes in the cow’s rumen digest the cellulose in hay and convert it to nutritious, energy-dense molecules that the cow absorbs. Some microbes actually bypass the rumen and end up in the small intestine where they are digested as microbial cell proteins. That is why the cow has no protein requirement – because the proteins are actually provided by the microbes. This is amazing to hear and Dr M states that this is a ‘brilliant adaptation’. However, he then goes on to suggest that by changing foods that the cow eats (and thus the microbes) we can reduce methane. Feeding the cattle corn and other carbohydrates in concentrated animal feeding operations may be the answer. In one fell swoop we have moved from the wonder that is the cows digestive system, evolving to make super-efficient use of the grass that it eats (and producing the gift of manure to enrich the soil and feed other animals in the food chain), to tampering with that same digestive system in order to affect microbes and thus methane production. This doesn’t bode well.

Feedlots

Dr M visits a huge, incredibly depressing Concentrated Animal Feeding Operation (CAFO) feedlot in Texas. He notes that ‘this could put you off eating beef altogether’, as if there is no alternative to such systems. The cattle that are fed corn and other carbs fatten up in fewer days than if fed on grass and so have the following advantages:

  • For the farmer, it gets the cow to market quicker thus translating to a bigger profit
  • From an ‘ecological’ viewpoint, the life cycle of the cow is reduced thus reducing methane emissions.

Therefore, so the argument goes, cattle fed via this system are ‘greener’. Dr M states that this ‘seems to be the very antithesis of ecological farming.’ He adds that he has no idea how to tell if a cow is happy but observes that they don’t seem any less happy than the cows he has seen in a field (is this for real?).

We hear that 40% of corn grown in the US is fed to livestock (do watch the wonderful King Corn film). The cattle are fed corn flakes to fatten them up (‘much like we eat’ Dr M observes) and also food containing by-products of High Fructose Corn Syrup and by-products of the Ethanol Industry. As well as this concoction, Dr M notes that there is one thing that worries him: growth hormones and antibiotics. He notes that this is: ‘the one thing that has disturbed me’. Really?! Only that one thing? The rest of it hardly seems ideal. We learn that the feedlot is not designed to be ‘eco-friendly’ but that economic efficiency can equate to ‘environmental efficiency’ as cows fed this way produce 40% less emissions per kilo of meat than grass fed cows.

Chickens, fish and artificial meat

Dr M explains there may be no right answer to what is the greenest system. He talks about overgrazing in parts of Africa and the problems in South America where rainforests are being ploughed up to grow soya. If you eat chicken or pork, the chances are it has been fed soya.

We look at the comparisons between different animals and how much food they need to convert to meat. As chickens’ ‘carbon footprint’ is about a quarter of that of cattle, it’s looking like chickens are the winners in all this (so just forget about those rainforests for a minute).

Dr M then visits a huge chicken farm in which the birds are reared in large numbers (5-6 million birds per year) in sheds. He is incredibly upbeat about this in comparison to the intensive cattle feeding operation and talks about them being ‘remarkably well-cared for’. A Life Cycle Assessment (used to assess environmental impacts associated with all the stages of a product/animal life) concludes that chickens raised intensively are the ‘greenest form of meat.’ What the hell does that really mean?

Dr M suggests that we should look to mussel farming as part of the solution. In many parts of the world fish farming is not without its problems (see for instance Richard Manning’s brilliant Against the Grain pp. 116-119, this article by Mark Sisson, this article in the NY Times). We are back to the problem of crowding, unnatural food sources, infectious disease, chemicals, and environmental destruction. As with all farming methods, we need to seek out and support those producers that are raising their fish in a responsible and sustainable way.

Artificial meat grown in the laboratory may also be the answer according to the expert from Compassion in World Farming. Words fail me on this one but Dr M notes that the ‘alternatives’ to artificial meat are ‘apocalyptic’.

Small-scale farming and less meat eating

Lastly, Dr M visited Simon Fairley, author of Meat: A Benign Extravagance, farmer, previously Co-Editor of The Ecologist magazine and now Editor of Land magazine. At last the subject of manure was mentioned and the possibility of integrating livestock into a more holistic agriculture system, using traditional farming methods. Simon explained how ruminants convert grass, leaves etc. into a range of useful products such as wool, leather, dairy, meat, and most importantly fertility for the land via manure.  Simon explained that 85% of what goes into a cow is turned into manure and this enriches the soil: ‘the best way of using grass is via ruminants.’ When raised in small numbers, Simon believes they can be beneficial to humans and to the environment.

