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Aug 2, 2023Liked by William H Bestermann Jr MD

Thank you again!!!

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Thank you for your enthusiasm and support!

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Always ❤️

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Aug 2, 2023Liked by William H Bestermann Jr MD

By the way, since you were medically mis-educated, you may find some strength in a statement from Dr. Dean Ornish, which he reports in his book Undo it!, I forget the exact numbers he quotes, but I think he says with his heart patients that he switches to #WFPB, he has 90% retention after six months and 70% retention after 12 months, whereas with statins he sees 50% retention after 6 months because of the side effects, and by 12 months most people drop them. So, besides the fact that we now know that the statins are medically useless, and dangerous, Lifestyle is simply the only realistic option we have. Too bad, very few, even in the lifestyle medicine community were smart enough to avoid the C19 shots. The influence of medical mis-education is too strong even there, see here: https://www.americaoutloud.news/innocence-lost-at-lifestyle-medicine-conference/.

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Aug 2, 2023·edited Aug 2, 2023Author

Sorry Rogier, this is where we part company. Optimal Medical Therapy is the most effective treatment for heart artery disease. Kaiser Permanente in Colorado achieved a 91% statin adherance rate in patients who had documented coronary artery disease. Patients on OMT were ten times as likely to be alive in five years compared with patients in usual care, the care that most people receive. I am open to the idea that lifestyle interventions are very important but targeted precision medications are equally important. The work at Kaiser Permanente can be scaled.

https://pubmed.ncbi.nlm.nih.gov/20973686/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3037123/pdf/i1552-5775-12-3-4.pdf

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Aug 2, 2023Liked by William H Bestermann Jr MD

I believe I mentioned my daughter (51) had the gastric sleeve operation this spring. She is doing well but I will ask her if the doc mentioned this blockage possibility. In any case I will. If she is aware of symptoms she would be motivated to seek help. (Crossed fingers). She lives a thousand miles away but will be here in a couple of weeks to visit. Thanks.

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This is another great point Janet. I can always count on you. I have had more than 50 episodes like this. Lisa Marie died at home. If an individual has abdominal pain that waxes and wanes it is a medical emergency and they should seek medical attention. I have had it so many times that I can often manage it by avoiding food and water. I only have a partial blockage and so with time it will pass. The key for her is pain that builds and recedes.

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Aug 2, 2023Liked by William H Bestermann Jr MD

Thank you! Dr bestermann. That is a warning in simple to understand terms. Of course she has experienced some side effects from this. I will highlight this for her. 👍🏻

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Great and thanks

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Aug 2, 2023Liked by William H Bestermann Jr MD

Hi, Bill. A very good post. Eating real food in moderation is the best way to lose weight, keep it off, and stay healthy. I’ve also found that learning not to eat unless I am hungry, experiencing real hunger, is important for me in staying trim. It is more difficult than it sounds. If left to it, I will eat when I’m not hungry, but bored, or lured by something tasty — salty, sugary, fatty, or all three — when not hungry. I had to re-learn what that signal of real hunger feels like to practice eating only when hungry. It is subtle. The best way to experience it is to fast for a day or two. Then, listen to the signals your body gives you, and remember that feeling is like and how to make it go away. Then, resist eating until that feeling is present again. Every time I put on 5-10 extra pounds, I have to go through this exercise again. But it’s worth it, at least to me. All the very best, David

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Thank you for that personal experience. Those are all valid points. You hit on a critical point. Big food has learned how to combine fat, salt, sugar--and processed carbs in ways that are addictive for many of us. As you say, we will eat them because they are so delicious. You can't eat just one potato chip. Only eating when you are hungry is critical and that is another way that industry has hoodwinked us. Many Americans think they need three meals a day. For a long time the American Diabetes Association recommended three meals with snacks. We start eating when we get up and keep going until we go to bed. Combine that with addictive food and you have a certain path to gaining weight. It is great that you have learned how to overcome a toxic food environment. You will be healthier longer. It is always great to hear from you.

