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These are the user uploaded subtitles that are being translated: 1 00:00:36,550 --> 00:00:38,893 - [Gary Taubes] A very good sign that you've 2 00:00:38,893 --> 00:00:41,776 misunderstood the cause of a disorder is your 3 00:00:41,776 --> 00:00:45,242 inability to treat or prevent it. 4 00:00:46,130 --> 00:00:49,360 - You look at the data of ever increasing obesity 5 00:00:49,360 --> 00:00:51,699 and diabetes and you just think, 6 00:00:51,699 --> 00:00:54,010 how is it possible the whole world 7 00:00:54,010 --> 00:00:55,653 has failed to eat healthfully? 8 00:00:56,860 --> 00:00:59,220 Maybe we're being told the wrong advice. 9 00:00:59,220 --> 00:01:00,310 - [CBS News Anchor] Since the 1960's 10 00:01:00,310 --> 00:01:01,520 the American Heart Association 11 00:01:01,520 --> 00:01:03,250 has been saying saturated fat 12 00:01:03,250 --> 00:01:04,960 is detrimental to cardiovascular health. 13 00:01:04,960 --> 00:01:06,703 You need to get it out of the diet. 14 00:01:06,703 --> 00:01:09,986 - It's hard to think of another policy 15 00:01:09,986 --> 00:01:14,663 that has caused so much harm that has been so wrong. 16 00:01:16,736 --> 00:01:17,730 - You know the chief killer 17 00:01:17,730 --> 00:01:20,166 of Americans is cardiovascular disease. 18 00:01:20,166 --> 00:01:21,170 - [Dr. Sarah Hallberg] I mean, the manipulation 19 00:01:21,170 --> 00:01:24,540 of the data and the idea and the push for low fat, 20 00:01:24,540 --> 00:01:25,963 really got us in trouble. 21 00:01:26,910 --> 00:01:30,440 - I think the low fat diet is genocide. 22 00:01:30,440 --> 00:01:33,130 - [TV Anchor] saturated fat increases cardiovascular risk. 23 00:01:33,130 --> 00:01:35,210 - We've been told forever that fat's gonna kill you. 24 00:01:35,210 --> 00:01:38,130 - This started because incontrovertible evidence 25 00:01:38,130 --> 00:01:40,230 that saturated fat is bad. 26 00:01:40,230 --> 00:01:41,567 - Over and over and over. 27 00:01:41,567 --> 00:01:44,200 - The more animal protein, particularly red meat you eat, 28 00:01:44,200 --> 00:01:45,380 the more likely you are to get sick 29 00:01:45,380 --> 00:01:46,690 from all kinds of different things. 30 00:01:46,690 --> 00:01:48,240 - You're fat because you eat too much fat. 31 00:01:48,240 --> 00:01:51,163 - So, low fat, low fat, low fat, low fat, low fat. 32 00:01:52,040 --> 00:01:54,065 - [Dr. Hyman] For 40 years, the dietary guidelines 33 00:01:54,065 --> 00:01:55,253 have set nutrition standards 34 00:01:55,253 --> 00:01:58,849 for every American for our kids in school, 35 00:01:58,849 --> 00:02:02,020 for food programs for the poor and the elderly, 36 00:02:02,020 --> 00:02:04,160 for rations for our nation's military, 37 00:02:04,160 --> 00:02:07,510 for doctors, nutritionists and dieticians. 38 00:02:07,510 --> 00:02:11,190 We've had it hammered into our heads that fat is bad. 39 00:02:11,190 --> 00:02:14,510 Especially saturated fat, the kind found in meat, dairy, 40 00:02:14,510 --> 00:02:18,200 and some tropical oils like coconut and palm. 41 00:02:18,200 --> 00:02:21,180 - [Woman] The base of the pyramid, carbohydrates. 42 00:02:21,180 --> 00:02:23,830 - [Dr. Hyman] The food pyramid codified our fat phobia, 43 00:02:23,830 --> 00:02:25,309 telling us to make carbohydrates 44 00:02:25,309 --> 00:02:27,980 the foundation of our food choices. 45 00:02:27,980 --> 00:02:30,598 - I think the food pyramid is great if you're standing 46 00:02:30,598 --> 00:02:32,760 on your head because you need 47 00:02:32,760 --> 00:02:35,290 to turn that pyramid upside down. 48 00:02:35,290 --> 00:02:36,230 - You can't be serious. 49 00:02:36,230 --> 00:02:37,693 That would put butter and fat at the top of the-- 50 00:02:37,693 --> 00:02:39,603 - Flip the damn food pyramid! 51 00:02:39,603 --> 00:02:42,231 (keyboard keys clacking) (dramatic music) 52 00:02:42,231 --> 00:02:45,889 (computer beeping) 53 00:02:45,889 --> 00:02:47,238 - Nutrition is stabilizing. 54 00:02:47,238 --> 00:02:48,240 (all cheering) 55 00:02:48,240 --> 00:02:49,280 - We got the whole story wrong. 56 00:02:49,280 --> 00:02:51,110 We were told to eat six to 11 servings of bread, 57 00:02:51,110 --> 00:02:53,210 rice, cereal and pasta a day 58 00:02:53,210 --> 00:02:54,650 by the government and the food pyramid, 59 00:02:54,650 --> 00:02:56,369 it should be called the food tombstone! 60 00:02:56,369 --> 00:02:58,952 (gentle music) 61 00:03:01,770 --> 00:03:03,150 - [Dr. Hyman] I'm Dr. Mark Hyman, 62 00:03:03,150 --> 00:03:04,560 a functional medicine physician 63 00:03:04,560 --> 00:03:06,983 with a focus on food as medicine. 64 00:03:09,430 --> 00:03:12,373 And I understand the healing power of food. 65 00:03:14,620 --> 00:03:16,960 But I can tell you the low fat diet 66 00:03:16,960 --> 00:03:18,683 did not make us healthy. 67 00:03:19,646 --> 00:03:24,646 - I think a low fat heart healthy diet is unproven. 68 00:03:25,410 --> 00:03:28,920 It was essentially a huge experiment 69 00:03:28,920 --> 00:03:33,068 on millions of people and it failed miserably. 70 00:03:33,068 --> 00:03:35,740 Wait a minute, have you not seen, 71 00:03:35,740 --> 00:03:37,460 are you not practicing medicine 72 00:03:37,460 --> 00:03:39,610 to see who is coming into your clinic? 73 00:03:39,610 --> 00:03:43,080 To see the problems that this idea has caused? 74 00:03:43,080 --> 00:03:46,927 I mean, it's just to me, unbelievable. 75 00:03:46,927 --> 00:03:49,227 - [Dr. Hyman] For years, even I believed 76 00:03:49,227 --> 00:03:52,346 that eating fat would make me fat, 77 00:03:52,346 --> 00:03:54,137 and that eating saturated fat 78 00:03:54,137 --> 00:03:57,430 would cause heart disease and kill me. 79 00:03:57,430 --> 00:04:00,010 But now a growing group of experts reveal 80 00:04:00,010 --> 00:04:03,483 that the science against saturated fat was never there. 81 00:04:04,590 --> 00:04:06,130 - I was astonished to find 82 00:04:06,130 --> 00:04:08,330 that there simply was no evidence. 83 00:04:08,330 --> 00:04:10,524 - It was just an idea, but it was launched as a policy 84 00:04:10,524 --> 00:04:13,783 for all Americans based really on no evidence at all. 85 00:04:13,783 --> 00:04:15,330 - What is the evidence? 86 00:04:15,330 --> 00:04:17,820 A big, big zero. 87 00:04:17,820 --> 00:04:20,110 - Our federal dietary guidelines, 88 00:04:20,110 --> 00:04:21,930 the official government advice for how 89 00:04:21,930 --> 00:04:24,410 we should all eat to stay healthy tell us 90 00:04:24,410 --> 00:04:27,500 to limit saturated fat to just a couple of bites a day 91 00:04:27,500 --> 00:04:31,870 and make carbohydrates more than half our daily calories. 92 00:04:31,870 --> 00:04:33,776 I'm here to tell you that advice 93 00:04:33,776 --> 00:04:36,641 is upside down and backwards. 94 00:04:36,641 --> 00:04:39,698 The idea that eating fat will make you fat is wrong 95 00:04:39,698 --> 00:04:42,380 and the science that says saturated fat 96 00:04:42,380 --> 00:04:45,360 causes heart disease is misleading. 97 00:04:45,360 --> 00:04:47,190 And instead has led our nation down 98 00:04:47,190 --> 00:04:50,047 a dangerous path toward a widespread epidemic 99 00:04:50,047 --> 00:04:52,973 of obesity and Type 2 diabetes. 100 00:04:53,940 --> 00:04:54,773 - We screwed up. 101 00:04:54,773 --> 00:04:56,770 It happens all the time in science. 102 00:04:56,770 --> 00:05:00,794 Medical orthodoxy latched onto the wrong explanation, 103 00:05:00,794 --> 00:05:03,330 made a tragic mistake and now 104 00:05:03,330 --> 00:05:04,793 we're living with the consequences. 105 00:05:09,473 --> 00:05:14,473 (gentle music) (cards flipping) 106 00:05:19,610 --> 00:05:21,040 - [Charlie Gibson] The nation got a report card 107 00:05:21,040 --> 00:05:23,580 on obesity today and the country flunked. 108 00:05:23,580 --> 00:05:24,920 - [News Reporter] The battle against obesity 109 00:05:24,920 --> 00:05:26,287 has been going on for years. 110 00:05:26,287 --> 00:05:27,760 - [Michelle Obama] One in three children 111 00:05:27,760 --> 00:05:30,515 in this country is overweight or obese. 112 00:05:30,515 --> 00:05:33,182 (gentle music) 113 00:05:36,814 --> 00:05:39,550 - [Dr. Oz] An estimated $200,000,000,000 cost 114 00:05:39,550 --> 00:05:41,691 to the healthcare industry continues to rise. 115 00:05:41,691 --> 00:05:42,910 - [Gayle King] The search for weight loss and health 116 00:05:42,910 --> 00:05:45,170 may be a little more complex than you think. 117 00:05:45,170 --> 00:05:46,240 - [Peter Jennings] Despite all attempts 118 00:05:46,240 --> 00:05:47,280 to attack the problem, 119 00:05:47,280 --> 00:05:51,300 the adult obesity rate increased in 23 states last year. 120 00:05:51,300 --> 00:05:53,883 (gentle music) 121 00:05:58,414 --> 00:05:59,990 - [Cynthia McMadden] Why is it that Americans 122 00:05:59,990 --> 00:06:03,196 keep getting fatter in spite of government efforts ranging 123 00:06:03,196 --> 00:06:06,573 from calorie posting to new school lunch programs? 124 00:06:08,290 --> 00:06:09,610 - [Gary Taubes] A lot of things with science 125 00:06:09,610 --> 00:06:11,300 is about seeing whether things 126 00:06:11,300 --> 00:06:13,220 that make sense are really right or not. 127 00:06:13,220 --> 00:06:16,970 In this case it sounded reasonable but happened to be wrong. 128 00:06:16,970 --> 00:06:19,637 (gentle music) 129 00:06:48,010 --> 00:06:51,510 - I'm not happy about a lot of years of bein' 130 00:06:51,510 --> 00:06:53,907 at different doctors and every time 131 00:06:53,907 --> 00:06:56,830 that I'd go in there was just here's another injection, 132 00:06:56,830 --> 00:06:58,770 here's a different kind of an injectable. 133 00:06:58,770 --> 00:07:01,130 This is the injectable that is supposed 134 00:07:01,130 --> 00:07:03,180 to help you make your own insulin. 135 00:07:03,180 --> 00:07:05,437 The list of side effects were longer than your arm 136 00:07:05,437 --> 00:07:09,500 and it never made you feel better. 137 00:07:09,500 --> 00:07:14,500 And certainly didn't help at all with weight. 138 00:07:14,730 --> 00:07:16,520 - [Dr. Hyman] Judi has been Type 2 diabetic 139 00:07:16,520 --> 00:07:18,750 for most of her adult life. 140 00:07:18,750 --> 00:07:20,210 So has her dad. 141 00:07:20,210 --> 00:07:21,780 When she was a teenager he died 142 00:07:21,780 --> 00:07:24,177 from complications of the disease. 143 00:07:24,177 --> 00:07:25,996 Judi's tried for decades to get 144 00:07:25,996 --> 00:07:28,710 her blood sugar under control. 145 00:07:28,710 --> 00:07:30,540 - When I did everything they told me to do, 146 00:07:30,540 --> 00:07:34,440 I'd still gain weight and so then you just give up. 147 00:07:34,440 --> 00:07:35,390 - [CNBC Anchor] This health epidemic 148 00:07:35,390 --> 00:07:37,770 is weighing on Americans. - Judi is not alone. 149 00:07:37,770 --> 00:07:38,970 - [CNBC Anchor] Reports show the U.S. obesity epidemic 150 00:07:38,970 --> 00:07:40,430 is only getting worse. 151 00:07:40,430 --> 00:07:43,570 - Americans are not winning their battle against obesity. 152 00:07:43,570 --> 00:07:47,012 - Obesity among children doubled over the past two decades. 153 00:07:47,012 --> 00:07:49,350 - [Dr. Hyman] Today, 75% of the country 154 00:07:49,350 --> 00:07:52,499 is overweight or obese and one in two of us 155 00:07:52,499 --> 00:07:56,530 is either pre-diabetic or Type 2 diabetic. 156 00:07:56,530 --> 00:08:00,510 - Type 2 diabetes is crushing us financially. 157 00:08:00,510 --> 00:08:01,510 Crushing us. 158 00:08:01,510 --> 00:08:03,010 - It currently costs a person 159 00:08:03,010 --> 00:08:08,010 with diabetes in America $900 a month for insulin. 160 00:08:08,850 --> 00:08:11,330 - Direct cost to our healthcare system, 161 00:08:11,330 --> 00:08:13,600 is about a billion dollars a day. 162 00:08:13,600 --> 00:08:16,410 - There isn't enough money in the health care system 163 00:08:16,410 --> 00:08:18,240 to be able to afford this. 164 00:08:18,240 --> 00:08:20,670 - The cost in terms of money is huge, 165 00:08:20,670 --> 00:08:22,600 the cost in terms of human suffering 166 00:08:22,600 --> 00:08:25,307 is like 10 times more than that. 167 00:08:25,307 --> 00:08:27,974 (upbeat music) 168 00:08:29,660 --> 00:08:32,520 - [Dr. Hyman] In the space of a single generation, 169 00:08:32,520 --> 00:08:34,023 we've gone from this, 170 00:08:37,800 --> 00:08:41,373 to this. (whistle shrilling) 171 00:08:42,820 --> 00:08:47,770 - Watching the footage of the 50th anniversary of Apollo 11, 172 00:08:47,770 --> 00:08:51,409 I was struck by how not fat everyone in the crowd was. 173 00:08:51,409 --> 00:08:52,242 (audience laughs) 174 00:08:52,242 --> 00:08:54,967 We look like a completely different race of people. 175 00:08:54,967 --> 00:08:58,450 - The heart attacks, the strokes, the cancer, the blindness, 176 00:08:58,450 --> 00:09:00,780 the amputations, all of that, 177 00:09:00,780 --> 00:09:04,993 I think is unnecessary suffering that we're causing people. 178 00:09:06,670 --> 00:09:08,720 - [Dr. Hyman] The question is, where did this 179 00:09:08,720 --> 00:09:11,320 come from and why is it occurring? 180 00:09:11,320 --> 00:09:12,470 When I was in medical school, 181 00:09:12,470 --> 00:09:15,510 Type 2 diabetes happened only in older adults. 182 00:09:15,510 --> 00:09:18,913 Now we see it in kids as young as three years old. 183 00:09:18,913 --> 00:09:22,200 And the more we try to medicate our way out of the disease, 184 00:09:22,200 --> 00:09:24,370 the worse it seems to get. 185 00:09:24,370 --> 00:09:28,070 - Ya can't throw drugs at a dietary disease 186 00:09:28,070 --> 00:09:29,968 and expect to make it better. 187 00:09:29,968 --> 00:09:31,727 But that's the medical teaching. 188 00:09:31,727 --> 00:09:35,240 "Hey, you have Type 2 Diabetes, let me give you some pills." 189 00:09:35,240 --> 00:09:36,496 - The model doesn't work. 190 00:09:36,496 --> 00:09:38,290 We're not making people healthy, 191 00:09:38,290 --> 00:09:40,047 we're just treating disease. 192 00:09:40,047 --> 00:09:42,476 But if you give people good nutrition, 193 00:09:42,476 --> 00:09:44,730 they become very healthy. 194 00:09:44,730 --> 00:09:46,556 - He introduced that keto diet, 195 00:09:46,556 --> 00:09:51,193 and six weeks later, it was like a miracle. 196 00:09:52,130 --> 00:09:53,600 No diabetes. 197 00:09:53,600 --> 00:09:55,019 - And it was like magic, 198 00:09:55,019 --> 00:09:59,160 and I got off, completely off of insulin. 199 00:09:59,160 --> 00:10:04,160 - Two years later I had lost 197 pounds. 200 00:10:04,470 --> 00:10:06,345 - [Dr. Hyman] Problem is we've been confused 201 00:10:06,345 --> 00:10:10,670 and downright brainwashed by decades of nutritional dogma. 202 00:10:10,670 --> 00:10:12,305 The almost religious conviction 203 00:10:12,305 --> 00:10:16,313 that fat is bad, especially saturated animal fats. 204 00:10:16,313 --> 00:10:18,830 - You can lose weight on these animal protein, 205 00:10:18,830 --> 00:10:21,030 Atkins type diets but you're mortgaging 206 00:10:21,030 --> 00:10:22,590 your health in the process. 207 00:10:22,590 --> 00:10:27,200 - We still operate under this idea of dogmatic principles. 208 00:10:27,200 --> 00:10:29,270 We've always done it that way, 209 00:10:29,270 --> 00:10:31,370 that's what we've always said, 210 00:10:31,370 --> 00:10:33,350 we're gonna continue to say it. 211 00:10:33,350 --> 00:10:37,510 And unfortunately, nothing is holding back progress 212 00:10:37,510 --> 00:10:41,230 in nutrition science like dogma. 213 00:10:41,230 --> 00:10:43,320 - [Dr. Hyman] Alternative ideas have been attacked 214 00:10:43,320 --> 00:10:44,960 and physicians labeled us quacks 215 00:10:44,960 --> 00:10:46,760 for ignoring guidelines against fats 216 00:10:46,760 --> 00:10:49,318 and telling patients to cut carbs instead. 217 00:10:49,318 --> 00:10:52,330 In South Africa, Dr. Tim Noakes went through 218 00:10:52,330 --> 00:10:55,427 a four year ordeal that threatened his medical license 219 00:10:55,427 --> 00:10:57,750 for recommending a low carbohydrate, 220 00:10:57,750 --> 00:10:59,890 high fat diet to a young mother. 221 00:10:59,890 --> 00:11:02,210 - The reason why the low carbohydrate diet 222 00:11:02,210 --> 00:11:03,986 has become demonized is because it works 223 00:11:03,986 --> 00:11:06,053 and it has a huge impact on 224 00:11:06,053 --> 00:11:09,584 the financial return of the medical profession. 225 00:11:09,584 --> 00:11:12,000 - I'm an internal medicine specialist. 226 00:11:12,000 --> 00:11:15,308 I can treat all of the conditions that I used to treat 227 00:11:15,308 --> 00:11:19,570 with medications just by changing the food. 228 00:11:19,570 --> 00:11:21,240 It's remarkable. 229 00:11:21,240 --> 00:11:24,620 - It's completely free, there's no special equipment, 230 00:11:24,620 --> 00:11:27,900 there's no special surgeries. 231 00:11:27,900 --> 00:11:29,830 It's completely natural and it's 232 00:11:29,830 --> 00:11:32,030 been used for thousands of years. 233 00:11:32,030 --> 00:11:33,748 - I can treat not only obesity 234 00:11:33,748 --> 00:11:36,079 but I can treat Type 2 diabetes, 235 00:11:36,079 --> 00:11:37,894 high blood pressure, 236 00:11:37,894 --> 00:11:39,924 in fact I have to take away medications 237 00:11:39,924 --> 00:11:42,950 from people as they get better. 238 00:11:42,950 --> 00:11:46,300 - This is as big as the discovery of insulin or antibiotics. 239 00:11:46,300 --> 00:11:47,670 It clearly is. 240 00:11:47,670 --> 00:11:50,878 - My interpretation is that low-fat diets can work 241 00:11:50,878 --> 00:11:53,758 but low carb diets work better 242 00:11:53,758 --> 00:11:56,253 and that's what the science says. 243 00:11:57,138 --> 00:11:59,805 (upbeat music) 244 00:12:00,650 --> 00:12:02,490 - [Dr. Hyman] Nick Brown is a pretty typical American 245 00:12:02,490 --> 00:12:03,950 when it comes to his diet. 246 00:12:03,950 --> 00:12:04,783 - Hey, how you doin'? - Good. 247 00:12:04,783 --> 00:12:06,060 - [Dr. Hyman] He eats a variety of protein, 248 00:12:06,060 --> 00:12:07,290 vegetables and grains. 249 00:12:07,290 --> 00:12:08,737 He enjoys beer now and then. 250 00:12:08,737 --> 00:12:10,340 And one of his favorite foods-- 251 00:12:10,340 --> 00:12:11,173 - Thank you, Sir. - Have a good day. 252 00:12:11,173 --> 00:12:12,460 - Have a good day. - Appreciate it. 253 00:12:12,460 --> 00:12:13,450 - [Dr. Hyman] Is pizza. 254 00:12:13,450 --> 00:12:14,960 - Lookin' forward to pizza. 255 00:12:14,960 --> 00:12:15,793 Maybe. 256 00:12:15,793 --> 00:12:18,236 If it ruins pizza for me, I'm gonna be pissed off. 257 00:12:18,236 --> 00:12:19,890 (group laughing) 258 00:12:19,890 --> 00:12:20,980 - [Dr. Hyman] Nick is participating 259 00:12:20,980 --> 00:12:23,770 in a unique nutrition experiment along with Tracy. 260 00:12:23,770 --> 00:12:25,310 - [Tracy] Yeah, I've got a plan for the week. 261 00:12:25,310 --> 00:12:26,143 - [Dr. Hyman] And Cynthia. 262 00:12:26,143 --> 00:12:27,100 - Thank you. - You're welcome. 263 00:12:27,100 --> 00:12:28,880 - [Dr. Hyman] Three metabolically healthy people 264 00:12:28,880 --> 00:12:32,710 who take no medications, trying two different diets. 265 00:12:32,710 --> 00:12:35,750 Low carb versus low fat. 266 00:12:35,750 --> 00:12:37,433 - Quite a few new recipes, 267 00:12:37,433 --> 00:12:40,230 so I was curious about using the right thing. 268 00:12:40,230 --> 00:12:41,470 - [Nurse] Up on this smaller-- 269 00:12:41,470 --> 00:12:44,310 - [Dr. Hyman] Before, during and after 270 00:12:44,310 --> 00:12:47,118 the experiment they each weight in, 271 00:12:47,118 --> 00:12:50,696 check their blood pressure, blood sugar and cholesterol. 272 00:12:50,696 --> 00:12:52,318 - Here's a little bit of alcohol-- 273 00:12:52,318 --> 00:12:53,550 - [Dr. Hyman] Throughout the experiment 274 00:12:53,550 --> 00:12:55,140 we'll track their blood sugar. 275 00:12:55,140 --> 00:12:55,973 - [Dr. Freshwater] Are you ready? 276 00:12:55,973 --> 00:12:56,806 - [Nick] Sure. 277 00:12:56,806 --> 00:12:57,639 - Okay, here it comes. - Go. 278 00:12:57,639 --> 00:13:01,060 - [Dr. Hyman] Using a continuous glucose monitor or CGM. 279 00:13:01,060 --> 00:13:01,893 - [Dr. Freshwater] It didn't bother you? 280 00:13:01,893 --> 00:13:02,726 - [Nick] No. 281 00:13:02,726 --> 00:13:03,559 - [Dr. Freshwater] Okay. 282 00:13:03,559 --> 00:13:06,470 - You just hit a check glucose. 283 00:13:06,470 --> 00:13:09,114 And it says, "Ready to scan" and you just take it here, 284 00:13:09,114 --> 00:13:09,980 (scanner beeps) 285 00:13:09,980 --> 00:13:10,990 and there it is. 286 00:13:10,990 --> 00:13:12,800 It's 94, right now. 287 00:13:12,800 --> 00:13:13,990 - [Dr. Hyman] The first week we put them 288 00:13:13,990 --> 00:13:16,230 on a low carb ketogenic diet with less 289 00:13:16,230 --> 00:13:18,865 than 20 grams of carbohydrates per day. 290 00:13:18,865 --> 00:13:23,865 Plenty of healthy fats and a moderate amount of protein. 291 00:13:24,390 --> 00:13:27,330 A diet designed to keep blood sugars low, 292 00:13:27,330 --> 00:13:29,579 but an eating pattern that is not allowed 293 00:13:29,579 --> 00:13:32,433 by the U.S. dietary guidelines. 