We move on to the subject of pigs and their ability to feed on our scraps and waste. In view of the amount of food we throw away each year, pigs would seem an excellent way of providing meat. Suddenly we jump to a warning about the risks of swill not being adequately treated and the causes of the Foot and Mouth outbreak in which a farmer was found guilty of feeding his pigs untreated waste (see here) – cue foreboding music and depressing clips. How did we leap from a very positive view of small-scale pig farming to this? Pig farming is not mentioned again – that seems to have wrapped it up.

Simon draws a hockey-stick graph to illustrate that there is a critical point of meat and dairy consumption, beyond which we need to feed animals grains, acquire more land, use chemical fertilizers and more water. Dr M tells us that it is difficult to come up with figures for this critical point but economists have tried to work it out:

  • Cattle and sheep fed only on grass: 40m tons per year
  • Pigs and chickens fed only on food waste : 110m tons per year
  • Animals fed on other by-products: 40m tons per year

This works out at 40kg which translates to around 100g per day for each person on the planet. Therefore everyone on the planet should cut their meat consumption to 100g per day.

We finish with Prof Tim Benton from the UK Global Food Security Programme telling us to eat less meat (favouring grass-fed meat and then eating chicken for most of the time) and Dr Tara Garnett from Food Climate Research Network at University of Oxford  telling us to ‘explore plant-based substitutes.’

Closing recommendations

Dr M leaves us with the reminder that intensive farming ‘can be the best option when it comes to minimizing greenhouse gas emissions’ and that intensively farmed chickens are probably the best choice. No mention again of their soya feed or the problem of the rainforests being ripped up to grow it; that all seems to be forgotten about.

Although Dr M explains that it is ‘impossible to give a completely accurate figure of how much meat we should eat’, that’s not going to stop him and again we are urged to eat 100g per day. I remembered last week’s programme where Dr M stated that ‘The average meat consumption in the UK is 70 grams of red and processed meat a day, with a quarter of men eating 130 grams.’ That doesn’t include chicken or any other poultry. If the average Briton eats 219g per day then I assume the extra 149g is chicken and other white meats.

Some thoughts…

The conclusions of this programme obviously chime completely with the health findings of the first programme. What a coincidence and I can see why they were aired in that order. The entire premise of this programme depended on the assumption that eating red meat and offal (beef, pork and lamb) is bad for our health and should be limited (conveniently ‘proved’ in last week’s programme). If eating red meat can be extremely beneficial to our health and provides a myriad of nutrients that are hard to find elsewhere, then being asked to cut back on it just wouldn’t work. Asking us to reduce our consumption of something so beneficial just wouldn’t make sense. Hence we had last week’s protracted and desperate argument to show us that eating less red meat and more vegetables will make us healthier.

What do we actually eat?

I was still left confused about how much meat we really eat in the UK and how this is broken down into carcass meat, processed meat, and meat-derived products.

According to the Office for National Statistics, in 1974 people in the UK bought 393g of carcass meat per person per week + 630g of non-carcass meat (sausages, bacon, other meat products) per person per week, giving a total of 1023g per person per week. Fast forward to 2012 (latest figures) and the average per person per week bought 196g of carcass meat and 793g of non-carcass meat giving a total of 989g per person per week. That is a modest reduction overall but definitely a move away from traditional carcass meat. I assume that the rise in meat consumption that Dr M talks about must be due to eating outside the home (in addition to expenditure on groceries). I contacted the ONS (Office of National Statistics) and they only have data going covering 2001-2012 showing expenditure on hotels and restaurants which has declined in that period from £47.30 to £40.50 per week for the average household. Obviously it is impossible to calculate how much of this spending is strictly on food and further still on meat or meat products alone.

What we can ascertain is that people have sadly moved away from traditional cuts of meat towards meat ‘products’. In many of these products, we have no knowledge how that meat has been raised, what it has been fed, where it has come from etc., so unless we do, cutting those back certainly seems like a good idea. What we need is a return to buying carcass meat and offal more often from livestock raised responsibly. No unnatural feeding, no pitiful conditions, no overcrowding into huge sheds.

