You Are What You Eat! 6/2/2011 drbaxtermontgomery.com 1 12 th National African American Breast Cancer Conference May 13, 2011 Baton Rouge, LA
You Are What You Eat!
6/2/2011 drbaxtermontgomery.com 1
12th National African American Breast Cancer Conference
May 13, 2011 Baton Rouge, LA
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Baxter Montgomery, MD, FACC
Clinical Assistant Professor of Medicine, Division of Cardiology/ Cardiac Electrophysiology UT– Houston
Director, Montgomery Heart and Wellness and JAM Institute of Medical Education and Research
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Overview– “A Real Live Story” – A clinical case presentation.
– What Are We Eating and Why Does it Matter?
– The State of Our Health
– Our Current Approach to “Healthcare”
– A Needed Paradigm Shift
– The True Origin of Chronic Illness
– A Much Needed “Food Prescription”
– The Rest of the “Story”
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You Are What You Eat!
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Clinical Story
• 69-year-old lady with symptoms of dizziness and forgetfulness was diagnosed with a brain tumor –Benign/Operable
• Medical History– Diabetes – chronic
– Angina (chest pain) – chronic/prior normal stress test
– Hypertension
– Overweight/Obese
– Carpal Tunnel Syndrome – treated with surgery
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Clinical Story (continued)
• Medications:– BP meds
– Diabetes meds
– Cholesterol meds
– Constipation meds
• Pre-Op Evaluation– Evaluation revealed blocked artery treated with Angioplasty/Stent
• Underwent Surgery – Tumor successfully removed … Hurray!
• There is more to the story … we’ll talk about it later
What are We Eating?
Why Does it Matter?
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One Week’s Food in the US
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One Week’s Food in Italy
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One Week’s Food in Egypt
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One Week’s Food in Ecuador
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One Week’s Food in Bhutan
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One Week’s Food in Chad
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Let’s Analyze Our Food Consumption
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More Meat?
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Where’s the Beef?
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Say “Cheese!”
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What About Sugar?
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Average calorie consumption nationally: 3770 calories per dayAverage calorie consumption globally: 2833 calories per day
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Percentage of overweight and obese children nationally: 33%Percentage of overweight and obese children globally: 12%
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Number of annual drug prescriptions for the average American: 12
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Average annual sodium intake: 4500 mg per dayAverage annual trans fat intake: 5.8 grams per day
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Average annual sugar intake: 142 pounds per year
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Percentage of fast food meals as part of diet for the average American: 55%
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The State of the Union’s Health
… We’re Sick!
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Heart disease does not discriminateHeart disease affects people across all ages.
Estimated Prevalence of Cardiovascular Disease by Age and Gender in the U.S.: 1999 - 2002
11.2
22.9
36.2
52.9
68.5
77.8
6.2
17.6
36.6
56.5
75
86.4
0
10
20
30
40
50
60
70
80
90
20-34 35-44 45-54 55-64 64-74 75+
Male
Female
Perc
en
t in
Po
pu
lati
on
American Heart Association. Heart Disease and Stroke Statistics s – 2006 Update.
1 American Heart Association. Heart Disease and Stroke Statistics- 2009 Update At- a-Glance. Available at www.americanheart.org/presenter.jhtml?identifier=303327 Accessed August, 15, 2009
2 The National Cancer Institute. Lung Cancer. Available at http://www.cancer.gov/cancertopics/type/lung Accessed August 11, 2009.3 The National Cancer Institute. Lung Cancer. Available at http://www.cancer.gov/cancertopics/type/breast Accessed August 11, 2009.4 The Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, Volume 19. Available at:
http://www.cdc.gov/hiv/topics/surveillance/resources/reports/2007report/default.htm Accessed August 15, 2009.
Magnitude of SCA in the U.S.
Breast Cancer3
294,851
SCA1
14,561
40,610
159,390
143,579
AIDS4
Lung Cancer2
Stroke1
SCA claims more lives each year than each of these other causes of mortality.
A leading cause of death in the U.S.
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The Increase of Diabetes in the US
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Diabetes Prevalence 1994
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Diabetes Prevalence 1995
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Diabetes Prevalence 1996
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Diabetes Prevalence 1997
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Diabetes Prevalence 1998
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Diabetes Prevalence 1999
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Diabetes Prevalence 2000
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Diabetes Prevalence 2001
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Diabetes Prevalence 2002
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Diabetes Prevalence 2003
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Diabetes Prevalence 2004
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Diabetes Prevalence 2005
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The Increase of Obesity in the US
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Overweight and Obesity
• US – 67% Overweight & Obese– 34% of those Obese
• Major risk for:– Type 2 diabetes– Cardiovascular disease– Hypertension– Stroke– Certain forms of cancer
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Kidney Disease
0
200000
400000
600000
800000
Number of Individuals
with ESRD
The Measured and Projected Incidence and
Prevalence of ESRD for 1991, 2000, and 2015
1 = 1991; 2 = 2000; 3 = 2015
Incidence of ESRD
1 = 1991; 2 = 2000; 3 = 2015 196000 382000 712290
Incidence of ESRD 53000 93000 136166
1 2 3
MORE PILLS, MORE PROCEDURES!… BY THE WAY, QUIT SMOKING, DIET AND EXERCISE.