294 00:13:34,500 --> 00:13:39,110 The second week, we switch them to a USDA MyPlate meal plan. 295 00:13:39,110 --> 00:13:43,700 It's a 2,000 calorie a day government endorsed low fat plan 296 00:13:43,700 --> 00:13:47,100 featuring whole grains, lean meats and vegetable oils 297 00:13:47,100 --> 00:13:50,303 and more than half the day's calories as carbohydrates. 298 00:13:51,510 --> 00:13:54,863 Week one is the low carb, high fat diet. 299 00:13:55,786 --> 00:13:56,697 - And then we'll keep this goin'. 300 00:13:56,697 --> 00:13:58,640 This is almost ready. 301 00:13:58,640 --> 00:13:59,580 I'm excited about it. 302 00:13:59,580 --> 00:14:01,929 I'm excited to try the recipes and excited to see 303 00:14:01,929 --> 00:14:05,340 just what a full week of doing this does. 304 00:14:05,340 --> 00:14:06,770 - [Tracy] I'm grateful to be doing it. 305 00:14:06,770 --> 00:14:08,477 It's very fascinating to me. 306 00:14:08,477 --> 00:14:10,810 - [Dr. Hyman] The keto recipes are full 307 00:14:10,810 --> 00:14:13,704 of healthy natural fats like eggs, butter, avocado, 308 00:14:13,704 --> 00:14:18,090 olive oil and nuts and seeds and even grass fed beef. 309 00:14:18,090 --> 00:14:20,480 - [Cynthia] I love new recipes, so this is really good. 310 00:14:20,480 --> 00:14:21,490 Interesting. 311 00:14:21,490 --> 00:14:23,060 - So, these are buttered eggs 312 00:14:23,060 --> 00:14:25,382 and that's what they're called in the recipe. 313 00:14:25,382 --> 00:14:27,620 You actually make them with butter. 314 00:14:27,620 --> 00:14:29,870 I use the grass fed butter. 315 00:14:29,870 --> 00:14:32,120 And then, I decided to add a little bit of avocado, 316 00:14:32,120 --> 00:14:34,790 and some tomatoes and salt and pepper and that's it. 317 00:14:34,790 --> 00:14:37,180 Super simple, super easy. 318 00:14:37,180 --> 00:14:42,180 - I am making a keto zucchini boats. 319 00:14:42,510 --> 00:14:44,750 You take out the middle of the zucchini, 320 00:14:44,750 --> 00:14:47,250 cook it up with some onion, spinach. 321 00:14:47,250 --> 00:14:50,180 I put in some olives, olive oil, 322 00:14:50,180 --> 00:14:52,380 and then just let that saute for a little bit. 323 00:14:52,380 --> 00:14:53,910 - I think it's working for my body. 324 00:14:53,910 --> 00:14:56,371 I'm curious to see what it does through the whole week. 325 00:14:56,371 --> 00:14:58,954 (upbeat music) 326 00:15:00,124 --> 00:15:01,990 - These are really good. 327 00:15:01,990 --> 00:15:04,320 - [Dr. Hyman] By adding healthy fats into every meal 328 00:15:04,320 --> 00:15:06,290 and cutting out processed carbs, 329 00:15:06,290 --> 00:15:09,720 the three experience a sense of fullness that lasts. 330 00:15:09,720 --> 00:15:14,140 - Well, to be honest, I've really not been famished. 331 00:15:14,140 --> 00:15:17,490 - [Tracy] So, this is day three of the strict Keto Diet. 332 00:15:17,490 --> 00:15:19,890 I am literally down three and a half pounds 333 00:15:19,890 --> 00:15:21,380 from when this started. 334 00:15:21,380 --> 00:15:23,010 I'm surprised by that. 335 00:15:23,010 --> 00:15:23,930 I feel great. 336 00:15:23,930 --> 00:15:25,430 I went mountain biking last night, 337 00:15:25,430 --> 00:15:29,040 and had a lot of energy and I don't feel hungry. 338 00:15:29,040 --> 00:15:30,360 - I still feel full and that 339 00:15:30,360 --> 00:15:31,800 was after three and a half hours. 340 00:15:31,800 --> 00:15:32,967 And usually at that time, yeah, 341 00:15:32,967 --> 00:15:35,517 the two, two and a half hours, I'm hungry, usually. 342 00:15:36,960 --> 00:15:38,200 - One way to think of carbs 343 00:15:38,200 --> 00:15:40,579 is they're like kindling on a fire. 344 00:15:40,579 --> 00:15:42,825 They burn quickly and then go out, 345 00:15:42,825 --> 00:15:46,392 dropping your blood sugar and creating severe cravings. 346 00:15:46,392 --> 00:15:49,845 The physical signal that your body needs more fuel. 347 00:15:49,845 --> 00:15:51,500 To keep your metabolism burning, 348 00:15:51,500 --> 00:15:54,610 you must constantly eat more and then you crash 349 00:15:54,610 --> 00:15:56,849 and then you eat more and then you crash. 350 00:15:56,849 --> 00:15:59,890 See how carbs like bread, pasta, 351 00:15:59,890 --> 00:16:03,631 rice and yes even whole grains effect your blood sugar. 352 00:16:03,631 --> 00:16:06,870 Protein has a much lower response. 353 00:16:06,870 --> 00:16:09,549 It will raise blood sugar a small amount and fat, 354 00:16:09,549 --> 00:16:11,460 take a look at fat. 355 00:16:11,460 --> 00:16:14,363 Almost no rise in blood sugar at all. 356 00:16:15,560 --> 00:16:18,762 When you eat fat it's like putting logs on the fire. 357 00:16:18,762 --> 00:16:23,563 What you get is just a long, steady source of fuel. 358 00:16:25,050 --> 00:16:27,610 - And that's one of the reasons that I like low carb diets 359 00:16:27,610 --> 00:16:30,013 so much because they don't require as much willpower 360 00:16:30,013 --> 00:16:33,100 because if your hormones, your insulin isn't going 361 00:16:33,100 --> 00:16:35,180 up to the sky every time that you eat, 362 00:16:35,180 --> 00:16:37,762 and then crashing down making you crave a bagel 363 00:16:37,762 --> 00:16:40,230 or a donut or something from the snack. 364 00:16:40,230 --> 00:16:43,170 If that's not happening in your physiology all the time, 365 00:16:43,170 --> 00:16:47,400 it's much easier to not overeat. 366 00:16:47,400 --> 00:16:49,470 - Day six, lunchtime. 367 00:16:49,470 --> 00:16:51,839 Leftover Italian cabbage stir fry 368 00:16:51,839 --> 00:16:55,223 with a blop of sour cream. 369 00:16:55,223 --> 00:17:00,223 I'm still not quite hungry but it's time for lunch. 370 00:17:00,350 --> 00:17:01,740 - You know what's really great 371 00:17:01,740 --> 00:17:04,650 about this is it's so easy to test your glucose. 372 00:17:04,650 --> 00:17:06,420 - The sensor is here. 373 00:17:06,420 --> 00:17:09,290 And then, on my phone I go on the app that connects to it. 374 00:17:09,290 --> 00:17:13,487 - And you just put it up and it grabs it. 375 00:17:13,487 --> 00:17:17,080 - And it went doo bloop and then you have it. 376 00:17:17,080 --> 00:17:17,913 - Pretty cool. 377 00:17:17,913 --> 00:17:19,080 - It's really cool (laughs). 378 00:17:20,380 --> 00:17:22,350 - [Dr. Hyman] All week on the low carb, hight fat diet, 379 00:17:22,350 --> 00:17:25,046 their blood sugars are virtual straight lines 380 00:17:25,046 --> 00:17:27,210 with no spikes or dips. 381 00:17:27,210 --> 00:17:28,190 - It's been steady. 382 00:17:28,190 --> 00:17:33,010 It's been, typically, at the 85 to 90 range. 383 00:17:33,010 --> 00:17:34,393 And I just ate and that's 83. 384 00:17:34,393 --> 00:17:36,660 I just tried it a few minutes ago 385 00:17:36,660 --> 00:17:38,620 and it's gone down six points. 386 00:17:38,620 --> 00:17:40,140 - I kinda wanna just keep it on all the time 387 00:17:40,140 --> 00:17:43,498 'cause it's so interesting to see what you're doing all day. 388 00:17:43,498 --> 00:17:44,800 - [Dr. Hyman] By the end of the week 389 00:17:44,800 --> 00:17:48,470 all three participants have lost weight and feel great. 390 00:17:48,470 --> 00:17:49,303 - How'd your week go? 391 00:17:49,303 --> 00:17:50,136 - Very well. 392 00:17:50,136 --> 00:17:51,410 Thanks. - Good. 393 00:17:51,410 --> 00:17:54,900 You have lost about two and a half pounds of fat. 394 00:17:54,900 --> 00:17:56,530 And how were your blood sugars? 395 00:17:56,530 --> 00:17:57,363 - Very, very even. 396 00:17:57,363 --> 00:18:00,480 - And look, your lean tissue, not only has it not gone down, 397 00:18:00,480 --> 00:18:02,300 it's actually gone up a little bit. 398 00:18:02,300 --> 00:18:04,010 Boy, you're really even. 399 00:18:04,010 --> 00:18:04,843 - Yeah. - Wow, 400 00:18:04,843 --> 00:18:06,102 not a lot of variation at all. 401 00:18:06,102 --> 00:18:07,780 - I had always a full feeling, 402 00:18:07,780 --> 00:18:10,270 so I'm wondering if I ate too much maybe. 403 00:18:10,270 --> 00:18:11,103 I don't know. 404 00:18:11,103 --> 00:18:12,390 - Well, you'll feel a lot more full 405 00:18:12,390 --> 00:18:13,979 with fat and protein, - Yeah. 406 00:18:13,979 --> 00:18:16,480 - and less carbohydrate, for sure. 407 00:18:16,480 --> 00:18:18,930 - [Dr. Hyman] Next week, we'll flip from low carb 408 00:18:18,930 --> 00:18:22,287 to low fat and follow the U.S. dietary guidelines. 409 00:18:22,287 --> 00:18:23,180 - [Dr. Freshwater] I'm really curious 410 00:18:23,180 --> 00:18:24,670 to see what happens (laughs). - Yeah, me too. 411 00:18:24,670 --> 00:18:26,627 - I'm a little scared about what's gonna happen. 412 00:18:26,627 --> 00:18:29,320 (upbeat music) 413 00:18:29,320 --> 00:18:30,950 - So how is it possible that we got 414 00:18:30,950 --> 00:18:33,102 the story so wrong about fats? 415 00:18:33,102 --> 00:18:35,445 There were religious objections to eating meat 416 00:18:35,445 --> 00:18:39,030 as early as the 1800's that influenced American opinions 417 00:18:39,030 --> 00:18:42,340 but a major turning point was in 1955 418 00:18:42,340 --> 00:18:44,880 when a presidential health scare shocked the nation. 419 00:18:44,880 --> 00:18:47,010 - [News Anchor] News of President Eisenhower's 420 00:18:47,010 --> 00:18:48,990 sudden illness described by his doctors 421 00:18:48,990 --> 00:18:52,910 as coronary thrombosis came as a severe shock to us all. 422 00:18:52,910 --> 00:18:55,690 - President Eisenhower in 1955 had a heart attack. 423 00:18:55,690 --> 00:18:58,650 He was out of the oval office for 10 whole days, 424 00:18:58,650 --> 00:19:00,810 and that really focused the attention 425 00:19:00,810 --> 00:19:02,930 of the nation on this problem of heart disease. 426 00:19:02,930 --> 00:19:04,940 - [News Anchor] Cardiovascular ailments continue 427 00:19:04,940 --> 00:19:08,150 to take an increasingly heavy toll of American lives, 428 00:19:08,150 --> 00:19:09,230 a million this year. 429 00:19:09,230 --> 00:19:10,640 - The nation was really in shock 430 00:19:10,640 --> 00:19:14,060 and there was a desperate need for explanations. 431 00:19:14,060 --> 00:19:14,893 - And people were like, 432 00:19:14,893 --> 00:19:16,980 "Whoa, what's causing all the heart disease?" 433 00:19:16,980 --> 00:19:18,607 - [Man] Here are vital statistics, 434 00:19:18,607 --> 00:19:20,620 they show that the problem here 435 00:19:20,620 --> 00:19:22,540 in America is the worst in the world. 436 00:19:22,540 --> 00:19:24,240 - [Woman] There were a number of ideas about it. 437 00:19:24,240 --> 00:19:25,596 One was that it was vitamin deficiency, 438 00:19:25,596 --> 00:19:28,840 another was that it was the rising tide of auto exhaust, 439 00:19:28,840 --> 00:19:30,260 more cars on the road. 440 00:19:30,260 --> 00:19:33,743 - Of 10 men, we can expect five to get it. 441 00:19:37,720 --> 00:19:42,110 But we can't say who or when or why. 442 00:19:42,110 --> 00:19:43,617 - Now, you can look back now and say, 443 00:19:43,617 --> 00:19:45,617 "Well, that's pretty easy to understand. 444 00:19:47,117 --> 00:19:49,270 "Everybody was smoking." 445 00:19:49,270 --> 00:19:50,260 - Raleigh? 446 00:19:50,260 --> 00:19:51,573 - Oh, no thanks! 447 00:19:52,450 --> 00:19:53,920 I have a pack. 448 00:19:53,920 --> 00:19:55,640 - [TV Announcer] More doctors smoke Camels 449 00:19:55,640 --> 00:19:57,690 than any other cigarette. 450 00:19:57,690 --> 00:20:00,485 - [Dr. Hyman] In the 1950s and 60s, cigarettes were in. 451 00:20:00,485 --> 00:20:03,514 ♪ Spud cigarettes are cooler than cool ♪ 452 00:20:03,514 --> 00:20:04,791 ♪ Smoke Spud cigarettes ♪ 453 00:20:04,791 --> 00:20:06,497 ♪ That's the mouth's happy rule ♪ 454 00:20:06,497 --> 00:20:08,350 - Here, have a Viceroy. 455 00:20:08,350 --> 00:20:11,842 - [Dr. Hyman] Eisenhower himself smoked four packs a day. 456 00:20:11,842 --> 00:20:13,350 - What do you think? 457 00:20:13,350 --> 00:20:15,261 - This is what I was really looking for. 458 00:20:15,261 --> 00:20:16,780 - [Dr. Hyman] If you look at the trends 459 00:20:16,780 --> 00:20:18,140 for cigarette smoking against 460 00:20:18,140 --> 00:20:21,183 the increases in heart disease, they track together. 461 00:20:21,183 --> 00:20:23,480 But at the same time the consumption 462 00:20:23,480 --> 00:20:26,530 of saturated fat was falling dramatically. 463 00:20:26,530 --> 00:20:27,700 - Everybody was smoking. 464 00:20:27,700 --> 00:20:29,930 Now we know smoking causes heart disease, 465 00:20:29,930 --> 00:20:31,610 or contributes to heart disease, 466 00:20:31,610 --> 00:20:33,140 but at the time, of course, 467 00:20:33,140 --> 00:20:35,397 the tobacco companies were like, 468 00:20:35,397 --> 00:20:37,637 "No, no, no, no, no, no (laughs). 469 00:20:37,637 --> 00:20:40,370 "Tobacco smoking, it doesn't cause heart disease." 470 00:20:40,370 --> 00:20:41,617 So, all the scientists were like, 471 00:20:41,617 --> 00:20:44,460 "Hey, I wonder why we're getting so much heart disease?" 472 00:20:44,460 --> 00:20:46,040 - There was one theory that was proposed 473 00:20:46,040 --> 00:20:49,110 by Ancel Benjamin Keys who was a pathologist 474 00:20:49,110 --> 00:20:50,240 at the University of Minnesota. 475 00:20:50,240 --> 00:20:51,930 And he said that it was saturated fat 476 00:20:51,930 --> 00:20:53,780 and dietary cholesterol that caused heart disease. 477 00:20:53,780 --> 00:20:57,150 - It's like, okay, but how do people eat butter 478 00:20:57,150 --> 00:20:59,880 for the last sort of two millennia, 479 00:20:59,880 --> 00:21:03,123 and ever since 1970, it causes heart disease? 480 00:21:03,123 --> 00:21:05,232 It's like it didn't cause heart disease before. 481 00:21:05,232 --> 00:21:07,770 - [Dr. Hyman] At the same time consumption of sugar, 482 00:21:07,770 --> 00:21:09,740 refined oils and refined grains 483 00:21:09,740 --> 00:21:13,008 were on the rise in America but Ancel Keys focused on fat 484 00:21:13,008 --> 00:21:15,330 as the cause of heart disease. 485 00:21:15,330 --> 00:21:17,408 - And he thought that total cholesterol 486 00:21:17,408 --> 00:21:19,949 in your arteries would build up 487 00:21:19,949 --> 00:21:23,160 and clog your arteries and give you a heart attack, 488 00:21:23,160 --> 00:21:25,975 like hot oil down a cold stove pipe. 489 00:21:25,975 --> 00:21:28,464 So that was his idea. 490 00:21:28,464 --> 00:21:30,188 It was just a simple idea. 491 00:21:30,188 --> 00:21:34,533 - To blame a sort of ancient food for a modern disease 492 00:21:34,533 --> 00:21:38,810 was completely illogical, it didn't make any sense, 493 00:21:38,810 --> 00:21:40,580 but you repeat things enough, 494 00:21:40,580 --> 00:21:42,797 and you get it out there enough, people believe you. 495 00:21:42,797 --> 00:21:45,537 - As American author H.L. Mencken once said, 496 00:21:45,537 --> 00:21:48,300 "For every complex problem, there is a solution 497 00:21:48,300 --> 00:21:51,130 "that is simple and clear and wrong." 498 00:21:51,130 --> 00:21:54,280 - It's the biggest scam ever perpetrated 499 00:21:54,280 --> 00:21:55,200 on the American people. 500 00:21:55,200 --> 00:21:56,850 This whole notion of cholesterol. 501 00:21:59,536 --> 00:22:00,820 - If you have high cholesterol, 502 00:22:00,820 --> 00:22:03,462 you may be at increased risk of heart attack and stroke. 503 00:22:03,462 --> 00:22:04,667 Don't kid yourself. 504 00:22:04,667 --> 00:22:05,850 - [Announcer] talk to your doctor 505 00:22:05,850 --> 00:22:07,553 about your risk and about Lipitor. 506 00:22:08,410 --> 00:22:10,587 - It's eye-wateringly lucrative 507 00:22:10,587 --> 00:22:14,430 to keep this idea going that we need to lower cholesterol. 508 00:22:14,430 --> 00:22:15,967 - Cholesterol has definitely become 509 00:22:15,967 --> 00:22:19,570 the boogeyman of cardiology and here's what's 510 00:22:19,570 --> 00:22:22,380 so interesting about cholesterol is we need it. 511 00:22:22,380 --> 00:22:25,327 Our bodies cannot exist without cholesterol. 512 00:22:25,327 --> 00:22:27,790 Yet once again, in simplistic thinking, 513 00:22:27,790 --> 00:22:29,170 we try and lump cholesterol 514 00:22:29,170 --> 00:22:31,477 in good cholesterol and bad cholesterol. 515 00:22:31,477 --> 00:22:33,500 And we wanna lower the bad cholesterol, 516 00:22:33,500 --> 00:22:36,760 the LDL and raise the good cholesterol and HDL. 517 00:22:36,760 --> 00:22:38,690 That is incredibly simplistic. 518 00:22:38,690 --> 00:22:42,147 - It turns out that raising your LDL cholesterol 519 00:22:42,147 --> 00:22:46,963 in diet does not translate into heart attacks and death. 520 00:22:47,970 --> 00:22:49,070 It just doesn't. 521 00:22:49,070 --> 00:22:51,348 - When you take cholesterol out of the equation, 522 00:22:51,348 --> 00:22:53,020 you go, let's just see if people 523 00:22:53,020 --> 00:22:55,870 who eat more saturated fat actually die more? 524 00:22:55,870 --> 00:22:57,600 Do they actually get more heart disease? 525 00:22:57,600 --> 00:22:58,890 That's what we care about. 526 00:22:58,890 --> 00:23:00,260 Forget that it raises cholesterol. 527 00:23:00,260 --> 00:23:01,246 We know it raises cholesterol, 528 00:23:01,246 --> 00:23:03,080 so let's take that out of the equation 529 00:23:03,080 --> 00:23:04,980 and see what the end result is 530 00:23:04,980 --> 00:23:08,465 which is what we care about and every time they do that, 531 00:23:08,465 --> 00:23:10,670 the relationship dissolves. 532 00:23:10,670 --> 00:23:12,422 There is no relationship between the amount 533 00:23:12,422 --> 00:23:15,893 of fat you eat in your diet and getting heart disease. 534 00:23:17,300 --> 00:23:20,240 - [Dr. Hyman] We now know the chronic inflammation caused 535 00:23:20,240 --> 00:23:22,890 by a diet high in sugar, refined grains, 536 00:23:22,890 --> 00:23:24,480 and refined vegetable oils 537 00:23:24,480 --> 00:23:26,410 is far more dangerous to our health. 538 00:23:26,410 --> 00:23:28,750 - Atherosclerosis is an inflammatory disease. 539 00:23:28,750 --> 00:23:31,410 It's not a buildup of fat in the artery, 540 00:23:31,410 --> 00:23:34,170 it's actually an inflammation that's causing the problem. 541 00:23:34,170 --> 00:23:36,020 - And the cholesterol then will go to that damage 542 00:23:36,020 --> 00:23:38,870 to try to repair it but it didn't cause the damage. 543 00:23:38,870 --> 00:23:41,100 The damage has to come first. 544 00:23:41,100 --> 00:23:43,510 It's like saying that firefighters caused 545 00:23:43,510 --> 00:23:46,570 the fire when they just turned up to put the fire out. 546 00:23:46,570 --> 00:23:48,060 It was there by association, 547 00:23:48,060 --> 00:23:51,120 but it was there to repair, not to cause harm. 548 00:23:51,120 --> 00:23:54,742 - Inflammation is probably the number one promoter 549 00:23:54,742 --> 00:23:57,150 of every disease we don't wanna have. 550 00:23:57,150 --> 00:24:00,470 And the number one inflammatory substance 551 00:24:00,470 --> 00:24:02,278 in the American diet is sugar. 552 00:24:02,278 --> 00:24:03,930 That's it. 553 00:24:03,930 --> 00:24:06,210 I mean, put those two things together. 554 00:24:06,210 --> 00:24:10,000 Inflammation makes everything worse and sugar is the number 555 00:24:10,000 --> 00:24:12,454 one inflammatory substance that we consume. 556 00:24:12,454 --> 00:24:14,730 End of argument. 557 00:24:14,730 --> 00:24:17,397 (upbeat music) 558 00:24:18,260 --> 00:24:21,140 - [Woman] In 1951, Ancel and Margaret took 559 00:24:21,140 --> 00:24:25,000 the two oldest children to Oxford for a year's sabbatical. 560 00:24:25,000 --> 00:24:27,000 The couple continued their travels, 561 00:24:27,000 --> 00:24:30,020 measuring cholesterol's and conducting diet surveys 562 00:24:30,020 --> 00:24:32,950 in several European and African countries. 563 00:24:32,950 --> 00:24:35,119 - There was a study that he presented 564 00:24:35,119 --> 00:24:38,177 at the Mt. Sinai Hospital in 1953 565 00:24:38,177 --> 00:24:40,803 and it was the Six Countries Graph. 566 00:24:40,803 --> 00:24:42,670 - [Dr. Mente] He specifically looked 567 00:24:42,670 --> 00:24:44,910 at six countries around the world. 568 00:24:44,910 --> 00:24:47,530 And on the x-axis he plotted fat intake, 569 00:24:47,530 --> 00:24:50,260 and on the y-axis coronary heart disease rates, 570 00:24:50,260 --> 00:24:52,660 and he found a straight line relationship. 571 00:24:52,660 --> 00:24:54,710 - And he offered that as proof that there 572 00:24:54,710 --> 00:24:56,980 was a linear relationship between 573 00:24:56,980 --> 00:24:58,831 how much saturated fat people consumed 574 00:24:58,831 --> 00:25:01,010 and how much heart disease they had. 575 00:25:01,010 --> 00:25:02,530 - But he chose six countries 576 00:25:02,530 --> 00:25:05,510 for that perfect correlation and at the time 577 00:25:05,510 --> 00:25:08,880 there was data available for 22 countries. 578 00:25:08,880 --> 00:25:09,713 - [Zoe Harcombe] And when you put in all 579 00:25:09,713 --> 00:25:11,970 of those countries It just looked like a scatter plot. 580 00:25:11,970 --> 00:25:14,480 - The trendline is nowhere near as clear-cut. 581 00:25:14,480 --> 00:25:16,050 - There was no clear relationship. 582 00:25:16,050 --> 00:25:18,302 - No correlation between fat and heart disease. 