At most medical schools, only an hour or so the four-year-long curriculum
is devoted to diet and nutrition. So your primary doc may or may not know
much about the subject.

It must be tough to try to do scientific research on the health effects of
diet. I haven't read any of the literature. I can imagine designing
experiments with short-term surrogate outcomes like weight loss, changes in
blood lipid profiles, and so on. But what are the truly relevant outcomes
related to diet and health? Longevity? Quality-adjusted life years? Overall
long-term happiness? It would be impossible to run a randomized controlled
trial (e.g., paleo vs. conventional USA diet) with those outcomes. And I
would think that observational studies would have problems related to
potential confounders, etc. This may be an area where anecdotal evidence
has value, and self-experimentation is a reasonable approach.

- David G (MD) in SF



On Thu, Mar 14, 2013 at 7:08 AM, Peter Morgano <uscpeter11...@gmail.com>wrote:

> Even Grant, in his book makes a disclaimer that he is not a Dr. and you
> should ask yours before changing drastically changing your diet. Maybe
> extreme was too harsh of a word. I just ate Froot Loops with Almond Milk
> and I feel great!
>
>
> On Thu, Mar 14, 2013 at 10:00 AM, Jim Thill - Hiawatha Cyclery <
> thill....@gmail.com> wrote:
>
>> My "natural" diet is a mix of quality meat, fruit, veggies, nuts, and
>> eggs, which is a simple version of what some call "paleo". Do these basic
>> ingredients seem like a fad or an extreme diet? Does a diet consisting of
>> these basic ingredients even seem worthy of a trademarked name like "The
>> Paleo Diet"? When I eat these things, I have lots of energy and I feel good
>> and my weight stays in control. When I deviate from this, and eat breads
>> and sweets, I quickly start to feel bad, look puffy, and gain weight. I
>> don't need a doctor's note to tell me that eating natural food and avoiding
>> processed food is a good idea.
>>
>> The notion that eating these basic, natural foods is "extreme", and that
>> somehow eating a bowl of manufactured cereal with a side of pastry every
>> morning is "natural" is backwards.
>>
>>

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