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Minggu, 13 Juni 2010

I come from the perspective that the healthiest diet and circumstances for human beings, body and mind, will be the ones we are evolved for. In practical terms, that means the diet and habits of our Paleolithic ancestors. More recently I've focused my personal research on the nutritional aspects of this theory, and that is where I will begin with my blog posts. Paleolithic psychology is an academic science in it's own right. My particular interest is in where molecular biology, nutrition, and optimal brain function meet.

Let's begin with diet. Ancient humans ate wild game (including marrow and organ meats), shellfish, fish, tubers, green leafy vegetables, eggs, fruits, and nuts. Notably absent are the vegetable oils and highly processed foods created in the last 50 or so years. Grains (corn, wheat, barley, rye, oats, buckwheat, quinoa, millet, etc.), legumes (red and black and pinto beans, legumes, garbanzo beans, peanuts), nightshades (white potatoes, tomatoes, peppers, and eggplant) and milk products are also relatively new foods to the human palate.

Anthropological evidence and epidemiological studies of modern and past hunter gatherers, as well as agrarian societies of the last 10,000 years, show us that the physical health of hunter gatherers far surpasses the health of grain-based societies (1). They lived longer (until the last 100 years and the invention of antibiotics and vaccines), and were free of diseases such as osteoporosis, metastatic cancer, and tooth decay, and modern hunter gatherers who eat traditional diets do not have diabetes, hypertension, obesity, atherosclerosis, acne, osteoporosis, dementia, or any of the most common cancers that we suffer from in the West.

Traditional agrarian societies were also relatively healthy (2), but they did not consume white flour, vegetable oils, refined sugar, or pasteurized milk products. In addition, they used a number of soaking and fermenting techniques to make grains and legumes healthier. And while some grains may be acceptable after preparation, I believe there may be no hope for wheat.

It is only in our modern world that we have access to entirely invented foods, chemical sugars, processed oils, quick rise breads, and genetically modified soy and wheat. While I will come up with a lot of biochemical smoke to pinpoint the fires in these nouveau foods that I believe are unhealthy, I do that out of intellectual interest rather than necessity. I already know that humans who did not eat those foods were healthier than we are. We'll see if we can find some good evidence that they were happier, too.

The vast majority of our calories should come from foods that are known to be healthy - grassfed beef, pastured chickens and other poultry and their eggs, pastured game meats and pigs, locally grown or organically grown produce, wild fish from unpolluted waters, coconuts and other tree nuts, and olive oil. Fermented and full fat (especially raw, if you are not immunocompromised - very young children and babies, pregnant women, etc.) dairy is also acceptable. Anything that has ingredients you cannot readily pronounce without a background in biochemistry should be, for the most part, avoided, as best you can. If you are a cook and have the time and industry to prepare grains and legumes as they should be prepared, then have at it. Don't worry, more details about the specifics will follow!
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The next phase of medicine is coming, I hope. One where doctors will help people find solutions rather than medicate away the symptoms. The state of our health is tenuous, and our longevity is linked to a number of prescription drugs and expensive medical procedures. Most of us have to decide whether we want to die of heart disease or cancer. In the mean time, we live with disability at the end of our lives, often for many years.

I work in one of the most maligned and least understood fields of medicine - Psychiatry. My job is to help people feel better, and to accomplish this task I look at medical, genetic, psychological, and social influences on a person's life, and hopefully come up with a plan to correct glaring problems. A lot of the time, I prescribe medication to help the process along. I'm hopeful that an increased understanding of the brain and paleolithic nutrition will greatly reduce my need to rely on prescriptions in order to help people.

The brain is the most complicated and therefore vulnerable organ in the body. Almost any illness, medication, and nutritional deficit can show up first as vague (or not so vague) psychological or neurological symptoms. We are not supposed to be fatigued, scattered, depressed, or have wild aggression and mood swings on a regular basis. We are meant to be sharp, serene, and generally happy. If we look hard enough, I'm sure that science and common sense will give us some answers.

Our current state of health, by the numbers:

Mental Health

Cancer

Heart Disease

Diabetes

I want to do better.
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