There is a huge amount of information in this book and that's great. Spector doesn't want to start another diet cult so doesn't really prescribe a particular diet to follow. Rather he looks to create a paradigm shift in the way we look at our diet and how our body responds to it. His view is that our microbiome (all the stuff living in our gut, mostly bacteria) combined with our genetic makeup decides how we put on weight and how healthy we are. He supports the theory with his two pillars; twin studies (studies of identical twins), and studies on mice.
His theory is best summed up by Michael Pollan's saying "Eat food, not too much, mostly plants."
In addition to this Spector identifies a few extra habits and features of a healthy diet. Namely, the Mediterranean diet is the best well-known diet to follow. All other diets fall into the trap of narrowing your food source too much and putting too much dependence on particular items. This creates imbalances and a narrow range of gut flora when you want balance from diversity. You should try and eat as many different fruits and vegetables as you can (swear I've heard that before). Spector's big on olive oil (extra virgin) and nuts, the former slightly more than the latter. He also highly rates prebiotics, namely, Jerusalem artichoke hearts, chicory, garlic, onions, celery. These get to your large intestine because of the large amount of fibre. But he says the jury is out on probiotics and they probably don't work. Although yoghurt, proper cheese and fermented stuff is great. Ok with a glass of red wine. Dark chocolate seems good too. Milk makes us tall across generations. Better to be born vaginally and if you aren't you need your mother's healthy microbes swiped over your face immediately. Fasting is good for a few reasons, it seems to promote serotonin creation and also stimulate the good microbes in the gut when paired with a diverse diet.
Junk food not good for you. SURPRISE! But it's mostly because of the way it reduces your microbiome diversity. Exercise does little to nothing in the fight against weight. Reducing calories right down helps a lot but is almost impossible to achieve long-term outside a hospital or the army. After a month or so your body will dial your energy consumption down and fight you to stay fat. It does something similar when you exercise. The benefits from exercise aren't really weight related but more towards cardiovascular health etc. Antibiotics are really not great for your microbiome for obvious reason but are particularly damaging at a young age. Artificial sweeteners through a complex process actually end up making you fatter. This process involves the reduction of your gut diversity and somehow improving the uptake of carbohydrates and starch to energy.
I would have liked to see the exploration of the transfer of microbes between people living and working together. Of particular note was, Mary, a woman who at the age of 35 divorced her husband went on a holiday to India, took some broad spectrum antibiotics while there and when she returned she was essentially lactose intolerant. While her twin sister never displayed the Lactose intolerance I would argue that Mary had a good microbiome from living with her husband and when she stopped living with him she was no longer receiving that cross pollination.
Here are an array of what I thought were the most interesting facts if they're lumped together it's because that's how they were in the book.
- Twin studies show that the twin that rigorously diets ends up being heavier over time.
- Our bodies always adapt to reduced calorie intake. The dull monotony of exclusion style diets is overidden by the body's impulse to hold onto fat stores.
- Once someone has been obese for awhile a whole series of biological changes transpire to maintain or increase their fat storage and the brain's reward mechanisms for food. This is why most diets fail.
- If you reduce daily calorie intakes of people/patients to 1000 calories (rdi is 2000-2600) then they will definitely lose weight. But this is really only possible in a controlled environment like a hospital or in the army. The other option that works is Gastric Bypass Surgery but this remains unpopular even after 50 years.
- Our gut microbes/ microbiome are more likely to responsible for our physical condition weight wise over anything else.
- Most of the microbes we have are in our large intestine (the Colon). This absorbs most of the water. The small intestine is where most of the food and energy is absorbed. Food usually gets to the small intestine having been chopped up by our teeth and aided in digestion by the enzymes in our saliva and stomach. The small intestine also contains microbes but we know less about them than the large intestine. High Fibre foods make it to the large intestine because they need more time to break down.
- Sterile mice delivered by c-section with no microbes will not grow well and will be runts. If you give sterile mice normal microbes after a few weeks they still never develop normally, they do better if they start life with normal microbes which are then largely eradicated by antibiotics, although never healthy they'll do better than the first group. They do best if they start life with normal microbes and don't have them wiped out.
