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  • Definitely don't need more patients. More pediatricians would be preferable.

    Comment









    • Click to expand…


      I love this. I think something we sometimes miss is metabolic flexibility. I think I’ll add dry fasting (at least 12 hours) back into the routine, the body loves to be in equilibrium, but if you toss in monkey-wrenches here or there, you trick it into doing amazing things for you! I love teaching (especially nurses) about diet and nutrition because they follow the plan to the tee, and then they teach their family members once they see the results. Pay it forward! Anyway, but what I teach them is far different than what we can do for peak performers (marathon runners, ultra-mans etc) I was just trying to make something simple that anyone could follow without too much thinking about it, know what I mean? No counting calories, no need to document what you’re eating, and it’s all healthy and scientifically based.
      Click to expand...


      Honestly, I don't fast for the the weight loss but for the health purposes. As a physicians, we have the aptitude to understand the cell biology and nuances on why CR is good for you. There's a lot to deep dive on this topic at the cell biology level.

      I like David Sinclair (whose claims are a bit hyperbolic). But the Sirtuin science is fascinating.

      I also like Ana Maria Cuervo(she's at my alma mater). If you're willing to listen to a medical school like lecture on autophagy I recommend:

      https://www.youtube.com/watch?v=SvdaiGA9d2s

      Comment






      • jessikaur,

        I hate to break it to you but your ebook is nonsense.  Don’t get me wrong, but the fundamental plan you outline for people via diet and exercise is fine.  It’s a fine plan and there is nothing wrong with it.  If someone can comply with it they will get good results and one can argue that plans involving intermittent fasting may be easier for some individuals to comply with.

        Having said that the logic that you use to arrive at your prescribed plan is garbage. Sounds like Jason Fung in a different wrapper. For the purposes of weight loss, a calorie is a calorie*.  You can find youtubes of people losing weight on diets consisting wholly of ice cream or fast food (for example).   Such a diet would be incredibly difficult for most people to strictly adhere to, but it also works if done properly.

        Once again, I’m not saying your advice is bad.  It’s just that the Fung-like logic you use to arrive at your conclusions is wrong.

        Imagine that I prescribed the exact same diet and exercise plan that you did, but I said the reason to do it is because the Flying Spaghetti Monster appeared to me in a vision and told me that regimen was the key to health.  Now let’s say that someone believes it and follows my plan and starts to lose weight and feel better. That doesn’t make the Flying Spaghetti Monster real.

        Similarly, just because your plan works, that doesn’t mean a calorie isn’t a calorie.  I guarantee if you weighed and measured your subjects food, you would find that they are all in negative energy balance (i.e., eating fewer calories than they expend).

         

        *I’d be willing to accept certain qualifiers here, but not anything you mentioned
        Click to expand...


        This debate is the same one held at my household(both of us physicians). My wife calls BS. Calorie=calorie. For peace, I stay silent.

        Comment








        •  
          Click to expand…


          This debate is the same one held at my household(both of us physicians). My wife calls BS. Calorie=calorie. For peace, I stay silent.
          Click to expand...


          Smart man.

          Comment


          • I thought intermittent fasting and women hadn't been fully flushed out yet? I remember Ferris saying something about it...

            Comment


            • We're now relying on Tim Ferriss for medical info?
              Good grief.

              Comment


              • I feel like I've probably commented somewhere in this thread but what ever happened to eating moderate portions and exercising. There's no need to get fancy or make things overly complicated.

                Comment






                • jessikaur,

                  I hate to break it to you but your ebook is nonsense.  Don’t get me wrong, but the fundamental plan you outline for people via diet and exercise is fine.  It’s a fine plan and there is nothing wrong with it.  If someone can comply with it they will get good results and one can argue that plans involving intermittent fasting may be easier for some individuals to comply with.