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Standard of Care Medicine
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Treatment of Pain in the Thumb
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“Doc, my thumb has been hurting for two weeks”
• Visit One– Evaluation
• Jim w/pain in R thumb for 2 weeks
• Vise grip clamped to thumb 2 weeks ago
• Medical and Family Medical History normal
• Exam: Swollen, red and tender right thumb; left thumb normal; remainder of exam is normal
– Treatment• Motrin 200mg every 8 hours
• Tylenol #3 (30mg codeine) every 4 hours as needed
• Follow up in two weeks
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“Doc, my thumb has been hurting for two weeks” (continued)
• Visit Two– Evaluation
• Pain relief for 1½ weeks
• Increased swelling overall
• New onset constipation
– Treatment• Increase Motrin to 400mg every 8 hours
• Change to Tylenol #4 (60mg Codeine)
• Lactulose for constipation
• Blood Test for Kidney and Liver function
• Two week follow up evaluation
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“Doc, my thumb has been hurting for two weeks” (continued)
• Visit Three– Evaluation
• Partial pain relief for nearly 2 weeks
• Continued increase in swelling overall
• Persistent and slightly worsening constipation
• Mildly abnormal kidney and liver function on blood tests
– Treatment• Add Indocin SR 75mg twice daily to Motrin
• Continue Tylenol #4
• Refer to kidney and GI specialists for abnormal kidney and liver function, respectively
• F/U in 6 weeks
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More Pills
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More Procedures
Angioplasties are currently being performed at a rate of over 1.3 million per year in the U.S. as of 2006. The vast majority of these are done electively which has shown no significant benefit.
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Gastric Bypass Surgeries Performed in US
0
50,000
100,000
150,000
200,000
250,000
1997 2002 2007
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US Healthcare Expenditure Compared to Top Ten Countries in GDP
0
2,000,000
4,000,000
6,000,000
8,000,000
10,000,000
12,000,000
14,000,000
16,000,000
GDP (millions of USD)
GDP (millions of USD)
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We are Getting Less for More
Despite the increase in money paid for healthcare, Americans continue to get sicker … with increases in hypertension, heart disease, obesity, kidney failure, diabetes, and more!
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What is the Nature of “Healthcare” in the United States?
“We are primarily treating the side effects of the bad food that we eat!”
Baxter Montgomery, MD
2010
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A Paradigm Shift is Needed
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The doctor of the future will give no medicine, but will interest her or his patients in the care of the human frame, in a proper diet, and in the cause and prevention of disease.
Thomas A EdisonUS inventor (1847 - 1931)
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The True Origin of Chronic Illness
A Needed Food Prescription
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What’s the Answer?
It is simple … The body heals itself in the setting of proper nutrition!
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What About My Family History?
“Families pass on diseases more effectively through recipes than through genes!”
Baxter Montgomery, MD
2010
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Nutrition Has Been the Answer to Good Health For a Very Long Time
• And God said, Behold, I have given you every herb bearing seed, which is upon the face of all the earth, and every tree, in the which is the fruit of a tree yielding seed; to you it shall be for meat (Heb. food) –Gen 1:29 King James Version
• 12“Please test your servants for ten days, and let them give us vegetables to eat and water to drink. … 15 And at the end of ten days their features appeared better and fatter in flesh than all the young men who ate the portion of the king’s delicacies. – Daniel 1:12;15 NKJV
• “Let food be your medicine and medicine be your food.” -Hippocrates, 400 B.C.
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• Water
• Natural Plant Based Foods– Raw Fruit
– Raw Vegetables
– Raw Seeds
– Raw Sprouts
– Lightly Steamed, Blanched, or Boiled Fruits or Vegetables
• Sunshine
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What is Proper Nutrition?
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The Most Important Part of Proper Nutritionis What You Leave Behind
… Toxic Foods!
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What are Toxic Foods?
• Toxic – acting as or having the effect of a poison
• Poison – a substance that has the inherent tendency to destroy life or impair health
• Hence a toxic food at the very least has a tendency to impair health
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What Makes a Food Toxic?
