The Switch
“Ignite Your Metabolism with Intermittent Fasting, Protein Cycling, and Keto”
By James W Clement (with Kristen Loberg)
Overview
"The Switch" is a Health Sciences Book first and a Diet Book as an afterthought. The author purports to have read tens of thousands of scientific papers over the years, but he’s a lawyer by training who has turned into a research scientist and entrepreneur. So naturally he would write a health and nutrition book based on zero of his actual medical or health accreditations in order to monetize on all his hard work, right? Yep.
Having said that, it was an entertaining read. The health science education was particularly appealing to me. He goes through the history of topics that support his claims, avoids the history of topics that don’t support his claims, and provides interesting perspectives on various biological processes. If you can read in between the lines with these kinds of books, it’s possible to piece together a bigger picture that can shape your own choices to diet and longevity.
The title of book refers to the up regulation of Autophagy in the body during periods of fasting and the down regulation of the mTOR pathway that contributes to aging more rapidly and becoming more susceptible to cancerous cell growth, which is prevalent during periods of frequent or constant food consumption. His Diet recommendations on a “High Fat, Low Protein, Low Refined Carb” eating plan with a Catabolic Focus 8 months out of the year and an Anabolic Focus for 4 months was confusing at best and I imagine this is where the bulk of critics focus their energy on tearing down the book. A cursory examination online didn’t reveal any forums with people who have adopted this eating plan either. But the principles behind the eating plan have value. It's very beneficial to have a foreknowledge of the biological benefits of fasting, anabolism vs. catabolism, Autophagy vs. mTOR pathways in the body, hormone reactions like insulin vs. glucagon, factors that influence various gene expressions, and underlying implications prevalent in virtually all diseases of affluence are all covered in this book, which the author writes in an interesting and compelling way (for someone who likes reading Health & Nutrition books).
Salient Points🤔:
Fasting vs. Feasting 🍽️
1. The dichotomy between anabolism and catabolism when understanding one’s metabolism. Anabolism is prominent during nutrient abundance and is the body’s way of building cells. Catabolism is prominent during nutrient scarcity and is the body’s way of breaking down cells for energy.
2. The catabolic process of “autophagy” is a more specific type of catabolism that focuses on recycling cellular components, including damaged organelles and proteins, within the cell.
3. Autophagy is generally highest in the body when cells are under stress, such as during a period of fasting. Studies suggest that autophagy peaks between 24 and 48 hours of fasting. While autophagy can be triggered by other methods like exercise and calorie restriction, fasting is the most well-established and effective way to induce it.
4. Mitochondria are amazing little “organelles” that inhabit cells by approximately 100 per cell. There are tens of trillions cells in the body. These organelles help cells produce ATP which is the fuel our body needs to survive. Healthy mitochondria are the cornerstone of health and disease prevention. Damaged and dysfunctional mitochondria are linked with every disease imaginable.
5. Autophagy is the biological process that repairs and replaces mitochondria as they become worn out or defective. It also limits DNA damage and chromosomal instability, which have led scientists to call it “the guardian of the genome”.
6. The mTOR gene turns on during food consumption. It inhibits autophagy because it promotes cell growth and biosynthetic processes, which are generally antagonistic to the catabolic process of autophagy.
7. Excessive activation of the mTOR pathway, such as during periods of frequent or constant food consumption, is generally considered dangerous and linked to various diseases. It can disrupt normal cell processes, leading to conditions like cancer, metabolic disorders, and neurodegenerative diseases.
8. The caffeine found in coffee is thought to help inhibit the mTOR pathway and promote the activation of autophagy.
9. Insulin (the hormone naturally produced in the body to help regulate blood sugar levels during food intake) and glucagon (the hormone naturally produced in the body during periods of fasting which signals glucose release from fat cells) are on opposite sides of a seesaw. If one goes up, the other goes down.
10. "The Switch" Plan itself requires switching from a more famine oriented/autophagic/catabolic way of living 3/4 of the time each week/month/year and a more feasting oriented/mTOR activating/anabolic way of eating 1/4 of the time each week/month/year. While it seems like it would be incredibly hard to implement such a plan without an app or a tracker of some kind, the feast vs. famine principles are really valuable to me as I tailor my eating habits throughout the week/month/year. Knowing that having a bigger meal or 2 or one that involves more IGF-1 gene expression is a good thing every now and then is really good to keep in mind when following an otherwise ascetic way of eating.
Other Health Concepts⚕️
1. Findings from a Centenarian study have determined that genetics play a far less important role than was previously believed to be the key to living longer. Data suggests lifestyle choices including health, exercise, and nutrition play a more central role.
2. The IGF-1 gene is responsible for tissue and bone growth in the body. Consuming a moderate or high protein diet switches this gene on more frequently, accelerates the aging process in the body, and makes cells more susceptible to cancerous growth.