583 00:25:18,302 --> 00:25:21,590 He was criticized at the time by a statisticians who said, 584 00:25:21,590 --> 00:25:23,870 "Well you're obviously cherry picking your data." 585 00:25:23,870 --> 00:25:25,521 - He knows it's a hypothesis, 586 00:25:25,521 --> 00:25:27,900 he knows he doesn't have the evidence 587 00:25:27,900 --> 00:25:30,200 and he immediately starts recommending the country 588 00:25:30,200 --> 00:25:32,596 go on a low fat diet which is fascinating 589 00:25:32,596 --> 00:25:36,730 because there is no concern that you're gonna do harm. 590 00:25:36,730 --> 00:25:41,016 There's no, the Hippocratic Oath, first do no harm. 591 00:25:41,016 --> 00:25:43,690 - [Dr. Hyman] Despite his critics, Keys was determined 592 00:25:43,690 --> 00:25:45,500 to prove himself right. 593 00:25:45,500 --> 00:25:48,050 He followed up with his famous seven country study, 594 00:25:48,050 --> 00:25:50,560 where he traveled to the countries cherry picked 595 00:25:50,560 --> 00:25:52,970 from his graph and studied eating habits 596 00:25:52,970 --> 00:25:55,480 and heart disease among the people there. 597 00:25:55,480 --> 00:25:58,700 - For his Seven Country Study he repeated the same mistake, 598 00:25:58,700 --> 00:26:00,930 I mean, he cherry-picked his countries. 599 00:26:00,930 --> 00:26:02,740 - I think he did cherry-pick countries 600 00:26:02,740 --> 00:26:03,880 for the Seven Countries Study. 601 00:26:03,880 --> 00:26:05,442 He knew from the Six Countries Graph 602 00:26:05,442 --> 00:26:08,560 the countries that would be on that straight line, 603 00:26:08,560 --> 00:26:09,961 so he knew, for example, that Italy would 604 00:26:09,961 --> 00:26:12,950 be a sure thing and America would be a sure thing. 605 00:26:12,950 --> 00:26:14,206 They would quite nicely anchor 606 00:26:14,206 --> 00:26:16,400 some of the ends of the graph. 607 00:26:16,400 --> 00:26:17,521 - But he did not go to countries 608 00:26:17,521 --> 00:26:21,590 like Switzerland, France, Germany who ate a lot 609 00:26:21,590 --> 00:26:23,390 of saturated fats and also 610 00:26:23,390 --> 00:26:25,153 had very low rates of heart disease. 611 00:26:25,153 --> 00:26:27,150 (Parisian music) 612 00:26:27,150 --> 00:26:31,163 - The French were eating all kinds of saturated fat, 613 00:26:31,163 --> 00:26:35,020 butter, cream, and they weren't gaining weight, 614 00:26:35,020 --> 00:26:36,476 which was a paradox at the time 615 00:26:36,476 --> 00:26:38,073 and they weren't getting heart disease. 616 00:26:38,073 --> 00:26:39,590 They had like half the rate 617 00:26:39,590 --> 00:26:41,646 of heart disease compared to Americans. 618 00:26:41,646 --> 00:26:44,620 And everybody said, "Well, what a paradox, what a paradox." 619 00:26:44,620 --> 00:26:45,535 There was no paradox. 620 00:26:45,535 --> 00:26:48,947 The dietary fat simply wasn't causing obesity, 621 00:26:48,947 --> 00:26:50,640 and it didn't cause heart disease. 622 00:26:50,640 --> 00:26:52,484 - So he's a very respected physiologist 623 00:26:52,484 --> 00:26:54,360 and it's worth mentioning, by the way, 624 00:26:54,360 --> 00:26:57,505 that Eisenhower followed the Ancel Keys advice 625 00:26:57,505 --> 00:27:00,424 and cut out all saturated fat and all cholesterol 626 00:27:00,424 --> 00:27:04,000 up until the day he died in 1969 of heart disease. 627 00:27:04,000 --> 00:27:05,810 Just worth mentioning. 628 00:27:05,810 --> 00:27:08,030 - Ancel Keys diet heart hypothesis remains 629 00:27:08,030 --> 00:27:09,744 the single most influential theory 630 00:27:09,744 --> 00:27:12,193 in the history of nutrition science. 631 00:27:12,193 --> 00:27:14,740 And here's an interesting point. 632 00:27:14,740 --> 00:27:16,900 Over the past 50 years tax payers 633 00:27:16,900 --> 00:27:19,880 have funded several billion dollars of research trying 634 00:27:19,880 --> 00:27:24,800 to prove saturated fat causes heart disease but guess what? 635 00:27:24,800 --> 00:27:26,870 It's never been proven. 636 00:27:26,870 --> 00:27:31,870 To this day the diet heart hypothesis remains a hypothesis. 637 00:27:31,990 --> 00:27:34,770 - [Zoe Harcombe] There is no evidence against saturated fat. 638 00:27:34,770 --> 00:27:36,603 There just isn't. 639 00:27:39,720 --> 00:27:41,948 - [Dr. Hyman] Dr. Zoe Harcombe is an obesity researcher 640 00:27:41,948 --> 00:27:44,360 who wrote her thesis on the lack 641 00:27:44,360 --> 00:27:47,140 of evidence behind the dietary guidelines. 642 00:27:47,140 --> 00:27:49,140 - My thesis was born out of trying 643 00:27:49,140 --> 00:27:51,950 to understand why we have an obesity epidemic. 644 00:27:51,950 --> 00:27:53,920 - [Dr. Hyman] Zoe collected all the raw data 645 00:27:53,920 --> 00:27:55,936 from randomized control clinical trials, 646 00:27:55,936 --> 00:28:00,280 conducted prior to the release of the dietary guidelines. 647 00:28:00,280 --> 00:28:02,184 She then reanalyzed all the results 648 00:28:02,184 --> 00:28:05,320 in a process called a meta analysis. 649 00:28:05,320 --> 00:28:09,060 - It was looking at the absolute totality of the evidence. 650 00:28:09,060 --> 00:28:12,610 No cherry-picking whatsoever, no study left out. 651 00:28:12,610 --> 00:28:14,172 So there's the Rose Corn Oil Trial. 652 00:28:14,172 --> 00:28:16,499 There's the Research Committee Low-Fat Diet. 653 00:28:16,499 --> 00:28:18,480 There's the MRC Soybean Study. 654 00:28:18,480 --> 00:28:20,650 There's the LA Veterans Dayton Study. 655 00:28:20,650 --> 00:28:22,816 There's Leren Oslo Study. 656 00:28:22,816 --> 00:28:24,230 - [Dr. Hyman] When she examines the results 657 00:28:24,230 --> 00:28:26,980 to see which groups suffered more deaths, 658 00:28:26,980 --> 00:28:28,710 there was no difference at all. 659 00:28:28,710 --> 00:28:32,340 There was no health benefit for the groups assigned 660 00:28:32,340 --> 00:28:34,070 to eat a low fat diet. 661 00:28:34,070 --> 00:28:35,580 - I was astonished to find 662 00:28:35,580 --> 00:28:38,010 that there simply was no evidence. 663 00:28:38,010 --> 00:28:40,560 - Real food fats are not dangerous. 664 00:28:40,560 --> 00:28:42,010 They are not the enemy. 665 00:28:42,010 --> 00:28:44,180 It's too simplistic and reductionist 666 00:28:44,180 --> 00:28:47,260 to say saturated fat is dangerous and needs to be avoided 667 00:28:47,260 --> 00:28:49,289 and the evidence does not support that. 668 00:28:49,289 --> 00:28:51,590 - So how then without the heart science 669 00:28:51,590 --> 00:28:53,950 to back it up did the diet heart hypothesis 670 00:28:53,950 --> 00:28:57,497 become the foundation of our nation's dietary guidelines? 671 00:28:57,497 --> 00:29:00,036 Well, it had one big thing going for it. 672 00:29:00,036 --> 00:29:02,340 Ancel Benjamin Keys. 673 00:29:02,340 --> 00:29:05,417 - He had just a very out sized personality. 674 00:29:05,417 --> 00:29:07,470 Colleagues of his told me he could 675 00:29:07,470 --> 00:29:09,340 just argue anyone to the death. 676 00:29:09,340 --> 00:29:11,480 And he was able to get into 677 00:29:11,480 --> 00:29:14,643 the American Heart Association on their Nutrition Committee. 678 00:29:14,643 --> 00:29:18,130 And in 1961, the Heart Association comes out 679 00:29:18,130 --> 00:29:19,680 with the first advice anywhere 680 00:29:19,680 --> 00:29:21,142 in the world telling people to cut back 681 00:29:21,142 --> 00:29:23,210 on saturated fat and cholesterol 682 00:29:23,210 --> 00:29:24,993 in order to prevent a heart attack. 683 00:29:27,140 --> 00:29:28,730 - [Dr. Hyman] Up until the 1960s, 684 00:29:28,730 --> 00:29:30,128 Americans consumed almost half 685 00:29:30,128 --> 00:29:32,750 of their daily calories as fat. 686 00:29:32,750 --> 00:29:35,190 We ate butter without guilt, bacon and eggs 687 00:29:35,190 --> 00:29:37,430 for breakfast and roast for dinner. 688 00:29:37,430 --> 00:29:40,860 Exercise gyms were barely a thought and still, 689 00:29:40,860 --> 00:29:42,660 we were relatively slim. 690 00:29:42,660 --> 00:29:44,830 - Conventional wisdom until the 1960s 691 00:29:44,830 --> 00:29:46,600 was carbohydrates were fattening. 692 00:29:46,600 --> 00:29:48,300 That's the weird thing about it. 693 00:29:48,300 --> 00:29:50,921 You talk about bread, pasta, potatoes, rice, 694 00:29:50,921 --> 00:29:53,690 sweets going directly to your hips. 695 00:29:53,690 --> 00:29:58,167 It was what my mother's generation believed growing up. 696 00:29:58,167 --> 00:29:59,553 - [Reporter] The diet used in this study 697 00:29:59,553 --> 00:30:01,656 is satisfying to the appetite 698 00:30:01,656 --> 00:30:04,500 because of the use of more protein and fat. 699 00:30:04,500 --> 00:30:06,900 - And then in the 1960s, we come along with this idea 700 00:30:06,900 --> 00:30:09,163 that dietary fat causes heart disease. 701 00:30:09,163 --> 00:30:14,060 In 20 years, from the 1960s to the mid 1980s, 702 00:30:14,060 --> 00:30:16,575 the carbohydrate went from fattening 703 00:30:16,575 --> 00:30:19,350 to a heart healthy diet food. 704 00:30:19,350 --> 00:30:21,422 - [Dr. Hyman] The low fat diet fad had taken hold 705 00:30:21,422 --> 00:30:24,250 and Keys rose to prominence within 706 00:30:24,250 --> 00:30:25,657 the American Heart Association 707 00:30:25,657 --> 00:30:28,410 and at the National Institutes of Health. 708 00:30:28,410 --> 00:30:30,150 - If you only lived in America, 709 00:30:30,150 --> 00:30:33,290 you'd think this controversy was pretty settled. 710 00:30:33,290 --> 00:30:36,240 That obviously saturated fat causes heart disease, 711 00:30:36,240 --> 00:30:37,330 'cause it raises cholesterol 712 00:30:37,330 --> 00:30:39,250 and we all know cholesterol clogs the arteries. 713 00:30:39,250 --> 00:30:42,890 But there was a alternative hypothesis 714 00:30:42,890 --> 00:30:46,910 going on across the pond in England. 715 00:30:46,910 --> 00:30:48,630 - There was always this competing theory 716 00:30:48,630 --> 00:30:50,920 that it was sugar and not fat 717 00:30:50,920 --> 00:30:52,320 that might cause heart disease, 718 00:30:52,320 --> 00:30:55,269 and the leading proponent of that was John Yudkin 719 00:30:55,269 --> 00:30:57,129 and he published about that. 720 00:30:57,129 --> 00:31:01,440 And I think this is an extraordinary example 721 00:31:01,440 --> 00:31:05,790 of how nutrition science did or did not really work 722 00:31:05,790 --> 00:31:07,887 in America because rather than say, 723 00:31:07,887 --> 00:31:09,417 "Oh this is an interesting competing theory, 724 00:31:09,417 --> 00:31:10,717 "let's explore that. 725 00:31:10,717 --> 00:31:12,457 "Maybe they're right, maybe we're wrong." 726 00:31:12,457 --> 00:31:16,470 Their reaction instead was to just bully him, 727 00:31:16,470 --> 00:31:18,510 really bully him out of the field. 728 00:31:18,510 --> 00:31:21,740 - And Ancel Keys literally destroyed his reputation. 729 00:31:21,740 --> 00:31:22,800 He went after him. 730 00:31:22,800 --> 00:31:26,248 He did everything but call his mother names. 731 00:31:26,248 --> 00:31:27,770 - And I think Ancel Keys knew 732 00:31:27,770 --> 00:31:30,160 that this hypothesis competed with his own, 733 00:31:30,160 --> 00:31:33,068 and he did not want that to succeed. 734 00:31:33,068 --> 00:31:35,609 He wanted his hypothesis to be successful. 735 00:31:35,609 --> 00:31:39,580 - Not surprisingly the sugar industry also preferred 736 00:31:39,580 --> 00:31:42,055 to point the finger at saturated fat. 737 00:31:42,055 --> 00:31:43,979 Recently discovered documents reveal 738 00:31:43,979 --> 00:31:46,780 that in 1965 the sugar industry paid 739 00:31:46,780 --> 00:31:50,430 prominent Harvard researchers to do just that. 740 00:31:50,430 --> 00:31:52,090 - And they were very specifically 741 00:31:52,090 --> 00:31:55,810 paid $50,000 in today's dollars, 742 00:31:55,810 --> 00:31:59,339 to produce two articles that exonerated sugar 743 00:31:59,339 --> 00:32:01,355 and fingered saturated fat 744 00:32:01,355 --> 00:32:05,161 as the cause of cardiovascular disease. 745 00:32:05,161 --> 00:32:08,340 We know that because we have the paper trail. 746 00:32:08,340 --> 00:32:11,745 We have their names on the documents. 747 00:32:11,745 --> 00:32:14,710 This is unconscionable. 748 00:32:14,710 --> 00:32:16,740 - The sugar industry's job was to get 749 00:32:16,740 --> 00:32:20,520 the nutrition community to say publicly 750 00:32:20,520 --> 00:32:22,000 what they believed to be true, 751 00:32:22,000 --> 00:32:24,730 which was dietary fat was the problem, not sugar 752 00:32:24,730 --> 00:32:26,597 and they paid researchers to do that 753 00:32:26,597 --> 00:32:28,200 and they were very successful 754 00:32:28,200 --> 00:32:30,110 with getting that message across. 755 00:32:30,110 --> 00:32:32,730 - [Dr. Hyman] In the 1977 a senate select committee 756 00:32:32,730 --> 00:32:37,700 headed up by Senator George McGovern helped seal fats fate. 757 00:32:37,700 --> 00:32:40,840 Over the objection of scientists who pleaded against it, 758 00:32:40,840 --> 00:32:43,180 and with no hard evidence to back it up, 759 00:32:43,180 --> 00:32:47,060 the committee recommended the low fat diet to the nation. 760 00:32:47,060 --> 00:32:48,560 - I have pleaded in my report 761 00:32:48,560 --> 00:32:50,082 and I will plead again orally here 762 00:32:50,082 --> 00:32:52,210 for more research on the problem 763 00:32:52,210 --> 00:32:54,610 before we make announcements to the American public. 764 00:32:54,610 --> 00:32:57,930 - Well, I would only argue that Senators don't have 765 00:32:57,930 --> 00:33:00,440 the luxury that a research scientist does 766 00:33:00,440 --> 00:33:04,970 of waiting until every last shred of evidence is in. 767 00:33:04,970 --> 00:33:07,513 - McGovern just wanted to make the statement and he said, 768 00:33:07,513 --> 00:33:10,360 "We haven't got time to wait for the evidence." 769 00:33:10,360 --> 00:33:12,300 - They recognized the science is unsettled. 770 00:33:12,300 --> 00:33:13,800 And then the counterargument is, 771 00:33:13,800 --> 00:33:16,050 but we cannot afford to wait. 772 00:33:16,050 --> 00:33:18,476 - And so they went without any evidence. 773 00:33:18,476 --> 00:33:20,704 And despite the fact that many people had warned 774 00:33:20,704 --> 00:33:24,145 that this is gonna cause an obesity diabetes epidemic. 775 00:33:24,145 --> 00:33:26,970 They were warned but they ignored it. 776 00:33:26,970 --> 00:33:29,720 - [Dr. Hyman] In 1980, the U.S. government triggered 777 00:33:29,720 --> 00:33:31,945 a radical shift in the diet of Americans 778 00:33:31,945 --> 00:33:36,945 when the campaign against fat became official food policy. 779 00:33:37,480 --> 00:33:38,720 - [Nina Teicholz] The first dietary guidelines 780 00:33:38,720 --> 00:33:40,321 recommended seven to 11 servings 781 00:33:40,321 --> 00:33:43,686 of bread basically every day. 782 00:33:43,686 --> 00:33:46,050 50 to 55% of your calories 783 00:33:46,050 --> 00:33:49,227 are supposed to come from carbohydrates, mostly grains. 784 00:33:49,227 --> 00:33:51,700 - For the first time anywhere in the world, 785 00:33:51,700 --> 00:33:54,428 our government endorsed a massive increase 786 00:33:54,428 --> 00:33:57,524 in carbohydrates and slashed saturated fat consumption 787 00:33:57,524 --> 00:34:01,200 to less than 10% of daily calories. 788 00:34:01,200 --> 00:34:05,051 - The American Guideline started with a very high carb, 789 00:34:05,051 --> 00:34:08,401 low fat approach which was disastrous 790 00:34:08,401 --> 00:34:12,089 for putting that out into an entire population 791 00:34:12,089 --> 00:34:15,760 without evidence saying that it was healthy. 792 00:34:15,760 --> 00:34:18,450 - Obesity in America had been slowly creeping 793 00:34:18,450 --> 00:34:23,272 up from the mid 1900s on 794 00:34:23,272 --> 00:34:28,272 but 1980 you see it go sharply, turn sharply upwards. 795 00:34:28,320 --> 00:34:30,600 - And then it just takes off like an airplane. 796 00:34:30,600 --> 00:34:33,940 So, you just want to ask well, what happened around then? 797 00:34:33,940 --> 00:34:37,816 - What happened in 1980 is that the U.S. government told 798 00:34:37,816 --> 00:34:40,374 all Americans cut back on fat 799 00:34:40,374 --> 00:34:43,100 and increase your carbohydrates. 800 00:34:43,100 --> 00:34:45,337 - It could be complete coincidence, 801 00:34:45,337 --> 00:34:47,771 that that just happened to coincide 802 00:34:47,771 --> 00:34:50,330 but it sure as anything needs looking 803 00:34:50,330 --> 00:34:53,262 at to see if it is just coincidence. 804 00:34:53,262 --> 00:34:58,262 - When we took the fat out of the food, what did we do? 805 00:34:59,130 --> 00:35:03,126 We put something in which was way worse. 806 00:35:03,126 --> 00:35:04,058 Sugar. 807 00:35:04,058 --> 00:35:05,630 - [Man] One, two and twist. 808 00:35:05,630 --> 00:35:06,770 - [TV Announcer] Reduced-fat, Oreo. 809 00:35:06,770 --> 00:35:08,480 Less Fat, loads of taste. 810 00:35:08,480 --> 00:35:09,910 - [TV Announcer] New, reduced fat browning muffin 811 00:35:09,910 --> 00:35:11,250 and cake mixes from Pillsbury. 812 00:35:11,250 --> 00:35:12,700 Try the new frosting, too. 813 00:35:12,700 --> 00:35:15,510 - [TV Announcer] Hershey's Syrup is virtually fat free. 814 00:35:15,510 --> 00:35:16,343 - Terrific. 815 00:35:16,343 --> 00:35:19,230 - I mean let's face it, fat tastes good. 816 00:35:19,230 --> 00:35:21,151 We know that, and if you're gonna remove 817 00:35:21,151 --> 00:35:23,929 the fat from a food, you're gonna have 818 00:35:23,929 --> 00:35:26,270 to replace it with something else 819 00:35:26,270 --> 00:35:27,784 that gives people pleasure. 820 00:35:27,784 --> 00:35:29,160 - [TV Announcer] As new Simple Pleasures 821 00:35:29,160 --> 00:35:32,730 is made with all natural Simpless, instead of fat. 822 00:35:32,730 --> 00:35:34,280 - And what did they put in? 823 00:35:34,280 --> 00:35:37,014 Refined carbohydrates, increased sugar, 824 00:35:37,014 --> 00:35:41,830 and boom we've got an explosion of processed foods. 825 00:35:41,830 --> 00:35:43,060 - [TV Announcer] So irresistible, 826 00:35:43,060 --> 00:35:46,120 people are sinking to a new low to get their hands on one. 827 00:35:46,120 --> 00:35:46,953 - Okay. 828 00:35:46,953 --> 00:35:48,620 - [TV Announcer] Continental Yogurt is non-fat, 829 00:35:48,620 --> 00:35:50,560 not low-fat, non-Fat. 830 00:35:50,560 --> 00:35:51,393 - Zero fat? 831 00:35:51,393 --> 00:35:52,226 How'd they do that? 832 00:35:52,226 --> 00:35:54,400 - Ultimately, sugar was a bigger problem 833 00:35:54,400 --> 00:35:57,400 than saturated fat ever was. 834 00:35:57,400 --> 00:36:00,270 - The industry learned that if they took fat out the diet, 835 00:36:00,270 --> 00:36:01,740 they had to replace it with sugar. 836 00:36:01,740 --> 00:36:03,883 They then learned that sugar was addictive. 837 00:36:03,883 --> 00:36:04,716 - Wow! 838 00:36:04,716 --> 00:36:05,549 - These are really good. 839 00:36:05,549 --> 00:36:06,382 - These are great. 840 00:36:06,382 --> 00:36:07,280 - Bring 'em on. 841 00:36:07,280 --> 00:36:08,113 - [Man and Woman] Oh yes! 842 00:36:08,113 --> 00:36:10,010 - And that's the drive of the obesity epidemic. 843 00:36:10,010 --> 00:36:12,054 - [Nina Teicholz] Low fat yogurt higher in sugar. 844 00:36:12,054 --> 00:36:12,887 - Whoa! 845 00:36:12,887 --> 00:36:14,010 - [Nina Teicholz] Low fat peanut butter. 846 00:36:14,010 --> 00:36:14,843 - This is special. 847 00:36:14,843 --> 00:36:16,272 - [Nina Teicholz] Low fat salad dressing. 848 00:36:16,272 --> 00:36:17,105 - This is great. 849 00:36:17,105 --> 00:36:18,630 - [Nina Teicholz] All higher in sugar or carbs. 850 00:36:18,630 --> 00:36:19,970 - Are you sure this fat free? 851 00:36:19,970 --> 00:36:22,840 - All low fat foods turned out to be higher in carbs. 852 00:36:22,840 --> 00:36:25,370 - I don't think this was anyone's intention. 853 00:36:25,370 --> 00:36:28,570 But it's what naturally happens when you remove fat, 854 00:36:28,570 --> 00:36:31,010 which is natural for humans to be eating, 855 00:36:31,010 --> 00:36:34,790 from their dietary choices and you put them 856 00:36:34,790 --> 00:36:37,040 on things instead of tasting like cardboard, 857 00:36:37,040 --> 00:36:39,377 they can at least taste like sweet cardboard. 858 00:36:39,377 --> 00:36:42,368 - [Man] SnackWells, Chocolate Sandwich Cookies. 859 00:36:42,368 --> 00:36:44,210 - These taste unbelievable. 860 00:36:44,210 --> 00:36:45,480 What if I can't bake enough of them? 861 00:36:45,480 --> 00:36:47,230 Those women will be after me again. 862 00:36:48,335 --> 00:36:51,240 - Hello, Cookie-Man, what's in the box? 863 00:36:51,240 --> 00:36:52,073 - We have the SnackWell phenomenon, 864 00:36:52,073 --> 00:36:54,200 it was like the epitome of what happened 865 00:36:54,200 --> 00:36:56,620 with the low fat food industry, 866 00:36:56,620 --> 00:36:57,610 where people thought they could 867 00:36:57,610 --> 00:37:00,342 just eat massive amounts of these cookies-- 868 00:37:00,342 --> 00:37:02,890 - Don't you think you got a little carried away? 869 00:37:02,890 --> 00:37:03,723 - [Nina Teicholz] That were very high 870 00:37:03,723 --> 00:37:05,880 in sugar and white flour. 871 00:37:05,880 --> 00:37:08,677 - Cookie-Man, you'd better make some more (laughs). 872 00:37:10,261 --> 00:37:12,350 - [Dr. Hyman] The American Heart Association 873 00:37:12,350 --> 00:37:14,216 cashed in on the low fat craze. 