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Aug 2, 2023Liked by William H Bestermann Jr MD

yes, I can testify to the same. Weightloss can be achieved safely and permanently with sound nutrition and a healthy lifestyle, including intermittent water fasting, and periodically longer water fasts. I personally follow the protocols of True North Health: strictly #WFPB without any SOS (Whole Foods, Plant-Based nutritioin, without any Sugar, Oil, or Salt), plus intermittent fasting and water fasting. Serious cases should do longer (than 3 days) in-patient fasting under close medical supervision.

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That is great to hear Rogier. It is great that you are so disciplined. You hit on a key point. Fat, sugar, salt, and processed carbs are so pleasurable that for many of us they are addictive. Most people don't have your level of focus and dedication but they can still slowly lose weight by avoiding fast and processed food that are highly calorically dense. That is something everyone can do and they don't need to feel hungry or deprived. They need to do something they can do for their entire lives.

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Aug 2, 2023Liked by William H Bestermann Jr MD

The sad reality is that most of us, me included, do not find that motivation until we have a health scare. Fortunately, mine was not very serious, my doctor just started talking about my BMI, baby aspirin, statins maybe, bp meds and so on. I knew enough that there were other ways. I read Esselstyn's Prevent and Reverse Heart Disease and I never looked back. I changed on a dime. I had tried it for a week five years earlier, and I gave it up. Seemed to be too strict. But then I suddenly found the motivation. I was determined not to become another pharma addict. My MD father had trained me well to not trust pharma, he was a psychiatrist and refused psychopharmaca in the sixties when the avalanche started. He declared himself for talk therapy only, before the flood, just as Dr. Peter Breggin did after the flood. But we were vegetarian, and most of my life, I thought cheese was a healthfood. But then I learned otherwise when I started practicing WFPB nutrition. He died of a stroke at 63. I have survived him by 10 years already, and don't feel ready to give up ;-) I think anyone can do it, if they want to. People need to be willing to do the inner work as to where the motivation comes from, and to understand how and why our self-destructive tendencies get in the way.

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That is all great. Your dietary efforts will definitely help you be healthier longer. Your diet and weight control are great. There is another angle that can help you further. I share your skepticism about big pharma. There is a great deal of misinformation and spin that they use to sell very expensive medications. That said, I have focused on stroke and related diseases like high blood pressure and diabetes my entire career as an internist.

We used to think that the rate of aging and developing age-related chronic diseases was just set in stone. Now there is a massive body of evidence that proves that is wrong. The rate of aging and chronic disease development is governed by genetics, epigenetics, and molecular biology. The mechanistic target of rapamycin (mTOR) and AMPK are master epigenetic metabolic switches. mTOR in the fetus and child coordinates food availability with growth. It is paired with AMPK. When mTOR is switched on, AMPK is switched off and vise versa. When there is no food, AMPK is switched on and mTOR is switched off. Growth stops and AMPK mobilizes calories from fat and muscle tissue so that the fetus survives until food is available again. mTOR is a growth switch and AMPK is a survival switch.

Your father died of a stroke. Most strokes are due to high blood pressure. Medications like lisinopril and eplerenone for high blood pressure precisely switch off mTOR and switch on AMPK to reduce the risk of heart failure and chronic kidney disease more than achieving the same blood pressure using other medication. They switch off mTOR and switch on AMPK because they have powerful antioxidant properties. Caloric restriction and intermittent fasting also switch off mTOR and switch on AMPK. When you combine these lifestyle measures with specific generic medications that are antioxidants that switch off mTOR and switch on AMPK you get dramatically better outcomes. There is a clinic that I work with that provides care at half the cost based on these concepts. Patients seen in that clinic have one fifth as many hospitalizations and one third as many ER visits. Please don't hesitate to ask questions

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Thanks Kathleen. Great to hear from you. You make a very important point. I don't think a family history of type 2 diabetes confers increased risk of the disease through genetic mutations. The percentage of adults who are diabetic is up ten fold compared with 60 years ago. That is due to a change in family food culture. We were eating real food. Now we eat highly processed foods.

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Not only will people loss weight slowly when eating “real food” as a norm, taste buds become more sensitive to improved intake, food will be more enjoyed l, even savored, and digestion will improve! Start young, impart good habits with your family.

Brilliant!

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