3. Not until 2003, when the mapping of the Human Genome was completed, did scientists definitely know that all of the previous man-like derivative species discovered from fossil records over the ages were genetically related to our current species of Homo sapien. It is now established that the human genome has had a 0.5% mutation rate per million years. This could suggest that the Hunter-Gatherer diet of Homo erectus 2 million years ago is more suited to our bodies than the more agricultural, grain-based diet of the past 12,000 years. Even singling in our own species, which has been around for 200,000 years, farming practices only account for 6% of the length of our nutritional lifestyle.
4. Linking the concept of Hormesis, or the process of exposing the body to small doses of something that could be fatal at larger doses, to that of Exercising (oxygen deprivation) was intriguing.
5. Visceral adipose tissue (VAT) or Belly Fat is the worse kind of fat to have on the body because it has the most metabolic consequences, one of which deals with fat cells becoming senescent: they cease to divide but refuse to die off. Senescent cells give off pro-inflammatory signals that tell the Immune System to mobilize defenses much more frequently. They can also cause Stem Cells, or cells that can morph into any kind of cell needed in a given situation, to go dormant.
6. The concept of Protein Cycling was intriguing, or going through longer periods of low protein ingestion followed by shorter periods of higher protein amounts. My wife and I do that without even realizing it: we like to eat red meat about once or twice a month and otherwise stick to eggs, beans, nuts, and the small amounts of protein naturally occurring in fruits and vegetables the rest of the time. We are Protein Cyclers!
Animal Studies 🐖
1. Bowhead whales are the longest living mammal known to science, cases citing whales who have lived over 200 years. It is surmised that they go through extensive periods of fasting and oxygen deprivation which might help their longevity.
2. The Naked Mole-Rat has an average lifespan that’s 3-4 times that of other rodents and a genome that seems to be impervious to cancerous cell growth. One thought the author cites is that the rodents undergo regular Hypoxia or oxygen deprivation similar to when humans exercise. Naked mole rats can generate energy from fructose instead of glucose, which requires oxygen. This allows them to survive in environments with low oxygen levels.
Aggravations 🤢
1. The author seems to draw much of his High-Fat Diet focus from an obscure 1983 study on the advocacy of a High Fat, Low Protein, Low Carb diet, or on the speculative nature of what Hunter Gatherers would have eaten 2 million years ago. Not the strongest foundation of research imho.
2. The author supports controversial high fat foods like Canola oil since it has a high smoke point. Huh?
3. The author frequently mentions “carbs” without any qualifier on the type of carb he’s talking about. He often doesn’t differentiate between refined carbs to carbs derived from whole foods like fruits and vegetables. I think he was referring to refined carbs most of the time, but it was a bit confusing.
4. The author mentions several things that can be misleading or taken out of context that could be hazardous to health, such as a high fat diet (all foods that contain high amounts of fat?), smoking to increase longevity (start smoking?), the health promoting effects of red wine (become a lush?), taking small amounts of poison to bolster the body’s resistance to it (all poisons?)
5. Similar to the previous point, the amount of times the author says “I’m not saying…” in reference to introducing a provocative topic that he actually doesn’t support… was more than a few times.
6. Never a fan of any diet book that recommends copious amounts of supplements. While the author did not advise a strenuous regiment, he did support regular supplementation. My opinion on supplements is this: get them through your food unless in very specific medical situations, as the only thing the supplement industry can guarantee is to take your money.
7. The author has a habit of “overdoing it” at times. He talks about this or that food to induce or promote Autophagic-reactions or to inhibit mTOR pathways but he mentions the same things can occur naturally by simply fasting and eliminate snacking between meals. I’m a big fan of the KISS principle: Keep it short and simple.
8. I'm a big fan of serving sizes on packaging to help me and my kids to determine what's a safe and responsible amount of food. 1 serving of this. 2 servings? Hmm, OK but not very often. I'm pretty sure that 84 macadamia nuts daily qualifies as 3-4 servings per day though, as the author recommends.
Final Thoughts
I did enjoy many topics in the book, especially related to “The Switch” between “turning on” Autophagy (related to periods of fasting) and “turning off” the mTOR pathway (related to periods in and around food consumption), hormesis, fat cells, obscure health inferences of other animals, and the tidbit about how the Human Genome Project revealed that we’re related genetically to all previous Homo-species and maybe we should eat a bit more like them. While I do not intend to adopt his prescribed eating plan (whatever it was… see I’ve already forgotten) I do eat a mostly vegetarian diet, lots of beans, veggies, fruit, nuts, goat and sheep products, eggs once a week, seafood and/or red meat maybe once or twice a month, reduce my snacking, avoid (as best as possible) refined carbs, flours, bread, limit sugary foods. I think maybe this way of eating is actually close to what he’s talking about though. I am however a fan of fasting for its autophagy-promoting effects. I have done a 16/8 IF several years ago and have had wonderful health effects from it. Then my wife and I had kids and that put a damper on things with their constant desire for food, especially sweet food. But now I want to get back to it as my middle aged VAT stores are getting a little out of hand due to becoming lax on snacking and refined carbs. It’s time to rev up Autophagy and hopefully live an even longer, healthier life!
3 Stars ⭐️