                  Having said that the logic that you use to arrive at your prescribed plan is garbage. Sounds like Jason Fung in a different wrapper. For the purposes of weight loss, a calorie is a calorie*.  You can find youtubes of people losing weight on diets consisting wholly of ice cream or fast food (for example).   Such a diet would be incredibly difficult for most people to strictly adhere to, but it also works if done properly.

                  Once again, I’m not saying your advice is bad.  It’s just that the Fung-like logic you use to arrive at your conclusions is wrong.

                  Imagine that I prescribed the exact same diet and exercise plan that you did, but I said the reason to do it is because the Flying Spaghetti Monster appeared to me in a vision and told me that regimen was the key to health.  Now let’s say that someone believes it and follows my plan and starts to lose weight and feel better. That doesn’t make the Flying Spaghetti Monster real.

                  Similarly, just because your plan works, that doesn’t mean a calorie isn’t a calorie.  I guarantee if you weighed and measured your subjects food, you would find that they are all in negative energy balance (i.e., eating fewer calories than they expend).

                   

                  *I’d be willing to accept certain qualifiers here, but not anything you mentioned
                  Click to expand...


                  and this is why the dogma is the dogma.

                  If you have time please listen to this grand rounds given by Dr. Fung

                  I recently gave a new presentation for Medical Grand Rounds at the Scarborough Health Network. Here's a link to the lecture - https://youtu.be/dbBnvndQok0

                  I can understand (and respect) why people would be resistant especially to something so foreign as "fasting" but the truth is, what we have been spouting (and I've seen it through this thread) has NOT been working. People are getting more obese (not less) and more unhealthy (not healthy) with the typical BS we have been spouting, eat less, exercise more... it DOESN'T work. and it's not sustainable. We need to find solutions that people can stick to and make their lifestyle. People cannot sustain eating 1200 calories a day in and day out. (that's how many I'm allowed by current dogma) and it is miserable, and I was still gaining weight despite exercising! this is the truth for most people.

                  I will agree with you, that any diet can cause weight loss, but is that weight loss sustainable? is the way they lost the weight healthy? I implore you to do your own research, STEM TALK is a podcast that I listen to and is filled with the greatest scientific minds, it is very boring to listen to if you're not a scientist. I feel like most doctors are scientists at heart. Please take a moment as your exercising and listen to Dr. Panda's lecture, or the one from Volter Longo before making up your mind.

                  There is no Fung-like logic. His "logic" is science. Why do you think type 1 diabetics died until we provided them insulin? they could never gain any weight!

                  Be a scientist, do your own research.

                  Comment









                  • jessikaur,

                    I hate to break it to you but your ebook is nonsense.  Don’t get me wrong, but the fundamental plan you outline for people via diet and exercise is fine.  It’s a fine plan and there is nothing wrong with it.  If someone can comply with it they will get good results and one can argue that plans involving intermittent fasting may be easier for some individuals to comply with.

                    Having said that the logic that you use to arrive at your prescribed plan is garbage. Sounds like Jason Fung in a different wrapper. For the purposes of weight loss, a calorie is a calorie*.  You can find youtubes of people losing weight on diets consisting wholly of ice cream or fast food (for example).   Such a diet would be incredibly difficult for most people to strictly adhere to, but it also works if done properly.

                    Once again, I’m not saying your advice is bad.  It’s just that the Fung-like logic you use to arrive at your conclusions is wrong.

                    Imagine that I prescribed the exact same diet and exercise plan that you did, but I said the reason to do it is because the Flying Spaghetti Monster appeared to me in a vision and told me that regimen was the key to health.  Now let’s say that someone believes it and follows my plan and starts to lose weight and feel better. That doesn’t make the Flying Spaghetti Monster real.

                    Similarly, just because your plan works, that doesn’t mean a calorie isn’t a calorie.  I guarantee if you weighed and measured your subjects food, you would find that they are all in negative energy balance (i.e., eating fewer calories than they expend).

                     

                    *I’d be willing to accept certain qualifiers here, but not anything you mentioned
                    Click to expand…


                    This debate is the same one held at my household(both of us physicians). My wife calls BS. Calorie=calorie. For peace, I stay silent.
                    Click to expand...