874 00:37:14,216 --> 00:37:17,214 Food companies paid hundreds of thousands of dollars 875 00:37:17,214 --> 00:37:21,150 to feature this heart healthy check off symbol on a product. 876 00:37:21,150 --> 00:37:22,820 - So this resulted in crazy things 877 00:37:22,820 --> 00:37:24,651 like heart checkoff on Cocoa Krispies, 878 00:37:24,651 --> 00:37:27,951 or on Honey Nut Cheerios or on all these foods 879 00:37:27,951 --> 00:37:29,819 that were super high in sugar, 880 00:37:29,819 --> 00:37:31,720 but as long as they were low 881 00:37:31,720 --> 00:37:33,304 in fat then it was considered healthy. 882 00:37:33,304 --> 00:37:34,990 - [TV Announcer] Kellogg's Fruit Loops Cereal, 883 00:37:34,990 --> 00:37:36,640 part of this nutritious breakfast. 884 00:37:36,640 --> 00:37:37,840 (seal barking) 885 00:37:37,840 --> 00:37:38,720 (TV Announcer laughs) 886 00:37:38,720 --> 00:37:40,624 Now that's the seal of approval. 887 00:37:40,624 --> 00:37:43,374 - [Dr. Hyman] Heart healthy low fat Fruit Loops anyone? 888 00:37:44,790 --> 00:37:47,190 - [Nina Teicholz] There's a kind of conventional explanation 889 00:37:47,190 --> 00:37:49,530 that it's really the fault of Americans 890 00:37:49,530 --> 00:37:50,660 for not following the guidelines, 891 00:37:50,660 --> 00:37:52,270 there's nothing wrong with our guidelines, 892 00:37:52,270 --> 00:37:54,370 it's just that Americans fail to follow them. 893 00:37:54,370 --> 00:37:55,770 - [Dr. Hyman] But government consumption data 894 00:37:55,770 --> 00:37:58,330 confirms Americans did as they were told 895 00:37:58,330 --> 00:38:00,630 and dutifully cut back on natural fats found 896 00:38:00,630 --> 00:38:04,270 in red meat, whole milk, eggs, animal fats and butter. 897 00:38:04,270 --> 00:38:06,517 But we still gained weight. 898 00:38:06,517 --> 00:38:08,280 - One of the analogies that I like to use 899 00:38:08,280 --> 00:38:10,960 is imagine you had a baseball team 900 00:38:10,960 --> 00:38:15,627 that lost every single game for the last 50, 60 years. 901 00:38:15,627 --> 00:38:17,735 - [Sports Announcer] Strike three, strike three! 902 00:38:17,735 --> 00:38:18,597 - And you're like, "Well those players, 903 00:38:18,597 --> 00:38:19,867 "they just don't know how to play. 904 00:38:19,867 --> 00:38:21,140 "None of my players know how to play." 905 00:38:21,140 --> 00:38:22,353 Well at some point you'd have to say, 906 00:38:22,353 --> 00:38:25,363 maybe we should take a look at our coaching strategy. 907 00:38:27,080 --> 00:38:30,630 It can't be the fault of all of those players for decades. 908 00:38:30,630 --> 00:38:33,307 But that's basically our explanation for why Americans 909 00:38:33,307 --> 00:38:36,320 are getting fatter and sicker, it's their fault. 910 00:38:36,320 --> 00:38:37,830 They just can't do it right. 911 00:38:37,830 --> 00:38:39,350 - I think the dietary guidelines have been 912 00:38:39,350 --> 00:38:41,611 a tremendous failed experiment. 913 00:38:41,611 --> 00:38:43,823 It's a good question of whether they just need 914 00:38:43,823 --> 00:38:45,820 to be changed or whether they 915 00:38:45,820 --> 00:38:48,680 just need to be scrapped and start over. 916 00:38:48,680 --> 00:38:50,640 - I genuinely believe that people now 917 00:38:50,640 --> 00:38:52,291 are hanging onto the saturated fat myth 918 00:38:52,291 --> 00:38:55,240 because they don't want to admit that they were wrong. 919 00:38:55,240 --> 00:38:56,121 - I don't think the governments 920 00:38:56,121 --> 00:38:58,675 will ever admit they were wrong about saturated fat. 921 00:38:58,675 --> 00:39:00,729 - And we are paying a hell of a price 922 00:39:00,729 --> 00:39:03,379 for a few public health people wanting 923 00:39:03,379 --> 00:39:07,710 to protect their own reputation, not wanting to look silly. 924 00:39:07,710 --> 00:39:09,560 - I used to fantasize about 925 00:39:09,560 --> 00:39:12,947 the American Heart Association press release that would say, 926 00:39:12,947 --> 00:39:17,947 "Okay yes we know for the past almost 60 years 927 00:39:18,477 --> 00:39:20,197 "we've been giving you the wrong advice 928 00:39:20,197 --> 00:39:22,291 "and we apologize if we killed 929 00:39:22,291 --> 00:39:27,076 "any of your loved ones prematurely and we apologize 930 00:39:27,076 --> 00:39:28,447 "if we gave you heart disease 931 00:39:28,447 --> 00:39:30,086 "with the advice we did give you. 932 00:39:30,086 --> 00:39:33,307 "We were just telling you what we thought was true then 933 00:39:33,307 --> 00:39:37,080 "and we were best of intentioned and now we know better." 934 00:39:37,080 --> 00:39:39,206 - That apology may never come 935 00:39:39,206 --> 00:39:41,422 and the largest health organizations dedicated 936 00:39:41,422 --> 00:39:44,846 to preventing obesity and Type 2 Diabetes continue 937 00:39:44,846 --> 00:39:47,831 to spread advice that makes it worse. 938 00:39:47,831 --> 00:39:50,498 (gentle music) 939 00:39:55,340 --> 00:39:58,260 - Type 2 diabetes we were always taught is a chronic 940 00:39:58,260 --> 00:40:02,240 and irreversible disease, inevitably progressive. 941 00:40:02,240 --> 00:40:03,873 I flatly rejected that. 942 00:40:03,873 --> 00:40:05,240 I flatly reject it. 943 00:40:05,240 --> 00:40:07,320 So it is chronic, irreversible, 944 00:40:07,320 --> 00:40:10,252 and inevitably progressive if you take 945 00:40:10,252 --> 00:40:13,870 the guidelines currently in place 946 00:40:13,870 --> 00:40:16,694 and utilize them as your treatment plan. 947 00:40:16,694 --> 00:40:18,530 (keyboard keys clacking) (gentle music) 948 00:40:18,530 --> 00:40:21,090 - [Dr. Hyman] For years the American Diabetes Association 949 00:40:21,090 --> 00:40:22,821 has promoted low fat diets. 950 00:40:22,821 --> 00:40:25,525 They use this handy graphic illustration called 951 00:40:25,525 --> 00:40:28,770 the Diabetic Plate which features limited amounts 952 00:40:28,770 --> 00:40:31,387 of lean meat, non fat dairy products, 953 00:40:31,387 --> 00:40:35,960 and 50% or more of daily calories as carbohydrates. 954 00:40:35,960 --> 00:40:38,960 - I think the Diabetic Plate is a prescription 955 00:40:38,960 --> 00:40:40,640 for worsening of the disease. 956 00:40:40,640 --> 00:40:42,530 If you really look at the Diabetic Plate, 957 00:40:42,530 --> 00:40:47,530 it is three-fourths carbohydrates, which makes no sense. 958 00:40:47,980 --> 00:40:50,810 It also is lean protein, 959 00:40:50,810 --> 00:40:53,030 so when we look at the diabetic plate as a whole, 960 00:40:53,030 --> 00:40:55,023 there's almost no fats. 961 00:40:57,065 --> 00:41:01,889 - This is a way to make people sicker and fatter. 962 00:41:01,889 --> 00:41:04,040 This is the advice I was giving, 963 00:41:04,040 --> 00:41:05,580 this is the advice that doesn't work. 964 00:41:05,580 --> 00:41:08,225 this is the advice that prescribes more medications, 965 00:41:08,225 --> 00:41:11,010 this is the advice that increases insulin. 966 00:41:11,010 --> 00:41:12,570 But really it's a metabolic shift 967 00:41:12,570 --> 00:41:15,350 when you burn fat instead of burning sugar. 968 00:41:15,350 --> 00:41:17,860 - [Dr. Hyman] Alyssa Gallager is Judi's dietician. 969 00:41:17,860 --> 00:41:21,550 She was initially trained in a low fat paradigm. 970 00:41:21,550 --> 00:41:25,580 - When I first started exploring the low-carb approach-- 971 00:41:25,580 --> 00:41:27,150 - [Judi] That's really low carb. 972 00:41:27,150 --> 00:41:28,700 I can use that. 973 00:41:28,700 --> 00:41:31,360 - I helped people genuinely, 974 00:41:31,360 --> 00:41:33,220 for the first time in my career. 975 00:41:33,220 --> 00:41:34,810 - I'm going for real food now, 976 00:41:34,810 --> 00:41:36,710 so I can get rid of all of this. 977 00:41:36,710 --> 00:41:39,950 - In the old days, I was frustrated that the advice 978 00:41:39,950 --> 00:41:42,900 I was giving wasn't working for people. 979 00:41:42,900 --> 00:41:47,900 - Oh, chips and crackers, where's that garbage can? 980 00:41:48,570 --> 00:41:51,640 - I was taught, essentially what 981 00:41:51,640 --> 00:41:56,640 the American Diabetes Association teaches is carbohydrates, 982 00:41:57,070 --> 00:42:00,221 consistent carbohydrates, more whole grain. 983 00:42:00,221 --> 00:42:01,730 - No oatmeal. 984 00:42:01,730 --> 00:42:05,330 They used to tell us that was good for you. 985 00:42:05,330 --> 00:42:07,530 - I was taught saturated fat is bad for you. 986 00:42:08,500 --> 00:42:10,010 Saturated fat is something 987 00:42:10,010 --> 00:42:14,500 to be avoided and limited at all costs. 988 00:42:14,500 --> 00:42:16,410 - [Dr. Hyman] The problem is when 989 00:42:16,410 --> 00:42:18,266 you remove fat from a diet you have 990 00:42:18,266 --> 00:42:21,250 to eat something else instead. 991 00:42:21,250 --> 00:42:26,183 And that something else is often carbohydrates. 992 00:42:27,030 --> 00:42:29,720 - At first I didn't understand why the advice 993 00:42:29,720 --> 00:42:30,790 I was giving wasn't working. 994 00:42:30,790 --> 00:42:33,440 It's what I learned in school. 995 00:42:33,440 --> 00:42:35,450 I'm the nutrition expert, right? 996 00:42:35,450 --> 00:42:36,800 It should be working. 997 00:42:36,800 --> 00:42:39,614 And then eventually it started not making sense to me. 998 00:42:39,614 --> 00:42:41,911 Why am I telling somebody with diabetes 999 00:42:41,911 --> 00:42:44,793 that they must eat carbohydrates? 1000 00:42:45,808 --> 00:42:47,060 It didn't make any sense. 1001 00:42:47,060 --> 00:42:48,616 Carbohydrates raise blood sugar, 1002 00:42:48,616 --> 00:42:50,270 when you have higher blood sugars, 1003 00:42:50,270 --> 00:42:52,080 we need to give you more medication. 1004 00:42:52,080 --> 00:42:55,038 When we give you more medication, you gain weight. 1005 00:42:55,038 --> 00:42:57,330 When you gain weight, you need more medication, 1006 00:42:57,330 --> 00:42:58,340 you want to eat more carbs. 1007 00:42:58,340 --> 00:43:00,200 It became a vicious cycle. 1008 00:43:00,200 --> 00:43:02,512 - Okay, I think I'm done cleanin' out my pantry. 1009 00:43:02,512 --> 00:43:05,520 - And insulin resistance is essentially 1010 00:43:05,520 --> 00:43:08,300 a state of carbohydrate intolerance. 1011 00:43:08,300 --> 00:43:10,869 So why oh why do we want to continue 1012 00:43:10,869 --> 00:43:13,965 to recommend to people to eat them? 1013 00:43:13,965 --> 00:43:17,230 - [Dr. Hyman] Sarah Hallberg is a physician leading arguably 1014 00:43:17,230 --> 00:43:18,586 the most promising trial 1015 00:43:18,586 --> 00:43:21,530 ever conducted for Type 2 diabetics. 1016 00:43:21,530 --> 00:43:23,610 She's helped hundreds of patients safely 1017 00:43:23,610 --> 00:43:26,910 and sustainably reverse their diabetes diagnosis, 1018 00:43:26,910 --> 00:43:28,782 often getting off all medications 1019 00:43:28,782 --> 00:43:33,049 by cutting carbs and increasing their fat intake a lot 1020 00:43:33,049 --> 00:43:38,049 to as much as 70 to 80% of daily calories. 1021 00:43:38,050 --> 00:43:40,210 - The solution to the diabetes epidemic 1022 00:43:40,210 --> 00:43:43,520 in my clinic is exceedingly clear. 1023 00:43:43,520 --> 00:43:48,300 Stop using medicine to treat food. 1024 00:43:48,300 --> 00:43:50,885 - [Dr. Hyman] Her TED Talk on this unconventional approach 1025 00:43:50,885 --> 00:43:53,790 has nearly 5,000,000 views. 1026 00:43:53,790 --> 00:43:54,697 The title? 1027 00:43:54,697 --> 00:43:56,627 "Reversing Type 2 Diabetes Starts 1028 00:43:56,627 --> 00:43:59,382 "with Ignoring the Guidelines." 1029 00:43:59,382 --> 00:44:04,382 - Fat is central to any science-based nutrition 1030 00:44:04,630 --> 00:44:06,710 recommendation for anyone 1031 00:44:06,710 --> 00:44:09,000 who struggles with Type 2 diabetes. 1032 00:44:09,000 --> 00:44:13,400 Carbohydrates cause our insulin and glucose to go up. 1033 00:44:13,400 --> 00:44:17,430 Proteins much less and with fat, 1034 00:44:17,430 --> 00:44:21,030 there's no glucose or insulin reaction. 1035 00:44:21,030 --> 00:44:23,685 And given the fact that Type 2 diabetes 1036 00:44:23,685 --> 00:44:28,685 is a problem with elevated glucose, wait a minute, 1037 00:44:28,740 --> 00:44:32,230 we can't be recommending the macro nutrient 1038 00:44:32,230 --> 00:44:35,410 that's gonna cause glucose and insulin to go up. 1039 00:44:35,410 --> 00:44:40,300 But that's exactly what MyPlate and the ADA guidelines do. 1040 00:44:40,300 --> 00:44:41,939 They recommend us to eat 1041 00:44:41,939 --> 00:44:45,940 the macro nutrient that's causing the problem. 1042 00:44:45,940 --> 00:44:49,280 - [Dr. Hyman] In here clinical trial of nearly 500 patients, 1043 00:44:49,280 --> 00:44:51,769 60% of the intervention group reversed 1044 00:44:51,769 --> 00:44:54,290 their diagnosis of diabetes. 1045 00:44:54,290 --> 00:44:55,912 That's more than half the patients 1046 00:44:55,912 --> 00:44:58,830 whose blood sugars normalized. 1047 00:44:58,830 --> 00:45:01,820 94% have their insulin doses decreased 1048 00:45:01,820 --> 00:45:04,580 or totally eliminated with no increase 1049 00:45:04,580 --> 00:45:07,360 in their LDL or lousy cholesterol. 1050 00:45:07,360 --> 00:45:10,470 By comparison, the American Diabetes Association 1051 00:45:10,470 --> 00:45:13,160 reports a less than 1% success rate 1052 00:45:13,160 --> 00:45:15,440 at reversing diabetes when following 1053 00:45:15,440 --> 00:45:18,380 their own low fat advice. 1054 00:45:18,380 --> 00:45:22,310 - So if we want people to really get help, 1055 00:45:22,310 --> 00:45:27,310 we have to start giving them advice that actually works. 1056 00:45:27,311 --> 00:45:31,646 - It's hard when you have, let alone been hearing something 1057 00:45:31,646 --> 00:45:35,010 for decades but been saying something for decades. 1058 00:45:35,010 --> 00:45:37,049 It's difficult to turn that ship around. 1059 00:45:37,049 --> 00:45:41,010 Because to turn that ship around you have to be vulnerable. 1060 00:45:41,010 --> 00:45:43,563 You have to say, I was wrong. 1061 00:45:44,470 --> 00:45:47,200 And this involves a lot of organizations, 1062 00:45:47,200 --> 00:45:52,200 a lot of people saying I was wrong and I think that's hard. 1063 00:45:52,270 --> 00:45:53,570 I think that's a big deal. 1064 00:45:54,900 --> 00:45:56,010 - [Dr. Hyman] After years of following 1065 00:45:56,010 --> 00:45:57,754 the guidelines and getting nowhere, 1066 00:45:57,754 --> 00:46:01,470 Judi has decided to ignore the ADA's advice 1067 00:46:01,470 --> 00:46:03,423 and try to reverse her Type 2 diabetes 1068 00:46:03,423 --> 00:46:07,330 with a low carb, high fat nutrition plan. 1069 00:46:07,330 --> 00:46:09,040 - The health professionals that were givin' 1070 00:46:09,040 --> 00:46:10,671 us all that advice through the years 1071 00:46:10,671 --> 00:46:13,580 just kinda bounced us back and forth 1072 00:46:13,580 --> 00:46:15,790 and we never really had any answers. 1073 00:46:15,790 --> 00:46:17,614 - I really like just unsweetened coconut chips-- 1074 00:46:17,614 --> 00:46:22,614 - I feel like what I'm learning now is a way toward health 1075 00:46:23,123 --> 00:46:27,337 and a way toward a better size that I'll feel good about 1076 00:46:27,337 --> 00:46:30,773 which to me is hand in hand with my health. 1077 00:46:33,077 --> 00:46:35,794 - The U.S. military is now facing a new threat. 1078 00:46:35,794 --> 00:46:39,020 It's not North Korea, it is actually the U.S. diet. 1079 00:46:39,020 --> 00:46:42,113 - The single biggest disqualifier is obesity. 1080 00:46:42,950 --> 00:46:43,783 - [Woman] Wait? 1081 00:46:43,783 --> 00:46:45,640 We're talkin' about young people? 1082 00:46:45,640 --> 00:46:46,678 - [Man] Right, youth obesity. 1083 00:46:46,678 --> 00:46:49,680 - [News Anchor] 25% of all potential recruits 1084 00:46:49,680 --> 00:46:51,943 are turned away because of their weight. 1085 00:46:54,500 --> 00:46:58,351 - At this point in time, we can't field an army, 1086 00:46:58,351 --> 00:47:02,630 because they are quote, "Too fat to fight." 1087 00:47:02,630 --> 00:47:05,973 That's not my words, that's the U.S. Army's words. 1088 00:47:07,560 --> 00:47:10,034 - A few months ago, the Army missed its recruitment goals 1089 00:47:10,034 --> 00:47:12,633 for the first time in 13 years. 1090 00:47:14,490 --> 00:47:15,737 We've gotten to a point where 1091 00:47:15,737 --> 00:47:18,215 we're too fat to defend ourselves. 1092 00:47:18,215 --> 00:47:20,632 (drum music) 1093 00:47:25,411 --> 00:47:26,500 - [Dr. Hyman] Captain Brian Gaudette 1094 00:47:26,500 --> 00:47:28,550 is an Apache helicopter pilot, 1095 00:47:28,550 --> 00:47:30,254 an entrepreneur and a living example 1096 00:47:30,254 --> 00:47:33,840 of why the U.S. dietary guidelines matter. 1097 00:47:33,840 --> 00:47:37,000 - [Brian] Flying Apache helicopters is probably one 1098 00:47:37,000 --> 00:47:39,170 of the most fun things on the planet, 1099 00:47:39,170 --> 00:47:42,380 but it's also very high stakes. 1100 00:47:42,380 --> 00:47:46,530 You need all of your faculties to stay safe. 1101 00:47:46,530 --> 00:47:48,320 - [Dr. Hyman] On high stakes missions often 1102 00:47:48,320 --> 00:47:49,570 on the other side of the world, 1103 00:47:49,570 --> 00:47:51,760 Brian was confined to Army food. 1104 00:47:51,760 --> 00:47:56,230 A diet dictated by the dietary guidelines. 1105 00:47:56,230 --> 00:47:58,883 - I always had sandwiches for lunch, 1106 00:47:58,883 --> 00:48:03,883 lots of noodle-based dishes, lots of rice-based dishes. 1107 00:48:04,114 --> 00:48:06,640 I was running about three or four times a week, 1108 00:48:06,640 --> 00:48:08,144 between three and five miles, 1109 00:48:08,144 --> 00:48:10,763 but the weight was still coming on. 1110 00:48:12,074 --> 00:48:16,576 One day I was in the cockpit, and I put my head down, 1111 00:48:16,576 --> 00:48:19,463 and it felt like the world was moving, 1112 00:48:19,463 --> 00:48:20,770 like the aircraft was moving. 1113 00:48:20,770 --> 00:48:24,440 I looked up really quick and then I put my head down again. 1114 00:48:24,440 --> 00:48:25,360 I felt it again. 1115 00:48:25,360 --> 00:48:29,437 And so I kinda had to raise my hand and say, 1116 00:48:29,437 --> 00:48:31,610 "Hey, we have a problem here." 1117 00:48:31,610 --> 00:48:34,278 - [Dr. Hyman] Brian knew he was sick but he didn't know why. 1118 00:48:34,278 --> 00:48:36,810 He was grounded from flying. 1119 00:48:36,810 --> 00:48:40,840 - For the next eight months I went to every specialist. 1120 00:48:40,840 --> 00:48:42,342 - Do you have a brain tumor? 1121 00:48:42,342 --> 00:48:44,080 Is it an inner ear thing? 1122 00:48:44,080 --> 00:48:45,190 Is there a cardiac issue? 1123 00:48:45,190 --> 00:48:46,730 Is there a neurological issue? 1124 00:48:46,730 --> 00:48:49,567 - And they said, "You know, Brian, sometimes stress does 1125 00:48:49,567 --> 00:48:50,860 "weird stuff to the body," 1126 00:48:50,860 --> 00:48:54,000 and handed me a card for mental health. 1127 00:48:54,000 --> 00:48:55,630 - [Dr. Hyman] Not one medical specialist 1128 00:48:55,630 --> 00:48:58,477 asked Brian about his nutrition. 1129 00:48:58,477 --> 00:49:00,270 - And they were just like, "Sorry." 1130 00:49:00,270 --> 00:49:01,607 You know? 1131 00:49:01,607 --> 00:49:03,520 "That's about all we can do for you." 1132 00:49:03,520 --> 00:49:05,847 So, there was a turning point where I was like, "Okay. 1133 00:49:05,847 --> 00:49:08,247 "Well, we've got to figure this out on our own." 1134 00:49:09,296 --> 00:49:11,879 (upbeat music) 1135 00:49:16,380 --> 00:49:18,567 - [Dr. Hyman] Brian decided to try an elimination diet 1136 00:49:18,567 --> 00:49:21,580 and he cut out all grains and sugar. 1137 00:49:21,580 --> 00:49:23,830 - For really, just efficiency and for taste, 1138 00:49:23,830 --> 00:49:28,166 I made these giant batches of bone broth, vegetable, 1139 00:49:28,166 --> 00:49:33,166 and meat soups and I just ate them pretty much every day. 1140 00:49:33,400 --> 00:49:34,280 And that's where sort 1141 00:49:34,280 --> 00:49:36,700 of the nickname Captain Soup came from. 1142 00:49:36,700 --> 00:49:40,010 In about six weeks, I got my brain back. 1143 00:49:40,010 --> 00:49:41,750 I got my energy back. 1144 00:49:41,750 --> 00:49:44,600 I lost about 25 pounds. 1145 00:49:44,600 --> 00:49:46,430 - I started to see my husband come back. 1146 00:49:46,430 --> 00:49:49,997 I started to see my children's father come back. 1147 00:49:49,997 --> 00:49:53,633 It's miraculous to me what just food can do. 1148 00:49:54,490 --> 00:49:56,330 - [Dr. Hyman] Just by changing what he ate, 1149 00:49:56,330 --> 00:49:58,400 Brian's health problems resolved. 1150 00:49:58,400 --> 00:50:00,124 He no longer takes any medication, 1151 00:50:00,124 --> 00:50:01,150 he's back to - Nice, throw dude. 1152 00:50:01,150 --> 00:50:02,310 - his high school weight, - Ready? 1153 00:50:02,310 --> 00:50:03,143 - and the Army - Whoa! 1154 00:50:03,143 --> 00:50:05,557 - [Dr. Hyman] has reinstated his flight status. 1155 00:50:05,557 --> 00:50:09,340 And now he's sharing his recipe for health with the world. 1156 00:50:09,340 --> 00:50:12,610 - [Brian] Now we make just super clean keto soups, 1157 00:50:12,610 --> 00:50:15,740 and we ship 'em frozen all over the country. 