I received this advance readers copy from Goodreads First Reads. Yay for free books and thank you!
Perhaps I should apologize in advance, this is long and probably a bit of a tirade. Here's the good parts version: If you are concerned about gluten intolerance (not celiacs), your blood sugar levels, neurological issues or just think you are hooked on sugar and worry about bad for you carbs read this book.
So.
They say that when the student is ready the teacher will come and I found it almost amusing that I won this book just a few of weeks after one of those wake up calls at the doctor's office. I had known trouble was brewing for quite some time but have spent most of the last 18 months uninsured. Finally got coverage again, 90 day wait period behind me, made the eleventy billion phone calls to nearly every doctor in our phone book before scoring a doctor accepting new patients and an appointment two months into the future and had enough blood draws to require a basket to carry all the vials, followed by another week or two of waiting, I got some answers. I will spare you the nitty gritty details but changes are required in the diet and lifestyle arena. I was not surprised.
What has continued to surprise me throughout my adult life are the shifting sands of diet and nutrition to the point that I have become pretty cynical and came close to adopting a "who cares, it will all change next year anyway and we all are dying of something someday" attitude about food and eating. Now, you must know that I have always tried to eat and cook good, healthy food. I have never smoked or consumed alcohol or abused any drug, I love drinking water, I really have tried for a healthy lifestyle. We grow a garden, for years I made my own bread, we didn't do drive throughs, my kids did not grow up on happy meals or Pop Tarts, they wondered why I didn't allow Chef Boyardee in our pantry (until they tried it at someone else's house). Sure, we ate the occasional convenience item, canned soup, some pizza now and then, and cold cereal (supposedly low fat and filled with nutritious grains) but I can my own fruits and vegetables and made my own granola for Pete's sake. If we had a cookie or dessert, which we did, it was made in our kitchen and I could pronounce every single item that went into it. We ate meatless once or twice a week. I don't even like soft drinks, we switched to skim milk 25 years ago and almost never drink juice. I followed all the supposedly researched nutrition advice from what we (mistakenly) believed were creditable sources, such as the USFDA.
And yet the pounds just kept creeping on and getting harder and harder to lose. Calories in, calories out. I've heard it over and over and over and restricting calories and adding moderate exercise would help me drop for a while but would stall and inevitably the pounds would begin to creep back on. I'd keep walking, going to Curves or whatever but life on a 1200 calorie, low fat diet did not ever budge the scales much or bring me lasting results and I was always hungry and never felt well on that type of diet so of course it could not last. But it was the perceived wisdom of good health so I kept at it. I avoided all fad diets and just kept plugging away at the calories in, calories out, get moving, cut the sugar. The Heart Association, Weight Watchers, the American Diabetes Association, EVERYone said this was safe, sensible and good for you. Remember that home grown, home bottled produce? So I could control the salt and sugar in my foods. (And because stuff frozen or canned when it's ripe is so much better than anything you can buy at the store!) I have briefly over the years toyed with the idea of some of alternative diets out there, Atkins, Ideal Protein, even Jenny Craig and all those but the idea of eating their prepackaged foods was just a big turn off. Expensive and I had my doubts about the healthiness of foods marketed by a diet and nutrition INDUSTRY (hello, they might want to help you lose weight but they really want to make $$$ doing it). And then I saw so many friends and acquaintances gain it all back and more as soon as they return to real life and real food choices. Plus, who wants to eat that while cooking real food for the rest of the family?
Also over the years I've had a lot of unanswered questions. Not one doctor I ever asked had any real explanation as to why, for instance, until I went on birth control pills I literally could not gain weight. I was very slender, too thin based on the questions my doctor asked me about my eating habits (he was obviously concerned I was anorexic or purging somehow, I was not, you will just have to take my word on that one). Six weeks after going on the pill I had gained 20 lbs! I went to a doctor, one I had not seen before because my new husband and I had just moved. He (the doctor,not my husband) actually laughed at me, out loud, because, probably for the first time ever I was indeed truly carrying a healthy weight for my frame and could probably stand to gain another 5 or 10. He suggested the cause was maybe some lifestyle/diet change with marriage but no, if anything I was eating more healthy and felt that it would have been hard to eat enough and be sedentary enough to accomplish that kind of weight gain so quickly. And there were many other questions I raised over the years based on my body's reaction to hormonal changes but every one was answered with the old "calories in, calories out, it's that simple," shrugs, and once a prescription for Prempro (and I have to say, based on this reaction to the list of my symptoms that prompted this prescription I have apparently be in peri-menopause since I was 12 years old, a shrug and RX pad were all she had to offer). Oh, and let's not forget the looks of frank disbelief and clearly spelled out, honey, the numbers don't lie, you must be eating junk or the attitude of you are fat, therefore you must be both stupid and lazy and deceiving yourself, which, sorry docs, many of you broadcast loud and clear by your expressions and choice of words. Not helpful.
So I get this incredible amount of lab work done and my doctor declares that sure enough, I have probably had a hormone imbalance for oh, 30 years or so, maybe always, and I have become pre-diabetic and insulin resistant (maybe those are the same thing). She suggests very strongly a low carb, low glycemic diet which I agree to try. Thinking, how can it be good to remove whole groups of food from your diet? but I will give it a try, something has to change and I really, really want to FEEL better.
I did not just take her word for it, i did a lot of research and then just plunged in. Right about the time I thought I might prefer dying a few years earlier than expected due to diabetes or stroke than stick to this diet along came Grain Brain (there, I finally got to the book!). I am not a doctor, scientist or researcher so I cannot fully speak to the science issues here but they were easy enough to follow and made sense. And matched much of the other newer research I was finding. It turns out that "a calorie is NOT just a calorie" (not just referring to sugar, here, everyone knows too much of that is bad for you!) and while your body needs exercise for optimal health, your heart, your lungs, your brain, exercise alone is not going to be enough for sustainable weight loss.
Grain Brain and Dr. Perlmutter purport that it's not fat and sedentary lifestyle that has brought on the obesity, and subsequent type 2 diabetes, epidemic but our over consumption of carbs, sugar and gluten. And it's not just about weight loss, this stuff affects our brains and the performance of other parts of our body. Of course it does! Where else do the nutrients for our brains and cells come from if not at least mainly from our gut and what we consume.
Perhaps this type of eating plan is not for everyone but I have to say it is working for me. I do not just eat meat, cheese, vast amounts of bacon and lettuce, that is not what the doctor is suggesting here. I have, however, pretty much given up all starches, if it's white, unless it cauliflower, Greek yogurt or cottage cheese it is not on my list. I do eat a lot of protein and a lot of vegetables, some dairy and some fruit but a modest amount and always combined with protein. I am sure the hormonal supplements and massive vitamin D supplement I am taking have contributed but once I got over the carb withdrawl (two horrible weeks, yes, sugar/carb addiction is as bad as any other addiction, and I will admit I also actually grieved the loss of some foods because this must be a lifestyle change for me) the cravings faded, I do not need as much food to feel satiated (I am supposed to have small snacks between meals, I feel so satisfied I often forget), I have more energy, I am just plain happier and the weight is coming off at about 4 lbs a week. Even better, my doctor was very happy with my "blood numbers" at my four week follow up visit. Exercise no longer feels like torture or something i must do because its in my chore list. sometimes I will be sitting watching a movie and just get up and pull out the resistance bands or start marching or stretching. Voluntarily because I just want to move. Again, some of this may be due to fixing some other issues but back to the good parts version, if you have been struggling with weight loss, gluten or insulin intolerance, you will probably find this book worth your while.