                    I know. there's no helping people unless they try it for themselves (or really want help). I wholeheartedly agree, I do not use fasting for weight loss, I use it for the health benefits, autophagy, the incredible amount of energy, and the mental clarity. The fat loss is a side effect of the diet. There is a reason that our great philosophers used to have their students fast before lectures.

                    Comment






                    • @peds,
                      jessikaur wrote:
                      I think I’m coming to the conclusion that I just don’t want to have kids
                      ok.

                      next…

                      Looks like this might be bad for your business.
                      I commend you for professionalism in the face of such adversity. Carryon.
                      Click to expand...


                      Tim,

                      I know, every time I come on this forum I inevitably regret it, hence I come on q1 year or when I've had a pressing issue. Why do you think most first time posters apologize for posting? I think there are 95% people on this forum genuinely here to help people and collaborate, and there's about 5% (overly represented) who come on here to ridicule people. I can't explain that, but it's not a problem for me. I usually go with the motto, "kill 'em with kindness." or the golden rule.

                      Anyway, this post has gotten out of control. It's about kids! and wanting them/having them/etc.  So anyone interested in the diet discussion can PM me or start a new post. I think I'll go back into hibernation for another year! Thank you all for your advice, it is truly appreciated it.

                       

                       

                      We are what we repeatedly do. Excellence then is not an act, but a habit.
                      - Aristotle.

                       

                      Comment


                      • I haven't made it through all of the comments, but here's my two cents.  Kids change *everything*.  They are a lot of work, and while some aspects get easier as they get older, in some ways they need you more when they are teenagers.  I always knew I wanted kids.  I have two smart, handsome, neurotypical kids that don't get into trouble, and *so* much of my energy goes toward them.  I am so happy that I have them . . ..  BUT I believe that people who aren't sure they want kids shouldn't have kids.  If you aren't sure now, what are you going to think when you have a baby screaming bloody murder for hours on end in the middle of the night?  Or a kid with health problems who needs frequent trips to the doctor, requiring you and your husband to rearrange schedules?  Will you resent the child for ruining your lifestyle?  And in contrast to all of the people saying not to wait, I would say that there are so many unwanted kids out there, and if you decide later that you want a child, you can always adopt if you find yourself unable to conceive.

                        Comment




                        • I haven’t made it through all of the comments, but here’s my two cents.
                          Click to expand...


                          And now I see this thread is very, very old.  Oops!  That's what I get for jumping in without reading all of the comments!

                          Comment









                          • jessikaur,

                            I hate to break it to you but your ebook is nonsense.  Don’t get me wrong, but the fundamental plan you outline for people via diet and exercise is fine.  It’s a fine plan and there is nothing wrong with it.  If someone can comply with it they will get good results and one can argue that plans involving intermittent fasting may be easier for some individuals to comply with.

                            Having said that the logic that you use to arrive at your prescribed plan is garbage. Sounds like Jason Fung in a different wrapper. For the purposes of weight loss, a calorie is a calorie*.  You can find youtubes of people losing weight on diets consisting wholly of ice cream or fast food (for example).   Such a diet would be incredibly difficult for most people to strictly adhere to, but it also works if done properly.

                            Once again, I’m not saying your advice is bad.  It’s just that the Fung-like logic you use to arrive at your conclusions is wrong.

                            Imagine that I prescribed the exact same diet and exercise plan that you did, but I said the reason to do it is because the Flying Spaghetti Monster appeared to me in a vision and told me that regimen was the key to health.  Now let’s say that someone believes it and follows my plan and starts to lose weight and feel better. That doesn’t make the Flying Spaghetti Monster real.

                            Similarly, just because your plan works, that doesn’t mean a calorie isn’t a calorie.  I guarantee if you weighed and measured your subjects food, you would find that they are all in negative energy balance (i.e., eating fewer calories than they expend).