1158 00:50:15,740 --> 00:50:17,050 - [Dr. Hyman] These days when Brian goes 1159 00:50:17,050 --> 00:50:19,860 on deployment he ships ahead cases of soup. 1160 00:50:19,860 --> 00:50:24,370 He no longer relies on the Army food that made him so sick. 1161 00:50:24,370 --> 00:50:26,658 - When my son was born, I was really sick. 1162 00:50:26,658 --> 00:50:30,390 And I look back at photos from that time, 1163 00:50:30,390 --> 00:50:34,093 and I barely remember anything about that year, 1164 00:50:34,093 --> 00:50:37,520 because I was so out of it. 1165 00:50:37,520 --> 00:50:38,936 Sorry. 1166 00:50:38,936 --> 00:50:40,957 And when you don't have energy 1167 00:50:40,957 --> 00:50:42,460 and you don't have your health, 1168 00:50:42,460 --> 00:50:45,033 like you don't really have anything. 1169 00:50:46,182 --> 00:50:49,140 I have my brain back, I have my energy back, 1170 00:50:49,140 --> 00:50:51,800 and I can show up and be there 1171 00:50:51,800 --> 00:50:54,353 for my kids and for my wife like I wanna be. 1172 00:50:58,070 --> 00:50:59,982 - Today, less than 20% of medical schools 1173 00:50:59,982 --> 00:51:02,510 require nutrition training for physicians. 1174 00:51:02,510 --> 00:51:04,840 That's slowly changing but a widespread lack 1175 00:51:04,840 --> 00:51:08,140 of nutrition knowledge means many physicians misunderstand 1176 00:51:08,140 --> 00:51:10,913 the root causes of chronic and metabolic diseases 1177 00:51:10,913 --> 00:51:13,113 which are often driven by diet. 1178 00:51:16,180 --> 00:51:18,567 - When a physician preaches low-fat 1179 00:51:18,567 --> 00:51:21,473 and a physician preaches reducing calories 1180 00:51:21,473 --> 00:51:25,040 and they try that themselves, it doesn't take long 1181 00:51:25,040 --> 00:51:28,087 for some of them to realize, "This isn't working for me, 1182 00:51:28,087 --> 00:51:30,537 "maybe it's not working for my patients, either." 1183 00:51:31,376 --> 00:51:32,209 - Ali! - Hi. 1184 00:51:32,209 --> 00:51:33,627 - How are you doin'? 1185 00:51:33,627 --> 00:51:34,510 - Good, it's nice to see you. 1186 00:51:34,510 --> 00:51:36,950 - [Dr. Hyman] Physicians are not immune to obesity. 1187 00:51:36,950 --> 00:51:39,547 Plenty of them struggle with their own health challenges. 1188 00:51:39,547 --> 00:51:40,420 - It's been gettin' a lot better. 1189 00:51:40,420 --> 00:51:42,115 - Until two years ago, I was tryin' 1190 00:51:42,115 --> 00:51:45,410 to do the American Diabetes Association diet, 1191 00:51:45,410 --> 00:51:46,670 the American Heart Association, 1192 00:51:46,670 --> 00:51:49,020 trying to eat a low fat diet, 1193 00:51:49,020 --> 00:51:50,070 eating small meals throughout 1194 00:51:50,070 --> 00:51:51,773 the day and I'm gaining weight. 1195 00:51:51,773 --> 00:51:52,606 - Up, two! 1196 00:51:53,720 --> 00:51:54,710 Up, three! 1197 00:51:54,710 --> 00:51:56,010 - I was working out six days a week 1198 00:51:56,010 --> 00:51:57,225 because I would say I gotta work out 1199 00:51:57,225 --> 00:51:58,490 if I want to lose weight, 1200 00:51:58,490 --> 00:52:00,370 I want to be an example to my patients. 1201 00:52:00,370 --> 00:52:02,980 You're exercising but like they say, 1202 00:52:02,980 --> 00:52:04,120 you can't outrun your fork. 1203 00:52:04,120 --> 00:52:05,720 - So, I had a huge-- 1204 00:52:05,720 --> 00:52:07,580 - [Dr. Hyman] Like many docs, Brian Lenzkes 1205 00:52:07,580 --> 00:52:09,630 was trained in the low fat paradigm 1206 00:52:09,630 --> 00:52:12,691 and that's what he practiced with his patients for decades. 1207 00:52:12,691 --> 00:52:14,870 But the struggle with his own weight 1208 00:52:14,870 --> 00:52:17,100 was getting out of control. 1209 00:52:17,100 --> 00:52:20,000 - Yeah at that point I was around 260 pounds. 1210 00:52:20,000 --> 00:52:22,610 And at that time I was also pre diabetic. 1211 00:52:22,610 --> 00:52:24,440 Clearly what I was doing wasn't working. 1212 00:52:24,440 --> 00:52:26,460 I was following the government guidelines 1213 00:52:26,460 --> 00:52:28,280 and I was getting sicker and sicker. 1214 00:52:28,280 --> 00:52:30,320 And it's not working for me. 1215 00:52:30,320 --> 00:52:32,500 Well, were my patients not listening to me 1216 00:52:32,500 --> 00:52:34,670 or was I giving them bad advice? 1217 00:52:34,670 --> 00:52:36,768 And it turns out we were giving bad advice. 1218 00:52:36,768 --> 00:52:39,681 - Honey, I got a mixture of chicken, 1219 00:52:39,681 --> 00:52:44,590 Italian seasoned sausage and a spicy pork. 1220 00:52:44,590 --> 00:52:46,930 - So when I cut carbohydrates the interesting thing for me, 1221 00:52:46,930 --> 00:52:48,696 if I had eggs for breakfast for instance, 1222 00:52:48,696 --> 00:52:51,050 my 10 o'clock snack that I was gonna have, 1223 00:52:51,050 --> 00:52:52,760 I wasn't hungry and I would skip right through it. 1224 00:52:52,760 --> 00:52:54,740 - I got grease on my fingers. - Super good. 1225 00:52:54,740 --> 00:52:56,450 Within the first six months I was down 1226 00:52:56,450 --> 00:52:58,373 about 28 pounds, 30 pounds. 1227 00:52:58,373 --> 00:53:01,050 I was putting on muscle mass and I was feeling really good. 1228 00:53:01,050 --> 00:53:05,540 My energy, my mental clarity, my focus, my fatigue levels, 1229 00:53:05,540 --> 00:53:06,373 all those things got better. 1230 00:53:06,373 --> 00:53:07,620 I was like, wow. 1231 00:53:07,620 --> 00:53:08,950 Pretty interesting. 1232 00:53:08,950 --> 00:53:10,450 How many of you guys have lost 10 pounds 1233 00:53:10,450 --> 00:53:11,750 or more doing low carb or Keto? 1234 00:53:11,750 --> 00:53:14,070 - And he's been a fantastic ambassador 1235 00:53:14,070 --> 00:53:16,600 for low-carb lifestyle because he's seen it personally 1236 00:53:16,600 --> 00:53:19,150 and now he's seen it with hundreds of his patients. 1237 00:53:19,150 --> 00:53:21,196 - Hey, how ya doin'? - Fine, thanks. 1238 00:53:21,196 --> 00:53:23,083 - So good to see ya. - Thank you. 1239 00:53:23,083 --> 00:53:24,050 - How's things? 1240 00:53:24,050 --> 00:53:25,694 In all my years of practice, I never saw anyone cured 1241 00:53:25,694 --> 00:53:28,000 of diabetes by going on a low fat diet. 1242 00:53:28,000 --> 00:53:29,160 Never, not one time. 1243 00:53:29,160 --> 00:53:30,650 No one came off of insulin. 1244 00:53:30,650 --> 00:53:32,000 - [Dr. Hyman] Since switching his practice 1245 00:53:32,000 --> 00:53:34,573 to a low carb ketogenic approach nearly a dozen 1246 00:53:34,573 --> 00:53:36,481 of Brian's patients have reversed 1247 00:53:36,481 --> 00:53:40,320 their Type 2 diabetes and come off insulin all together. 1248 00:53:40,320 --> 00:53:41,950 - Man, I was just lookin' at your numbers 1249 00:53:41,950 --> 00:53:45,320 and it's like, I think of anyone I've ever seen, 1250 00:53:45,320 --> 00:53:47,318 you have come off insulin faster than anyone. 1251 00:53:47,318 --> 00:53:51,763 - I feel brand new, brand new, brand new. 1252 00:53:52,620 --> 00:53:55,090 So I'm stickin' with the diet. 1253 00:53:55,090 --> 00:53:57,988 - At three months, I went from insulin five times a day 1254 00:53:57,988 --> 00:54:02,988 to no insulin and was able to maintain normal blood sugars. 1255 00:54:03,369 --> 00:54:08,369 - I don't remember if Dr. Lenzkes suggested keto 1256 00:54:08,932 --> 00:54:11,500 specifically for the weight loss 1257 00:54:11,500 --> 00:54:14,110 or if it wasn't for the other issues that I had. 1258 00:54:14,110 --> 00:54:16,940 I started it, and I do love butter, 1259 00:54:16,940 --> 00:54:19,531 and I do love cream and I do love bacon. 1260 00:54:19,531 --> 00:54:22,771 So, it sounded really pretty good to me. 1261 00:54:22,771 --> 00:54:27,771 I ate less, and what I ate, I enjoyed more. 1262 00:54:28,070 --> 00:54:32,373 - Since last March, a year ago, 1263 00:54:33,680 --> 00:54:36,630 I've lost between 50 and 60 pounds, 1264 00:54:36,630 --> 00:54:38,150 but I've gained a lot of strength, 1265 00:54:38,150 --> 00:54:40,430 I've gained a lot of muscle as well. 1266 00:54:40,430 --> 00:54:42,729 - So, I've lost over 200 pounds. 1267 00:54:42,729 --> 00:54:44,950 - It's just mind boggling. 1268 00:54:44,950 --> 00:54:48,280 He hadn't taken any patients off insulin ever 1269 00:54:48,280 --> 00:54:51,240 in his entire career and in five months, 1270 00:54:51,240 --> 00:54:54,124 he got 11 patients off insulin completely. 1271 00:54:54,124 --> 00:54:57,040 How can you not acknowledge that? 1272 00:54:57,040 --> 00:54:58,100 - You've done incredible things. 1273 00:54:58,100 --> 00:54:59,280 I mean, just two years ago you were 1274 00:54:59,280 --> 00:55:01,977 on insulin five times a day, huge doses and you asked me 1275 00:55:01,977 --> 00:55:03,610 can I come off this insulin? 1276 00:55:03,610 --> 00:55:05,890 I'm gaining weight, I'm tired, I'm fatigued all the time, 1277 00:55:05,890 --> 00:55:07,963 and now seeing you, where you're at now, 1278 00:55:07,963 --> 00:55:09,960 it's pretty remarkable what you've accomplished 1279 00:55:09,960 --> 00:55:12,430 just by making some lifestyle changes. 1280 00:55:12,430 --> 00:55:14,890 They're empowered now to get themselves off insulin. 1281 00:55:14,890 --> 00:55:17,390 So, now they're seeing it. 1282 00:55:17,390 --> 00:55:19,156 Now my patients are telling their patients 1283 00:55:19,156 --> 00:55:20,667 and they're going to them to saying, 1284 00:55:20,667 --> 00:55:22,097 "Hey, how come this person came off insulin? 1285 00:55:22,097 --> 00:55:23,020 "I thought it couldn't happen." 1286 00:55:23,020 --> 00:55:24,080 It can happen. 1287 00:55:24,080 --> 00:55:25,290 It does happen, right? 1288 00:55:25,290 --> 00:55:26,533 And we're excited about that. 1289 00:55:26,533 --> 00:55:27,930 I don't know anyone else who 1290 00:55:27,930 --> 00:55:29,440 has lost as much weight as you have, 1291 00:55:29,440 --> 00:55:31,985 even with gastric bypass surgery I've never seen it. 1292 00:55:31,985 --> 00:55:33,192 The fact that you are coming down off 1293 00:55:33,192 --> 00:55:36,760 your diabetes medications, you're off them all now, 1294 00:55:36,760 --> 00:55:38,250 your blood pressure came down. 1295 00:55:38,250 --> 00:55:39,292 All these things are getting better 1296 00:55:39,292 --> 00:55:41,750 and we're just slowly getting you off the medications. 1297 00:55:41,750 --> 00:55:44,390 You are making progress and you're making a ton of progress, 1298 00:55:44,390 --> 00:55:46,368 more than anyone that I've ever seen. 1299 00:55:46,368 --> 00:55:49,280 - That shift that he saw in his patients, 1300 00:55:49,280 --> 00:55:51,859 being able to actually remove medications 1301 00:55:51,859 --> 00:55:53,610 and make them healthier 1302 00:55:53,610 --> 00:55:55,820 at the same time was just tremendous. 1303 00:55:55,820 --> 00:55:58,363 And it all started with his own personal journey. 1304 00:56:00,680 --> 00:56:02,030 - [Kate] Maybe, eventually, 1305 00:56:02,030 --> 00:56:04,940 the government will come around (laughs). 1306 00:56:04,940 --> 00:56:06,720 - Maybe, possibly so. 1307 00:56:06,720 --> 00:56:08,742 If not, it's your health, right? 1308 00:56:08,742 --> 00:56:10,190 - Absolutely, absolutely. - We can do it as individuals 1309 00:56:10,190 --> 00:56:12,270 and when people are seeing people have benefits, 1310 00:56:12,270 --> 00:56:13,960 they're gonna wanna go into that lifestyle, 1311 00:56:13,960 --> 00:56:16,350 and what you're doing and what we're seeing day after day 1312 00:56:16,350 --> 00:56:17,315 is super exciting. - Yeah. 1313 00:56:17,315 --> 00:56:18,700 - Yeah, so thank you. - Thank you so much. 1314 00:56:18,700 --> 00:56:19,751 - Thank you 1315 00:56:19,751 --> 00:56:20,584 for encouraging me too! - Thank you. 1316 00:56:20,584 --> 00:56:21,445 Oh no. 1317 00:56:21,445 --> 00:56:24,184 You're wonderful, you are absolutely the best. 1318 00:56:24,184 --> 00:56:25,650 - You're awesome, thank you. 1319 00:56:25,650 --> 00:56:27,300 - So the three main macronutrients 1320 00:56:27,300 --> 00:56:30,230 in food are carbohydrate, protein and fat, 1321 00:56:30,230 --> 00:56:31,710 and here's an important point. 1322 00:56:31,710 --> 00:56:34,744 There are essential fats and essential proteins, 1323 00:56:34,744 --> 00:56:37,833 but there are no essential carbohydrates. 1324 00:56:38,920 --> 00:56:40,270 Essential means the nutrients 1325 00:56:40,270 --> 00:56:42,970 are required to sustain human life. 1326 00:56:42,970 --> 00:56:45,031 We must eat these to survive. 1327 00:56:45,031 --> 00:56:48,142 But there is no physical or biological need 1328 00:56:48,142 --> 00:56:52,428 for us to consume any carbohydrates at all. 1329 00:56:52,428 --> 00:56:55,011 (gentle music) 1330 00:57:00,350 --> 00:57:03,485 - [Doug] I was an ultra distance runner. 1331 00:57:03,485 --> 00:57:08,260 Not an elite athlete, but I was pretty good and finished 1332 00:57:08,260 --> 00:57:11,683 in the top 100 out of a field of about 14, 15,000. 1333 00:57:13,030 --> 00:57:14,810 - [Dr. Hyman] By the time he was 30 years old, 1334 00:57:14,810 --> 00:57:16,630 Doug Reynolds had run over almost 1335 00:57:16,630 --> 00:57:18,613 100 marathons and ultra marathons. 1336 00:57:19,888 --> 00:57:21,870 He was in the best shape of his life 1337 00:57:21,870 --> 00:57:24,040 but something wasn't right. 1338 00:57:24,040 --> 00:57:25,672 - And I would be incredibly fit, 1339 00:57:25,672 --> 00:57:28,740 and yet on the day of the race, 1340 00:57:28,740 --> 00:57:30,056 I would be standing there thinking, 1341 00:57:30,056 --> 00:57:33,927 "I've got to run up that mountain for 55 miles. 1342 00:57:33,927 --> 00:57:35,280 "I can't even get to the corner." 1343 00:57:35,280 --> 00:57:36,803 I felt terrible. 1344 00:57:36,803 --> 00:57:38,977 I used to think it was just nerves. 1345 00:57:38,977 --> 00:57:41,470 - [Dr. Hyman] Like many people, Doug thought athletes 1346 00:57:41,470 --> 00:57:43,940 couldn't function without carbohydrates. 1347 00:57:43,940 --> 00:57:46,940 He would binge on carbs in the days leading up to the race. 1348 00:57:46,940 --> 00:57:48,030 - But it wasn't the nerves. 1349 00:57:48,030 --> 00:57:49,585 It was the fact that three days before, 1350 00:57:49,585 --> 00:57:53,910 I'd just gorge myself on all these pastas 1351 00:57:53,910 --> 00:57:58,280 and potatoes and all these carbohydrates and it was toxic. 1352 00:57:58,280 --> 00:58:00,332 - [Dr. Hyman] It's a familiar story to Dr. Tim Noakes, 1353 00:58:00,332 --> 00:58:03,700 the man who wrote the book on carb loading. 1354 00:58:03,700 --> 00:58:05,570 - So the first four chapters are all 1355 00:58:05,570 --> 00:58:07,520 on high carbohydrate diets and how 1356 00:58:07,520 --> 00:58:09,880 the most important determinant of your success 1357 00:58:09,880 --> 00:58:12,961 in running is how much carbohydrates you're eating. 1358 00:58:12,961 --> 00:58:17,020 So I promoted this and all the time while I was writing 1359 00:58:17,020 --> 00:58:20,070 this I was getting fatter, less healthy and my running 1360 00:58:20,070 --> 00:58:22,640 was getting slower and slower and slower, 1361 00:58:22,640 --> 00:58:25,670 to the point where I was really hating running. 1362 00:58:25,670 --> 00:58:27,170 - [Dr. Hyman] Even though they were exercising 1363 00:58:27,170 --> 00:58:28,980 a lot more than most people, 1364 00:58:28,980 --> 00:58:32,750 both men suffered from their low fat, high carb diets. 1365 00:58:32,750 --> 00:58:34,192 - I started to put on a little bit of weight 1366 00:58:34,192 --> 00:58:36,040 and I never used to weigh myself 1367 00:58:36,040 --> 00:58:38,344 because I was always a runner, I was fine. 1368 00:58:38,344 --> 00:58:40,130 And I got on the scale 1369 00:58:40,130 --> 00:58:42,010 and I was like thirty-five pounds overweight? 1370 00:58:42,010 --> 00:58:43,240 I thought the scale was broken! 1371 00:58:43,240 --> 00:58:46,000 - And then, much more interestingly, 1372 00:58:46,000 --> 00:58:48,320 I discovered I had Type 2 diabetes, 1373 00:58:48,320 --> 00:58:49,980 which was predictable because my dad 1374 00:58:49,980 --> 00:58:52,240 had died from the disease and my dad took 10 years 1375 00:58:52,240 --> 00:58:53,900 to die and I figured I've 1376 00:58:53,900 --> 00:58:55,827 got 10 years to sort this problem out. 1377 00:58:55,827 --> 00:58:57,850 - [Dr. Hyman] Both Tim and Doug decided 1378 00:58:57,850 --> 00:59:01,210 to break the convention and try a low carb diet. 1379 00:59:01,210 --> 00:59:03,960 They cut carbs to less than 20 grams a day, 1380 00:59:03,960 --> 00:59:06,478 ate moderate amounts of protein and began eating 70 1381 00:59:06,478 --> 00:59:10,040 to 80% of daily calories as fat. 1382 00:59:10,040 --> 00:59:12,329 Nutrition is actually pretty simple. 1383 00:59:12,329 --> 00:59:15,770 Your body needs protein and protein comes first. 1384 00:59:15,770 --> 00:59:16,850 That's essential. 1385 00:59:16,850 --> 00:59:18,070 But then you can choose to run 1386 00:59:18,070 --> 00:59:20,640 your body on carbohydrates including sugars 1387 00:59:20,640 --> 00:59:22,784 and starches or fats and it's your choice. 1388 00:59:22,784 --> 00:59:26,440 If you quit eating carbs, sugars and starches, 1389 00:59:26,440 --> 00:59:30,043 your body is forced to use an alternative fuel source, fat. 1390 00:59:30,043 --> 00:59:33,760 Burning fat produces substance called ketones 1391 00:59:33,760 --> 00:59:35,550 that provide all the energy you need 1392 00:59:35,550 --> 00:59:37,601 to fuel your body and your brain. 1393 00:59:37,601 --> 00:59:39,790 That's why the low carb high fat diet 1394 00:59:39,790 --> 00:59:42,116 has been given the name Keto. 1395 00:59:42,116 --> 00:59:44,370 For most of human history there's been 1396 00:59:44,370 --> 00:59:46,810 very little sugar or starches in the diet. 1397 00:59:46,810 --> 00:59:49,417 In fact if you put all of human history into one year, 1398 00:59:49,417 --> 00:59:51,680 it's only in the last day that people 1399 00:59:51,680 --> 00:59:53,308 started eating grains or bread and it's only 1400 00:59:53,308 --> 00:59:57,530 in the last hour that people have been eating sugar. 1401 00:59:57,530 --> 01:00:00,724 - In fact we know that keeping people in ketosis, 1402 01:00:00,724 --> 01:00:03,127 keeping the carbs very low may actually 1403 01:00:03,127 --> 01:00:07,170 be the preferred way for people to be. 1404 01:00:07,170 --> 01:00:09,423 - Eventually, I dropped right down 44 pounds 1405 01:00:09,423 --> 01:00:10,979 and I went back to my weight 1406 01:00:10,979 --> 01:00:13,800 that I had when I was running in 1972. 1407 01:00:15,600 --> 01:00:17,430 And I'm glad to say, after seven years, 1408 01:00:17,430 --> 01:00:19,351 my blood glucose control is as good 1409 01:00:19,351 --> 01:00:23,290 as it could be expected for someone of my age of 69. 1410 01:00:23,290 --> 01:00:28,290 I'm not completely normal, but I'm 99% normal. 1411 01:00:28,320 --> 01:00:29,580 - [Dr. Hyman] Tim famously tore out 1412 01:00:29,580 --> 01:00:32,810 the pages on carb loading from his "Lore of Running" book 1413 01:00:32,810 --> 01:00:35,103 that promotes ketogenic diets for athletes. 1414 01:00:36,410 --> 01:00:38,790 - [Doug] Two, three weeks after I started on this keto diet, 1415 01:00:38,790 --> 01:00:40,060 I was jumping out of bed and going 1416 01:00:40,060 --> 01:00:41,732 for a run in the morning and enjoying it. 1417 01:00:41,732 --> 01:00:46,383 It's just been the most amazing transformation in my life. 1418 01:00:47,540 --> 01:00:50,347 - [Dr. Hyman] Doug started a company called LowCarb USA 1419 01:00:50,347 --> 01:00:53,490 dedicated to education and nutrition support. 1420 01:00:53,490 --> 01:00:54,540 His logo? 1421 01:00:54,540 --> 01:00:57,865 Our nation's food pyramid turned upside down. 1422 01:00:57,865 --> 01:00:59,556 - Well, yeah, I mean the whole idea 1423 01:00:59,556 --> 01:01:02,208 was that the reason we're in 1424 01:01:02,208 --> 01:01:05,206 this terrible metabolic dilemma 1425 01:01:05,206 --> 01:01:07,556 in this country is because of the food pyramid. 1426 01:01:07,556 --> 01:01:12,032 What we are advocating is pretty much 180 degrees opposite 1427 01:01:12,032 --> 01:01:14,693 to what the food pyramid tries to teach. 1428 01:01:16,090 --> 01:01:18,103 - We now understand that our bodies, 1429 01:01:18,103 --> 01:01:20,800 even the bodies of elite athletes 1430 01:01:20,800 --> 01:01:23,370 don't eat carbohydrates to survive. 1431 01:01:23,370 --> 01:01:26,360 We can convert fat into ketones for fuel, 1432 01:01:26,360 --> 01:01:27,900 but early nutritional scientists 1433 01:01:27,900 --> 01:01:30,474 did not understand nutritional ketosis. 1434 01:01:30,474 --> 01:01:32,623 Scientists simply thought that since fat 1435 01:01:32,623 --> 01:01:35,070 has nine calories per gram while protein 1436 01:01:35,070 --> 01:01:37,016 and carbs have only four calories per gram, 1437 01:01:37,016 --> 01:01:40,300 we should just cut back on fat to lower 1438 01:01:40,300 --> 01:01:42,670 our calories consumption and lose weight. 1439 01:01:42,670 --> 01:01:46,396 - I met with people who helped with the initial guidelines 1440 01:01:46,396 --> 01:01:48,415 and they were well-intentioned. 