• Their chemical makeup directly or indirectly leads to impaired health or disease– Inherently Toxic Foods
– Foods that are “Transformed” to Toxins
• Montgomery’s Classification of Toxic Foods– Animal Flesh
– Animal Products
– Overly Processed Plant Based Foods
– Synthetic Foods or Substances
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How Do You Detoxify or Nutritionally Cleanse Your Body?
Basic Outline and Concepts
• Allow the Body to Cleanse, Heal, and Regenerate Itself in a Finite Time Period
– Remove all toxic foods from daily consumption
– Consume only the most nutritionally excellent foods possible
– 100% Compliance … No Moderation!
• Recover from this Period of Time to a Higher Level of Nutritional Maintenance
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What About …?
• Fish and Chicken?
– Where will I get my protein?
• Milk and Low Fat Yogurt?
• Vitamin Supplements?
• Calcium Supplements?
– Where will I get my calcium?
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Four Weeks of Nutritional CleansingWhat the Body is Able to Do
– An average of 3% to 5% body weight reduction.
– An average reduction of 2 inches from the waistline.
– An average of 1 – 1.5 reduction of the BMI.
– A very significant reduction in Blood Pressure
– An average trend toward improved blood sugar controland HbA1c while discontinuing insulin and oral diabetes medications
– An average reduction of 1.2 to 2 medications per person (a range of 25% to 67% reduction for different groups)
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Change in Weight
200.00
202.00
204.00
206.00
208.00
210.00
212.00
214.00
216.00
1 2
215.74
205.61
Weight (lbs) Weight
Weight (lbs) Weight
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Change in BMI
32.00
32.50
33.00
33.50
34.00
34.50
35.00
1 2
34.56
32.94
BMI (kg/h2) BMI
BMI (kg/h2) BMI
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Systolic Blood Pressure Effects
128.00
130.00
132.00
134.00
136.00
138.00
140.00
142.00
1 2
140.20
132.42
SBP mmHg Systolic Pressure
SBP mmHg Systolic Pressure
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Diastolic Blood Pressure Effects
79.50
80.00
80.50
81.00
81.50
82.00
82.50
83.00
83.50
84.00
84.50
1 2
84.43
81.20
DBP mmHg Diastolic Pressure
DBP mmHg Diastolic Pressure
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Effects on Heart Rate
68.50
69.00
69.50
70.00
70.50
71.00
71.50
72.00
72.50
1 2
72.39
69.84
Pulse
Pulse
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Neck Size
14.50
14.60
14.70
14.80
14.90
15.00
15.10
15.20
15.30
1 2
15.30
14.77
Neck (inches)
Neck (inches)
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Effects on Waistline
38.50
39.00
39.50
40.00
40.50
41.00
41.50
1 2
41.41
39.50
Waistline (inches)
Waistline (inches)
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Total Cholesterol
165.00
170.00
175.00
180.00
185.00
190.00
1 2
187.97
172.75
Total Cholesterol
Total Cholesterol
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Effects on LDL Cholesterol
92.00
94.00
96.00
98.00
100.00
102.00
104.00
106.00
108.00
1 2
106.24
97.47
LDL
LDL
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Effects on C-Reactive Protein
0.00
0.10
0.20
0.30
0.40
0.50
0.60
0.70
1 2
0.61
0.40
CRP
CRP
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Effects on SED Rate
0.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
16.00
18.00
1 2
17.17
11.85
SED Rate
SED Rate
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Effects on Fasting Glucose
95.00
96.00
97.00
98.00
99.00
100.00
101.00
102.00
103.00
1 2
102.97
97.68
Glucose
Glucose
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Effects on A1C
6.12
6.14
6.16
6.18
6.20
6.22
6.24
6.26
6.28
6.30
1 2
6.29
6.18
Hem A1C
Hem A1C
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A Schematic of Natural Coronary Disease Reversal
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Angiogram of Man with Critical Coronary Disease
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The Effects of Nutritional Intervention Alone
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The Rest of the “Story”
• After Surgery she developed meningitis hydrocephalus (brain swelling) needed a brain shunt shunt caused a bleed coma “seizures” impaired brain function and more “seizures” full recovery subsequent decline more seizures fall more brain bleeding prolonged hospitalization on ventilator swelling in abdominal cavity and around heart emergency procedure to drain fluid from around heart more abdominal swelling emergency abdominal surgery died from liver failure … one year and ten months after brain tumor diagnosis
• Liver Failure was in large part due to its chronic exposure to the Standard American Diet and too many medications
• The most significant characteristic of this patient was …
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Mother Knows Best!
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Build a Better You!
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Thank You!
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