                             

                            *I’d be willing to accept certain qualifiers here, but not anything you mentioned
                            Click to expand…


                            and this is why the dogma is the dogma.

                            If you have time please listen to this grand rounds given by Dr. Fung

                            I recently gave a new presentation for Medical Grand Rounds at the Scarborough Health Network. Here’s a link to the lecture – https://youtu.be/dbBnvndQok0

                            I can understand (and respect) why people would be resistant especially to something so foreign as “fasting” but the truth is, what we have been spouting (and I’ve seen it through this thread) has NOT been working. People are getting more obese (not less) and more unhealthy (not healthy) with the typical BS we have been spouting, eat less, exercise more… it DOESN’T work. and it’s not sustainable. We need to find solutions that people can stick to and make their lifestyle. People cannot sustain eating 1200 calories a day in and day out. (that’s how many I’m allowed by current dogma) and it is miserable, and I was still gaining weight despite exercising! this is the truth for most people.

                            I will agree with you, that any diet can cause weight loss, but is that weight loss sustainable? is the way they lost the weight healthy? I implore you to do your own research, STEM TALK is a podcast that I listen to and is filled with the greatest scientific minds, it is very boring to listen to if you’re not a scientist. I feel like most doctors are scientists at heart. Please take a moment as your exercising and listen to Dr. Panda’s lecture, or the one from Volter Longo before making up your mind.

                            There is no Fung-like logic. His “logic” is science. Why do you think type 1 diabetics died until we provided them insulin? they could never gain any weight!

                            Be a scientist, do your own research.
                            Click to expand...


                            I'm very familiar with his work and I've read his book.  His logic is not "science".  His misrepresents and misinterprets studies because he knows that almost no one is going to bother to look up and read the primary sources.

                            You also have seemed to have missed my simple point.  There is nothing wrong with the plan he describes.  He's promoting a perfectly healthy diet.  It's just that the logic underlying it is wrong. Take the bolded for example.  He's just pulling that out of thin air. Find me someone on the side of "dogma" that recommends that as a maintenance diet for an adult.  Even for a very tiny adult, you're not going to get to 1200.

                            Also gaining weight while actually doing that is thermodynamically impossible. Especially on a continual basis.

                            This claim is just absolute garbage on it's face.

                            This is kind of the thing he just does over and over again.  It's sad that educated people fall for it.  And they always fall back on the same excuse:  Well his recommendations work.  And they do.  It does not mean that all the idiocy that he used to get to that conclusion is correct also.

                             

                             

                            Comment









                            • @peds,
                              jessikaur wrote:
                              I think I’m coming to the conclusion that I just don’t want to have kids
                              ok.

                              next…

                              Looks like this might be bad for your business.
                              I commend you for professionalism in the face of such adversity. Carryon.
                              Click to expand…


                              Tim,

                              I know, every time I come on this forum I inevitably regret it, hence I come on q1 year or when I’ve had a pressing issue. Why do you think most first time posters apologize for posting? I think there are 95% people on this forum genuinely here to help people and collaborate, and there’s about 5% (overly represented) who come on here to ridicule people. I can’t explain that, but it’s not a problem for me. I usually go with the motto, “kill ’em with kindness.” or the golden rule.

                              Anyway, this post has gotten out of control. It’s about kids! and wanting them/having them/etc.  So anyone interested in the diet discussion can PM me or start a new post. I think I’ll go back into hibernation for another year! Thank you all for your advice, it is truly appreciated it.

                               

                               

                              We are what we repeatedly do. Excellence then is not an act, but a habit.
                              – Aristotle.

                               
                              Click to expand...


                              Ah I hope you won't I always enjoy your thoughts / updates. You should shake things up in the other threads

                              Comment












                              • jessikaur,

                                I hate to break it to you but your ebook is nonsense.  Don’t get me wrong, but the fundamental plan you outline for people via diet and exercise is fine.  It’s a fine plan and there is nothing wrong with it.  If someone can comply with it they will get good results and one can argue that plans involving intermittent fasting may be easier for some individuals to comply with.