Additional problems

1. There was no mention in this programme of holistic farming methods such as those practised by the Savory Institute on both a small and large-scale. What about the beneficial effects on the soil using such methods such as increased carbon storage and increased biodiversity? There was no discussion about how we can make more efficient use of the land that we farm.  Read my notes on the Savory Institute conference here.

2. How much does the methane produced by cattle change the climate of the earth? There are conflicting opinions and figures about a) the importance of methane in changing the climate and b) the amount of methane produced over time c) the amount of methane produced by other activities.

Methane is a red herring regarding our changing climate’ – Richard Teague, Texas A&M at the Savory Institute Conference 2014.

There are around 88 million cattle in the US at present. Just how many ruminants wandered the Great Plains hundreds of years ago (at least)? In the case of just bison alone:

Just two centuries ago, between 30 and 60 million bison roamed the continent’s grassy, shrubby plains and prairies, and their range extended from Mexico to central Canada’  – Wildlife Conservation Society.

I think that the methane argument is far from settled.

3. How can we conduct LCA (Life Cycle Assessments) on livestock without taking into account their place within a holistic framework?

Any LCA (life-cycle assessment) that does not include top soil is not an LCA’  – Richard Teague, Texas A&M

4. The devastation caused to the land by growing mono-crops that require the obliteration of the soil and the creatures that live on it was completely ignored by this programme. See Against the Grain by Richard Manning and The Vegetarian Myth by Lierre Keith for more on this.

‘Down below the ripening ears, on the bare earth, no bugs or insects are visible among the forest of stems. Nothing lives here; the pesticides have seen to that. Those that don’t kill the insect predators directly destroy the smaller invertebrates on which they feed. They also wipe out the fungal life on which the smaller creatures feed in their turn. The end result is the same; a barren earth.’ – Graeme Harvey: The Killing of the Countryside.

In addition to this, how does the growth of these mono-crops affect the carbon stored in the soil?

In Iowa, for every 1lb corn grown there is a soil loss of 1lb’  – Peter Byck, Producer of Carbon Nation.

5. The population will continue to grow based on current projections. Therefore following the argument put forward in this programme, the logical conclusion is that we will need to give up meat eating altogether. It would be helpful to have also had a discussion on the amount of land mass needed to farm mono crops for this future population growth, and the ensuing damage to the environment that this may cause.

6. One of the most important factors in choosing grass-fed meat is the health benefits. Increased Omega 3s, conjugated linoleic acid (CLA), Vitamin E and other vitamins & minerals, all of which decline as animals are fed on grain – even for as little as 3 months. See this excellent article at Eat Wild.  I will be writing more about grass fed meat shortly. These health benefits are not limited to ruminants: see also the slides from Daphne Miller’s presentation at the Savory Institute Conference 2014 here that illustrate the nutrient benefits of pasture raised eggs and also the conditions that can qualify for the ‘free range’ label.

Making things simpler

It seems we have lots of confusing terms here. We have to take a step back here for a minute and question what we really mean by ‘green’, ‘ecologically-friendly’, ‘environmental efficiency’ and all those other words that get used in the debate about what is good for our planet. Ruminants evolved to eat grass. We have evolved to eat a mixture of (naturally-fed) meat, fish, fats, vegetables, roots and tubers and some fruit (with a few geographical variations). A penguin has evolved to eat fish. A lion has evolved to eat meat. Why mess with it? Haven’t we realised by now that messing with things like this usually end up in disaster? If we looked at what is really good for us as human beings on the most basic level – eating nutrient-dense food, interacting with nature, caring for our environment, sleeping well, forming social bonds, moving and playing, reducing pollution and waste – many of those things are also good for the planet. I don’t believe that we can extricate ourselves out of the equation. Generally, if we follow what is good for the planet, it is usually good for us.

Finally, in the context of this website, raising a cow to eat is obviously something our Paleolithic ancestors did not do. We are no longer hunters and gatherers, but the best we can do is to raise the food that we eat as naturally as possible. Attempting to change a cow’s digestive processes by feeding it alien foods and forcing it to spend the end of its life in a feedlot is not conducive to this. Such drastic deviations have knock-on effects to our health. We cannot escape the consequences of our actions. Raising animals for food in a responsible way connects us to our environment, to a respect for the earth that we live on, to a respect for the animals we eat and ultimately to a respect for ourselves through the nutrients we feed our bodies. Eating meat is not the problem.

 

 

 

BBG

For a list of Paleo-friendly suppliers and products see the Resources and Suppliers page.