1441 01:01:48,415 --> 01:01:53,415 They reasoned that because calories lead to obesity, 1442 01:01:53,770 --> 01:01:57,921 reduce the food that has the most calories which is fat. 1443 01:01:57,921 --> 01:02:00,678 - We've been counting calories ever since 1444 01:02:00,678 --> 01:02:03,755 in every way imaginable on food labels, 1445 01:02:03,755 --> 01:02:08,755 in menus, online and in apps and lately even on our bodies. 1446 01:02:09,850 --> 01:02:12,305 For years we've been told it's a simple equation. 1447 01:02:12,305 --> 01:02:14,740 If we could just balance the number of calories 1448 01:02:15,632 --> 01:02:17,730 we consume against the number of calories we burn, 1449 01:02:17,730 --> 01:02:19,920 the calories in versus calories out, 1450 01:02:19,920 --> 01:02:21,990 our weight will stay in balance. 1451 01:02:21,990 --> 01:02:23,537 Everything on the level, right? 1452 01:02:23,537 --> 01:02:26,295 Actually, not so right. 1453 01:02:26,295 --> 01:02:28,650 - The calories in, calories out model 1454 01:02:28,650 --> 01:02:32,760 is fundamentally flawed because the body 1455 01:02:32,760 --> 01:02:37,700 doesn't account for the fat that way. 1456 01:02:37,700 --> 01:02:39,386 That's not how we gain fat. 1457 01:02:39,386 --> 01:02:41,133 - It's not a physics problem. 1458 01:02:41,133 --> 01:02:42,720 It's a biology problem. 1459 01:02:42,720 --> 01:02:44,930 It's a physiology problem. 1460 01:02:44,930 --> 01:02:46,900 - The alternative theory is called 1461 01:02:46,900 --> 01:02:49,937 the carbohydrate insulin hypothesis of weight gain. 1462 01:02:49,937 --> 01:02:51,390 Remember how carbohydrates 1463 01:02:51,390 --> 01:02:53,599 raise blood sugar but fat doesn't? 1464 01:02:53,599 --> 01:02:57,140 That's the key to the insulin carbohydrate hypothesis. 1465 01:02:57,140 --> 01:02:58,267 - It's really not that hard to understand. 1466 01:02:58,267 --> 01:03:02,260 So if you take 100 calories of brownies 1467 01:03:02,260 --> 01:03:04,674 and 100 calories of salmon, 1468 01:03:04,674 --> 01:03:09,674 and you eat the two, all the insulin hypothesis says 1469 01:03:10,011 --> 01:03:14,410 is that one food is going to raise insulin a lot, 1470 01:03:14,410 --> 01:03:15,560 the other food is not. 1471 01:03:15,560 --> 01:03:17,060 So we know that as soon as you put 1472 01:03:17,060 --> 01:03:19,258 those foods in your mouth, 1473 01:03:19,258 --> 01:03:21,531 the hormonal effect of those foods 1474 01:03:21,531 --> 01:03:25,480 is completely and utterly different. 1475 01:03:25,480 --> 01:03:27,690 - So we really need to pay attention 1476 01:03:27,690 --> 01:03:31,230 to hormones at least as much if not more than calories. 1477 01:03:31,230 --> 01:03:33,270 So, what raises insulin? 1478 01:03:33,270 --> 01:03:35,636 Well, carbohydrates number one with a bullet. 1479 01:03:35,636 --> 01:03:38,719 It's like in real estate, location, location, location, 1480 01:03:38,719 --> 01:03:41,800 with insulin it's carbohydrate, carbohydrate, carbohydrate. 1481 01:03:41,800 --> 01:03:44,050 Protein is a distant second, 1482 01:03:44,050 --> 01:03:45,630 so protein can raise insulin as well. 1483 01:03:45,630 --> 01:03:47,950 You know what doesn't raise it at all? 1484 01:03:47,950 --> 01:03:48,783 Fat. 1485 01:03:48,783 --> 01:03:49,616 Zero. 1486 01:03:49,616 --> 01:03:50,449 Not a drop. 1487 01:03:50,449 --> 01:03:51,282 Doesn't move the needle. 1488 01:03:51,282 --> 01:03:53,756 So, what is the irony of us telling people 1489 01:03:53,756 --> 01:03:57,900 to eat a diet that is absent of the one macro nutrient 1490 01:03:57,900 --> 01:04:01,030 that has no effect on the fat storage hormone? 1491 01:04:01,030 --> 01:04:03,654 It's total sheer madness. 1492 01:04:03,654 --> 01:04:07,179 - Insulin essentially acts as a lock 1493 01:04:07,179 --> 01:04:10,776 that gets clamped down on all of our fat stores 1494 01:04:10,776 --> 01:04:15,776 and prevents us from using our stored fat as energy. 1495 01:04:17,010 --> 01:04:19,630 But, when we restrict carbohydrates 1496 01:04:19,630 --> 01:04:22,550 and we can therefore bring the insulin levels down, 1497 01:04:22,550 --> 01:04:25,978 the locks come off and all of sudden we have access 1498 01:04:25,978 --> 01:04:30,535 to all of our fat stores for energy. 1499 01:04:30,535 --> 01:04:31,450 - [Dr. Hyman] That's right. 1500 01:04:31,450 --> 01:04:34,072 Insulin is a fat storage hormone. 1501 01:04:34,072 --> 01:04:36,603 Lower insulin by cutting out sugar and carbs 1502 01:04:36,603 --> 01:04:39,430 and the weight comes off or never 1503 01:04:39,430 --> 01:04:41,190 comes on in the first place. 1504 01:04:41,190 --> 01:04:42,611 - We tell patients to think of their body 1505 01:04:42,611 --> 01:04:45,110 as a bowl of sugar, right? 1506 01:04:45,110 --> 01:04:47,450 So over time, that bowl fills up. 1507 01:04:47,450 --> 01:04:50,040 If you're eating a lot of processed foods 1508 01:04:50,040 --> 01:04:53,320 and sugar and so on, that bowl fills up, 1509 01:04:53,320 --> 01:04:55,930 and eventually that sugar, as you add more sugar in, 1510 01:04:55,930 --> 01:04:58,770 spills out, and that's what Type 2 diabetes is. 1511 01:04:58,770 --> 01:05:00,740 - Your cells can't hold anymore sugar, 1512 01:05:00,740 --> 01:05:02,398 it simply spills out into the blood. 1513 01:05:02,398 --> 01:05:04,764 The wrong thing to do is to take the insulin 1514 01:05:04,764 --> 01:05:08,520 and keep cramming that sugar back into the body, 1515 01:05:08,520 --> 01:05:12,340 the body takes it, takes it, takes it until it rots. 1516 01:05:12,340 --> 01:05:13,173 Right? 1517 01:05:13,173 --> 01:05:15,957 It would be much smarter to simply say, 1518 01:05:15,957 --> 01:05:18,187 "Hey, I have too much sugar. 1519 01:05:18,187 --> 01:05:21,467 "Let me just burn it all off by intermittent fasting, 1520 01:05:21,467 --> 01:05:23,200 "or not putting anymore sugar in." 1521 01:05:23,200 --> 01:05:25,600 A low-carbohydrate diet, and guess what? 1522 01:05:25,600 --> 01:05:29,730 It works exactly as you would expect it to work. 1523 01:05:29,730 --> 01:05:33,310 - I've been using the keto diet for about 13 years 1524 01:05:33,310 --> 01:05:36,920 in a university clinical practice and the results 1525 01:05:36,920 --> 01:05:40,495 in treating diabetes are quite remarkable. 1526 01:05:40,495 --> 01:05:45,495 I've had some people get off insulin within just a few days 1527 01:05:45,980 --> 01:05:47,812 of changing from eating carbohydrates 1528 01:05:47,812 --> 01:05:50,500 to not eating carbohydrates. 1529 01:05:50,500 --> 01:05:52,620 I think my record that I can recall 1530 01:05:52,620 --> 01:05:55,317 is I took someone off 180 units 1531 01:05:55,317 --> 01:05:58,203 of insulin a day in just two days. 1532 01:06:01,510 --> 01:06:02,597 - Come on in and take a seat. 1533 01:06:02,597 --> 01:06:03,760 - Sure. 1534 01:06:03,760 --> 01:06:07,390 - If Judi were to have walked into my Office 10 years ago 1535 01:06:07,390 --> 01:06:10,089 when I started, I would have thought, I can help you. 1536 01:06:10,089 --> 01:06:11,851 You just need to eat less. 1537 01:06:11,851 --> 01:06:14,110 You need to exercise more. 1538 01:06:14,110 --> 01:06:15,650 We need to start measuring your food. 1539 01:06:15,650 --> 01:06:18,050 You can do this, I believe in you. 1540 01:06:18,050 --> 01:06:18,950 And I thought that to be true. 1541 01:06:18,950 --> 01:06:20,140 Why don't you go ahead and get 1542 01:06:20,140 --> 01:06:21,892 your blood sugar meter out for me too. 1543 01:06:21,892 --> 01:06:23,015 - Okay. 1544 01:06:23,015 --> 01:06:24,850 - Take a look at that. 1545 01:06:24,850 --> 01:06:27,387 Over the course of the following five years, 1546 01:06:27,387 --> 01:06:29,072 I realized it wasn't working 1547 01:06:29,072 --> 01:06:34,072 and either no one was following my advice 1548 01:06:35,280 --> 01:06:37,040 or I was giving terrible advice. 1549 01:06:37,040 --> 01:06:38,830 - I've been writing down each day-- 1550 01:06:38,830 --> 01:06:41,100 - Thankfully Judi didn't come into my office 10 years ago. 1551 01:06:41,100 --> 01:06:43,041 She came into my office this year. 1552 01:06:43,041 --> 01:06:46,250 And I was able to offer hope. 1553 01:06:46,250 --> 01:06:48,700 I was able to offer an opportunity. 1554 01:06:48,700 --> 01:06:50,414 I knew that she could be successful 1555 01:06:50,414 --> 01:06:53,070 and success wasn't just measured on a scale, 1556 01:06:53,070 --> 01:06:56,100 it was measured with blood sugar reduction, 1557 01:06:56,100 --> 01:06:59,350 insulin reduction, anti-inflammatory markers, 1558 01:06:59,350 --> 01:07:02,850 blood pressure as well as insulin. 1559 01:07:02,850 --> 01:07:03,683 - Yeah. 1560 01:07:03,683 --> 01:07:04,516 - [Dr. Gallager] Looks like you did an awesome job. 1561 01:07:04,516 --> 01:07:06,937 - Yeah. - And you are down 12 pounds. 1562 01:07:06,937 --> 01:07:07,770 - [Judi] Wow. 1563 01:07:07,770 --> 01:07:09,300 - Since our last visit, yeah. 1564 01:07:09,300 --> 01:07:11,780 - I can report that this is the second week 1565 01:07:11,780 --> 01:07:16,200 and I have normal blood sugars now in the morning. 1566 01:07:16,200 --> 01:07:21,200 I'm still doing my injectables, but it's gotten leveled. 1567 01:07:21,280 --> 01:07:24,730 It's leveled and I know that I'm in ketosis. 1568 01:07:24,730 --> 01:07:27,160 And the weight is starting to drop off. 1569 01:07:27,160 --> 01:07:28,740 - What was the dose you were taking 1570 01:07:28,740 --> 01:07:29,573 when you walked out of the door? 1571 01:07:29,573 --> 01:07:31,460 - It was 120 units. - Okay. 1572 01:07:31,460 --> 01:07:33,598 - And now I'm doing 100. 1573 01:07:33,598 --> 01:07:36,740 - [Dr. Hyman] In just two weeks on a ketogenic diet, 1574 01:07:36,740 --> 01:07:41,708 Judi has cut her blood sugar in half and lost 12 pounds. 1575 01:07:41,708 --> 01:07:43,750 Changing her nutrition has done more 1576 01:07:43,750 --> 01:07:47,210 to improve her health than any medication ever did. 1577 01:07:47,210 --> 01:07:48,850 - The difference is more fat, 1578 01:07:48,850 --> 01:07:51,430 and that gives a lot more energy. 1579 01:07:51,430 --> 01:07:52,500 - It's amazing. 1580 01:07:52,500 --> 01:07:53,960 I'm happy I come to work again, 1581 01:07:53,960 --> 01:07:56,520 and there was really a time when I thought, I have to quit. 1582 01:07:56,520 --> 01:07:58,440 I can't do this, this is miserable. 1583 01:07:58,440 --> 01:07:59,370 It's hopeless. 1584 01:07:59,370 --> 01:08:01,304 Diabetes is a hopeless disease. 1585 01:08:01,304 --> 01:08:02,600 And I felt that way. 1586 01:08:02,600 --> 01:08:04,830 I really, truly felt that way and I knew 1587 01:08:04,830 --> 01:08:06,360 that there had to be another answer, 1588 01:08:06,360 --> 01:08:07,754 and I don't feel that way anymore. 1589 01:08:07,754 --> 01:08:10,940 - In results from more than 50 controlled clinical trials 1590 01:08:10,940 --> 01:08:13,517 comparing high fat and low fat diets for weight loss, 1591 01:08:13,517 --> 01:08:16,670 the high fat diets won every time. 1592 01:08:16,670 --> 01:08:19,084 The higher the fat the higher the weight loss. 1593 01:08:19,084 --> 01:08:21,230 That's because eating fat speeds up 1594 01:08:21,230 --> 01:08:24,029 your metabolism and helps you burn body fat, 1595 01:08:24,029 --> 01:08:27,563 carbs slow down your metabolism and cause weight gain. 1596 01:08:30,830 --> 01:08:33,790 It's week two of our nutrition experiment. 1597 01:08:33,790 --> 01:08:36,790 This time it's the low fat diet. 1598 01:08:36,790 --> 01:08:39,830 - So today's breakfast was oatmeal 1599 01:08:40,870 --> 01:08:44,968 with raisins and brown sugar. 1600 01:08:44,968 --> 01:08:48,820 - [Dr. Hyman] We're following a USDA MyPlate 2,000 calorie 1601 01:08:48,820 --> 01:08:52,474 a day meal plan downloaded from the USDA website. 1602 01:08:52,474 --> 01:08:54,242 - Do you have a leaner ham? 1603 01:08:54,242 --> 01:08:57,674 - [Dr. Hyman] It calls for low fat meats, non fat dairy, 1604 01:08:57,674 --> 01:09:01,010 including non fat sugar sweetened chocolate milk 1605 01:09:01,010 --> 01:09:04,140 and plenty of carbohydrates, things like lasagna, 1606 01:09:04,140 --> 01:09:06,115 bread and even pizza. 1607 01:09:06,115 --> 01:09:07,083 - This looks like stuff you would take 1608 01:09:07,083 --> 01:09:10,517 to a college dorm, right (laughs)? 1609 01:09:11,719 --> 01:09:13,480 - [Dr. Hyman] This is what 1610 01:09:13,480 --> 01:09:16,000 our government says we should eat. 1611 01:09:16,000 --> 01:09:18,450 - We have some shredded wheat here. 1612 01:09:18,450 --> 01:09:22,373 And then I'm adding a whole half cup of sliced banana. 1613 01:09:23,453 --> 01:09:27,090 And half a cup of fat free milk. 1614 01:09:27,090 --> 01:09:28,833 Oh, then toast. 1615 01:09:30,165 --> 01:09:34,250 And one cup of chocolate milk, fat free. 1616 01:09:34,250 --> 01:09:36,988 - [Dr. Hyman] This breakfast alone contains 150 grams 1617 01:09:36,988 --> 01:09:40,850 of carbohydrates and 50 grams of sugar. 1618 01:09:40,850 --> 01:09:44,720 - [Cynthia] Two teaspoons of jelly. 1619 01:09:44,720 --> 01:09:47,140 - Instead of eating bacon and eggs in the morning, 1620 01:09:47,140 --> 01:09:50,840 which keeps you full until well past lunch for example, 1621 01:09:50,840 --> 01:09:54,450 now you're eating a couple of slices of bread and jam, 1622 01:09:54,450 --> 01:09:57,003 and of course by the time you metabolize it, 1623 01:09:57,003 --> 01:10:00,160 the sugar goes way up and then it goes way down, 1624 01:10:00,160 --> 01:10:02,820 at 10:30 you're looking for a low-fat muffin. 1625 01:10:02,820 --> 01:10:05,964 - Day one of the new diet has begun 1626 01:10:05,964 --> 01:10:08,723 and I have to admit, I'm not likin' it. 1627 01:10:10,800 --> 01:10:11,910 Hungry all day. 1628 01:10:11,910 --> 01:10:14,520 - So instead of eating sorta three meals a day, 1629 01:10:14,520 --> 01:10:18,761 which is a standard since in the '60s, '50s, '60s, '70s, 1630 01:10:18,761 --> 01:10:21,170 now all of a sudden, people are getting hungry, 1631 01:10:21,170 --> 01:10:24,617 like ravenous at 10:30 and they're saying, 1632 01:10:24,617 --> 01:10:26,560 "Oh, yeah, I need to eat six times a day." 1633 01:10:26,560 --> 01:10:29,270 - Today I was hungry again so I needed the snack, 1634 01:10:29,270 --> 01:10:31,687 and I also got really tired after the meal. 1635 01:10:31,687 --> 01:10:33,516 - So not only are you eating foods 1636 01:10:33,516 --> 01:10:35,870 that stimulate a lot of insulin, 1637 01:10:35,870 --> 01:10:37,230 you're doing it constantly, 1638 01:10:37,230 --> 01:10:39,787 six times a day versus three times a day, 1639 01:10:39,787 --> 01:10:41,610 and it's like, well, what's gonna happen? 1640 01:10:41,610 --> 01:10:45,310 - Lunch was a ham sandwich with some mayo, 1641 01:10:45,310 --> 01:10:47,206 some grapes and the milk. 1642 01:10:47,206 --> 01:10:52,206 And I went off the chart, I went over 200. 1643 01:10:52,264 --> 01:10:54,330 And it just kept going up and up 1644 01:10:54,330 --> 01:10:57,860 and up and up and up and up and up and then it hit over 200, 1645 01:10:57,860 --> 01:10:59,770 206, I think was it? 1646 01:10:59,770 --> 01:11:01,139 Then it started coming down. 1647 01:11:01,139 --> 01:11:03,609 That was crazy to me and it was almost a little scary. 1648 01:11:03,609 --> 01:11:05,690 - It's a recipe for diabetes. 1649 01:11:05,690 --> 01:11:07,739 How long is it gonna be before everybody 1650 01:11:07,739 --> 01:11:11,856 becomes diabetic because that's the outcome of that advice? 1651 01:11:11,856 --> 01:11:15,440 - I never even got that close to that last week, 1652 01:11:15,440 --> 01:11:16,340 not even close. 1653 01:11:16,340 --> 01:11:18,405 So it's gonna be an interesting week 1654 01:11:18,405 --> 01:11:23,405 and gosh I hope I last all week, I'm not kidding! 1655 01:11:25,760 --> 01:11:29,640 - Hi this is Cynthia, fifth day on the low-fat diet. 1656 01:11:29,640 --> 01:11:34,640 It is barely 12 but I'm hungry so I'm digging in my lunch. 1657 01:11:35,130 --> 01:11:40,110 I'm hungry again so I will dig into my daily snack. 1658 01:11:40,110 --> 01:11:42,260 Last week I was barely hungry at two 1659 01:11:42,260 --> 01:11:45,590 and now I'm very hungry so I will eat. 1660 01:11:45,590 --> 01:11:47,673 - I was hungry the entire time. 1661 01:11:47,673 --> 01:11:51,170 I would eat, that would feel good for about 30, 1662 01:11:51,170 --> 01:11:56,040 40 minutes and then I would start just feelin' hungry. 1663 01:11:56,040 --> 01:11:57,219 - [Cynthia] I definitely liked last week-- 1664 01:11:57,219 --> 01:11:58,429 - [Dr. Hyman] When you compare the flat 1665 01:11:58,429 --> 01:12:00,898 and steady blood sugars from the high fat week 1666 01:12:00,898 --> 01:12:04,060 to the roller coaster readings from this low fat week, 1667 01:12:04,060 --> 01:12:04,893 it's hard to believe that 1668 01:12:04,893 --> 01:12:07,147 our government thinks this is good for us. 1669 01:12:07,147 --> 01:12:10,108 - The USDA put together a guideline 1670 01:12:10,108 --> 01:12:12,534 that seems to me was really to market 1671 01:12:12,534 --> 01:12:14,758 the food that America makes. 1672 01:12:14,758 --> 01:12:16,600 It wasn't based on health. 1673 01:12:16,600 --> 01:12:19,360 - The dietary guidelines are not guidelines. 1674 01:12:19,360 --> 01:12:21,973 The dietary guidelines are guidance. 1675 01:12:22,830 --> 01:12:24,154 They're guidance for the food industry 1676 01:12:24,154 --> 01:12:26,436 to be able to sell food. 1677 01:12:26,436 --> 01:12:28,470 They have nothing to do with health. 1678 01:12:28,470 --> 01:12:30,778 And the fact that the USDA is 1679 01:12:30,778 --> 01:12:33,790 in charge of our health is already a problem. 1680 01:12:33,790 --> 01:12:36,830 - The USDA when it was founded had two mandates. 1681 01:12:36,830 --> 01:12:37,861 Not one, two. 1682 01:12:37,861 --> 01:12:41,980 Mandate number one was to provide information 1683 01:12:41,980 --> 01:12:44,781 to the American public about healthy eating. 1684 01:12:44,781 --> 01:12:47,870 Mandate number two was to support, 1685 01:12:47,870 --> 01:12:52,120 encourage and grow the American agricultural industry. 1686 01:12:52,120 --> 01:12:56,610 Those two mandates are not always congruent 1687 01:12:56,610 --> 01:12:59,370 with one another because if you were really being honest 1688 01:12:59,370 --> 01:13:00,803 with the American people you would say, 1689 01:13:00,803 --> 01:13:04,896 "Wheat, corn, sugar and soy are not health foods." 1690 01:13:04,896 --> 01:13:08,670 And if you're congregant with the other mandate 1691 01:13:08,670 --> 01:13:10,907 of the USDA which is to support and encourage 1692 01:13:10,907 --> 01:13:12,554 and grow American agriculture 1693 01:13:12,554 --> 01:13:14,960 you ain't telling people to not eat four 1694 01:13:14,960 --> 01:13:17,780 of the five biggest crops that are made in America. 1695 01:13:17,780 --> 01:13:18,640 Trouble. 1696 01:13:18,640 --> 01:13:20,580 That's the contradiction and that's 1697 01:13:20,580 --> 01:13:21,650 why I don't think you're gonna 1698 01:13:21,650 --> 01:13:25,853 see much change in dietary recommendations. 1699 01:13:26,750 --> 01:13:28,193 - So Nick, tell me about your experiences 1700 01:13:28,193 --> 01:13:29,910 these past two weeks. 1701 01:13:29,910 --> 01:13:31,580 - So it's been really, really interesting. 1702 01:13:31,580 --> 01:13:32,413 - Yeah, so it was interesting. 1703 01:13:32,413 --> 01:13:34,620 - Well, it was really interesting. 1704 01:13:34,620 --> 01:13:38,163 - The low carb, high fat, 1705 01:13:38,163 --> 01:13:40,458 I had a really good experience with. 1706 01:13:40,458 --> 01:13:45,130 - I loved all the food, and I found it very easy. 1707 01:13:45,130 --> 01:13:47,570 - I liked the high fat a little better 1708 01:13:47,570 --> 01:13:49,150 because I felt more energetic. 1709 01:13:49,150 --> 01:13:52,940 - The following week on the low fat, 1710 01:13:52,940 --> 01:13:55,300 high carb, I was bonkin'. 1711 01:13:55,300 --> 01:13:56,831 I'd just be tired and maybe hangry 1712 01:13:56,831 --> 01:13:58,810 is probably the best word. 1713 01:13:58,810 --> 01:14:00,610 - Insulin is a big driver 1714 01:14:00,610 --> 01:14:03,370 of carbohydrate craving and hunger. 1715 01:14:03,370 --> 01:14:06,100 That hangry feeling that you mentioned 1716 01:14:06,100 --> 01:14:08,260 is often when someone's insulin levels 1717 01:14:08,260 --> 01:14:10,201 are high but their blood sugar is low. 1718 01:14:10,201 --> 01:14:12,700 It's that insulin rollercoaster we talked 1719 01:14:12,700 --> 01:14:15,360 about when you eat carbs and your insulin levels go up. 1720 01:14:15,360 --> 01:14:18,985 - And I got foggy during the high carb week. 1721 01:14:18,985 --> 01:14:20,810 - A little groggy. 1722 01:14:20,810 --> 01:14:23,020 - I was even just sayin' things backwards 1723 01:14:23,020 --> 01:14:25,934 and I noticed that I wasn't, there wasn't the, 1724 01:14:25,934 --> 01:14:28,960 I wasn't clicking like I normally do. 1725 01:14:28,960 --> 01:14:29,793 - [Dr. Freshwater] I'd love to see 1726 01:14:29,793 --> 01:14:30,651 your graphs at some time, too. 1727 01:14:30,651 --> 01:14:31,484 Like kind of see - Oh, okay. 1728 01:14:31,484 --> 01:14:32,625 - [Dr. Freshwater] the whole progression of them. 1729 01:14:32,625 --> 01:14:33,458 Do you have them with you? 1730 01:14:33,458 --> 01:14:34,291 - Yeah, sure. 1731 01:14:34,291 --> 01:14:35,920 Let me see here. 1732 01:14:35,920 --> 01:14:36,983 - [Dr. Hyman] Just look at the difference 1733 01:14:36,983 --> 01:14:38,447 between the two diets. 