- If you give a mouse a pregnant woman's stool sample they will get fat and much bigger than if they are given a non-pregnant woman's sample.
- The more diverse your microbiome and by necessity your diet the better.
- Humans used to eat about 150 different foods in a week. We now eat about twenty.
- Intermittent fasting can stimulate friendly microbes but only if it is paired with a diverse diet when not fasting.
- If you look at the microbes in a subway station in New York they'll match closely the citizens living in that city.
- Calories aren't all the same. A study done where one group had 17% of their total diet based on natural vegetable oils and the other group 17% trans fat, saw the trans fat group getting much fatter, three times the visceral (harmful) belly fat. This is despite the calories being the same. A CALORIE IS NOT A CALORIE
- Not to mention the huge inaccuracy of many food labels. Manufacturers are allowed 20% margin of error but many frozen food items are out by up to 70%. Something as simple as almonds is often mislabelled with about a 30% error in calories.
- People who lose their sense of taste don't get fat.
- There might be a sixth taste called kokumi "heartiness"
- Taste buds aren't in areas but evenly spread across the tongue, they regenerate every ten days.
- 1931 a Dupont chemist created a chemical called PROP which 50% of people found bitter 20% intensely unpleasant and 30% couldn't taste it at all. Such difference between individuals.
- TAS1R and TAS2R are the two major genes for taste.
- There are 3 gene variants for sweet tastes, five for umami, and at least 40 for bitter (toxins)
- Exercise barely helps and is not enough on it's own. Study of 12,000 runners over several years found that however far participants ran they were fatter each year. The researchers suggested if you add an extra 4-6 kilometres to your weekly run total each year, you might, if lucky stay the same weight, but this would have you running upwards of 100km a week.
- Your body responds to intense exercise by trying to conserve energy, energy expenditure will drop by 30% in your rest periods if you are exercising regularly.
- Being fat and fit is definitely better for you than thin and unfit. Particularly from a heart disease and mortality rate perspective.
- Microbiome diversity was significantly higher in an elite group of Welsh rugby players than in average men. Their inflammatory markers were lower
- Brain uses 20-25% of our daily energy resources.
- Cholesterol is a complex lipid that is part of nearly every cell in our body. 80% is naturally occuring in the body with only about 20% the amount we eat.
- Cheese supplements may maintain our microbiome when on a course of antibiotics. Unpasteurised hard cheese when given with antibiotics has been found to speed up recovery times and reduce bacterial resistance.
- There seems to be no provable link between saturated fats and increased risk of heart disease.
- 40% reduction in the risk of becoming obese in a Spanish study of 8,000 when taking daily portion of yoghurt.
- Not a huge amount of evidence for probiotics being that effective so put down your Yakult! Although there are a few benefits, treating C. Diff, dealing with hypercholestoremia, increasing thiamine.
- Our genes to degree dictate which gut microbes will thrive in our bodies. But equally our diet over a period of time can through epigentic processes effect which genes are on and off.
- Red meat is red because of the protein myoglobin which is good for endurance. Something white meat doesn't have, hence why chickens can dash across the road but not run a marathon.
- Weston Price travelled the world in the early 1900's for 25 years, recording the eating habits of remote tribes and populations untouched by "modern degeneration". Most of these groups ate the liver, kidneys, heart, and intestines, gave away lean meat to their dogs etc. Inuits have few plant sources so seek out caribou and whale livers for vitamin c.
- Extra virgin olive oil very good for you. No real evidence showing that it becomes bad when used in cooking.
- PREDIMED, 7,500 mediterraneans in Spain given a few different diets, already eating about 40% fat from meat, olive oil, nuts, dairy etc. Some were told to avoid fats, some told to eat extra nuts, some given an extra bottle of olive oil each week. Study was stopped because it wasn't ethical for the non fat group. Olive oil and nuts group had 30% less chance of heart attack, stroke, memory loss, and breast cancer. Extra olive oil group was also better at preventing diabetes.
- Olive oil seems to be able to switch of the genes through epigenetics for the inflammation in blood vessels that leads to heart disease.
- Polyphenols the big hero here. Mop up toxins and seem to reduce inflammation. Olive oil has huge amounts of polyphenols, almonds too.