                                Having said that the logic that you use to arrive at your prescribed plan is garbage. Sounds like Jason Fung in a different wrapper. For the purposes of weight loss, a calorie is a calorie*.  You can find youtubes of people losing weight on diets consisting wholly of ice cream or fast food (for example).   Such a diet would be incredibly difficult for most people to strictly adhere to, but it also works if done properly.

                                Once again, I’m not saying your advice is bad.  It’s just that the Fung-like logic you use to arrive at your conclusions is wrong.

                                Imagine that I prescribed the exact same diet and exercise plan that you did, but I said the reason to do it is because the Flying Spaghetti Monster appeared to me in a vision and told me that regimen was the key to health.  Now let’s say that someone believes it and follows my plan and starts to lose weight and feel better. That doesn’t make the Flying Spaghetti Monster real.

                                Similarly, just because your plan works, that doesn’t mean a calorie isn’t a calorie.  I guarantee if you weighed and measured your subjects food, you would find that they are all in negative energy balance (i.e., eating fewer calories than they expend).

                                 

                                *I’d be willing to accept certain qualifiers here, but not anything you mentioned
                                Click to expand…


                                and this is why the dogma is the dogma.

                                If you have time please listen to this grand rounds given by Dr. Fung

                                I recently gave a new presentation for Medical Grand Rounds at the Scarborough Health Network. Here’s a link to the lecture – https://youtu.be/dbBnvndQok0

                                I can understand (and respect) why people would be resistant especially to something so foreign as “fasting” but the truth is, what we have been spouting (and I’ve seen it through this thread) has NOT been working. People are getting more obese (not less) and more unhealthy (not healthy) with the typical BS we have been spouting, eat less, exercise more… it DOESN’T work. and it’s not sustainable. We need to find solutions that people can stick to and make their lifestyle. People cannot sustain eating 1200 calories a day in and day out. (that’s how many I’m allowed by current dogma) and it is miserable, and I was still gaining weight despite exercising! this is the truth for most people.

                                I will agree with you, that any diet can cause weight loss, but is that weight loss sustainable? is the way they lost the weight healthy? I implore you to do your own research, STEM TALK is a podcast that I listen to and is filled with the greatest scientific minds, it is very boring to listen to if you’re not a scientist. I feel like most doctors are scientists at heart. Please take a moment as your exercising and listen to Dr. Panda’s lecture, or the one from Volter Longo before making up your mind.

                                There is no Fung-like logic. His “logic” is science. Why do you think type 1 diabetics died until we provided them insulin? they could never gain any weight!

                                Be a scientist, do your own research.
                                Click to expand…


                                I’m very familiar with his work and I’ve read his book.  His logic is not “science”.  His misrepresents and misinterprets studies because he knows that almost no one is going to bother to look up and read the primary sources.

                                You also have seemed to have missed my simple point.  There is nothing wrong with the plan he describes.  He’s promoting a perfectly healthy diet.  It’s just that the logic underlying it is wrong. Take the bolded for example.  He’s just pulling that out of thin air. Find me someone on the side of “dogma” that recommends that as a maintenance diet for an adult.  Even for a very tiny adult, you’re not going to get to 1200.

                                Also gaining weight while actually doing that is thermodynamically impossible. Especially on a continual basis.

                                This claim is just absolute garbage on it’s face.

                                This is kind of the thing he just does over and over again.  It’s sad that educated people fall for it.  And they always fall back on the same excuse:  Well his recommendations work.  And they do.  It does not mean that all the idiocy that he used to get to that conclusion is correct also.

                                 

                                 
                                Click to expand...


                                As duped person enamored by his(Dr. Fung's) strategy, I may have been blind to some of his con like suppositions. I always am willing to learn. Can you please remind or identify for me some of the idiotic claims?

                                Comment

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