1734 01:14:38,447 --> 01:14:41,316 Everyone of our participants experienced similar reactions 1735 01:14:41,316 --> 01:14:43,843 to the low carb versus low fat diets. 1736 01:14:43,843 --> 01:14:44,850 - Wow, what a difference 1737 01:14:44,850 --> 01:14:45,995 between the two weeks. - Yeah, it's huge. 1738 01:14:45,995 --> 01:14:46,828 - Yeah. 1739 01:14:46,828 --> 01:14:49,540 - From the first week I was almost a flat line. 1740 01:14:49,540 --> 01:14:51,273 - Yeah. - I was averaging 84. 1741 01:14:51,273 --> 01:14:52,230 - [Dr. Freshwater] Much more stable. 1742 01:14:52,230 --> 01:14:53,530 - [Nick] It was fascinating. 1743 01:14:53,530 --> 01:14:54,960 - Yeah, it's interesting. - It was really interesting 1744 01:14:54,960 --> 01:14:55,793 being a part of this. 1745 01:14:55,793 --> 01:14:57,060 - I'm really excited about 1746 01:14:57,060 --> 01:14:58,800 this changing my life. - Yeah. 1747 01:14:58,800 --> 01:15:00,143 It's cool to see. 1748 01:15:01,390 --> 01:15:04,523 - For many people, fat is a super food. 1749 01:15:04,523 --> 01:15:07,144 Not only does it help you feel full and lose weight, 1750 01:15:07,144 --> 01:15:09,800 your body uses it as the building blocks 1751 01:15:09,800 --> 01:15:11,817 for cellular membranes and fat makes 1752 01:15:11,817 --> 01:15:13,745 up the myelin sheath that forms around 1753 01:15:13,745 --> 01:15:16,330 your nerves and allows electrical impulses 1754 01:15:16,330 --> 01:15:18,333 to transmit quickly and efficiently. 1755 01:15:18,333 --> 01:15:21,060 Fat makes up more than half our brain tissue. 1756 01:15:21,060 --> 01:15:23,950 Human breast milk is more than half fat, 1757 01:15:23,950 --> 01:15:26,076 much of which is saturated fat. 1758 01:15:26,076 --> 01:15:30,160 We need healthy fats to be healthy humans. 1759 01:15:30,160 --> 01:15:32,230 Unfortunately what we've been told 1760 01:15:32,230 --> 01:15:33,970 about which fats are good for us 1761 01:15:33,970 --> 01:15:37,550 and which fats are bad is dead wrong. 1762 01:15:37,550 --> 01:15:38,650 - Everybody just thinks, 1763 01:15:38,650 --> 01:15:40,526 oh, don't eat fat, don't eat fat, 1764 01:15:40,526 --> 01:15:42,860 and it's actually more tragic than that. 1765 01:15:42,860 --> 01:15:44,930 The story is actually much worse. 1766 01:15:44,930 --> 01:15:47,990 As people turned away from saturated fats, 1767 01:15:47,990 --> 01:15:51,162 like butter and animal fats, we were told to eat margarine. 1768 01:15:51,162 --> 01:15:53,692 ♪ Yes I am the muffin man ♪ 1769 01:15:53,692 --> 01:15:56,651 ♪ Now I am the butter man ♪ 1770 01:15:56,651 --> 01:15:58,440 (horn trumpeting) 1771 01:15:58,440 --> 01:15:59,273 - [TV Announcer] Imperial. 1772 01:15:59,273 --> 01:16:01,480 Only our taste deserves the crown. 1773 01:16:01,480 --> 01:16:04,016 - It turns out, and this is what's so tragic about it, 1774 01:16:04,016 --> 01:16:06,960 it was deadly advice. 1775 01:16:06,960 --> 01:16:09,740 - Many doctors have recommended corn oil margarine's 1776 01:16:09,740 --> 01:16:13,360 to help lower the saturated fat in a reduced fat diet. 1777 01:16:13,360 --> 01:16:16,946 - So if you remember margarine is vegetable oils, 1778 01:16:16,946 --> 01:16:19,418 and then they partially hydrogenate them 1779 01:16:19,418 --> 01:16:22,313 to make them solid, so they look like butter. 1780 01:16:22,313 --> 01:16:27,150 Partially hydrogenated fats are actually trans-fats. 1781 01:16:27,150 --> 01:16:30,280 - It's best to replace spreads high in saturated fats. 1782 01:16:30,280 --> 01:16:32,648 - So we went from eating natural foods 1783 01:16:32,648 --> 01:16:37,648 and butter to trans-fats which we now know was super, 1784 01:16:38,823 --> 01:16:42,217 super, super deadly for heart attacks. 1785 01:16:42,217 --> 01:16:43,430 - For the family you love, 1786 01:16:43,430 --> 01:16:46,470 serve delicious, new Mazola Margarine. 1787 01:16:46,470 --> 01:16:49,320 And love it's light delicate flavor everyday. 1788 01:16:49,320 --> 01:16:52,817 - That is mind-blowing that we told people 1789 01:16:52,817 --> 01:16:57,248 to stop eating butter and eat this poison instead, 1790 01:16:57,248 --> 01:17:00,463 and it would be good for you and we all did it. 1791 01:17:00,463 --> 01:17:02,998 - This is Mazola 100% corn oil margarine 1792 01:17:02,998 --> 01:17:05,770 made from 100% corn oil goodness. 1793 01:17:05,770 --> 01:17:07,310 - Well there's really no doubt 1794 01:17:07,310 --> 01:17:09,320 that the American Heart Association endorsement 1795 01:17:09,320 --> 01:17:12,503 of vegetable oils was a great thing for that industry. 1796 01:17:13,860 --> 01:17:14,693 - [Ralph] This is Ralph Edwards 1797 01:17:14,693 --> 01:17:15,566 of "Truth or Consequences" and congratulations 1798 01:17:15,566 --> 01:17:16,510 on your fine entry statement 1799 01:17:16,510 --> 01:17:18,684 of why we should all support the American Heart Association. 1800 01:17:18,684 --> 01:17:20,827 - [Dr. Hyman] The American Heart Association started 1801 01:17:20,827 --> 01:17:23,479 in the 1920s as a sleepy little organization 1802 01:17:23,479 --> 01:17:25,704 that could barely keep its doors open, 1803 01:17:25,704 --> 01:17:28,075 but in 1948 Proctor and Gamble, 1804 01:17:28,075 --> 01:17:30,737 maker of Crisco or shortening staged 1805 01:17:30,737 --> 01:17:35,550 a nationwide fundraiser and the AHA hit the jackpot. 1806 01:17:35,550 --> 01:17:36,410 - [Ralph] Thanks to Jack Benny, 1807 01:17:36,410 --> 01:17:37,396 the American Heart Association has 1808 01:17:37,396 --> 01:17:39,300 a million and a half dollars there. 1809 01:17:39,300 --> 01:17:41,710 Alright, this is Ralph Edwards saying goodnight, everybody! 1810 01:17:41,710 --> 01:17:46,710 - Overnight millions of dollars flowed into their coffers. 1811 01:17:46,780 --> 01:17:48,038 I mean literally from one week to the next 1812 01:17:48,038 --> 01:17:50,496 they started opening up chapters all over the country, 1813 01:17:50,496 --> 01:17:52,839 all thanks to Proctor and Gamble. 1814 01:17:52,839 --> 01:17:55,020 - [TV Announcer] New Crisco Oil stays blended longer, 1815 01:17:55,020 --> 01:17:56,980 makes salads taste great. 1816 01:17:56,980 --> 01:17:59,317 New Crisco Oil blends better than other oils. 1817 01:17:59,317 --> 01:18:00,390 - [Dr. Hyman] The American Heart Association 1818 01:18:00,390 --> 01:18:02,996 has endorsed special oils ever since. 1819 01:18:02,996 --> 01:18:06,557 - It's not nice to fool Mother Nature. 1820 01:18:06,557 --> 01:18:08,430 (elephant trumpeting) 1821 01:18:08,430 --> 01:18:12,120 - They then were able to publish advertisements saying, 1822 01:18:12,120 --> 01:18:12,990 lowers cholesterol. 1823 01:18:12,990 --> 01:18:14,610 Take this ad to your doctor and get them 1824 01:18:14,610 --> 01:18:18,467 to prescribe to you vegetable oils for your health. 1825 01:18:18,467 --> 01:18:20,561 - Vegetable oils are a fascinating topic 1826 01:18:20,561 --> 01:18:23,984 because they've become labeled as heart healthy 1827 01:18:23,984 --> 01:18:26,700 which drives me a little crazy 1828 01:18:26,700 --> 01:18:29,082 because the label was granted 1829 01:18:29,082 --> 01:18:32,600 to them simply by lowering LDL cholesterol. 1830 01:18:32,600 --> 01:18:35,621 But, the broader question is, what else are they doing? 1831 01:18:35,621 --> 01:18:38,370 These are not real food products. 1832 01:18:38,370 --> 01:18:40,460 These are products made in factories. 1833 01:18:40,460 --> 01:18:43,290 These are products that require heat and chemicals 1834 01:18:43,290 --> 01:18:45,935 and high pressure to extract what little oil there is. 1835 01:18:45,935 --> 01:18:48,480 - [Dr. Hyman] The heat and chemicals used 1836 01:18:48,480 --> 01:18:49,879 in the manufacturing process oxidizes 1837 01:18:49,879 --> 01:18:52,600 these delicate seed oils. 1838 01:18:52,600 --> 01:18:55,330 When you eat oxidized vegetable oils like soy, 1839 01:18:55,330 --> 01:18:57,732 canola, corn and seed flower or sunflower, 1840 01:18:57,732 --> 01:18:59,850 they create free radicals throughout 1841 01:18:59,850 --> 01:19:01,505 your body that are highly inflammatory 1842 01:19:01,505 --> 01:19:04,575 and known to cause heart disease and cancer. 1843 01:19:04,575 --> 01:19:07,250 Why are we always trying to eat more antioxidants? 1844 01:19:07,250 --> 01:19:09,451 To combat free radicals like the ones found 1845 01:19:09,451 --> 01:19:11,860 in refined vegetable oils. 1846 01:19:11,860 --> 01:19:13,375 - And then they're used by restaurants 1847 01:19:13,375 --> 01:19:16,550 in the most carcinogenic way possible. 1848 01:19:16,550 --> 01:19:18,479 They heat them, reheat them, cool them off, 1849 01:19:18,479 --> 01:19:21,160 heat them again and use 'em for a week. 1850 01:19:21,160 --> 01:19:23,970 So, switching to vegetable oils, 1851 01:19:23,970 --> 01:19:25,670 the seed oils was probably 1852 01:19:25,670 --> 01:19:27,212 a terrible idea in the first place. 1853 01:19:27,212 --> 01:19:29,161 - [Dr. Hyman] One researcher from the University 1854 01:19:29,161 --> 01:19:32,190 of Minnesota went to a variety of fast food restaurants 1855 01:19:32,190 --> 01:19:34,289 in her neighborhood and purchased french fries 1856 01:19:34,289 --> 01:19:37,268 and then took them back to her lab for testing. 1857 01:19:37,268 --> 01:19:38,831 She found numerous compounds 1858 01:19:38,831 --> 01:19:41,529 of toxic aldehydes in the fries. 1859 01:19:41,529 --> 01:19:44,089 Aldehydes are known to cause gene mutation, 1860 01:19:44,089 --> 01:19:48,480 alter RNA and DNA and trigger massive inflammation 1861 01:19:48,480 --> 01:19:49,400 in the body. 1862 01:19:49,400 --> 01:19:50,742 - Vegetable oil is highly toxic 1863 01:19:50,742 --> 01:19:52,840 and anyone who advises people 1864 01:19:52,840 --> 01:19:57,010 to eat vegetable oils is also giving misinformation. 1865 01:19:57,010 --> 01:19:57,945 - I tell my clients to avoid 1866 01:19:57,945 --> 01:20:01,373 the industrial seed oils as much as possible. 1867 01:20:02,360 --> 01:20:04,599 - [Dr. Hyman] Vegetable oils belong in the engines of cars, 1868 01:20:04,599 --> 01:20:06,663 not in your food. 1869 01:20:08,950 --> 01:20:10,889 Refined vegetable oils are one more reason 1870 01:20:10,889 --> 01:20:14,150 you should avoid fast food and processed food. 1871 01:20:14,150 --> 01:20:16,010 If it comes in a bottle or a box 1872 01:20:16,010 --> 01:20:18,750 it probably contains vegetable oils. 1873 01:20:18,750 --> 01:20:21,761 From crackers to cookies, mayonnaise to salad dressings, 1874 01:20:21,761 --> 01:20:25,490 baby food and even baby formula. 1875 01:20:25,490 --> 01:20:26,540 - They're not natural. 1876 01:20:26,540 --> 01:20:28,177 They've been shown to be pro-inflammatory 1877 01:20:28,177 --> 01:20:31,750 and in some studies like the Minnesota Coronary Experiment, 1878 01:20:31,750 --> 01:20:33,471 the Sydney Diet Heart Study, 1879 01:20:33,471 --> 01:20:35,940 they've shown that, yes, they lower LDL 1880 01:20:35,940 --> 01:20:37,400 but they actually do nothing 1881 01:20:37,400 --> 01:20:39,926 or they worsen all-cause mortality. 1882 01:20:39,926 --> 01:20:43,058 (pensive music) 1883 01:20:43,058 --> 01:20:48,058 ♪ Minneapolis, there's so many things to be ♪ 1884 01:20:50,594 --> 01:20:53,712 - The Minnesota Coronary Survey which took place 1885 01:20:53,712 --> 01:20:56,078 in the 1960s was the biggest 1886 01:20:56,078 --> 01:20:59,690 ever test of Ancel Keys' hypothesis. 1887 01:20:59,690 --> 01:21:00,825 - The Minnesota Coronary Experiment 1888 01:21:00,825 --> 01:21:04,484 is a fascinating study both from a science standpoint 1889 01:21:04,484 --> 01:21:06,502 and sort of a detective standpoint. 1890 01:21:06,502 --> 01:21:10,518 - So it took place in five Minnesota mental hospitals 1891 01:21:10,518 --> 01:21:12,170 which is a kind of experiment 1892 01:21:12,170 --> 01:21:14,410 you can't do anymore because it's considered unethical. 1893 01:21:14,410 --> 01:21:18,518 But back then it has the benefit of being highly controlled, 1894 01:21:18,518 --> 01:21:21,170 which means that you're feeding people all their food, 1895 01:21:21,170 --> 01:21:22,820 so you know what they're eating, 1896 01:21:22,820 --> 01:21:24,901 and they can't get outside food so they can't cheat. 1897 01:21:24,901 --> 01:21:27,123 - In the diet, they replaced saturated fat 1898 01:21:27,123 --> 01:21:30,550 with polyunsaturated fat, in the intervention. 1899 01:21:30,550 --> 01:21:31,719 And the diet was similar in all 1900 01:21:31,719 --> 01:21:34,975 the other nutrients that they deemed to be important. 1901 01:21:34,975 --> 01:21:37,418 And what they found was that with the intervention, 1902 01:21:37,418 --> 01:21:38,956 cholesterol levels went down, 1903 01:21:38,956 --> 01:21:40,766 which is what you would expect, 1904 01:21:40,766 --> 01:21:44,030 but mortality actually trended up. 1905 01:21:44,030 --> 01:21:46,010 - It turned out that people who were 1906 01:21:46,010 --> 01:21:48,299 on the cholesterol lowering diet had more heart disease 1907 01:21:48,299 --> 01:21:51,512 and more deaths than the people eating the controlled diet, 1908 01:21:51,512 --> 01:21:53,790 which was the exact opposite of what they wanted. 1909 01:21:53,790 --> 01:21:56,747 - So it did not support the diet-heart hypothesis. 1910 01:21:56,747 --> 01:21:58,908 - But they never published the results. 1911 01:21:58,908 --> 01:22:01,890 - If you do a very long study going into 1912 01:22:01,890 --> 01:22:05,370 that study thinking that you know what the end in mind 1913 01:22:05,370 --> 01:22:08,600 is going to be and then it isn't the end in mind, 1914 01:22:08,600 --> 01:22:10,900 I can understand that you don't wanna publish the results, 1915 01:22:10,900 --> 01:22:12,660 but it is scientific fraud. 1916 01:22:12,660 --> 01:22:14,777 - Yeah, that is totally unacceptable 1917 01:22:14,777 --> 01:22:17,000 to not publish your data like that. 1918 01:22:17,000 --> 01:22:18,789 - It wasn't published until decades later 1919 01:22:18,789 --> 01:22:23,789 that a relative of the author went digging for the results 1920 01:22:25,220 --> 01:22:27,960 and this is the detective part that's kind of crazy, 1921 01:22:27,960 --> 01:22:29,614 that he had to go looking through the basements 1922 01:22:29,614 --> 01:22:32,311 to find these data and re-crunch the data 1923 01:22:32,311 --> 01:22:36,017 and reanalyze it and then bring it out to publish it to say, 1924 01:22:36,017 --> 01:22:40,161 "Hey, look, this diet higher in omega-6 oils, lowered LDL, 1925 01:22:40,161 --> 01:22:42,517 "but it increased cardiovascular risk 1926 01:22:42,517 --> 01:22:44,088 "and it increased mortality." 1927 01:22:44,088 --> 01:22:45,751 - When you are making recommendations 1928 01:22:45,751 --> 01:22:49,030 that are not evidence-based, 1929 01:22:49,030 --> 01:22:51,663 and evidence comes out that's contrary 1930 01:22:51,663 --> 01:22:54,475 to those recommendations, wait a minute, 1931 01:22:54,475 --> 01:22:56,629 that's a problem, right? 1932 01:22:56,629 --> 01:23:00,490 And so what has been the standard approach 1933 01:23:00,490 --> 01:23:02,160 to dealing with that situation, 1934 01:23:02,160 --> 01:23:05,137 which has come up a number of times? 1935 01:23:05,137 --> 01:23:07,488 Bury the new evidence. 1936 01:23:07,488 --> 01:23:09,640 And that's exactly what's happened, 1937 01:23:09,640 --> 01:23:11,410 and the Minnesota Coronary study 1938 01:23:11,410 --> 01:23:13,245 is a perfect example of this. 1939 01:23:13,245 --> 01:23:15,307 - The Heart Foundation didn't come out and say, 1940 01:23:15,307 --> 01:23:16,331 "Sorry, we're wrong." 1941 01:23:16,331 --> 01:23:18,137 They just ignored it as if it didn't happen 1942 01:23:18,137 --> 01:23:20,409 and they continued to promote vegetable oils 1943 01:23:20,409 --> 01:23:22,650 and poly-unsaturated fats. 1944 01:23:22,650 --> 01:23:23,604 - If that had been published, 1945 01:23:23,604 --> 01:23:26,973 almost certainly what we eat today would be different. 1946 01:23:26,973 --> 01:23:28,455 - This is a reason for everyone 1947 01:23:28,455 --> 01:23:31,703 to be outraged beyond concern. 1948 01:23:33,109 --> 01:23:34,618 - Controlled clinical trials like 1949 01:23:34,618 --> 01:23:36,967 the Minnesota Coronary Survey are considered 1950 01:23:36,967 --> 01:23:38,850 the gold standard of research. 1951 01:23:38,850 --> 01:23:40,989 The type of experiment where you can control 1952 01:23:40,989 --> 01:23:44,420 every bite of food and change just one thing, 1953 01:23:44,420 --> 01:23:45,844 like swapping butter for margarine 1954 01:23:45,844 --> 01:23:49,577 to find out if it has an effect on our health. 1955 01:23:49,577 --> 01:23:52,125 But trials like these are expensive, 1956 01:23:52,125 --> 01:23:55,082 and some even considered unethical. 1957 01:23:55,082 --> 01:23:58,830 Cheaper observational trials are far more common. 1958 01:23:58,830 --> 01:23:59,663 - [Interviewer] How many times have 1959 01:23:59,663 --> 01:24:01,120 you had oatmeal in the last year? 1960 01:24:02,620 --> 01:24:04,460 - I have no clue. 1961 01:24:04,460 --> 01:24:05,773 - Oh my gosh. 1962 01:24:08,041 --> 01:24:09,191 (interviewee laughs) 1963 01:24:09,191 --> 01:24:11,631 - [Dr. Hyman] Observational trials often rely 1964 01:24:11,631 --> 01:24:13,436 on food frequency questionnaires 1965 01:24:13,436 --> 01:24:16,590 that rely on people's memories. 1966 01:24:16,590 --> 01:24:19,940 And people's memories aren't that great. 1967 01:24:19,940 --> 01:24:20,773 - [Interviewer] How many times have 1968 01:24:20,773 --> 01:24:22,233 you had orange juice in the last year? 1969 01:24:23,840 --> 01:24:25,210 - I wouldn't know a number. 1970 01:24:25,210 --> 01:24:26,213 - Last year? 1971 01:24:29,190 --> 01:24:30,370 - I'm gonna say... 1972 01:24:31,373 --> 01:24:36,373 - If I was to put a number on it, upwards of 20? 1973 01:24:37,720 --> 01:24:39,260 - [Interviewer] In the last year, 20 times? 1974 01:24:39,260 --> 01:24:40,720 - Oh yeah, yes. - Okay. 1975 01:24:40,720 --> 01:24:43,640 So you think you've had it only about two times a month? 1976 01:24:43,640 --> 01:24:45,600 - Oh, oh darn, yeah, you're right. 1977 01:24:45,600 --> 01:24:47,312 - I have no idea how many ounces... 1978 01:24:47,312 --> 01:24:49,790 - Well, if I had to break it up into ounces... 1979 01:24:49,790 --> 01:24:51,154 - Probably about the same as you. 1980 01:24:51,154 --> 01:24:53,740 I don't know how many ounces. 1981 01:24:53,740 --> 01:24:54,900 - See what I mean? 1982 01:24:54,900 --> 01:24:57,137 Observational trials generate unreliable data 1983 01:24:57,137 --> 01:24:58,850 and are the reason 1984 01:24:58,850 --> 01:25:03,055 why nutritional recommendations constantly flip and flop. 1985 01:25:03,055 --> 01:25:05,440 Setting nutritional food policy based 1986 01:25:05,440 --> 01:25:07,950 on unreliable data is largely what got 1987 01:25:07,950 --> 01:25:11,240 us into this big fat mess. 1988 01:25:11,240 --> 01:25:12,073 - [Interviewer] How hard do you think 1989 01:25:12,073 --> 01:25:14,283 it is to remember what you ate? 1990 01:25:15,220 --> 01:25:19,287 - Impossible, unless you have some ridiculous ability 1991 01:25:19,287 --> 01:25:22,610 to remember everything which nobody does. 1992 01:25:22,610 --> 01:25:24,593 Nobody remembers things accurately. 1993 01:25:29,640 --> 01:25:30,962 - [Dr. Hyman] No one person may represent 1994 01:25:30,962 --> 01:25:35,913 the antithesis of the low fat diet better than Dave Asprey. 1995 01:25:37,360 --> 01:25:38,991 His company, Bulletproof has made 1996 01:25:38,991 --> 01:25:43,991 a morning ritual out of adding spoonfuls of fat to coffee. 1997 01:25:44,470 --> 01:25:45,680 - [Dave] You take anywhere from a teaspoon 1998 01:25:45,680 --> 01:25:49,180 to a tablespoon of grass-fed butter. 1999 01:25:49,180 --> 01:25:50,862 - [Dr. Hyman] Add to that a few more teaspoons 2000 01:25:50,862 --> 01:25:53,107 of purified coconut oil. 2001 01:25:53,107 --> 01:25:56,206 - And then add your brewed black coffee, 2002 01:25:56,206 --> 01:26:01,206 (coffee splashing) (upbeat music) 2003 01:26:01,824 --> 01:26:02,755 and you blend it. 2004 01:26:02,755 --> 01:26:05,672 (blender whirring) 2005 01:26:09,720 --> 01:26:12,700 You can see, it looks an awful lot like a latte. 2006 01:26:12,700 --> 01:26:15,270 You drink this you're just not hungry for hours and hours, 2007 01:26:15,270 --> 01:26:16,330 and you're energized in a way 2008 01:26:16,330 --> 01:26:19,170 that you'll never get from a piece of toast. 2009 01:26:19,170 --> 01:26:20,870 - [Dr. Hyman] It was through his own discovery 2010 01:26:20,870 --> 01:26:23,958 of a high fat, low carb diet that Dave Asprey lost 2011 01:26:23,958 --> 01:26:28,958 more than 100 pounds and he's kept it off for 10 years. 2012 01:26:29,040 --> 01:26:32,060 - In 2004, after I lost a bunch of the weight 2013 01:26:32,060 --> 01:26:34,440 I wanted to lose, I decided to go to Tibet 2014 01:26:34,440 --> 01:26:36,111 to learn meditation from the masters. 2015 01:26:36,111 --> 01:26:38,683 And I'm at 18,000 feet elevation 2016 01:26:38,683 --> 01:26:41,370 in a very remote part of Tibet. 