- Olive oil may have an advantage over other oils because it comes from the whole fruit not just the seed.
- Mice eat each other's poo which may be for the diversification and sharing of microbes. If you put a fat mouse with a lean mouse, the fat one will become lean over time not vice versa. Except in the instance where the mouse was fed a high fat/low fibre diet, then it would stay fat.
- Christensenella might be a miracle microbe. One in ten humans have it. When transplanted into mice on high fat diets it prevents them from getting fat. It also seems to prevent obesity in humans and prevent the accumulation of visceral fat.
- Liping Zhao has been running succesful dieting plans for millions of Chinese. His first most famous case was a 29 year old 175kg man. Zhao found an incredible amount of enterobacter in this man's body. It seemed to be bullying the other microbes and keeping him fat. Zhao took this enterobacter colony from 30% to 2%. Lost 30kg after 9 weeks, 51kg more after another 4 months. Also a diet of gruel, made up of natural Chinese ingredients, grains etc.
- When implanted into sterile mice Enterobacter makes mice on high fat diets fat very quickly.
- Fewer than 1 in 6 dieters said they have managed to maintain a 10% weight loss for more than 12 months.
- After a period of 6 weeks of intense dieting on any regime that has achieved a weight loss of more than 10%, energy expenditures and metabolism diminish so as to compensate as the body tries to regain its previous fat stores. This metabolic slowdown can be as much as 10% of daily calories. Low fat diets seem to produce the greatest effect on the resetting mechanism, high protein/low carbs the least.
- Keystone species include bifidobacteria, F. prausnitzii, lactobacillus, and the ancient methane produce methanobrevibacter.
- One species of bacteroidetes contains over 260 enzymes for breaking down plant structures, we have 30. Total gut microbes have 6000 different enzymes.
- At least 145 genes have been horizontally swapped to humans from other species
- Seaweed digestion is a classic example of this ability. Possibly swapped from a microbe like zobellia.
- Seaweed may aid in weight loss.
- There is a clear correlation between milk consumption and height.
- Americans were the tallest race in the world but they've been passed by the Dutch and their enormous milk consumption.
- Only 35% of the world can drink a half pint of milk and not feel sick. This shoots up to 90% in Northern Europe
- With the help of the microbe lactobacillus Lactase enzyme breaks down lactose. This is turned off in babies once they start eating solids. Except for those who have the gene mutation.
- Divide grams by 4 to get the number of teaspoons.
- Strep mutans is the microbe that creates cavities in our teeth by producing lactic acid, they do this while stuck to dental plaque.
- Most superfoods are just marketing bullshit. Almost all fruit and vegetables are superfoods
- Nothing works in isolation. e.g. carrot and spinach are great sources of carotene but this is best absorbed when olive oil is also present.
- Most coeliac sufferers gain weight once they get on a gluten free diet.
- Amylase in our saliva to break down carbohydrates and in the pancreas for release into the small intestine.
- Each copy of the amylase gene you are short of increases your chance of obesity by 19%
- Very hard to measure without incurring huge costs.
- Artificial sweetners may reduce your gut microbes and create a more acidic environment.
- They also seem to somehow increase the ability of your gut to absorb starch and carbs more effectively, which can ultimately leading to weight gain.
- Alkaline diet is stupid because your body controls your internal PH naturally and you shouldn't really shift it.
- In fact PPI (proton pump inhibitors) which are an anti-acid drug that helps with heartburn often causes infections in the intestines.
- Most of the body's hormone serotonin is created in the intestines and is mainly manufactured during times when not eating.
- Flavonoids and polyphenols in chocolate good
- Studies show an increase in good cholesterol HDL from eating dark chocolate, regular chocolate eaters have healthier metabolisms and microbes than occasional eaters
- At least 70 percent cocoa is best.
- Asians carry a variant of the alcohol gene dehydrogenase which metabolises alcohol 50 times faster than europeans or africans
- Glass of red wine good. Alcohol in small amounts good.
- 20% increase in food allergies and asthma in c-section babies. With a further sevenfold increase in risk of allergies if mother has an allergy herself.
- Risk of obesity increases by 20% if born by c-section and no good microbe swab to the face
run out of space :(