2017 01:26:41,370 --> 01:26:44,250 10 degrees below zero, 30 mile an hour winds, 2018 01:26:44,250 --> 01:26:45,590 and I'm feeling kind of wrecked 2019 01:26:45,590 --> 01:26:47,210 'cause there's no air and it's cold. 2020 01:26:47,210 --> 01:26:49,490 And this little Tibetan woman gave me a bowl 2021 01:26:49,490 --> 01:26:52,490 of yak butter tea, which is yak butter, mixed with tea, 2022 01:26:52,490 --> 01:26:53,453 and a pinch of salt. 2023 01:26:53,453 --> 01:26:55,050 All right, fine, I'm hungry. 2024 01:26:55,050 --> 01:26:55,883 I drank it. 2025 01:26:55,883 --> 01:26:57,770 It didn't taste great, it didn't taste bad. 2026 01:26:57,770 --> 01:27:01,217 But a minute later I'm like, "I feel really good. 2027 01:27:01,217 --> 01:27:03,487 "In fact, I haven't felt this good in days. 2028 01:27:03,487 --> 01:27:04,580 "What is happening?" 2029 01:27:04,580 --> 01:27:06,337 And I wrote a little note in my journal, how could this be? 2030 01:27:06,337 --> 01:27:08,140 And that day, I had another 20 cups of it, 2031 01:27:08,140 --> 01:27:10,069 and I just felt like I got my life back. 2032 01:27:10,069 --> 01:27:11,367 - [Dr. Hyman] Dave came back to the States 2033 01:27:11,367 --> 01:27:15,890 and adapted his yak butter tea experience to coffee. 2034 01:27:15,890 --> 01:27:18,180 Bulletproof is now a multi million dollar company 2035 01:27:18,180 --> 01:27:20,180 which Dave operates alongside his small, 2036 01:27:20,180 --> 01:27:24,400 organic farm where he grows grass-fed sheep and pigs. 2037 01:27:24,400 --> 01:27:26,113 - Hey guys, hey Riley. 2038 01:27:27,200 --> 01:27:28,307 - [Dr. Hyman] Dave believes the quality 2039 01:27:28,307 --> 01:27:31,150 of the fats we consume is critical. 2040 01:27:31,150 --> 01:27:32,500 - If you're not sure whether fats 2041 01:27:32,500 --> 01:27:33,940 are good or bad, it's okay. 2042 01:27:33,940 --> 01:27:35,660 Some fats are bad, and some fats are good. 2043 01:27:35,660 --> 01:27:36,901 No wonder it's confusing. 2044 01:27:36,901 --> 01:27:40,378 Short version, grass-fed butter, egg yolks, 2045 01:27:40,378 --> 01:27:45,310 coconut oil, avocados, olive oil. 2046 01:27:45,310 --> 01:27:46,940 Those are the good fats. 2047 01:27:46,940 --> 01:27:48,004 - [Dr. Hyman] While there is much debate over 2048 01:27:48,004 --> 01:27:51,090 the role played by animal agriculture in climate change, 2049 01:27:51,090 --> 01:27:53,732 raising grass-fed animals on organic pastures 2050 01:27:53,732 --> 01:27:56,940 like Dave's actually helps capture carbon 2051 01:27:56,940 --> 01:28:00,474 and can be a sustainable piece of the climate's solution. 2052 01:28:00,474 --> 01:28:03,000 - And the meat you eat must be higher quality. 2053 01:28:03,000 --> 01:28:04,920 And guess what high quality animals make? 2054 01:28:04,920 --> 01:28:06,180 High quality poop. 2055 01:28:06,180 --> 01:28:07,370 Guess what high quality poop makes? 2056 01:28:07,370 --> 01:28:08,407 High quality vegetables. 2057 01:28:08,407 --> 01:28:10,650 The vegetables you're eating that don't come 2058 01:28:10,650 --> 01:28:13,586 from farms like this are vegetables devoid of nutrients 2059 01:28:13,586 --> 01:28:16,702 and if we allow that to continue, there will be no topsoil. 2060 01:28:16,702 --> 01:28:19,620 This is how you make topsoil. 2061 01:28:19,620 --> 01:28:21,170 And the Tibetans figured out a long time ago, 2062 01:28:21,170 --> 01:28:23,160 saturated fat helps your brain. 2063 01:28:23,160 --> 01:28:24,490 They were using it for meditation, 2064 01:28:24,490 --> 01:28:26,770 they were using it to help their metabolism work 2065 01:28:26,770 --> 01:28:29,101 in very harsh conditions that are high stress. 2066 01:28:29,101 --> 01:28:31,500 So it's time to throw away the seed oils. 2067 01:28:31,500 --> 01:28:33,356 They are not fit for human consumption. 2068 01:28:33,356 --> 01:28:36,820 If you're eating bad fats, it's going to kill you. 2069 01:28:36,820 --> 01:28:38,278 And this is where The American Heart Association, 2070 01:28:38,278 --> 01:28:41,340 and the American Diabetes Association just got it wrong. 2071 01:28:41,340 --> 01:28:42,741 They told you to eat bad fats because 2072 01:28:42,741 --> 01:28:46,740 of industrial interests and it's time that we change that. 2073 01:28:46,740 --> 01:28:48,763 The science is very, very clear. 2074 01:28:49,650 --> 01:28:50,483 - Yeah, it's-- 2075 01:28:50,483 --> 01:28:52,328 - So how much weight have you lost total? 2076 01:28:52,328 --> 01:28:53,750 - I, 30 pounds. 2077 01:28:53,750 --> 01:28:54,583 - That's great. - Yeah. 2078 01:28:54,583 --> 01:28:57,930 And my goal was 50, so I think it's very doable. 2079 01:28:57,930 --> 01:29:00,250 - [Dr. Gallager] And you're down another five pounds. 2080 01:29:00,250 --> 01:29:01,083 - I am? 2081 01:29:01,083 --> 01:29:01,916 - Yeah. 2082 01:29:01,916 --> 01:29:02,910 - Yay! - Yeah. 2083 01:29:02,910 --> 01:29:04,525 - [Dr. Hyman] In two months Judi has lost weight 2084 01:29:04,525 --> 01:29:08,330 and cut her insulin medications by 60%. 2085 01:29:08,330 --> 01:29:10,703 - I think you have to look inside yourself 2086 01:29:10,703 --> 01:29:15,190 and just determine that nobody 2087 01:29:15,190 --> 01:29:17,593 is gonna take care of you the way that you can. 2088 01:29:17,593 --> 01:29:20,535 I don't feel like anyone could 2089 01:29:20,535 --> 01:29:23,175 go wrong with making an attempt at this 2090 01:29:23,175 --> 01:29:25,553 but you can't attempt it for a week. 2091 01:29:25,553 --> 01:29:28,790 You have to set your mind and set yourself 2092 01:29:28,790 --> 01:29:32,592 to it for a period of time. 2093 01:29:32,592 --> 01:29:34,698 - [Dr. Hyman] Judi is inspired by thousands 2094 01:29:34,698 --> 01:29:37,651 of other patients who reversed their Type 2 diabetes 2095 01:29:37,651 --> 01:29:40,708 getting off all medications with a high fat, 2096 01:29:40,708 --> 01:29:42,770 low carb nutrition plan. 2097 01:29:42,770 --> 01:29:46,784 - We reversed my Type 2 Diabetes, after one month. 2098 01:29:46,784 --> 01:29:48,210 I couldn't be prouder. 2099 01:29:48,210 --> 01:29:49,835 No more insulin injections for me, 2100 01:29:49,835 --> 01:29:52,560 and no more metformin, and even statins. 2101 01:29:52,560 --> 01:29:54,396 - I completely reversed 2102 01:29:54,396 --> 01:29:57,802 my Type 2 Diabetes in just three months. 2103 01:29:57,802 --> 01:30:02,730 Before I changed my diet, I weighed 212 pounds. 2104 01:30:02,730 --> 01:30:07,151 Now I weigh 165 pounds and I take zero medications. 2105 01:30:07,151 --> 01:30:11,147 - Before I started, I weighed about 265 pounds, 2106 01:30:11,147 --> 01:30:13,600 I now weigh 130 pounds. 2107 01:30:13,600 --> 01:30:15,790 Now I can enjoy my family, 2108 01:30:15,790 --> 01:30:20,070 I can do everything that you should do to live a life. 2109 01:30:20,070 --> 01:30:22,037 It's just been a total change. 2110 01:30:22,037 --> 01:30:27,037 - I have seen so many individual transformative patients, 2111 01:30:28,776 --> 01:30:32,947 what an honor that is to share that journey with a patient. 2112 01:30:32,947 --> 01:30:37,888 - I feel like if a person just is determined 2113 01:30:37,888 --> 01:30:42,380 and sets their goals that there isn't anything you can't do. 2114 01:30:42,380 --> 01:30:44,450 You just have to decide that feeling good 2115 01:30:44,450 --> 01:30:46,012 and being healthy is more important than 2116 01:30:46,012 --> 01:30:48,470 the things you used to like to eat. 2117 01:30:48,470 --> 01:30:50,050 It isn't very long before 2118 01:30:50,050 --> 01:30:52,702 your tastes change and you really like it. 2119 01:30:52,702 --> 01:30:56,140 (food sizzling) 2120 01:30:56,140 --> 01:30:58,230 - When I first started exploring low-carb, 2121 01:30:58,230 --> 01:30:59,301 I tried to keep it very quiet 2122 01:30:59,301 --> 01:31:01,870 because it had been and maybe still is 2123 01:31:01,870 --> 01:31:04,700 a very controversial subject. 2124 01:31:04,700 --> 01:31:06,161 In other countries dietitians were losing 2125 01:31:06,161 --> 01:31:09,160 their licensure over practicing low-carb, 2126 01:31:09,160 --> 01:31:10,601 let alone medical doctors as well. 2127 01:31:10,601 --> 01:31:14,600 - Professor Noakes, on a charge of unprofessional conduct, 2128 01:31:14,600 --> 01:31:17,929 the majority of this committee find you not guilty. 2129 01:31:17,929 --> 01:31:20,780 (court applauding) 2130 01:31:20,780 --> 01:31:22,081 - [Dr. Hyman] The controversy over low carb 2131 01:31:22,081 --> 01:31:24,895 may be slowly, quietly changing. 2132 01:31:24,895 --> 01:31:28,240 In the long drawn out case of Dr. Tim Noakes, 2133 01:31:28,240 --> 01:31:30,970 the final ruling found in his favor. 2134 01:31:30,970 --> 01:31:32,270 - So as far as we're concerned, 2135 01:31:32,270 --> 01:31:34,735 we made the point that this diet is safe. 2136 01:31:34,735 --> 01:31:37,059 That's all we really set out to do. 2137 01:31:37,059 --> 01:31:41,460 - The low carb, ketogenic diet is a low inflammation diet. 2138 01:31:41,460 --> 01:31:42,663 - [Dr. Hyman] More and more brave practitioners 2139 01:31:42,663 --> 01:31:45,000 are going against the dietary guidelines 2140 01:31:45,000 --> 01:31:47,273 to help their patients find better health. 2141 01:31:47,273 --> 01:31:50,620 Like Brian Lenzkes, who also teaches low carb nutrition 2142 01:31:50,620 --> 01:31:52,202 classes at his church. 2143 01:31:52,202 --> 01:31:53,984 So far, Brian's congregation 2144 01:31:53,984 --> 01:31:56,987 has lost more than 2,000 pounds. 2145 01:31:56,987 --> 01:32:00,180 - Our results are in purple here. 2146 01:32:00,180 --> 01:32:01,050 Low carb. 2147 01:32:01,050 --> 01:32:02,130 - [Dr. Hyman] The two year findings 2148 01:32:02,130 --> 01:32:04,109 from Sarah Hallberg's clinical trial show 2149 01:32:04,109 --> 01:32:06,950 that a low carb, high fat diet is equally 2150 01:32:06,950 --> 01:32:08,368 as effective as bariatric surgery 2151 01:32:08,368 --> 01:32:11,410 in reversing Type 2 diabetes. 2152 01:32:11,410 --> 01:32:13,618 - So your assessment of the vilification 2153 01:32:13,618 --> 01:32:16,993 of saturated fat after your experience in this trial? 2154 01:32:16,993 --> 01:32:19,252 - Well, I'll tell you, what we say is that 2155 01:32:19,252 --> 01:32:22,549 we do not restrict saturated fat in these patients, 2156 01:32:22,549 --> 01:32:26,459 and yet they're having these remarkable results. 2157 01:32:26,459 --> 01:32:28,580 - [Dr. Hyman] In April of 2019, 2158 01:32:28,580 --> 01:32:30,087 the American Diabetes Association 2159 01:32:30,087 --> 01:32:32,969 issued an update to its long standing position 2160 01:32:32,969 --> 01:32:37,969 that diets lower than 130 grams of carbs a day are unsafe. 2161 01:32:38,560 --> 01:32:41,888 - I was thrilled, it felt like Christmas morning to me. 2162 01:32:41,888 --> 01:32:44,192 It was the very first time in writing 2163 01:32:44,192 --> 01:32:46,052 from a huge organization that said 2164 01:32:46,052 --> 01:32:47,669 what I was doing was okay. 2165 01:32:47,669 --> 01:32:49,953 What I was doing was an approach 2166 01:32:49,953 --> 01:32:52,761 that was helping my patients. 2167 01:32:52,761 --> 01:32:56,050 And while it was something that I have known for years, 2168 01:32:56,050 --> 01:32:58,040 it was the first time I felt safe. 2169 01:32:58,040 --> 01:32:59,800 It was the first time I felt safe 2170 01:32:59,800 --> 01:33:02,220 to give these recommendations. 2171 01:33:02,220 --> 01:33:05,100 - [Dr. Hyman] In 2015 after more than 50 years 2172 01:33:05,100 --> 01:33:08,026 of condemning foods like eggs, lobster and shrimp, 2173 01:33:08,026 --> 01:33:11,014 the American Heart Association quietly dropped 2174 01:33:11,014 --> 01:33:12,603 their long standing recommendation 2175 01:33:12,603 --> 01:33:14,858 against dietary cholesterol saying 2176 01:33:14,858 --> 01:33:18,633 it's no longer a nutrient of concern. 2177 01:33:18,633 --> 01:33:22,120 That same year, the U.S. Dietary Guidelines Committee 2178 01:33:22,120 --> 01:33:25,164 removed the cap on dietary fat consumption, 2179 01:33:25,164 --> 01:33:27,250 admitting there's no evidence 2180 01:33:27,250 --> 01:33:29,757 that eating fat is bad for health. 2181 01:33:29,757 --> 01:33:33,320 But the cap on saturated fat remains. 2182 01:33:33,320 --> 01:33:35,117 - The hypothesis that saturated fats 2183 01:33:35,117 --> 01:33:38,224 are bad for health has been the most tested hypothesis 2184 01:33:38,224 --> 01:33:40,840 in the history of nutrition science. 2185 01:33:40,840 --> 01:33:43,340 There has been no hypothesis that has been more tested. 2186 01:33:43,340 --> 01:33:47,500 Some 75,000 people, 65,000 somewhere in that range, 2187 01:33:47,500 --> 01:33:48,688 depending on which studies you include, 2188 01:33:48,688 --> 01:33:51,890 and none of them could show that saturated fats 2189 01:33:51,890 --> 01:33:55,623 had any effect on total or cardiovascular mortality. 2190 01:33:57,041 --> 01:33:58,561 There's no evidence for it. 2191 01:33:58,561 --> 01:34:01,471 - [Dr. Hyman] Even so the American Heart Association 2192 01:34:01,471 --> 01:34:04,100 who takes much of its funding from big food 2193 01:34:04,100 --> 01:34:06,286 and big pharma continues to stand behind 2194 01:34:06,286 --> 01:34:09,209 its long held position that saturated fats 2195 01:34:09,209 --> 01:34:10,777 are the cause of heart disease 2196 01:34:10,777 --> 01:34:14,600 and that refined vegetable oils are heart healthy. 2197 01:34:14,600 --> 01:34:18,460 - But there is so much politics and so much money, 2198 01:34:18,460 --> 01:34:21,860 and big pharma and the sugar industry 2199 01:34:23,700 --> 01:34:26,810 behind trying to keep those guidelines 2200 01:34:26,810 --> 01:34:27,942 as they are right now. 2201 01:34:27,942 --> 01:34:31,993 I feel like eventually they will change, but when? 2202 01:34:31,993 --> 01:34:33,910 It could be 50 years. 2203 01:34:33,910 --> 01:34:35,052 - We can't wait 50 years. 2204 01:34:35,052 --> 01:34:40,052 Millions of people have died already because of this mess. 2205 01:34:41,170 --> 01:34:43,240 - [Dr. Hyman] Doug Reynolds isn't waiting any longer. 2206 01:34:43,240 --> 01:34:45,790 His company, LowCarb USA is partnering 2207 01:34:45,790 --> 01:34:47,810 with dozens of physicians, nutritionists 2208 01:34:47,810 --> 01:34:49,780 and dieticians to create a set of global, 2209 01:34:49,780 --> 01:34:52,470 clinical guidelines that teach medical professionals 2210 01:34:52,470 --> 01:34:56,071 how to safely and effectively practice low carb nutrition. 2211 01:34:56,071 --> 01:34:57,720 - Now It gives a lot of them confidence 2212 01:34:57,720 --> 01:35:01,590 to maybe start implementing it in their practice, 2213 01:35:01,590 --> 01:35:04,639 where before, they weren't quite sure how to do it 2214 01:35:04,639 --> 01:35:08,630 or they were afraid that other doctors weren't doing it. 2215 01:35:08,630 --> 01:35:09,501 Now, they're actually following 2216 01:35:09,501 --> 01:35:12,120 some kind of set of guidelines. 2217 01:35:12,120 --> 01:35:12,953 - [Dr. Hyman] And what about 2218 01:35:12,953 --> 01:35:15,049 the official dietary guidelines for Americans? 2219 01:35:15,049 --> 01:35:17,132 The three main eating patterns recommended 2220 01:35:17,132 --> 01:35:20,305 by the USDA all feature more than 50% 2221 01:35:20,305 --> 01:35:23,464 of daily calories as carbohydrates. 2222 01:35:23,464 --> 01:35:25,224 According to the dietary guidelines, 2223 01:35:25,224 --> 01:35:29,816 low carbohydrate, high fat diets are still not an option. 2224 01:35:29,816 --> 01:35:32,100 - It smells so good. 2225 01:35:32,100 --> 01:35:35,189 - In 2017, the National Academy of Sciences and Medicine 2226 01:35:35,189 --> 01:35:37,942 perform the first ever outside scientific review 2227 01:35:37,942 --> 01:35:39,935 of the U.S. dietary guidelines 2228 01:35:39,935 --> 01:35:42,922 and found that the process lacked transparency 2229 01:35:42,922 --> 01:35:44,694 and scientific rigor. 2230 01:35:44,694 --> 01:35:47,562 Recommending a signal dietary pattern 2231 01:35:47,562 --> 01:35:51,127 to an entire population was a huge mistake. 2232 01:35:51,127 --> 01:35:54,045 Not only did the low fat diet not work, 2233 01:35:54,045 --> 01:35:59,045 it did us harm and resulted in greater obesity and disease. 2234 01:35:59,585 --> 01:36:02,169 The lesson of the low fat diet may be 2235 01:36:02,169 --> 01:36:05,463 that nutrition science is deeply flawed 2236 01:36:05,463 --> 01:36:07,920 and our nation's dietary guidelines 2237 01:36:07,920 --> 01:36:10,184 have been heavily influenced by the food industry 2238 01:36:10,184 --> 01:36:13,410 and the enormous amount of money at stake. 2239 01:36:13,410 --> 01:36:14,860 - What we are living now is just 2240 01:36:14,860 --> 01:36:16,323 so completely unsustainable. 2241 01:36:16,323 --> 01:36:18,453 These unsustainable rates of obesity 2242 01:36:18,453 --> 01:36:20,545 and diabetes were bankrupting our nation, 2243 01:36:20,545 --> 01:36:22,925 it's destroying people's lives, 2244 01:36:22,925 --> 01:36:27,660 it's destroying our country, and it has to stop. 2245 01:36:27,660 --> 01:36:29,270 - We are not treating the disease, 2246 01:36:29,270 --> 01:36:31,371 we're treating the symptoms of the disease. 2247 01:36:31,371 --> 01:36:33,344 And so it should be of no surprise 2248 01:36:33,344 --> 01:36:35,502 to anyone that we're not getting better. 2249 01:36:35,502 --> 01:36:37,962 And we're not going to get better 2250 01:36:37,962 --> 01:36:41,322 until we recognize what the real problem is. 2251 01:36:41,322 --> 01:36:45,300 If we changed the food, we could solve this problem. 2252 01:36:45,300 --> 01:36:48,170 - [Tracy] We get so many mixed messages about diet and-- 2253 01:36:48,170 --> 01:36:49,579 - Does the government have a role 2254 01:36:49,579 --> 01:36:51,490 in telling people how to eat? 2255 01:36:51,490 --> 01:36:53,249 - We kind of have to find what really works for us 2256 01:36:53,249 --> 01:36:56,054 but we still need to know the truth. 2257 01:36:56,054 --> 01:36:57,520 - It's a fascinating question 2258 01:36:57,520 --> 01:36:59,062 that has a lot of different opinions. 2259 01:36:59,062 --> 01:37:02,004 And certainly, the past 30, 40 years 2260 01:37:02,004 --> 01:37:04,139 of experience would say, no, 2261 01:37:04,139 --> 01:37:06,410 they probably shouldn't be in that role. 2262 01:37:06,410 --> 01:37:08,222 - The people at the top are not going to change, 2263 01:37:08,222 --> 01:37:11,103 so we have to get this going as a bottom up revolution 2264 01:37:11,103 --> 01:37:14,393 and get more and more people on board until they're shamed 2265 01:37:14,393 --> 01:37:16,200 into changing the guidelines 2266 01:37:16,200 --> 01:37:20,276 because the swell of the population is just ignoring them. 2267 01:37:20,276 --> 01:37:22,817 - The change is coming from the people, 2268 01:37:22,817 --> 01:37:24,682 because they've changed. 2269 01:37:24,682 --> 01:37:28,321 They're forcing the doctors to change if we can change 2270 01:37:28,321 --> 01:37:31,569 the medical profession, I think we'll do something. 2271 01:37:31,569 --> 01:37:34,552 - If you're pre diabetic or Type 2 diabetic, 2272 01:37:34,552 --> 01:37:37,834 there is a way out, a path forward to health 2273 01:37:37,834 --> 01:37:41,436 and vitality to fewer drugs and more energy. 2274 01:37:41,436 --> 01:37:43,190 You can get your life back 2275 01:37:43,190 --> 01:37:46,760 and all you have to do is eat real food. 2276 01:37:46,760 --> 01:37:48,257 - If somebody has Type 2 diabetes, 2277 01:37:48,257 --> 01:37:50,663 they can go online right now, 2278 01:37:50,663 --> 01:37:52,750 they can watch your movie, 2279 01:37:52,750 --> 01:37:54,360 they can read up on something, 2280 01:37:54,360 --> 01:37:59,360 they can buy a book and start reversing their disease today. 2281 01:38:00,712 --> 01:38:03,440 - What I see on a day-to-day basis 2282 01:38:03,440 --> 01:38:05,670 with my individual patients as well 2283 01:38:05,670 --> 01:38:08,300 as my own family and my own friends, 2284 01:38:08,300 --> 01:38:11,778 I think it's missed in some of this research, 2285 01:38:11,778 --> 01:38:14,323 and what that is is freedom. 2286 01:38:16,770 --> 01:38:19,173 It's freedom from being hangry. 2287 01:38:20,510 --> 01:38:22,790 It's freedom from cravings. 2288 01:38:22,790 --> 01:38:25,085 It's freedom from headaches. 2289 01:38:25,085 --> 01:38:25,940 - Whoa! 2290 01:38:25,940 --> 01:38:28,450 - [Dr. Gallager] It's freedom from reactive hypoglycemia. 2291 01:38:28,450 --> 01:38:29,947 It's freedom from mood swings. 2292 01:38:29,947 --> 01:38:32,643 It's better quality of sleep. 2293 01:38:34,310 --> 01:38:36,073 It's better quality of life. 2294 01:38:37,550 --> 01:38:38,517 - I feel great. 2295 01:38:38,517 --> 01:38:40,110 (bicycle bell dings) 2296 01:38:40,110 --> 01:38:41,380 I feel really good. 2297 01:38:41,380 --> 01:38:42,213 Hi girls. 2298 01:38:42,213 --> 01:38:47,128 (upbeat music) (birds chirping) 2299 01:38:51,621 --> 01:38:54,204 (gentle music) 2300 01:39:25,080 --> 01:39:27,830 (dramatic music) 2301 01:41:02,542 --> 01:41:05,125 (gentle music) 173412

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